Week 3 – 2025 Karen is a 33 year old G2P2 with a medical history of migraines for which she takes Imitrex when

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Week 3 – 2025

Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes ½ pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic exam is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

  • Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for. 
  • Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.
  • Are there any methods that you would not recommend for Karen? Why?

Week 4 Critical Appraisal/Integrative Literature Review – 2025 Write a literature review of your change project topic using peer reviewed articles

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Week 4 Critical Appraisal/Integrative Literature Review – 2025

 Write a literature review of your change project topic using peer-reviewed articles and books, as well as non-research literature such as evidence-based guidelines, toolkits, and standardized procedures. Identify and cite all sources of data according to APA guidelines. The goal is to review and critique the most current research to support your change project; this research will help drive the focus of your research. Summarize the key findings and provide a transition to the methods, intervention, or clinical protocol section of your final paper. Describe any gaps in knowledge that you found and the effects this may have on nursing practice as it relates to your change project topic. The literature review should be a synthesis of how each article relates to your change project. Also, when writing your literature review, remember to include subtopics to your main topic and gather data on these areas as well. For example, if you are doing a project on cancer, then subtopics for cancer treatments should be included.

Your integrative literature review should be at least 6 pages in length, not including the cover or reference pages, and must contain a minimum of 10 scholarly articles, published within the past 5 years. 

QUALITATIVE ESSAY ABOUT E-CIGARRETS – 2025 This is an APA Style ESSAY that must talk about this article following the rubric the

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QUALITATIVE ESSAY ABOUT E-CIGARRETS – 2025

– This is an APA Style ESSAY that must talk about this article following the rubric, the rubric is for the teacher for evaluation BUT MUST BE FOLLOW PRECISELY.

– Make a critique of it as an essay, following the rubric of qualitative research evaluation (the rubric is attached.

– MUST HAVE LESS THAN 15% OF PLAGIARISM WITH A PLAGIARISM REPORT

– THERE IS A SAMPLE ESSAY ATTACHED ALONG WITH THE ARTICLE THAT YOU MUST USE AND THE RUBRIC THAT THE TEACHER WILL USE.

– THE NAME OF THE ARTICLE IS “Vaping Expectancies: A Qualitative Study among Young Adult Nonusers, Smokers, Vapers, and Dual Users”

– 2 pages at least DOES NOT NEED AN ABSTRACT. Will pay extra 10$ for a better work, MAKE SURE YOU READ THE ENTIRE ARTICLE AND GIVE THE RIGHT INFORMATION with numbers and authors THIS WILL BE THE ONLY REFERENCE IN THE PAPER PLEASE CITE THE WORK APA STYLE.

– THIS IS AN ESSAY MASTER LEVEL (NOT A QUESTION AND ANSWER PAPER)

Psychotherapeutic Approaches To Group Therapy For Addiction – 2025 To prepare Review this week s Learning Resources and reflect on the insights they provide on group

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Psychotherapeutic Approaches To Group Therapy For Addiction – 2025

 

To prepare:
  • Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.
  • View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

  • Identify the psychotherapeutic approach that the group facilitator is using and explain why she might be using this approach.
  • Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group and justify your decision.
  • Identify an alternative approach to group therapy for addiction and explain why it is an appropriate option.
  • Support your position with evidence-based literature.

Reply To Both Comment – 2025 reply to Ashley Negotiation plays a key role in patient education as a platform for patients

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Reply To Both Comment – 2025

reply to Ashley

Negotiation plays a key role in patient education as a platform for patients and caregivers to have a discussion for the best possible care plan to be developed. Without negotiation patients may withhold information from caregivers, and caregivers often assume their plan of care is what is best for the patient without accounting for the patient as an individual. Patient education becomes more effective with negotiation as it accounts for their willingness to make change and follow recommendations. It is a collaborative approach which uses compromise to establish health care goals and assist in problem solving to achieve them.

Falvo, D.R. (2011), Effective patient education: A guide to increased adherence http://gcumedia.com/digital-resources/jonesandbartlett/2010/effective-patient-education_-a guide-to-increased-adherence_ebook_4e.php

 Reply to La Donna

The term “negotiate” implies conferring with another in order to reach a compromise. In terms of patient teaching, negotiation may be a somewhat foreign term to health professionals who believe that patients who come for help or advice should and will automatically follow the recommendations offered” (Falvo, 2011). “Negotiation identifies areas of agreement and disagreement and provides a forum for discussion of solutions” (Falvo, 2011). “Negotiation is a way to work collaboratively with the patient in order to establish mutually acceptable goals and problem-solve to assist patients’ ability to reach them” (Falvo, 2011).

