Public Health Nursing Assessment Essay

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Public Health Nursing Assessment Essay

FOUNDATION OF PUBLIC HEALTH NURSING 2

MODULE 4

TOPIC: Public Health Nursing Assessment

Performing a public health nursing assessment is a critical first step in determining health needs and appropriate interventions to meet them. For this assignment you perform a public health nursing assessment using the Public Health Nursing Tool (PHNAT) included in Chapter 3 of the textbook, complete an assessment on a selected population. You are free to use your setting/population of interest discussed in Topic 3 DQ1 or choose another population of interest Public Health Nursing Assessment Essay .

Using the assessment framework provided by the PHNAT, develop a 1,250-1,500 report summarizing your assessment findings and identifying the public health needs for your selected population. Your summary should include the following:

  1. Resources to identify and engage stakeholders, define your diverse community
  2. Collection and analysis of data regarding diverse community health issues
  3. Summary of how the documentation of the above could be disseminated to the community and its stakeholders

Consider the importance of preparing and providing quality care to the diverse groups within your community. Within your summary, include how you would plan improvement strategies to include a Healthy People 2020 initiative. Lastly, include steps for implementation of the improvement plans and specifics guiding an evaluation of the plan.

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Prepare this assignment according to the guidelines found in the APA Style Guide.

You are required to submit this assignment to LopesWrite.

STUDY MATERIALS

Read Chapters 3, 4, 8, and 19 in Public Health Nursing: Practicing Population-Based Care. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2018/public-health-nursing_practicing-population-based-care_3e.php

Read “The Road to Cultural Competency: Are We There Yet?” by Haynes, from Kansas Nurse (2016).URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112949029&site=ehost-live&scope=site

Read “Ethics, Law, and Policy. Dead Wrong! The Ethics of Culturally Competent Care,” by Ortiz and Casey, from MEDSURG Nursing (2017). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124650218&site=ehost-live&scope=site

Read “8 Steps to Guide Your Community Health Needs Assessment,” from H&HN Hospitals & Health Networks (2016) Public Health Nursing Assessment Essay.URL: https://www.hhnmag.com/articles/7545-steps-to-guide-your-community-health-needs-assessment

Read “QuickFacts United States,” from United States Census Bureau (2017).URL: https://www.census.gov/quickfacts/fact/table/US/PST045217

Read “Cultural Competence,” from Centers for Disease Control and Prevention (2015).URL: https://npin.cdc.gov/pages/cultural-competence

Read “Tools for Cross-Cultural Communication and Language Access Can Help Organizations Address Health Literacy and Improve Communication Effectiveness,” from Centers for Disease Control and Prevention (2018). URL: https://www.cdc.gov/healthliteracy/culture.html

Public Health Nursing Assessment Essay

Post Traumatic Stress Disorder Case Study

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Post Traumatic Stress Disorder Case Study

Answer the following questions in three well-developed paragraphs (450–500 words) using APA formatting, integrating two evidence-based resources to include clinical practice guidelines as well as the course textbook.

RR is 48-year-old Hispanic woman who comes to see you at the V. A. homeless clinic. The major complaint is a six-day history of worsening cough, productive of green sputum. There have been fever and chills with complaints of pain in the right mid-back with deep breathing or coughing. Further history reveals a history of tobacco use of one pack of cigarettes a day for 30 years. There is an incontainent health history as a result of Post Traumatic Stress Disorder (PTSD) and homelessness. On examination, the skin is warm and clammy, pale; RR appears to not feel well; the temperature is 100.5° F; respiratory rate is 24 breaths per minute; pulse is 98 beats per minute; blood pressure is 120/75 mm Hg; and saturation of oxygen is 96 percent on room air by pulse oximetry Post Traumatic Stress Disorder Case Study.

Auscultation of the lungs reveals rales in the right lower-posterior lung field. The remainder of the examination is within normal limits.

  1. What organism(s) do you most suspect and why?
  2. What antibiotic would you recommend to treat RR with and why?
  3. What is the mechanism of action of this antibiotic? Provide rationale
  4. Do you have any counseling points for RR?

USE APA format atleast 2 references

RUBRIC

 

iscussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

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Cites three or more references, using at least one new scholarly resource that was not provided in the course materials Post Traumatic Stress Disorder Case Study.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted Post Traumatic Stress Disorder Case Study.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation Post Traumatic Stress Disorder Case Study.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors Post Traumatic Stress Disorder Case Study.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late Post Traumatic Stress Disorder Case Study.

