An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Assignment (1-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):

• Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Scenario: 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.

Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.

Physical exam revealed pale, anxious female appearing older than stated years.

HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.

Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.

Discussion Week 4:  All do Learning Exercise 9.11 – answer the questions posed in the exercise

LEARNING EXERCISE  9.11

The Need to Reprioritize (Marquis & Huston, 2012)

You have just arrived home from a long day at school (it’s 4 PM on Wednesday) and sit down to look at your to-do list for the week. You have several major deadlines looming and are aware that you have procrastinated their completion far too long. Items on your list that must be completed by week’s end include the following:

1.  You have a 15-page term paper due in your leadership class on Friday (9 AM), which you have not begun. This will require 3 to 4 hours of literature review before you can begin and likely 4 to 6 hours to write the paper. There is a 10% loss of points for every day the paper is late, including weekends.

2.  You have to create clinical preparation sheets tonight for the four medical/surgical patients you will be caring for tomorrow (Thursday) at the hospital (7:00 AM to 3:30 PM). Each of these preparation sheets will take approximately 30 minutes to complete. These preparation sheets will be used to provide patient care tomorrow and will be discussed at the postclinical conference from 3:30 PM to 4:30 PM.

3.  You have a test tomorrow night (Thursday) in your political science class, which begins at 7 PM. You have read the materials but want to review them one last time because the test counts for 25% of your grade.

4.  You need to finish writing your reflective journal analysis, a weekly assignment for your clinical course. The analysis is typically 4 to 6 pages and reflects what you learned in your clinical experiences each week. It is due by noon on Friday.

5.  You are the maid of honor for your best friend’s wedding and as such are responsible for hosting her bridal shower on Saturday afternoon. You have not yet purchased the food or bought the materials you need for the activities you have planned. You also realize that your apartment is a mess and that it needs cleaned before guests arrive.

6.  Your car is critically low on oil. The oil light has been on for the last week, and you know that you are likely to burn up the engine if you keep driving it. You must take it in for an oil change immediately because the campus and hospital are too far away to take your bike and there is no public transportation system.

As you create your time inventory for the next 4 days, you realize just how tight your schedule is. If you work until at least midnight each night and get up just in time to make it to clinical and class (6:00 AM), you should be able to get everything done.

At 6 PM, the phone rings. It is one of your peers from school. She has just broken up with her fiancé and is in a crisis state. She asks that you come over right away and stay with her as she does not want to be alone. In addition, shortly after you hang up the phone, your roommate knocks on your door and says she needs to have a conversation with you about the “house rules” the two of you set. She says the rules are not working and that she has grown increasingly frustrated the last week. She wants to resolve the conflict right now and is threatening to move out. Finally, there is a knock at the door. One of your neighbors tells you that he just saw your dog running down the street. The gate must have been left open when your roommate returned home.

ASSIGNMENT:

How will you reprioritize your plans for this evening as well as the rest of the week? Can any items be eliminated from your list? Can any items be further procrastinated? What satisficing choices will you make regarding the items you will accomplish from your to-do list for the week?

 One Page 

APA No  

Discussion paper

In one of the reading assignments this week you reviewed advance nurse practitioner (APN) roles and the application of project management concepts, one of the major elements of NI, but new to most nurses. What type of application does this have for your practice?

Two scholar review 2017-2021 

Based on your selected MSN program, write your first section of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing practice role and summarize your findings in a 2-4 page paper (excluding the title page and references):

• Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)
• Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level
• Apply an Advance Nursing Practice Concept to your chosen role
• Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)
• Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; i.e. American Association of College of Nursing. (2010)).
• Format your paper, citations, and references using correct APA Style.
  

(The role choosen is family nurse practitioner.) if u have any other questions please write to me. Thanks 

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.