Falvo, D. (2011). Effective Patient Education, A Guide To Increased INCREASED ADHERENCE (4th ed.). Sudbury, MA: Jones and Bartlett Publishers. Retrieved from https://viewer.gcu.edu/RQBKXW

Community-based Models And Long-term Care – 2025 1 Based on the assigned readings for this module listed below and articles attached discuss how

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Community-based Models And Long-term Care – 2025

1. Based on the assigned readings for this module (listed below and articles attached), discuss how either the community-based partnership or the aging in place model can be utilized to promote health, influence public policy, and improve chronic disease management. 

2. Reflect on how the nurse can utilize care coordination research in the delivery of coordinated care for ensuring quality, client-centered outcomes in the community setting. 

Guidelines for Submission: 2 to 3 page Word document with double spacing, 12-point Times New Roman font, and one-inch margins. 

http://www.ncbi.nlm.nih.gov/books/NBK2640/

Assesso Wano – 2025 Reflection on Skin abdomen Reflect on the focus area or system s for the week What challenges

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Assesso Wano – 2025

Reflection on Skin/abdomen

 

Reflect on the focus area or system(s) for the week.

  • What challenges might you anticipate in completing this assessment?
  • What differences might you anticipate when assessing patients across the lifespan?
  • Share findings from scholarly resources that help in the performance of this assessment.

Atleast 1 scholarly APA resource

Exercise And Nutrition – 2025 Nutrition plays an essential role in supporting fitness and exercise If you increase your level of physical activity your

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Exercise And Nutrition – 2025

Nutrition plays an essential role in supporting fitness and exercise. If you increase your level of physical activity, your need for nutrients and calories will also increase. In addition, the foods you eat before and after you exercise will have an impact on your performance during the physical activity and on your recovery afterward.

Perform some library research, and in a 2-3 page paper written in APA format using proper spelling/grammar, address the following:

  1. Describe the importance of pre- and post-exercise nutrition choices. Provide examples of foods that are appropriate selections for each category.
  2. Explain how foods and nutrients (including fluids and electrolytes) help improve a person’s performance during physical activity and their recovery afterward.
  3. Consider your responses to items 1 and 2 above, and suggest an appropriate nutritional plan for a physically active person. Be sure to explain what the person should consume in an average day to support their caloric and nutritional needs.
  4. Cite at least 2 credible references and present the resources in APA format on the References page.

Nitrition – 2025 Please use Firefox for access to cronometer com 60 years old Female Born on 01 20 1961

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Nitrition – 2025

Please use Firefox for access to cronometer.com

60 years old Female. Born on 01/20/1961. Height 5’2, 125 lbs

· Menu Analysis

DAY 1

Breakfast:

Pancakes with mixed fruits

Drink: coffee

Lunch:

Baked Whitefish with vegetable soup and kosher white bread slide. 

Drink: Ice tea

Dinner:

Puréed Chicken with Kosher Gelatin

Drink: Hot tea

·  Submit Screen Shot for Nutrient report for assignment menu(s)

Right click to use “Take a screenshot” feature (Firefox only) on specific date you want to have screen shot to save/obtain.

Nutrient Report and Food Intake

·  The paper must include all required elements including each Cronometer, Excess, Deficit, and Group Summary of your nutrient report and food intake

Excess:

·  List ALL Nutrients that are Over 100% (Except Amino Acids) on Cronometer Nutrient report

·  List Food Items on menu that may reflect excess nutrients on Cronometer Nutrient report

Deficit:

·  List ALL Nutrients that are Less than 50% (Except Amino Acids) on Cronometer Nutrient report

·  List Food Items on menu that may reflect deficit nutrients on Cronometer Nutrient report

Summary:

Summarize your overall in 1-2 paragraph, evaluation and conclusion of nutrients and food items on the menu.

Reply HP – 2025 REPLY 1 Lymphedema is a condition that affects humans due to lymphatic drainage obstruction or disturbance in the distal

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Reply HP – 2025

REPLY 1

Lymphedema is a condition that affects humans due to lymphatic

drainage obstruction or disturbance in the distal segment due to infections and malignancies. Lymphedema is a chronic complication that can lead to psychological and physical distress. This condition is one of the critical reasons gynecologic malignancy patients have a low quality of life after multimodal therapy (Rebegea, 2020).

What is elephantiasis?

 Brugia malayi an Elephantiasis Filarial Human Nematode that is part and parcel of a wider variety of diseases, including lymphatic filariasis and blindness. Virtually all filarius nematodes infecting human beings live in mutualism with endosymbionts.  These endobionts Wolbachia are found in somatic hypodermal tissues and even in female germs that vertically pass them to a nematode progeny (Chevignon, 2021).

Provide the differential diagnosis of mumps versus cervical adenitis.

