Instructions: Response must be at least 510 words written in current APA format with at least two academic references cited. References must be within the last five years.

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
   In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

Please reply with one reference to the following post:

Week 1 Discussion

Nursing revolves around the patient, the nurse, the patient’s health, and the environment. Therefore, these four concepts are known as the metaparadigms of nursing. There are many additional concepts that come to mind when I think of nursing. As a registered nurse, I feel as if collaboration and advocacy are two additional concepts that are relevant to my personal practice.

Collaboration is defined as “working with others in a way that promotes/encourages each person’s contributions toward achieving optimal/realistic patient/family goals” (Butts & Rich, 2018). In my opinion, working in the healthcare field truly requires amazing teamwork. A patient cannot heal purely by the medications the nurse gives them every morning. They must walk with physical therapy to get stronger, they must get their breathing treatments from the respiratory therapist, their labs have to be drawn by the phlebotomist, the radiologists must read their x-rays, and the physician must speak to/evaluate the patient each day to ensure that his/her goals are being met. Thankfully, I work in an environment where collaboration is welcomed. As the nurse, physicians often ask my opinion, as I have a closer relationship to the patient. Collaboration is most successful when there is active communication regarding patient care, and the correct resources are used to optimize patient outcomes (Butts & Rich, 2018).

Advocacy is the second concept that I feel is relevant to my personal practice. According to Butts and Rich (2018), advocacy is defined as “working on another’s behalf and representing the concerns of the patient/family and nursing staff.” On a daily basis, I find myself advocating for my patients. I do this by keeping the entire healthcare team informed, providing assistance or getting them in touch with the correct people to get them assistance, and providing professional nursing care. Working on an orthopedic unit, I most often find myself advocating for my patient regarding their pain. As nurses, we are taught that “pain is what the patient says it is.” If I feel as if my patient does not have adequate pain control, I am quick to call the physician. By advocating for my patients, I want to ensure that they get the proper care to optimize their health and outcomes.

Reference

                Butts, J. B., & Rich, K. L. (2018). Philosophies and theories for advanced nursing practice (3rd ed.).

– This assignment about Saudi Arabia 
– Follow instructions in the attached file carefully  
– Avoid Plagiarism 
– 4-5 pages report not including the cover page and the references. 
– follow APA style. 
– provide in text citation and at least 7 updated articles after 2013.
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Assignment: Academic Success and Professional Development Plan Part 3: Strategies to Promote Academic Integrity and Professional Ethics

Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to erode quickly or worse.

Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignment asks you to consider these tools and how you might apply them to your own work.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by appending the original document you began in the previous assignment.

To Prepare:

• Reflect on the strategies presented in the Resources for this Module in support of academic style, integrity, and scholarly ethics. (see below bullets points for links)
• Reflect on the connection between academic and professional integrity.
• https://www.nursingworld.org/coe-view-only
• https://journals-sagepub-com.ezp.waldenulibrary.org/doi/10.1177/0969733016674769
• http://www.nln.org/docs/default-source/default-document-library/ethical-principles-for-nursing-education-final-final-010312.pdf

The Assignment:

Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template you began in Module 1 and expanded in Module 2, write a 2- to 3-paragraph analysis that includes the following:

• Explanation for the relationship between academic integrity and writing
• Explanation for the relationship between professional practices and scholarly ethics
• Cite at least two resources that support your arguments, being sure to use proper APA formatting.
• Use Grammarly and SafeAssign to improve the product.
• Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity.

Part 3, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by:

• identifying and describing strategies you intend to pursue to maintain integrity and ethics of your: (1) academic work as a student of the MSN program and (2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.