Stake Holder Presentation

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Stake Holder Presentation

As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.

Stake holder PowerPoint presentation PowerPoint

For this assessment you will create an 8-12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.

As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter. Stake Holder Presentation

Demonstration of Proficiency

  • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
  • Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
    • Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
    • Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
  • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    • Slides are easy to read and error free. Detailed speaker notes are provided.
    • Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.

Professional Context

This assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.

Scenario

In addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.

When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization. Stake Holder Presentation

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Instructions

Please follow the Capella Guidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer to Capella University Library: PowerPoint Presentations.

Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
  • Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
  • Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
  • Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
  • Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style. Stake Holder Presentation

There are various ways to structure your presentation; following is one example:

  • Part 1: Organizational or Patient Issue.
    • What is the issue that you are trying to solve or improve?
    • Why should the audience care about solving it?
  • Part 2: Relevance of an Interdisciplinary Team Approach.
    • Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?
    • How will it help to achieve improved outcomes or reach a goal?
  • Part 3: Interdisciplinary Plan Summary.
    • What is the objective?
    • How likely is it to work?
    • What will the interdisciplinary team do?
  • Part 4: Implementation and Resource Management.
    • How could the plan be implemented to ensure effective use of resources?
    • How could the plan be managed to ensure that resources were not wasted?
    • How does the plan justify the resource expenditure?
  • Part 5: Evaluation.
    • What would a successful outcome of the project look like?
    • What are the criteria that could be used to measure that success?
      • How could this be used to show the degree of success?

Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.

Additional Requirements

  • Number of slides: Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old.
  • APA formatting: Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format. Stake Holder Presentation

Nursing Pharma Replies Essay

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Nursing Pharma Replies Essay

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2).

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations.

– Utilize at least two scholarly references per peer post Nursing Pharma Replies Essay.

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

– TURNITIN Assignment.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Infection Case Study

RR is 48-year-old Hispanic woman who comes to see you at the V. A. homeless clinic. The major complaint is a six-day history of worsening cough, productive of green sputum. There have been fever and chills with complaints of pain in the right mid-back with deep breathing or coughing. Further history reveals a history of tobacco use of one pack of cigarettes a day for 30 years. There is an incontainent health history as a result of Post-Traumatic Stress Disorder (PTSD) and homelessness. On examination, the skin is warm and clammy, pale; RR appears to not feel well; the temperature is 100.5° F; respiratory rate is 24 breaths per minute; pulse is 98 beats per minute; blood pressure is 120/75 mm Hg; and saturation of oxygen is 96 percent on room air by pulse oximetry.

Auscultation of the lungs reveals rales in the right lower-posterior lung field. The remainder of the examination is within normal limits.

  1. What organism(s) do you most suspect and why?
  2. What antibiotic would you recommend to treat RR with and why?
  3. What is the mechanism of action of this antibiotic? Provide rationale
  4. Do you have any counseling points for RR?

 

POST # 1 AYME

Based on the subjective findings as well as the physical examination findings, pneumonia features as the primary diagnosis for this patient. The symptoms exhibited by this patient are consistent with those associated with pneumonia that could be categorized as community-acquired pneumonia (CAP) since it occurred outside a healthcare facility, possibly due to bacterial infections. As such, Streptococcus pneumonia features as the most suspect organism since it is responsible for most cases of bacterial pneumonia and is associated with symptoms that are similar to those exhibited by this patient including, chills, sputum production, and chills (Lanks, Musani & Hsia, 2019). The other organisms that could be suspected include; Mycoplasma pneumonia as well as Haemophilus influenza since they are among the other causes of CAP Nursing Pharma Replies Essay.

Antibiotics are typically the main medications that are used in the treatment of bacterial pneumonia. According to Metlay et al. (2019), the first-line antibiotics that are used in the treatment of this disease include; macrolides like clarithromycin and azithromycin, doxycycline as well as fluoroquinolones like levofloxacin. The antibiotic that would be recommended to treat this patient is azithromycin. Macrolides like azithromycin are considered as the best antibiotics used in the initial treatment of CAP associated with bacterial infections (Woo & Robinson, 2020). This antibiotic offers the best coverage for various organisms associated with community-acquired pneumonia (Metlay et al., 2019). For instance, this antibiotic offers effective coverage for Legionella, gram-positive as well as mycoplasma organisms (Kruger & Prathapan, 2020).

