week 2/ discussion forum/student posted

        

     Exploring the rate of seasonal-pattern depression in an Inuit Community

Methodology:  Quantitative 

Design:  Ethnography

Rationale:  To assess the rate of seasonal-depression in an Inuit community above 70 degrees N.

2. Democracy in America

Methodology:  Qualitative

Design:  Grounded theory

Rationale:  To review “Democracy in America” by Alexis de Tocqueville and translated and edited by Harvey C. Mansfield and Delba Winthrop.

3. The relationship between compassion fatigue and burnout among critical care nurses

Methodology:  Qualitative

Design:  Correlation

Rationale:  To evaluate the literature related to emotional distress among healthcare professionals in the Intensive Care Unit, while emphasizing the prevalence of compassion fatigue and burnout.

4. Two drugs for Alzheimer’s show promise

Methodology:  Quantitative

Design:  Quasi-experimental design

Rationale:  The combination of two approved drugs for Alzheimer’s, acamprosate and baclofen, together open up the possibility for a therapeutic approach for the disease.

5. Evaluating technology with student success

Methodology:  Quantitative

Design: Case Study

Rationale:  To show measurements used to monitor student success and describe strategies used to promote online discussion as a key component of effective online courses.

6. Factors that influence weight control among women

Methodology:  Qualitative

Design:  Survey

Rationale:  To investigate the influence of work hours and employment on weight gain and weight loss with middle-aged women.

7. The meaning of living with brain injury and stroke 10 years after the injury

Methodology:  Quantitative

Design:  Survey

Rationale:  To indicate that rehabilitation following an ABI should consider if clients’ use everyday technology influences their activity and participation and adopt appropriate interventions.

8. Exploring the beliefs of healing among Aborigines

Methodology:  Qualitative

Design: Observational

Rationale:  To give insight on the beliefs of the Aborigines.

References

Account Respecting Beliefs of Australian Aborigines. (1896). The Journal of American Folklore, 9(34), 199-203. doi:1. Retrieved from http://www.jstor.org/stable/533404 doi:1

Au, N., Hauck, K., & Hollingsworth, B. (2013). Employment, work hours and weight gain among middle-aged women. International Journal of Obesity, 37(5), 718-24. doi:http://dx.doi.org/10.1038/ijo.2012.92

Chumakov, I., Nabirotchkin, S., Cholet, N., Milet, A., Boucard, A., Toulorge, D., Cohen, D. (2015). Combining two repurposed drugs as a promising approach for alzheimer’s disease therapy. Scientific Reports, 5, 7608. doi:10.1038/srep07608

Drescher, S. (2001). Democracy in America. The Journal of American History, 88(2), 612-614. Retrieved from http://search.proquest.com/docview/224908446?accountid=87314

Fasse, R., Humbert, J., & Rappold, R. (2009). Rochester institute of technology: Analyzing student success. Journal of Asynchronous Learning Networks, 13(3), 37.

Haggarty, J. M., Cernovsky, Z., Husni, M., Minor, K., Kermeen, P., & Merskey, H. (2002). Seasonal affective disorder in an arctic community. Acta Psychiatrica Scandinavica, 105(5), 378-384. doi:10.1034/j.1600-0447.2002.1o185.x

Lindén, A., Lexell, J., Lund, M. L., Arbetsterapi, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, & Umeå universitet. (2010). Perceived difficulties using everyday technology after acquired brain injury: Influence on activity and participation. Scandinavian Journal of Occupational Therapy, 17(4), 267-275. doi:10.3109/11038120903265022

  

Discussion: Pain

The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To Prepare

· Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether andMcCance text.

· Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

• Chapter 14, “Pain,      Temperature, Sleep, and Sensory Function”

This chapter covers the role of pain, sleep, stress, and the senses on body functions. It also explores alterations involving pain, sleep, stress, and the senses.

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up      to Date (must use original articles from Up to Date as a resource)
2. Wikipedia
3. Cdc.gov-      non healthcare professionals section
4. Webmd.com
5. Mayoclinic.com

    

Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 750-1000 words, explain your answer and include rationale. 

Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide.  You are required to submit this assignment to Turnitin. 

  

S.C. is a 21-year-old college student. She presents with intermittent wheezing. She has a history of asthma as a child but had been free of symptoms until this year. She has symptoms 1 to 2 days per week but denies nocturnal wheezing. Her symptoms do not interfere with her normal activities. She has never taken systemic corticosteroids and has never been hospitalized for asthma. On physical exam, you observe soft end-expiratory wheezing at the bases bilaterally. Pulmonary function tests today show an FEV1/FVC of 80% with an FEV1 90% of predicted. She has no other medical conditions and and is not taking any nonprescription, prescription or complementary alternative medicines. She has no known environmental or drug allergies.

DX: Asthma

1. List specific goals for treatment for S.C.

2. What drug therapy would you prescribe? Why?

3. Write prescription for drug therapy prescribed.

4. What are the parameters for monitoring success of the therapy?

5. Discuss specific patient education based on the prescribed therapy.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for second-line therapy?

8. What over the counter and/or alternative medications would be appropriate for S.C.?

9. What lifestyle changes would you recommend for S.C.?

10. Describe one or two drug-drug or drug-food interactions for the selected agent.

MUST USE REFERENCE IN TEXT CITATIONS, NURSING JOURNALS ONLY WITHIN 5 YEARS

• One component for health care organizations when conducting a TOWS (threats-opportunities-weaknesses-strengths) matrix analysis is incorporating the facilities requirements from an emergency preparedness plan for the local community. Review the Riverbend City scenario and discuss the issues, using a TOWS matrix analysis, that the long-term care facility needs in its planning process to allow them to respond to the disaster and to safely evacuate their residents.
• In your response, include a detailed discussion of the advantages a TOWS matrix offers strategic managers when addressing external opportunities and threats. You may wish to review Exhibit 7-1, “External/Internal Strategy Matrix,” in your text, Strategic Management of Health Care Organizations when drafting your response.