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2023 Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood They may range

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Nursing 2023 Assessing And Diagnosing Patients With Neurocognitive And Neurodevelopmental Disorders

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood They may range 2023 Assignment

 Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2013). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others. 

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2023 Nurses demonstrate leadership in many situations For this discussion select one of the following situations that

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Nursing 2023 nursing

Nurses demonstrate leadership in many situations For this discussion select one of the following situations that 2023 Assignment

  

Nurses demonstrate leadership in many situations. For this discussion, select one of the following situations that you have not previously experienced and tell us how the nurse would demonstrate leadership in that situation:

Communicating with legislators to influence health policy

Clinical leadership at the bedside

Nursing management of units or facilities

Impact of systems-based practice on leadership

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2023 Similarity less than 10 Use APA 6th Edition Format and support your work with at least 3 peer reviewed

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Nursing 2023 Case Study Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page.

Similarity less than 10 Use APA 6th Edition Format and support your work with at least 3 peer reviewed 2023 Assignment

 Similarity less than 10%    

Use APA 6th Edition Format and support your work with at least 3  peer-reviewed references within 5 years of publication. Remember that  you need a cover page and a reference page. All paragraphs need to be  cited properly. All responses must be in a narrative format and each  paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page. 

Case Study is Due 2/2/2020 by 12 Midnight. If Any questions, please do not hesitate to contact me.

Case Study

L.L. is a 67-year-old male who has been diagnosed with BPH. He is  having difficulty with urination. He is currently on Cozaar 100 mg for  HTN and his BP is well controlled. He is taking no other medications.  The doctor has recommended medication for his BPH, but he would like to  try a herbal supplement before taking a prescription medication.

1. Would you recommend a herbal supplement in L.L’s case?

2. If so, what herbal supplement would he take?

3. What is the recommended dosage?

4. What are possible side effects of the herbal supplement?

5. What warnings should you give L.L. before he starts the herbal supplement.

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2023 3 DQ 1 Experimental research Experimental Research Design is a scientific approach to research where one or more independent

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Nursing 2023 Provide Examples Of Experimental And Nonexperimental Research Design.

3 DQ 1 Experimental research Experimental Research Design is a scientific approach to research where one or more independent 2023 Assignment

  3 DQ 1

Experimental research: Experimental Research Design is a scientific approach to research, where one or more independent variables are manipulated and applied to one or more dependent variables to measure their effect on the latter. The effect of the independent variables on the dependent variables is usually observed and recorded over some time, to aid researchers to draw a reasonable conclusion regarding the relationship between these two variable types (Blog, 2021). An example of experimental research is a test to know the effect of a new drug intended to treat a certain medical condition like dementia. If a sample of a dementia patient is randomly divided into three groups, with the first group receiving a high dosage of the drug, the second receiving a low dose and the third group receive a placebo such as a sugar pill, then the first two groups are experimental groups and the third is a control group. After administering the drug for a while, if the condition of the experimental group subjects improved significantly more than the control group subjects, we can say that the drug is effective. We can also compare the conditions of the high and low dosage experimental groups to determine if the high dose is more effective than the low dose.

Non-experimental research: Non-experimental research is the type of research that does not involve the manipulation of control or independent variable. In non-experimental research, researchers measure variables as they naturally occur without any further manipulation. Correlational is classified as non-experimental because it does not manipulate the dependent variables. For example, if a researcher may wish to investigate the relationship between the class of family students come from and their grade in school. A questionnaire may be given to students to know the average income of their family, then compare it with CGPAs (Blog, 2021). The researcher will discover whether these two factors are positively correlated, negatively corrected, or have zero correlation at the end of the research.

Controlled allows the experimenter to minimize the effect of factors other than the one being tested. It’s how to know an experiment is testing the things it claims to be testing (Crotty, 2018). In experimental research, researchers can control and manipulate control variables, while in non-experimental research, researchers cannot manipulate these variables (Blog, 2021).

 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

Using 200-300 APA format with at least two references to support this dicussion

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2023 For this project you will take on the role of a nurse practitioner treating a patient with a chronic

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Nursing 2023 Project

For this project you will take on the role of a nurse practitioner treating a patient with a chronic 2023 Assignment

 For this project, you will take on the role of a nurse practitioner treating a patient with a chronic condition. Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy. Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. In this case, you get to decide what condition your patient has and which intervention he or she is interested in trying. Your objective is to determine whether or not you would recommend the regular treatment either alone or in combination with alternative treatment. The paper should not be more than 4 pages excluding the title page and references. APA format is required with a professional paper.  

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2023 The increased use of unlicensed assistive personnel presents both opportunities and challenges for the

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Nursing 2023 eth

The increased use of unlicensed assistive personnel presents both opportunities and challenges for the 2023 Assignment

The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.

1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?

