Head-to-Toe Assessment  For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:        

•Topical headings to delineate systems.       

•For any system for which you do not have equipment, explain how you would do the assessment.       

•Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.       

•An analysis of age-specific risk reduction, health screen, and immunizations.       •Your expectation of normal findings and what might indicate abnormal findings in your review of systems.       

•The differential diagnosis (disease) associated with possible abnormal findings.      

 •A plan of care (including nursing diagnosis, interventions, evaluation).       

•Client and age-appropriate evidenced based practice strategies for health promotion.       

•Pharmacological treatments that can be used to address health issues for this client.   Provide your answers in a 6- to 7-page Microsoft Word document.   Support your responses with examples.   On a separate references page, cite all sources using APA format.         

•Use this APA Citation Helper as a convenient reference for properly citing resources.       

•This handout will provide you the details of formatting your essay using APA style.       

•You may create your essay in this APA-formatted template.

Discussion Question 1

For this questions, please read the following case study and then respond to the questions noted below. 

 Ms. BD is a 33-year-old G2P1 female who has a history of chronic HTN. She was diagnosed with this in the interim since her first pregnancy, and she has been well controlled with Prinizide 12.5/20 PO BID. Her period, usually very regular, was 5 days late. She performed a home pregnancy test which was positive. She states she feel “OK” but is concerned about both her HTN and her developing fetus. She has no other medical problems, symptoms, or concerns. 

Assessment: Physical examination is unremarkable. Her BP is 128/68 and her pulse is 74. Her urine human chorionic gonadotropin (HCG) is positive. Her potassium is 4.2, blood  urea nitrogen (BUN) is 14, and creatinine is 0.6. Alanine aminotransferase (ALT) is 29. White blood cells (WBCs) are 6.5, hemoglobin (Hgb) is 12.8, hematocrit (Hct) is 39, and platelets are 330,000. 

1.Is there any additional subjective or objective information you need for this client? Explain. 

2.Is Prinizide safe in pregnancy? What are the possible complications to the pregnant woman and her fetus? 

3.Why is it important to assess the above laboratory values? How might this information impact your treatment plan? 

4.Would you make any changes to Ms. BD’s blood pressure medications? Explain. If yes, what would you prescribe? Discuss the medications safety in pregnancy, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.

5.What health maintenance or preventive education is important for this client based on your choice medication/treatment?

6.Would you treat this patient or refer her? Where would you refer this patient?

Do 2 pages

Provide References.

Dr. Johnstone didn’t like what he saw.  The x-rays of Gladys Gwynn’s hip showed a fracture of the femoral neck and severe osteoporosis of the hip.  Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility.  The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower.

A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker.  Although her finances were limited, she has been living at Sunny Meadows since her husband’s death four years ago.  Dr. Johnstone knew that she didn’t have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this.

A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility.  However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice.  This would repair the break but not improve her mobility.

Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication.  With one more look at the x-ray, Dr. Johnstone sighs and walks toward Mrs. Gwynn’s room.

Because of the pain medication, Gladys Gwynn may not be able to speak for herself.  Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her?  Given these circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone in the facility?

Initial post must be a minimum of 5-6 complete sentences

Due 6/8 6 p.m est

500 words not including min 4 references APA format

  

Public health officials use myriad data sources to collect information for disease surveillance. Because of the ease of access, the majority of this information comes from electronic data sources such as daily physician visits, frequency of ambulance use, and filling of pharmacy prescriptions. Because every piece of information a public health official receives is not an indicator of disease, it is critical to find the right data sources to detect events and trends.

Often, creative thinking is required to identify potentially useful data sources and the combination of variables that may be revealing. Of course, identifying the data sources is only half the battle. It is also critical to determine how reliable the data are and how they will be obtained

Select a chronic disease or condition. Analyze data sources that are or might be used to monitor the disease or condition. Then identify three data sources that you think are useful indicators of an event or trend related to the disease or condition you have selected. Justify your selection of each of the data sources you identified. Briefly address the case protocol (if appropriate) for the data sources and describe how the accuracy of that data might influence the disease surveillance 

 

hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully.  You are expected to post a primary response to the 2 discussions topic. All posts should address the discussion topic/question, add to the discussion, and/or encourage others to respond. Facts and claims MUST be supported with APA format citations and references. Your primary response to the topic/questions posed should be 2 paragraphs for each question, and be thoughtful, well-written, and include appropriate APA in-text citation(s) and reference(s) when appropriate.

Discussion one,

  How does emergency management learn from history? Give some examples.

Discussion two,

What are the threats you believe are most likely to create an incident in your community?