Differential diagnosis of patients with parotitis or swelling of the

salivary gland should take mumps into account regardless of the background history of vaccination. Mumps virus is one of the neuroinvasive viruses that reduced since MMR vaccination incorporates immunization programs for children and adolescents in many countries. Other conditions causing mumps include immunologic diseases, allergies, drug reactions, or tumors (Gonçalves, 2020). On the other hand, cervical adenitis involves swelling around the neck. The lymphatic nodes may increase in size as they tackle infection in the mouth, throat, sinuses, or other skin, face, or neck areas. The treatment of the bacterial infection in most cases requires antibiotics.

Thorax and Lungs

Define and provide an example of a disease/situation where this sign/symptom might be present:

            Several forms of breathing are natural and abnormal. Every pattern is essential clinically and helpful in the patient evaluation and testing. A stroke patient may show several respiratory symptoms (Barrios-López, 2020). A stroke affecting a brain stem can also cause respiratory issues with the body’s vital function, such as breathing, pulse, and body temperature. This kind of stroke will lead to coma or death, more likely.

Support your answer with a previous experience you have encountered in your career.

A patient with severe chest pains had a probability of an underlying

injury or metabolic abnormalities indicate irregular breathing habits. Mechanical ventilation and sedation may hinder breathing patterns associated with a head injury (Vaporidi, 2020). After a few tests, there was an observation that the patient had abnormal deep and sighing breath rates. Later the patient was diagnosed with Kussmaul breathing, and by profound reflection, the patient had diabetes.

Cardiovascular System

Name and write the location of the five traditionally designated auscultatory areas

The auscultation areas are based around the heart valves. Four out of five production points are the aortic, pulmonary, tricuspid, and mitral valves. The fifth point is Erb’s point, which lies on the third intercostal space’s sternum’s left side (Zhao, 2020). In the second intercostal field, the aortic point is situated right on the everlasting boundary. In another intercostal space, the pulmonary point lies to the left of the sternal border. The second sound of the normal heartbeats is the sound that emits from the aortic and pulmonary ends.

Possible suggestion to help this patient’s problem and explanation of rationale

In my opinion, Rutosides tend to mitigate signs of late pregnancy venous insufficiency. Whether the medication is safe in pregnancy is nevertheless not understood. According to Halabchi (2020), external pneumatic compression seems to alleviate swelling of the ankles. Diureses and a decrease in blood pressure were observed by immersion in water for 50 minutes. It is not clear for how long or if these improvements are sustained.

References

Barrios-López, J. M., Rego-García, I., Martínez, C. M., Romero-Fábrega, J. C., Rodríguez, M. R., Giménez, J. R., … & Pérez, M. F. (2020). Ischaemic stroke and SARS-CoV-2 infection: a causal or incidental association? Neurology (English Edition), 35(5), 295-302. Approach. World Journal of Orthopedics, 11(12), 534.

Chevignon, G., Foray, V., Pérez-Jiménez, M. M., Libro, S., Chung, M., Foster, J. M., & Landmann, F. (2021). Dual RNAseq analyses at soma and germline levels reveal evolutionary innovations in the elephantiasis-agent Brugia malayi, and adaptation of its Wolbachia endosymbionts. PLOS Neglected Tropical Diseases, 15(1), e0008935.

Gonçalves, R., Gomes, J., Martins, A., Duque, V., Lemos, J. M., & Trindade, L. (2020). Acute disseminated encephalomyelitis after mumps infection in a vaccinated patient. IDCases, 23, e01017.

Halabchi, F., & Hassabi, M. (2020). Acute ankle sprain in athletes: Clinical aspects and algorithmic

Rebegea, L. F., Stoleriu, G., Manolache, N., Serban, C., Craescu, M., Lupu, M. N., & Ciobotaru, O. R. (2020). Associated risk factors of lower limb lymphedema after treatment of cervical and endometrial cancer. Experimental and therapeutic medicine, 20(6), 1-1.

Vaporidi, K., Akoumianaki, E., Telias, I., Goligher, E. C., Brochard, L., & Georgopoulos, D. (2020). Respiratory drive in critically ill patients. Pathophysiology and clinical implications. American journal of respiratory and critical care medicine, 201(1), 20-32.

Zhao, J., Jiang, W., & Zeng, R. (2020). Physical Examination of Chest. In Handbook of Clinical Diagnostics (pp. 169-203). Springer, Singapore.

REPLY 2

Lymphedema is an accumulation of protein-rich fluid in the interstitial spaces of the arm following breast surgery or treatment as a result of lymph node damage or removal (Jarvis, 523, 2020).  