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2023 Based on the required topic study materials write a reflection about worldview

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Nursing 2023 Worldview Analysis And Personal Inventory

Based on the required topic study materials write a reflection about worldview 2023 Assignment

Based on the required topic study materials, write a reflection about worldview and respond to following:

  1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
  2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
  3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
    1. What is ultimate reality?
    2. What is the nature of the universe?
    3. What is a human being?
    4. What is knowledge?
    5. What is your basis of ethics?
    6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

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2023 Hyperlipidemia and Related Disorders One of the topics that are covered in Unit VI is hyperlipidemia and related

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Nursing 2023 Help

Hyperlipidemia and Related Disorders One of the topics that are covered in Unit VI is hyperlipidemia and related 2023 Assignment

Hyperlipidemia and Related Disorders

One of the topics that are covered in Unit VI is hyperlipidemia and related disorders. Hyperlipidemia is a condition that is characterized by an increase in the plasma cholesterol or triglycerides containing lipoprotein particles. In this Article Critique, using the CSU Online Library, you will select an article that discusses recent research updates and/or findings on the management of hyperlipidemia. The article should be between three-five years of publication.

Your critique of the article should include the following:

 An introduction

 A summary of the article’s main research findings or main points

 What is the author(s) intended audience?

 Discuss of whether the article contributes to the current knowledge of the management/treatment of

hyperlipidemia

 Future directions for research (if any are indicated)

 A paragraph on what you learned from the article that were previously unaware

 Other questions about the article that relate to the unit objective

Your assignment must be in APA format and approximately two pages in length (not including the title and reference page.) Be sure to cite all paraphrase and quotations appropriately.

For more information regarding how to write article critiques, click here to view the Success Center’s webinar titled, Article Critique.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below

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2023 you have explored various body systems neurological cardiovascular respiratory and hematological These four systems work together along

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Nursing 2023 The Pathophysiology of Disorders

you have explored various body systems neurological cardiovascular respiratory and hematological These four systems work together along 2023 Assignment

you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To Prepare

  • From the list below, select a disorder of interest to you:
    • Alzheimer’s disease
    • Asthma in children
    • Chronic obstructive pulmonary disease (COPD)
    • Congestive heart failure
    • Hepatic disease (liver disease)
    • Hypertension
    • Hyperthyroidism and hypothyroidism
    • Seizures
    • Sepsis
  • Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
  • Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 
  • Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

  • Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
  • Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
  • Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.
  • APA Citation, 4 to 5 References within 5 years.

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2023 Respond to at least two of your colleagues on 2 different days who were assigned different case

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Nursing 2023 Week 8 Discussion Ankle Pain

Respond to at least two of your colleagues on 2 different days who were assigned different case 2023 Assignment

Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.

SW, 46, F, Caucasian

S.

CC: Bilateral ankle pain

HPI: SW, 46-year-old Caucasian female presents with bilateral ankle pain that started three days ago. Pt states that her right ankle is more of a concern than her left. States she was playing soccer over the weekend when she heard a “pop.” Claims she was running to kick the soccer ball when she slipped on the grass and fell on top of her right foot. She thinks she “rolled” her foot inward. States she is able to bear weight on both ankles, but the right is uncomfortable. Rates pain 7/10 in intensity for her right ankle, and 3/10 in intensity for her left ankle. She has been taking OTC 600mg ibuprofen every 8 hours for two days and has minor relief. States her right ankle pain is a 4/10 pain with ibuprofen, but only lasts a few hours. Confirms icing both ankles three times a day for the past three days. States walking, and standing is uncomfortable, and most movement makes the pain worse.

Current Medications: OTC 600mg Ibuprofen q 8 hours PRN pain

Allergies: NKA

PMHx: No chronic conditions; UTD on immunizations, last TdAp 2011, last influenza vaccine 10/2020.

Soc Hx: Lives at home with her husband, 11-year-old daughter, 13-year-old son, and 16-year-old son; works as stay at home for the past 16 years; lives in a multi-family home neighborhood with several friends in the neighborhood; negative tobacco use; consumes moderate alcohol, estimates 2-3 glasses of wine per week; exercises 4 days a week and plays soccer over the weekends with her 16-year-old to help him practice; denies cell phone use while driving; not currently on birth control and LMP was 2 /12 weeks ago; practices safe sex

Fam Hx: both parents still living; mother, 68-years-old, has history of hyperlipidemia; father, 70-years-old, has a history of HTN, hyperlipidemia, and CHF; paternal grandfather died at age 80 of pancreatic cancer; paternal grandmother died at age 83 of pneumonia; maternal grandfather, 89-years-old, has a history of COPD, HTN, and CHF; maternal grandmother, 86-years-old, has a history of kidney disease; 11-year-old daughter has a history of asthma; 13-year-old son has a history of anxiety, 16-year-old son is healthy; husband, 49-years-old suffers from HTN.