Azithromycin is categorized as a macrolide-type antibiotic, and its mechanism of action involves inhibiting bacterial growth that helps in the treatment of various bacterial infections (Kruger & Prathapan, 2020). Inhibiting the multiplication of bacteria helps in killing them hence the effective treatment of this infection (Kruger & Prathapan, 2020).

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Patient counseling is one of the essential aspects that help in enhancing the adherence of patients to their treatment leading to the achievement of optimal outcomes. Thus, it is necessary to offer the appropriate counseling to this patient to enhance her health outcomes. Patient counseling, in this case, would focus on various aspects related to pneumonia that include; the risk factors, causes, associated complications as well as the prevention of this disease. For instance, the patient would be counseled on the prevention of this disease that includes; the maintenance of proper hygiene, consuming healthy foods, getting sufficient sleep, and smoking cessation (Froes, Pereira & Póvoa, 2019). Smoking is one of the main risk factors associated with this disease and exposure of the patient to cigarette smoke may lead to worsening of her symptoms hence the need for counseling on smoking cessation (Froes, Pereira & Póvoa, 2019). The patient will be counseled on the treatment of this disease and the lifestyle remedies that could assist in quick recovery and minimize the risk of developing the associated complications such as staying hydrated and getting sufficient rest (Froes, Pereira & Póvoa, 2019). For instance, the patient would be counseled on the appropriate use of the provided medication that includes; the correct dose and the need to adhere to her medication regimen. Medication non-adherence might lead to the recurrence of pneumonia. Thus, it would be imperative to counsel her on the need for completing the course of her medications, especially the antibiotic, since it would help in the effective treatment of this infection, thereby preventing the recurrence of this disease. Patient counseling would also include; the interactions as well as the possible side effects associated with the provided medications. Overall, providing the appropriate counseling would help in enhancing the patient’s adherence to her treatment plan, thereby improving her clinical outcome Nursing Pharma Replies Essay.

References

Froes, F., Pereira, J. G., & Póvoa, P. (2019). Outpatient management of community-acquired pneumonia. Current opinion in pulmonary medicine, 25(3), 249-256.

Kruger, D., & Prathapan, P. (2020). Azithromycin: The first broad-spectrum therapeutic. Journal of translational autoimmunity, 100062.

Lanks, C. W., Musani, A. I., & Hsia, D. W. (2019). Community-acquired pneumonia and hospital-acquired pneumonia. Medical Clinics, 103(3), 487-501.

Metlay, J. P., Waterer, G. W., Long, A. C., Anzueto, A., Brozek, J., Crothers, K., … & Griffin, M. R. (2019). Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. American journal of respiratory and critical care medicine, 200(7), e45-e67.

Woo, T. M., & Robinson, M. V. (2020). Pharmacotherapeutics for advanced practice nurse prescribers (5th ed.). Philadelphia, PA: F.A. Davis Company.

POST # 2 TOMEIKA

 

Infection Case Study

RR’s case is complicated with a six-day history of worsening cough, productive green sputum, fever, chills, pain in the right mid-back with deep breathing or coughing, warm and clammy skin, paleness, respiratory rate of 24 breaths per minute, pulse of 98 beats per minute, blood pressure is 120/75 mm Hg, and oxygen saturation of 96 percent on room air. These symptoms and clinical findings are consistent with pneumonia. Pneumonia is one of the top five conditions for hospital admission through the emergency department, second in pediatric admissions, and third in patients older than 45 years, and the eighth leading cause of death in the United States (Woo and Robinson, 2020).

The suspected organism for RR’s condition is streptococcus pneumonia because it is the most common cause of bacterial pneumonia (Medline Plus, 2015). Streptococcus pneumonia is identified in 60-75% of adults with bacterial pneumonia (Woo and Robinson, 2020). The recommended antibiotic for treatment for RR’s condition is a macrolide antibiotic. Examples of macrolide antibiotics used to treat pneumonia includes azithromycin, clarithromycin, erythromycin, and doxycycline (Woo and Robinson, 2020). The antibiotic that is recommended is erythromycin because RR does not have any pre-existing health conditions and no risk factors for drug-resistant streptococcus pneumonia, and it is the least expensive of the antibiotics discussed, with a cost of approximately $17 for a 7-10 day course of treatment (Woo and Robinson, 2020). Erythromycin is a bacteriostatic antibiotic that prevents further growth of bacteria rather than destroying it by inhibiting protein synthesis. It binds to the 23S ribosomal RNA molecule in the 50S subunit of the bacterial ribosome causing a blockage in the exiting of the peptide chain that is growing (Farzan et al., 2020).

