This option will consist of selecting two religions (preferably not Christianity) and provide a comparative analysis on the significant similarities and differences between them on the one of the topics listed below.  

TOPIC: GOD

This option’s paper must respond to the following questions:

1. What are the basic tenets of the religions you have chosen to compare?
2. How do these differ on this subject?
3. How are they similar on this subject?
4. As a Christian/ Catholic do you agree with the conclusions of these religions?  Why or Why not?
5. Conclude with personal learning acquired from the project.

Note: For this option, your paper should have at least four reputable sources including the text for the class. All sources should be acknowledged, both within the paper and on a Works Cited page at the end. You may use any citation system as long as it is used accurately and consistently. 

Submission Instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
• The paper is to be 4-6 pages in length/1000-1500 words, current APA style, excluding the title and references page.

Below is the template you are to follow whendeveloping your management plan. Also, always be sure to complete the EMRon the case. Use this template with each case. It is not aSOAP format as that is not required. Points will be deducted for not utilizingthe template.

THIS SECTION IS 30 POINTS!!! Follow the bullet points below.Copy and answer each bullet point on a word document and cut and paste yourresponses to the management section!

 

•  Primary Diagnosis and ICD-10 code: Also include any procedural codes.
• 3-5 Differential Diagnoses- Why? What made you select each one as a DDX? How did you rule out? This would be a good area to include references.
• Additional laboratory and diagnostic tests: It may be necessary to establish or evaluate a condition. Some tests, such as MRI, may require prior authorization from the patient’s insurance carrier. 
• Consults: referrals to specialists, therapists (physical, occupational), counselors, or other professionals. If you are sending it to the hospital, what orders would you write for a direct admit? 
• Therapeutic modalities: pharmacological and nonpharmacological management. 
• Health Promotion: Address risk factors as appropriate. Consider age-appropriate preventive health screening.
• Patient education: Explanations and advice given to patient and family members. 
• Disposition/follow-up instructions: when the patient is to return sooner, and when to go to another facility such as the emergency department, urgent care center, specialist, or therapist.
• References (minimum of 3, timely, that prove this plan follows the current standard of care).

        Identifyingdata (ID):lb  a 76-year-old AfricanAmerican female that resides in an apartment on the second floor.

Chief complaint (CC): “I am having pain in my knees and I amready to do something about it. That is why they sent me to you. My knees havebeen getting worse over the past couple of years. They hurt when I walk formore than a block and when I climb stairs. “

                Historyof present illness (HPI)

Analysis of symptom/complaint:

·       Lb complains of pain in her knees that staredabout five years ago but has gotten worse over time. The location of her painis inside her knees, and the pain in her right knee is worse. The pain in herright knee radiates down to her ankle. Ms. Johnson describes the pain in her knees as stiff and achy. They arestiff in the morning for about 15-20 minutes. Cold weather and exercise makesher knee pain worse. She hasn’t found anything that helps with the pain. Ms.Johnson states that her pain level is usually about a 4 or 5 out of 10, andsometimes it is a 7 or 8 out of 10. Associated symptoms with the pain areswelling in her knees and sometimes her finger knuckles.

has trouble getting around duethe pain in her knees. Ms. Johnson states, “I have to walk up the stairs to getto it. Thank goodness I don’t live on the 3^rd floor. It’s gettingharder and harder to get up those stairs. My daughter usually has to come helpme.”

a.         Include significant chronic health disordersthat impact on the current chief complaint. 

Ms. Johnson has a past medicalhistory of peptic ulcer disease with GI bleed from Ibuprofen use, chronickidney disease, and hypertension.

2.           Allergies:Ms. Johnson denies allergies to medication, food, pollens and pet dander(environmental).

3.           Immunizations:  Up to date

4.           Pastmedical history (PMH) –

a.         Pastmedical disorders/illnesses

Hypertension (for the last 20 years)

Chronic Kidney Disease

Peptic Ulcer Disease with GIbleed from Ibuprofen 4 years ago.

b.         Pastsurgical history (PSH)

No past surgical history

Injuries/disabilities

Patientreports no injuries or disabilities.

