Scenario #3 – Peripheral Vascular System:

Mrs. L., a 35-year-old African American, reports having pain and tenderness in her right leg. She describes the pain in the back of her leg as dull and throbbing and says that it gets worse when she stands and walks and gets better with rest and elevation. She has noticed swelling in the right leg with an ulcer that won’t heal for the past three weeks. She denies numbness and tingling or loss of mobility in both extremities. She has smoked one pack of cigarettes daily for the past 12 years and has a history of diabetes mellitus type 2 and has high blood pressure. Mrs. L is single and has three children. She is currently unemployed; she was laid off three months ago. She is 5 feet 3 inches and weighs 190 lbs. She denies use of recreational drugs. Her mother is alive at age 68 and has a history of hypertension and diabetes. Her father died at age 63 of a heart attack. She does not exercise routinely. Her last physical exam was 5 years ago.

1. Based on her presenting signs, what other questions would you elicit?
2. How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
3. What would you assess?
4. What could be the problem?

APA Format please 

Discuss the most meaningful aspects of the topics of culture, spirituality, vulnerable populations; religious diversity and complementary, alternative and integrative health practices. Describe how this course content will be beneficial to you in your future advanced nursing role. discuss how addressing cultural miscommunications  will affect patient care and its significance to the advanced nursing role and/or practice.

Expectations

• Length: Two to three pages (excluding title and reference page)
• Format: APA 6th ed.
• References: A minimum of two, recent, scholarly reference citations

 Please, provide a response to the following discussion by using one reference of Nursing peer-reviewed journal not older than 5 years from Database.

Is nursing a profession?

            When debating whether or not nursing is considered a profession, is it important to define what is a profession. By definition, a profession involves having a clear framework of its own body of knowledge, which implies that the professional is able to use the knowledge gained through research and uses it in practice (George, 2011). In a real-life situation, when a person enters a hospital after sustaining a gunshot wound, the individual will be immediately treated by a variety of different staff members who are trained and capable of treating the injured patient. Registered Nurses (RN), are surely among many of the staff members who would be present on the scene to ensure that the patient doesn’t bleed by continuously assessing and monitoring the patient’s progress. 

Nursing is indeed considered a profession for many reasons that are worth to discuss. First, nurses are trained in an accredited school where they receive the training from professors who have received the proper training to educate their students to learn the knowledge required to practice the profession of nursing (Eptein & Turner, 2015). Second, the profession of nursing has been guided by the American Nurses Association and by the Code of Ethics, which mandates nurses to adhere to their strict standards and if failure to do so, will result in having the nursing license revoked (Eptein & Turner, 2015). Nurses have the ethical duty to protect their patients from harm, to treat every individual equally and with respect despite their gender, cultural background, sexual orientation or criminal record. Lastly, a nurse has the ability to use his/her judgement when making clinical decisions and has the ability to use his/her critical thinking skills when treating patients (Eptein & Turner, 2015). If for instance, a nurse comes across a medication that may be contraindicated for a particular patient, a nurse can use his/her critical thinking skills to question the doctor’s order and may hold the medication until full clarification is obtained. As part of their profession, nurses are responsible to ensuring that their patients receive the highest level of care.

What are your thoughts???

Non-experimental research focuses on attempting to study the correlation/relationship between two things. It studies the variables, but unlike experimental, it differs in that these variables are not being manipulated. An example I think of for non-experimental is patients with ICU delirium. Not all patients admitted to the ICU will develop delirium because ICU alone does not cause derlium, but there is a strong chance/relationship if certain measures aren’t taken. This can ultimately lead to worse patient outcomes.

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 9/26/2019 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