The counseling points for RR would include the importance of faking all antibiotics as prescribed and completing the full prescription, even when she starts to feel better. She should also follow-up with her healthcare provider if she is not feeling better, afebrile in 2-4 days or worsening of symptoms, improved respiratory status, hydration, and activity tolerance (Woo and Robinson, 2020). RR should also be informed of the expected length of treatment, drug interactions, importance of hydration, adverse reactions to erythromycin, smoking cessation, and rest. Erythromycin will be prescribed orally because RR is being treated on an outpatient basis. During treatment, she should avoid alcohol, take the antibiotic on an empty stomach about one hour before or two hours after meals, take with a full glass of water, and avoid taking with grapefruit juice (Farzam et al., 2020). The common adverse effects of erythromycin are nausea, vomiting, diarrhea, abdominal pain, QT prolongation, rash, reversible deafness, and rare adverse effects includes Stevens-Johnson syndrome, toxic epidermal necrolysis, cholestasis, and avoidance of drugs metabolized by the P450 system because it will cause an increased concentration and the risk of toxicity (Farzam et al., 2020). Due to RR’s current social situation of being homeless, she would need assistance from social services in order to obtain the prescription for treatment of her condition Nursing Pharma Replies Essay.

 

References

Farzam, K., Nessel, T., and Quick, J. (2020). Erythromycin. StatPearls. Treasure Island, FL: StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK532249

Medline Plus. (2015). Pneumonia. Retrieved from https://www.medlineplus.gov/pneumonia.html

Woo, T. and Robinson, M. (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers (5th ed.). Philadelphia, PA: F.A. Davis Nursing Pharma Replies Essay.

 

NURS 530 Week 8 Extended Cases Study

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NURS 530 Week 8 Extended Cases Study

NURS 530 Week 8. The purpose of the case study is to have you expand on the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease.

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources.

Answer the following questions:

1. What is the transmission and pathophysiology of TB?

2. What are the clinical manifestations?

3. After considering this scenario, what are the primaries identified medical concerns for this patient?

4. What are the primary psychosocial concerns? NURS 530 Week 8 Extended Cases Study

5. What are the implications of the treatment regimen, as far as the likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in the treatment of TB, as well as drug-resistant

6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB what resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.

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7. What are the implications of TB for critical care and advanced practice nurses?

The use of medical terminology and appropriate graduate-level writing is expected.

Your paper should be 4-5 pages, (excluding cover page and reference page).

Your resources must include research articles as well as references to non-research evidence-based guidelines.

Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources. NURS 530 Week 8 Extended Cases Study

NURS 530 Week 8

Nutrition and Overall Health Essay

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Nutrition and Overall Health Essay

Emmi has been under a lot of stress and is concerned about her overall health.  She works nights at a local restaurant and takes a full course load during the day at a local community college. At lunch today, her friend Jessi suggested that she take Nutrimega supplements to help prevent colds, flu, and other illnesses and reduce her stress. Jessi said that she has been taking Nutrimega for several months and feels great Nutrition and Overall Health Essay.

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Emmi was a little surprised to learn that a month’s supply of Nutrimega cost about $50.00, but she decided to buy the supplements, anyway.  The Nutrimega label recommends taking 2 or 3 tablets daily for health maintenance and 2-3 tablets every 3 hours at the first sign of illness.  When Emmi read the label on the bottle, she noted that each tablet contained the following nutrients (listed as % daily value): 33% Vitamin A (75% as preformed Vitamin A), 700% Vitamin C, 50% Zinc, and 10% Selenium.

If you were Emmi’s dietitian, health clinician, or nutritionist, would you recommend that Emmi use this product?

Are there any health risks associated with its use, considering the dosed recommended on the label for maintenance and illness and if so, what are they?

What alternative suggestions would give Emmi to help her maintain her overall health Nutrition and Overall Health Essay?

Facts In The Case Of M. Valdemar Assignment Help

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Facts In The Case Of M. Valdemar Assignment Help

In-Class synchronous reading response

For One (1) of the questions below, produce 500 – 750 word reading response. Remember: your assignment must ANALYZE the text. Don’t bother with summary; you won’t have time. You can assume that your reader will be familiar with the text.