ROS:

GENERAL:  Right ankle pain, 7/10 pain; no weight loss, fever, chills, weakness or fatigue.

HEENT:  

  • HEAD: denies headaches, dizziness, head injuries, or past head injuries
  • EYES: wears corrective lenses for about 20 years; denies any vision changes
  • EARS: denies any changes in hearing; no history of injuries; denies hearing aid use
  • NOSE: denies any changes in sense of smell; denies nasal discharge or swelling
  • THROAT: denies mouth sores or lesions; denies sore throat, dysphagia, or any injuries or surgeries to throat

SKIN: denies contact dermatitis or any other skin conditions; confirms bruising of right ankle

CARDIOVASCULAR:  denies chest pain, chest pressure or chest discomfort; denies palpitations or edema

RESPIRATORY:  denies shortness of breath, cough, or wheeze

GASTROINTESTINAL:  denies anorexia, nausea, vomiting or diarrhea; denies abdominal pain

NEUROLOGICAL: denies headaches, head injuries, dizziness, seizures, tremors, difficulty swallowing or speaking; denies gait disturbances

MUSCULOSKELETAL:  confirms right ankle pain near the right lateral malleolus; tenderness and swelling noted on right ankle; denies joint pain, stiffness, swelling, redness, or heat in upper extremities and left lower extremity; denies arthritis, hip dysplasia or scoliosis

O.

VITALS: BP 126/72 SpO2 99% T 98.7F HR 86 RR 18 W 148 Ht 5’7”

GENERAL:  No acute distress; AAO x3; patient sitting comfortably in patient chair

HEENT:  

  • HEAD: normocephalic; no visible abnormal findings
  • EYES: no visual loss, double vision, or yellow sclera; conjunctiva moist and pink; PERRLA
  • EARS: no muffled hearing; no discharge
  • NOSE: nasal mucosa pink; nares patent
  • THROAT: oral mucosa moist and pink

SKIN: no freckles, birthmarks, or other discoloration of upper extremities; dark purple bruising of right ankle noted; no discoloration of lower left extremities; CRT <3 s of all extremities; no tenting of skin

CARDIOVASCULAR:  S1 and S2 audible heart sounds; no gallops, murmurs, or thrills; no edema

RESPIRATORY:  no adventitious breath sounds in all lung quadrants

GASTROINTESTINAL:  abdomen symmetric, rounded, no visible abnormal findings; no abdominal tenderness; no masses; normoactive bowel sounds in all quadrants

NEUROLOGICAL: steady, narrow-based gait; Romberg negative; 2+ reflexes in upper extremities and lower extremities; CN II-XII grossly intact; no focal neurological deficits

MUSCULOSKELETAL:  + right ankle pain near the right lateral malleolus; + tenderness and swelling noted on right ankle; denies joint pain, stiffness, swelling, redness, or heat in upper extremities and left lower extremity; denies arthritis, hip dysplasia or scoliosis; 5/5 muscle strength in upper and lower left extremities; 2/5 muscle strength in lower right extremity; decreased ROM of right ankle, 5 degrees eversion of right foot, 10 degrees inversion of right foot, 5 degrees dorsiflexion of right foot, 20 degrees plantar flexion of right foot; decreased Rom of left foot, 20 degrees inversion, 10 degrees eversion, 20 degrees dorsiflexion, 45 degrees plantar flexion; Full ROM of upper extremities; + Ottawa ankle rules (OAR): bone tenderness at posterior edge of lateral and medial malleolus; decreased ability to bear weight on right extremity

Diagnostic results:

  • X-Ray of the bilateral ankles and bilateral lower leg: The X-Ray will help us determine if SW fractured her right lateral malleolus. X-Rays give us a good view of bone structure and can help rule out fracture, break, or strain. OAR is always to be performed before ordering imaging. Curr & Zyrichis (2015) state that providers are to perform an ankle X-ray if the patient is unable to bear weight, 4 steps immediately after injury and in ED, and has bone tenderness at the posterior edge or tip of malleolus. If a patient does not present with both characteristics, they are OAR -. Without bone pain, which is determined using OAR, an X-ray is not indicated. SW had + OAR: bone tenderness at posterior edge of lateral and medial malleolus and decreased ability to bear weight on her right ankle. She had swelling, tenderness, and bruising near the right lateral malleolus.
  • MRI: An MRI is used to get a more detailed look at tissues, ligaments, and organs in the body. Unlike an X-Ray, which can only look at bones, the MRI will help us determine any ligament strain or tears that SW may have had. SW states that she heard a “pop” while she was playing soccer. Most of the time, the popping of the ankle is the sound of the ligament tearing. A crack sound may indicate a fracture or break, and a popping sound usually indicates an ankle sprain. “You hear the popping sound of your ligaments tearing completely, and you can’t put weight on your ankle” (“Common Injuries, 2019). Those characteristics signify an ankle sprain. Knowing that SW heard a “pop” sound when she injured her ankle, leads us to believe a ligament was involved. Therefore, an MRI is an appropriate diagnostic in this scenario.
  • Stress-View Radiography: When an X-Ray doesn’t give a clear enough view of a fracture or break, a stress-view radiography can be used to help determine between an ankle sprain or an injury that may require casting. “because a deltoid injury is not seen on plain radiographs, an unstable injury can appear to be a stable one on a standard mortise view. The quick and easy way to differentiate these two are via stress view of the ankle” (Guiney, 2016).

