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. 

Overall, there exist many religions worldwide, and the religion that one belongs to, shapes their beliefs and views concerning aspects in life. Hinduism and Christianity are amongst these religions with some controversial beliefs. However, it should be noted that both religions believe in a supreme being, who gives and takes away life. For example, Hindus believe in a Supreme god called Brahman, but Brahman can be represented by other small gods (Choudry et al., 2018).

Hinduism is amongst the most ancient religions in the world, and research reveals that the religion has millions of followers. In the afterlife, Hindus believe in a cyclical nature of life, whereby, after one dies, they resurrect in new bodies through reincarnation (Igbo & Ayika, 2021). They believe that Karma decides the body that one partakes, and this is dependent on one’s actions while alive (Igbo & Ayika, 2021). Eventually, they believe that when one achieves Moksha, they get liberated from the cycle, and they go to live with Brahman (Choudry et al., 2018). On the other hand, Christianity is one of the most popular religions, accommodating billions of believers worldwide. Christians also believe in life after death, as it is evident in the resurrection of Christ (Choudry et al., 2018).

They believe that after death, one’s soul is resurrected (Choudry et al., 2018). They also believe that once dead, one’s actions on earth will determine whether they go to hell or heaven, as opposed to the belief of reincarnation in Hinduism. Christians believe that if a person dies when they have accepted Christ in their lives, they will experience eternal life in heaven, whereas sinners will go to hell and burn in eternal fire.

 References

Choudry, M., Latif, A., & Warburton, K. G. (2018). An overview of the spiritual importances of end-of-life care among the five major faiths of the United Kingdom. Clinical Medicine, 18(1), 23.

Igbo, P., & Ayika, P. (2021). THE DOCTRINE OF AFTERLIFE IN ANCIENT RELIGIONS VIS-À-VIS THE IGBO NOTION OF REINCARNATION. SIST JOURNAL OF RELIGION AND HUMANITIES, 1(1).

REPLY 2

The concept of salvation is present in almost all religions in its distinct way. The primary purpose of all religions is to provide salvation to their followers. The existence of many different religions indicates a great variety of opinions about what constitutes salvation and the means of achieving it. The term salvation can be meaningfully used in connection with so many religions; however, it distinguishes a notion common to men and women of a wide range of cultural traditions.

In Hinduism, salvation is achieved through the liberation of the Atmans’, the individual’s soul, from the cycle of death and rebirth, identified as Samsara, by attaining the highest spiritual state. This state is known as Moksha. Hinduism’s ultimate goal is Moksha, where even hell and heaven are temporary (Basharat, 2018). It is a final release from one’s worldly conception of self. Moksha is achieved when the individual Atman unites with the ground of all being through the practice of Yoga. The three paths or yogas to spiritual fulfillment are jnana (knowledge, insight, wisdom), karma (action), and bhakti (ecstatic devotion) (Partridge, 2018). Some Hindus consider each of the three paths requires exclusive concentration and is sufficient for liberation.

On the other hand, according to Christianity, salvation is God’s grace. It is the gift of freedom from our sins that Jesus made possible by taking the punishment for our sins on the cross. Although Jesus already died for humanity’s salvation, every individual needs to achieve salvation through their actions. Christianity teaches that there will be a day of judgment when everyone will stand before God and have to answer all that we have said and done. Therefore, Christians achieve salvation by performing good works that please God and uplift humanity. The gospel reiterates the essence of good works in the salvation of a person. According to the Bible, God will judge people according to their works’ nature and decide whether to reward eternal life or eternal condemnation (Radmacher, 2000).

Overall, both religions are looking to achieve salvation or Moksha through good work or karma. In essence, every action that a person does determines whether one moves towards Moksha or away from it. Therefore, Hindus achieve the liberation of their souls through karma. Similarly, Christians’ actions determine their salvation in the final judgment. From this perspective, both Hindus and Christians can attain liberation of their souls by performing good works. Conversely, Moksha and salvation have some differences. While a Hindu attains the soul’s liberation after undergoing a series of reincarnations, which entail physical and spiritual processes, a Christian attains liberation after undergoing a spiritual rebirth by believing in Jesus Christ, who provides salvation to all humanity.

References

Basharat, T. (2018). HINDUISM AND CONCEPT OF SALVATION. University of the Punjab, Lahore.

Partridge, C. (2018). A short introduction to world religions. Fortress Press.

Radmacher, E. (2000). Salvation. Thomas Nelson Press.

200 WORDS FOR EACH REPLY.

 e: Topic 4 DQ 2

In their report of code of ethics (2015), the American Nurses Association defines accountability as taking self-responsibility for our actions. As nurses, we have a great responsibility to patients, peers, and ourselves all the time. Nurses that hold an RN licensed are accountable and obligated to maintain the highest ethics, transparency, and morals when caring for patients. The Nursing Practice Act and the law mandate and outlines nursing practice responsibilities. The scope of regulations in the California Nursing Practice Act clarifies nursing practice (NPA sec. 2527-2542). Nursing practice is a privilege that needs honesty, dignity, and appreciation. Nurses must be knowledgeable of updated policies and protocols of patient care, empathetic to patients and their families, flexible, and most importantly, truthful. Patients trust nurses with their lives.

We are humans and make mistakes, no doubt about that. But not taking the responsibility and correct or improve our practice is not only unethical but criminal. The one example in my nursing practice that I will never forget was a new grad. I dropped a pill on the floor and quickly picked it up; no one saw it, only me; I was in a hurry since I had more things to do. I could have given that medication, no one knew I dropped it, but for a second, I thought that if I could be dishonest with myself, how can I expect to be honest with others. I have never forgotten that experience. I threw it away and went to get a new one. Honesty, respect, and accountability define us not only as nurses but as human beings.

Working at the bedside can become overwhelming, and the more we do it, the better we develop a way of improving time management. Therefore, w a new policy is not welcomed since nurses must get used to a new practice. However, these changes are not to make us nurses angry or make us work harder. New Evidenced-based practice policies are created to help the patient heal or prevent them from getting sicker, so being flexible and understanding new guidelines and how they benefit the patient is another way of taking self-accountability. Healthcare facilities have the responsibility to educate and promote accountability. According to (Sherman, 2019), nurses develop a practice and mindset that prevents them from following new EBP; her article explains how nurses may refuse to follow new policies when they feel their approach is appropriate and can be, that does not mean it is a professional way of practicing and that is why EBP policies and procedures are in place. Flexibility to adapt and understand changes is part of the nursing practice and an obligation; not following the facility of practice’s policies and procedures is a crime.

                                                                       References

American Nurses Association (2015) Code of ethics for nurses with interpretive statements (second ed) ANA, page41. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics-code-of-ethics-for-nurses/

Sherman, R. O., & Cohn, T. M. (2019). Promoting professional accountability and ownership: Nursing leaders set the tone for a culture of professional responsibility. American Nurse Today, 14(2), 24–26.

California Nursing Practice Act (n.d.) regulations of nursing practice. https://leginfo.legislature.ca.gov

Reply  |  Quote & Reply
Previous  |  Next 

Simply respond to the writer(student) post above supporting positively using 200-300 words APA format with references.