1. One of the most fascinating thins about King’s Carrie is that, through its epistolary structure and polyvocal form, the author forces readers to come to their own conclusions about the titular character.

So…who (or what) is Carrie? Is she a victim? A villain? An anti-heroine? A divine punishment for the inhabitants of Chamberlain? All of these? Something else Facts In The Case Of M. Valdemar Assignment Help?

Make an argument for how readers should interpret the protagonist of the novel. Why do you feel the way you do about Carrie—and why should we listen to you? BE sure to provide textual support from the text and include proper MLA citations.

2. Poe has often been called a master of the macabre. Much has been made of the use of narrators in his stories (e.g., “The Black Cat” or “The Tell-Tale Heart”) Analyze his use of narration in “The Facts in the Case of M. Valdemar.”

3. Horror is a much-maligned genre; some have even claimed that it’s inherently sadistic, immoral, and/or pornographic. In his work “why we crave scary movies,” King writes: “The mythic horror movie, like the sick joke, has a dirty job to do. It deliberately appeals to all that is worst in us.”

Defend OR refute King’s statement using either Carrie or Poe’s “The Facts in the Case of M. Valdemar.” Be sure to provide evidence from the text.

4. In her work on Stephen King’s novel Misery, scholar Kathleen Lant argues that King’s representations of female characters are particularly problematic. (In fact, Lant heavily implies that the author is a misogynist.) However, some have viewed Carrie as a quintessentially feminist text as shown on case study assignment help. How feminist is King’s book? How are women portrayed in the novel, and what can we take from this?

Unit 8 Male and Female Reproductive Systems Assignment

Follow all instructions and guidelines for submitting assignments.

1. Describe the anatomy of the male and female reproductive systems, including their accessory structures

2. Explain the role of hypothalamic and pituitary hormones in male and female reproductive function

3. Trace the path of a sperm cell from its initial production through fertilization of an oocyte

4. Explain the events in the ovary prior to ovulation

5. Describe the development and maturation of the sex organs and the emergence of secondary sex characteristics during puberty Facts In The Case Of M. Valdemar Assignment Help .

 

Unit 8 Fluid and Electrolyte Balance Assignment and business assignment help

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1. Identify the body’s main fluid compartments and explain the importance of water in the body.

2. Identify the six ions most important to the function of the body.

3. Define buffer and discuss the role of buffers in the body.

4. Explain why bicarbonate must be conserved rather than reabsorbed in the kidney.

5. Identify the normal range of blood pH and name the conditions where one has a blood pH that is either too high or too low.

6. Provide specific examples to demonstrate how the urinary system responds to maintain homeostasis in the body.

7. Explain how the urinary system relates to other body systems in maintaining homeostasis.

8. Predict the types of problems that would occur in the body if the urinary system could not maintain homeostasis.

9. Contrast the composition of the intracellular fluid with that of the extracellular fluid.

10. Explain the importance of protein channels in the movement of solutes.

11. Identify the causes and symptoms of edema.

12. Explain how water levels in the body influence the thirst cycle and what role would the hypothalamus have in thirst mechanisms.

13. Identify the main routes by which water leaves the body.

14. Describe the role of ADH and its effect on body water levels.

15. Define dehydration and identify common causes of dehydration.

16. List and provide the function of the six most important electrolytes in the body, and name the disorders associated with abnormally high and low levels of the six electrolytes

17. Describe the role of aldosterone on the level of water in the body

18. Identify the most powerful buffer system in the body, provide the equation to show how this buffer is reversible.

19. Explain the way in which the respiratory system affects blood pH Facts In The Case Of M. Valdemar Assignment Help .

20. Identify the three blood variables considered when making a diagnosis of acidosis or alkalosis, what are the sources of compensation for blood pH problem of a respiratory origin and of a metabolic/renal origin?

Unit 8 The Urinary System Assignment

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1. Characterize the roles of each of the parts of the urinary system. (Kidneys, nephrons, ureters, urinary bladder, and urethra)

2. Trace the flow of blood through the kidney and describe how blood is filtered in the kidney nephron.

3. Provide symptoms of kidney failure and describe the normal versus abnormal urine composition. (normal range of pH, osmolarity, and volume)

4. List some of the solutes filtered, secreted, and reabsorbed in different parts of the nephron.

5. Describe the role of a portal system in the kidney.

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6. Explain how urine osmolarity is hormonally regulated and describe the regulation of major ions by the kidney.