·       d.            Other hospitalizations B.

Medications

Amlodipine10mg tab ,1tab po daily

Lisinopril10mg tab,1 tab Po daily

Simvastatin20mg tab

Hydrochlorothiazide25mg tab

Acetaminophenprn headacge

Mulivitamindsily

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three sections, one for each item number below, as well as the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. The textbook (Handbook of Informatics for Nurses and Healthcare Professionals, 6th edition) discusses several education methods. Discuss each method with an example of how the method could be used in the organization. Then discuss how you will evaluate the method and learning.
2. Healthcare continues to be a lucrative target for hackers with weaponized ransomware, misconfigured cloud storage buckets, and phishing emails. Discuss how an organization can protect patients’ information through:
   • Security mechanisms
   • Administrative and Personnel Issues
   • Level of access
   • Handling and Disposal of Confidential Information
3. You are providing education to staff on phishing and spam emails. Using the different educational methods discussed in Chapter 12 of the textbook (Handbook of Informatics for Nurses and Healthcare Professionals, 6th edition):
   • Provide examples of how each method can be used
   • How will the method and learning be evaluated?

Assignment Expectations-

Length: 1500 words total for this assignment.

Response to 2 Peers

1. Consider your peer responses.  Are they similar or different than yours?

2. How do other’s perspectives on ethical considerations impact your view?

**When I accept the bid I will be sending you the two peer posting which to respond to. Please use their name at least twice but not excessively. Do not compare the two peers with each other only compare their individual post with mines. 250 words each with two references each, the references are not included in the word count. 

MY POST:

How often do healthcare providers encounter ethical dilemmas in end of life care?

            Medical practitioners come across moral dilemmas more frequently in their professional careers and practice (Odgers, 2019). In these situations, the no-correct response is stark evidence. This is particularly true in end-of-life treatment, where clients and families may be dealing with intense feelings, sadness, and tragedy.

What is the source of the ethical dilemma?

Communication problems, clinical confidentiality being harmed, inadequate treatment control, non-beneficial treatment, and joint decision-making can all lead to ethical dilemmas. Communication is a key model in the moral quagmire (Liu, 2017). It affects how patients perceive information about the prevailing health conditions.

What is the nurse’s role in this situation?

Immunology clinicians can help patients, close relatives, and guardians overcome ethical dilemmas by providing the best quality treatment while helping them to encounter EOL with integrity (Liu, 2017). Nurses can keep the patients in terms of the current health status while offering solace and guidance.

What legal and ethical standards must health care personnel be expected to consider in end of life care?

The medical personnel should provide full information to the patients. Another standard is confidentiality where the clinical person should disclose the details to the patient only.

The information on the health of the patient can only be disseminated to other parties with his or her consent (Tahan, 2020). Another standard is disclosure. The patient should be briefed on all matters concerns his or her health.

If you did not agree with the decision being made, can you excuse yourself from caring for the patient?

The medical practitioner can express dissatisfaction with the exercise. This can be contained in the fact that an incorrect decision may be made (Croxon, 2018). The clinical expert can decide to part ways with the therapy for it may result in a negative outcome.

Ultimately, who should make a decision about end of life care? Explain your rationale.

The patient can make a judgment about the end of life care. This is because they are the consumers of health products and dictate their preferences (Tahan, 2020). In the case, the patient feels incapable of continuing with the therapy they can request termination. The medical personnel is bound to offer guidance and facilitate the process.

Post/Response #1 Respond to one of your peers in your discussion group. Identify the additional workup that is needed to rule in or rule out these differential diagnoses. What clinical signs/symptoms would you expect to see with these two differential diagnoses?