A.

Differential Diagnoses:

  • Right Ankle Sprain/Soft-Tissue Injury: An ankle sprain is typically caused by an inversion or eversion of the ankle during strenuous activity, a fall, exercise, or sports activities. SW was playing soccer when she slipped on the grass and rolled on her ankle, which she the heard a “popping sound.” The popping sound indicates a ligament tear or strain, which results in an ankle sprain. “In soccer players, playing on natural grass as opposed to artificial turf increases risk for lateral ankle sprain” (Chen, McInnis, & Borg-Stein, 2019). She had positive right ankle pain near the lateral malleolus, as well as tenderness, swelling, and bruising. Her muscle strength of her right ankle was 2/5 compared to 5/5 for her left ankle. She had decreased ROM of her right ankle and positive OAR. All findings point to an ankle sprain. With proper radiography and an MRI, we will be able to diagnose a soft-tissue injury.
  • Peroneal Tendon Tear: “Pain with resisted eversion and tenderness to palpation are common with peroneal tendon tears. Passive inversion of the hindfoot may provoke pain as well. Subluxation of the peroneal tendons over the posterior border of the fibular may be demonstrated on physical examination” (Danna & Brodsky, 2020). SW had positive findings of swelling/subluxation near the right lateral malleolus, located at the peroneal tendons. ROM was decreased with 10 degrees inversion and 5 degrees eversion of the right foot. SW also heard a “popping sound” at the time of injury, indicating a possible tendon tear, rupture, or sprain of her ankle. An MRI would help determine this diagnosis.
  • Ankle Tendonitis: Tendonitis occurs when a tendon is inflamed and typically presents with a patient unable to bear weight, swelling, pain, and pain with palpation. ROM is usually decreased as well.  It occurs when the ankle is manipulated, usually continuously for a period of time, but can also occur with an injury. SW had + OAR (bone tenderness), swelling, tenderness, unable to bear weight, and decreased ROM. Considering SW plays soccer very regularly with her older son, it is possible that with repetitive overuse of her ankles and feet could have caused tendinitis. It is also important to wear appropriate shoes during exercise. Without appropriate support of her shoes, tendinitis can occur. It is possible SW is suffering from tendonitis considering her symptoms. An MRI would help determine this diagnosis.
  • Right Ankle Fracture: With ankle fractures, individuals can hear a “crack” sound. Seeing as SW heard a “pop,” it is not likely she suffered a fracture. With fractures, pain is usually relieved with rest and an individual is not able to put any weight on the injury. SW is able to bear weight, but has discomfort doing so. Therefore, again, she most likely did not suffer a fracture. This can be confirmed with an X-Ray.
  • Syndesmotic Injury:  These injuries are also known as high ankle sprains and they require a lot of force to injure this specific ligament. SW fell and rolled on her ankle, which would not cause a lot of force on her ankle. The syndesmotic ligaments hold the distal tibia and fibula together. They occur when an ankle is externally rotated during injury affecting the interosseous membrane. These injuries typically occur in sports such as hockey and skiing, where injuries cause a lot more force. Her injury was low ankle sprain which occurs when an ankle is everted. Low ankle sprains occur in sports such as soccer and basketball, which SW was playing soccer. Therefore, she most likely did not suffer a syndesmotic injury.  

References

Chen, E., McInnis, K., & Borg-Stein, J. (2019). Ankle sprains: evaluation, rehabilitation, and prevention. Current Sports Medicine Reports: June 2019. 18(6), 217-233. https:/doi.org/10.1249/JSR.0000000000000603

Common Injuries. (2019). Backpacker, 47(2), 47. https://link.gale.com/apps/doc/A575011128/EAIM?u=minn4020&sid=EAIM&xid=13250273

Curr, S., & Xyrichis, A. (2015). Does nurse-led initiation of Ottawa ankle rules reduce ED length of stay? International Emergency Nursing. 23(4), 3147-322. https://doi.org/10.1016/j.ienj.2015.01.006

Danna, N., & Brodsky, J. (2020). Diagnosis and Operative Treatment of Peroneal Tendon Tears. Sage Journals. https://doi.org/10.1177/2473011420910407

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