7. Summarize the role of the kidneys in maintaining acid-base balance.

8. Compare and contrast blood plasma, glomerular filtrate, and urine characteristics.

9. Compare and contrast male and female urethras.

10. Describe the micturition reflex.

11. Describe the external structure of the kidney, including its location, support structures, and covering.

12. Identify the major internal divisions and structures of the kidney, identify the major blood vessels associated with the kidney.

13. Name structures found in the cortex and medulla, describe the physiological characteristics of these areas and compare and contrast the cortical and juxtamedullary nephrons Facts In The Case Of M. Valdemar Assignment Help.

14. Describe voluntary and involuntary neural control of micturition.

15. Discuss the function of the peritubular capillaries and vasa recta.

16. Identify the location of the juxtaglomerular apparatus and describe the cells that line it, and the function of this structure.

17. Describe the histology of the proximal convoluted tubule, loop of Henle, distal convoluted tubule, and collecting ducts

18. Describe glomerular filtration rate (GFR), state the average value of GFR, and explain how clearance rate can be used to measure GFR, predict specific factors that will increase or decrease GFR

19. State the percent of the filtrate that is normally reabsorbed and explain why the process of reabsorption is so important

20. List common symptoms of kidney failure, and discuss the aging kidney and its function.

21. Describe how each of the following functions in the extrinsic control of GFR: renin-angiotensin mechanism, natriuretic peptides, and sympathetic adrenergic activity

22. Describe how each of the following works to regulate reabsorption and secretion, so as to affect urine volume and composition: renin-angiotensin system, aldosterone, antidiuretic hormone, and natriuretic peptides

23. Name and define the roles of other hormones that regulate kidney control, what effect do diuretics have on fluid retention and loss?

24. Explain why the differential permeability or impermeability of specific sections of the nephron tubules is necessary for urine formation

Describe the role of the kidneys in vitamin D activation, and the role of the kidneys in regulating erythropoiesis

Chapter PowerPoint Assignment Instructions https://anyessayhelp.com/assignment-help-service/get-business-assignment-help-from-expert-writers/

What should you do?

First:

You will pick a topic from any chapters not covered in class.

EX: Chapter 13-Global view of the Family, Courtship and Mate Selection, Child Rearing Patterns

Chapter 14-Choose a perspective, Credentialism, Teachers, subcultures, homeschooling

Chapter 15-Durkheim (in relation to religion), World religions, a religious organization, religion in the schools

What should It Include Facts In The Case Of M. Valdemar Assignment Help:

You must create a PowerPoint presentation (.pptx file) with at least 12-15 informational slides.  It must also have a title slide and the beginning and a reference slide at the end (this is in addition to your information slides).  This should be a professional looking power point.  You can put pictures, graphs, diagrams, statistics etc. just be sure to not overload a slide with too much information.  You can add a slide and split the info over two slides to make it look professional.  Also,  Do not submit slides with one sentence or a few random words.

Your title slide should include the Title of your Topic(you can create your own title don’t just name it Chapter 14), your name and class(ex: SOCI 1301.80).

Your works cited or reference slide must include 3-5 references and at least one must be a scientific article.  Do not just give me a weblink to your references.  Type them out in MLA format and you can put the weblink at the end.  Your textbook should be one of your references.

How to choose your Scientific Articles:

If you do not know how to find a scientific sociological article you will need to find time to visit via chat or call the library for assistance.  You can search for them through the library link (see your information page in the left hand column in your class on blackboard), on Google scholar, or other search engines. You want your article(s) to come from a scientific journal https://smashingessays.com/services/case-study-writing-service/ .

You must be sure the article you choose is actually available and not just an abstract and be sure to have a link for the article included in sited reference.   Your article should relate to the topic in your power point and you should use quotes or paraphrasing from your article(s) and other reference materials.  They must be cited in MLA format.  Be sure to quote properly.  If you list a reference and it is unclear how or where you used it in your work it will not be counted as a reference.

Submitting your PowerPoint:

You can follow an MLA format for your power point.  ***It must be submitted as a powerpoint document ending in .pptx.   Blackboard does not support other documents very well and often they cannot be opened.  I can only grade what I can see so failure to upload a powerpoint can greatly reduce the points you can receive or even cause you to receive a zero***

Note:

If you use Office 365 on the Lamar website you must download your PowerPoint as a copy to your computer or flashdrive so that it will be a .pptx document.  Then you can upload to blackboard.  If you do not upload a .pptx document then you will receive a zero for the grade.  Do not upload a pdf Facts In The Case Of M. Valdemar Assignment Help.

