Week 11 Discussion: Anemias

M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.

Past medical history 

Chronic renal insufficiency

Hypertension

Congestive heart failure

Diabetes mellitus type 2, poor control

Deep vein thrombosis

Alcohol abuse

Chronic obstructive pulmonary disease with respiratory failure

Family history

Noncontributory

Physical examination

Height 69 inches, weight 205 lb

Blood pressure: 138/88

Pulse 86 beats/min, regular

Lungs clear, neck supple negative for jugular venous distention

Lower extremities +1 edema

Laboratory findings

Scr = 2.8 K+ = 5.1

BUN = 56

Na+ = 147

WBC = 5.0

Hb = 8.2

Hct = 24.6

Serum ferritin 189 mg/dL

Social history

Tobacco: 52 pack-years

Alcohol: distant past

Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations. 

1. List specific goals of treatment for M.W.

2. What drug therapy would you prescribed? Why?

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

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

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

6. What over-the-counter and/or alternative medications would be appropriate for M.W.?

7. What dietary and lifestyle changes would you recommended for M.W.?

Provide  Based on APA Guidelines). Work must be supported by peer-reviewed article published within 5 years.

  

Research Paper #2 

Choose any of the recent emerging / reemerging infectious disease discussed in your textbook (for example: Severe Acute Respiratory Syndrome (SARS – 2002-2003), Middle East Respiratory Syndrome Coronavirus (MERS-CoV)- 2015-2018), Avian influenza, H1N1 Influenza (Swine Flu) Pandemic – 2009-2010, Novel Avian influenza A (H7N9) Virus 2013-2017, West Nile Virus, Lyme Disease, Escherichia Coli, Tuberculosis, Ebola virus disease, Zika virus disease).

1. Introduce the disease 

2. Mention signs, symptoms and diagnosis of the disease.

3. Outline the factors that may have contributed to the emergence or reemergence of this infectious diseases.

4. How would you prevent similar occurrence? Mention the goals of Health People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

5. Is there a CDC priority for public health response to this specific infectious disease?

6. What is your thought about emerging antibiotic -resistant microorganisms?

7. What is your role as a community health nurse? 

8. Mention research studies related with the topics discussed in your paper (mention at least 3 research studies in paper).

Research Assignment # 2

Purpose

The student will choose (1) of the recent emerging / reemerging infectious disease (some examples were provided) to develop the research project. Also, the student will use given questions to guide the paper. 

General directions

1. You will submit one (1) paper as part of this assignment (individual assignment).

2. Your research paper must follow APA format according to Publication Manual American Psychological Association (APA) (6th ed.). Include a cover page and headings per 6th edition APA guidelines. 

3. The research paper should be minimum of 3 pages (not including the title or reference pages) – single spaced, Times New Roman, Size 12, and 5 references about the topic (3 must be peer-reviewed journal articles).

Research Paper

Include the following components:

1. Introduction of the disease

2. Mention signs and symptoms of the disease. How do you diagnose this infectious disease? 

3. Outline the factors that may have contributed to the emergence or reemergence of this infectious diseases.

4. How would you prevent similar occurrence? Mention the goals of Health People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

5. Is there a CDC priority for public health response to this specific infectious disease?

6. What is your thought about emerging antibiotic -resistant microorganisms?

7. What is your role as a community health nurse?

8. Mention research studies related with the topics discussed in your paper (mention at least 3 research studies in paper).

9. Conclusion

10. References Page

 

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 

The patient is a 68-year-old man who sustained a head injury after falling in the bathroom. He arrives in the emergency department (ED) cheerful, alert, and oriented to person. On physical examination, he has a large hematoma on his left forehead. He reports a headache in the left temporal area, which he rates as an 8/10. His wife was present during the incident. Admission vital signs are: blood pressure, 170/92 mm Hg; pulse, 92 beats/min; respirations, 14 breaths/min; and temperature, 98.7° F. The physician orders a one-time dose of acetaminophen 650 mg orally for the patient’s headache, which the nurse promptly administers. The patient reports a pain level of 5/10 at 1 hour after the intervention. 

1. Why is it important to determine the circumstances of the fall for this patient? 

2. Discuss the importance of obtaining baseline behavior and information from the wife. 

3. The ED physician orders computed tomography (CT) of the brain for the patient. What is the purpose of this test, and what are the nursing responsibilities in preparing the patient for this procedure? 

4. Because the patient is at risk for increased intracranial pressure, explain how the patient should be positioned and moved in bed.

5. The CT and other diagnostic results are negative and the patient is diagnosed with a minor head injury and contusion to the right extremity. He is discharged to home. Review the patient teaching instructions that should be given to the patient and his wife. 

6. The wife appears unwilling to take her husband home and she states that she doesn’t understand the discharge instructions. What can the nurse do in this situation? 

7. Use the focus charting method (also known as the DAR method—data, action, response) to document the administration of acetaminophen, including appropriate follow-up. 

 In thinking on the issues of religion, secularity, culture, and conflict that are discussed in this chapter, fully analyze at least two aspects through which Israel can be redefined.  In turn, what are two of the most important ways in which Shavit discusses Israeli and Jewish identity?  Think of this through two manners which you found to be the most new or differen