Peer 1

Describe the pathophysiologic process of Anemia.
Identify two differential diagnoses and provide the pathophysiology of these two differential diagnoses.

Anemia is a reduction in the total circulating red cell mass or a decrease in the quality or quantity of hemoglobin. Anemia develops from the following: 

• Blood loss (acute or chronic)
• Impaired erythrocyte production 
• Increased erythrocyte destruction 
• A combination of these factors (McCance et al., 2019 p. 922).

Anemia develops because of an imbalance in erythrocyte loss relative to production; this can be due to ineffective or deficient erythropoiesis (Ex. nutritional deficiencies, inflammation, or genetic Hb disorders) and/or excessive loss of erythrocytes (due to hemolysis, blood loss, or both) (Chaparro & Suchdev, 2019). All factors cause negative outcomes for patients, anemia is the decrease of oxygen to major organs. Example: in iron deficiency anemia, decreased iron availability has well-established negative effects on brain development and functioning even prior to anemia development (Chaparro & Suchdev, 2019).

Differential Diagnosis:

• Iron Deficiency Anemia: IDA is a hypochromic- microcytic anemia, most common type of anemia and can be caused by nutritional factors (McCance et al., 2019 p. 935). Anemia occurs when iron stores are depleted. With inadequate dietary intake or excessive blood loss, there is no intrinsic dysfunction in iron metabolism, both conditions deplete iron stores and reduce hemoglobin synthesis (McCance et al., 2019 p. 935). Iron in the form of hemoglobin is in constant demand by the body and is recycled, the body maintains a balance between iron that is contained in hemoglobin and iron that is in storage and available for future hemoglobin synthesis (McCance et al., 2019 p. 935). There are 2 stages of IDA:
  • Stage 1- the body’s iron stores are depleted, Erythropoiesis proceeds normally
  • Stage 2- Iron transportation to the bone marrow is diminished causing iron deficient erythropoiesis.
  • Stage 3- Small hemoglobin deficient cells enter the circulation to replace the normal aged erythrocytes that have been removed from the circulation (McCance et al., 2019 p. 935). There is depletion of iron stores and diminished hemoglobin production (McCance et al., 2019 p. 935).

Signs and symptoms include: Early symptoms are nonspecific and include fatigue, weakness, shortness of breath, and pale earlobes, palms, and conjunctivae. As the condition progresses and becomes more severe, structural and functional changes occur (McCance et al., 2019 p. 935).

• Acute upper or lower GI bleed (peptic ulcer disease, use of NSAIDs, Crohn’s disease): Upper GI bleeding includes bleeding that started from the esophagus to the ligament of Treitz, at the duodenojejunal flexure. Lower GI bleeding means bleeding that started from a site distal to the ligament of Treitz (Kim et al., 2014). Long term bleeding without detection can lead to Iron deficiency anemia. IDA is a common problem in gastroenterology practices and is associated with lethargy, weakness, dyspnea, and a decreased quality of life (Grooteman, van Geenen, Kievit, & Drenth, 2017). Correction of underlying condition is needed, as well as iron supplements and blood transfusion to restore hemoglobin levels (Grooteman, van Geenen, Kievit, & Drenth, 2017).

Reference:

Chaparro, C., & Suchdev, P. (2019, August). Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Retrieved April 30, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697587/

Grooteman, K., Van Geenen, E., Kievit, W., & Drenth, J. (2017, November). Chronic anemia due to gastrointestinal bleeding: When do gastroenterologists transfuse? Retrieved May 01, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676546/

Kim, B., Li, B., Engel, A., Samra, J., Clarke, S., Norton, I., & Li, A. (2014, November 15). Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. Retrieved May 01, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231512/

McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2019). Cellular Biology . In Pathophysiology: the biologic basis for disease in adults and children (8th ed., p. 922, 935). essay, Elsevier. 

Turner, J. (2020, September 10). Anemia. Retrieved April 30, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK499994/