ANSWER BOTH QUESTIONS 

Neurological System Case Study – #1

Mrs. Smith is an 85 year female with a history of Hypertension, diabetes and osteoarthritis. Her daughter who cares for her reports that she became suddenly confused beginning last night. She recognizes her daughter but has been unable to remember her grandchildren’s names. She continuously asks her daughter “What are those kids doing in our house?” Her mother was in and out of bed all night and slept very little. Her daughter does say that her mother seemed better this morning, but on the way to your office she became more confused again. Review of systems is significant for a dry cough for the past few days. She has not had a fever. Her appetite has been poor. Her exam is normal except for some fine crackles in her left lung base. Mrs. Smith’s daughter says, “My dad had Alzheimer’s and now it looks like I am going to have to go through that with my mother”

1) What are the possibilities for change in Mrs. Smith’s current mental status?

2) What is your top differential diagnosis? Give 3 reasons why you chose that diagnosis.

3) How can you differentiate depression, dementia and delirium?

4) Explain to Mrs. Smith’s daughter what treatment is needed and what you think her prognosis is.

Neurological System Case Study – #2

A 40-year-old male comes to see you for follow up. He states that he had a seizure at home yesterday and was taken to the emergency room. He is accompanied by his wife who witnessed the seizure. He states he has never had a seizure in the past.

Discussion Questions:
1) What would you ask him and his wife regarding the seizures, and why? 

2) What would be the most important parts of a physical exam in this patient and why?

3) What lab or radiology tests would you want to do and why? He tells you he has no insurance so be sure to defend the importance of a particular test.

No plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. 

Chronic pelvic pain can be defined as intermittent or constant pain in the lower abdomen or pelvis of a woman of at least 6 months in duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. It is a symptom, not a diagnosis. Chronic pelvic pain presents in primary care as frequently as migraine or low-back pain and may significantly impact a woman’s ability to function.

Discussion:

Discuss the common causes of pelvic pain and who, when, and why you would decide to refer the patient for diagnostics and second opinions.

Assignment: This assignment has two parts

Part 1. EBP Research

Locate two research articles on the topic of your choice, but each article needs to use a different research method (quantitative, qualitative, or mixed methods). First, summarize both articles. Then answer the following questions…

• Which type of research article did you find easier to understand? Explain
• If you had to complete a research project which style would you choose and why?

This section should include 2 outside references and your book. This section should be at least 1000 words.

Part 2. Political Letter

Identify a current state or national healthcare or nursing issues that impact nurses or healthcare. Possible websites to locate an issue would be…

State Nursing Association

American Nursing Association

Specialized Professional Organizations

Once you have found your issue, write a letter to your governor, senator, or congress person. Your letter should be 500 words, in a block format and addresses should be included. Your first paragraph should state the issue. The second paragraph should state how the issue affects you personally as a nurse (avoid medical jargon). The third paragraph should state how the issue affects the community. Your fourth and final paragraph should restate the importance of the issue and thank the individual for their time and attention to the issue.

Your references for the letter should not be cited in your letter, but should be included on a separate reference page. 

Consider the term, “analysis of variance” that has been discussed here.

1.  have you ever come across this term prior to this assignment ?
2. At this time, do you think you have a good understanding of what this term means?
3. Given your future career goals of becoming a nurse practitioner do you feel that knowing this term will be vital to you?

 Use MS Word to complete “Questions to be Graded: Exercise 33” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.