Lymphatic: 

“Elephantiasis is a condition characterized by gross enlargement of an area of the body, especially the limbs. Other areas commonly affected include the external genitals. Elephantiasis is caused by obstruction of the lymphatic system, which results in the accumulation of a fluid called lymph in the affected areas.” (NORD, 2009).  Some of the causes for elephantiasis are bacterial sexually transmitted diseases, specifically lymphogranuloma venereum (LGV) and donovanosis, a parasitic disease known as lymphatic filariasis, a protozoan disease called leishmaniasis, tuberculosis, leprosy, and a repeated streptococcal infection. (NORD, 2009) 

“Mumps is a contagious disease that is caused by a virus. It typically starts with a few days of fever, headache, muscle aches, tiredness, and loss of appetite. Then most people will have swelling of their salivary glands. This is what causes the puffy cheeks and a tender, swollen jaw.” (CDC, 2019). 

“Cervical adenitis is inflammation of a lymph node in the neck. . An infection in the mouth, throat, sinuses, or other areas of the head, face, or neck may cause the lymph nodes in the neck to increase in size as they fight infection. If the enlargement is from a bacterial infection, the condition is called bacterial cervical adenitis.” (Fairview, 2020).  

Thorax and Lungs:

Dyspnea is difficult or labored breathing; shortness of breath.

Orthopnea is the sensation of breathlessness in the recumbent position, relieved by sitting or standing. (NIH, 1990)

Paroxysmal nocturnal dyspnea (PND) is a sensation of shortness of breath that awakens the patient, often after 1 or 2 hours of sleep, and is usually relieved in the upright position. (NIH, 1990)

Apnea temporary cessation of breathing, especially during sleep.

Tachypnea is an increase in the respiratory rate above normal; hyperventilation is increased minute ventilation relative to metabolic need, and hypercapneais a disproportionate rise in minute ventilation relative to an increase in metabolic level. These conditions may not always be associated with dyspnea. (NIH, 1990).  Metabolic Acidosis can cause this. 

Bradypnea is an abnormally slow breathing rate.  This can be caused by toxins, thyroid disorder,  head injury, or opiods. 

Hyperpena is breathing more deeply.  Usually when someone is exercising. 

Kussmaul breathing slow, deep respirations.  Can be caused by Diabetic Ketoacidosis.  Metabolic Acidosis.  

Cheyne-Stokes alternating periods of hyperventilation and apnea.  Cerebral hypoperfusion from any cause can cause Cheyne-Stokes.  It is usually related to heart failure or stroke. It may also be caused by: brain tumors. traumatic brain injuries or End of Life.  

Cardiovascular:

A pneumonic I was taught in school that I still remember is ape to man or all people enjoy time magazine. 

1. Aortic-Second Right intercostal space.

2. Pulmonic-Second left intercostal space.

3. Erb’s Point- Third intercostal space. (S1 S2)

4. Tricuspid-Left lower sternal boarder.

5. Mitral-Fifth interspace at around left mid-clavicular line. 

By listening to each area you can identify if there is an abnormality in a specific part of the heart.  This allows you to hear murmurs, congenital abnormalities  such as patent ductus arteriosus, valve defects,  abnormal heart sounds that would indicate heart failure such as ventricular gallop S3, and atrial gallops which occurs with CAD (Jarvis, 2020). 

A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem and explain rationale. I would suggest lying on the left side with a pillow between her legs.  I would also recommend elevating her legs when possible to above the heart level.  This will help with the return of unoxygenated blood flow to the heart.  Baby puts pressure on the Inferior Vena Cava and the Aorta by turning to the left side with will increase blood flow by way of repositioning baby.  Also exercise assists with vascular drainage by way of contracting the muscles.  

Resources:

Centers for Disease Control Prevention (CDC). (2019). Mumps. https://www.cdc.gov/mumps/ (Links to an external site.)

index.html

Fairview Health (2019). Fairview Health.  Cervical Adenitis. Fairview/Home/Patient-Education/

Articles/English/c/e/r/v/iCervical_Adenitis_Antibiotic_Treatment_Child_511842en

Jarvis, C. & Eckhardt, A. (2019).  Physical Examination and Health Assessment 8th Edition.   

National Organization for Rare Disorders (NORD), (2009).  Elephantiasis. https://  

rarediseases.org/rare- diseases/elephantiasis/#causes  

National Institute of Health (NIH). Mukerji V. (1990). Dyspnea, Orthopnea, and Paroxysmal  

Nocturnal Dyspnea. Clinical Methods: The History, Physical, and Laboratory 

Examinations. 3rd edition.  Chapter 11. Available from: https://www.ncbi.nlm.nih.gov/ (Links to an external site.)

books/NBK213/

200 WORDS EACH

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.