Assessing And Diagnosing Patients With Schizophrenia

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Assessing And Diagnosing Patients

Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders Assessing And Diagnosing Patients With Schizophrenia.

For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also, review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.

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  • Consider what history would be necessary to collect from this patient.

  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life Assessing And Diagnosing Patients With Schizophrenia?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.) Assessing And Diagnosing Patients With Schizophrenia.

Practicum – Assessing Client Family Progress

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Practicum – Assessing Client Family Progress

Learning Objectives

Students will:

· Create progress notes

· Create privileged notes

· Justify the inclusion or exclusion of information in progress and privileged notes (SEE ATTACHED SAMPLE OF PROGRESS AND PRIVILIGED NOTE)

· Evaluate preceptor notes

To prepare:

· Reflect on the client family you selected for the Week 3 Practicum Assignment (SEE ATTACHED WEEK 3 NOTE), Practicum – Assessing Client Family Progress

                                                             The Assignment

                 Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment address in a progress note (without violating HIPAA regulations) the following:

· Treatment modality used and efficacy of approach

· Progress and/or lack of progress toward the mutually agreed-upon client goals

(reference the treatment plan for progress toward goals)

· Modification(s) of the treatment plan that were made based on progress/lack of

progress

· Clinical impressions regarding diagnosis and or symptoms

· Relevant psychosocial information or changes from original assessment (e.g.,

marriage, separation/divorce, new relationships, move to a new

house/apartment, change of job)

· Safety issues

· Clinical emergencies/actions taken

· Medications used by the patient, even if the nurse psychotherapist was not the

one prescribing them

· Treatment compliance/lack of compliance

· Clinical consultations

· Collaboration with other professionals (e.g., phone consultations with physicians,

psychiatrists, marriage/family therapists)

· The therapist’s recommendations, including whether the client agreed to the

recommendations

· Referrals made/reasons for making referrals

· Termination/issues that are relevant to the termination process (e.g., client

informed of loss of insurance or refusal of insurance company to pay for

continued sessions) Practicum – Assessing Client Family Progress

· Issues related to consent and/or informed consent for treatment

· Information concerning child abuse and/or elder or dependent adult abuse,

including documentation as to where the abuse was reported

· Information reflecting the therapist’s exercise of clinical judgment

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Note: Be sure to exclude any information that should not be found in a discoverable progress note.

                       Part 2: Privileged Note

· Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment. (SEE ATTACHED WEEK 3 NOTE),

In your progress note, address the following:

· Include items that you would not typically include in a note as part of the clinical record.

· Explain why the items you included in the privileged note would not be included in the client family’s progress note.

· Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why. Practicum – Assessing Client Family Progress

Case Study 9-2: Lifestyle Changes for Weight Loss

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Case Study 9-2: Lifestyle Changes for Weight Loss

Sally is a 43-year-old mother of two who has gained 50 pounds over the past five years. She is 64 inches tall and weighs 180 pounds with a BMI of 30.8. Her waist circumference is 37 inches. She acknowledges that she is not as physically active as she would like to be. She also notes how recent stresses in her life have affected her sleep and seem to have triggered her appetite for sweets. Sally’s father recently died from complications of type 2 diabetes and her mother and sisters are overweight. Sally says she is very motivated to “not get diabetes” and is disturbed that her recent physical exam revealed mildly elevated blood pressure, glucose, and cholesterol levels.

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1.   How does Sally’s family history influence her weight and risk for diabetes? What lifestyle choices may influence her genetic predisposition to be overweight?

 

2.   Using information in this chapter, what is a reasonable goal weight for Sally? How long would you estimate it would take her to safely lose this amount of weight? Case Study 9-2: Lifestyle Changes for Weight Loss

 

3.   What weight-loss strategies may help curb Sally’s stress-related eating?

 

4.   Sally has determined that—to lose weight—she needs to limit her daily caloric intake to 1400 kcalories. Use Table 9-2 and show a one-day plan for meals and snacks that meet her nutritional needs within this calorie level.

 

5.   What are some advantages to Sally keeping a food and exercise record? What other factors besides food intake and physical activity may be useful for Sally to record?

 

6.   Why might strength training be an important addition to Sally’s exercise regimen? Case Study 9-2: Lifestyle Changes for Weight Loss