A group of student nurses have been asked to do a conference on the importance of the gastrointestinal system. They open their presentation with the following statement: “As nurses, we spend every day, as part of our routine assessment, asking patients whether they have moved their bowels today. We are not asking just for the sake of asking, as this normal bodily function hinges on many factors.”
a. What concepts of gastrointestinal function do you believe the students are trying to portray in relation to this statement?
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I need help with this assignment. Please strictly follow the attached rubric and use the following case study.
Following an automobile accident, a 46-year-old man was brought to the hospital emergency department by an ambulance. The patient seemed to be alert, was able to answer questions, and claimed to be suffering from a great deal of pain. The physician administered 15 milligrams of morphine intravenously. The patient needed blood but refused a transfusion. After being observed in the emergency department for several hours, the patient was placed on a medical-surgical unit for observation. The following morning, he was unresponsive, and he was eventually pronounced dead. It was later discovered that he had a long history of drug and alcohol abuse. The night of the accident, he had injected heroin and drank several shots of tequila and multiple cans of beer. He had not disclosed any of this to the doctors or nurses treating him. Several years later, his estate sued the physician, claiming medical malpractice.
Analyze the possible outcomes of the lawsuit under one of the following scenarios:
If death was the result of overdose
If death was the result of failure to administer blood
If death was the result of subdural hematoma
In your short paper, analyze the potential success of a claim for negligence under one of the three possible scenarios. Include a detailed discussion of each element of the negligence claim and why that element is met or not met. Discuss the possible defenses that could be reasonably asserted by the doctor to each claim, and why that defense might apply. Lastly, include a paragraph describing which, if any, claim you believe might be the most successful against the doctor and why.
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How does an understanding of the mechanisms of the heart help you in treatment of your patient regardless of the illness? How does basic cardiac monitoring factor into caring for your patient? How do you care for patients with dysrhythmia? Share some of your best practices.
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The purpose of this Assignment is for you to gain an understanding of health promotion, screening, diagnosis, and management of common womenâs health acute and chronic illnesses and to compare and contrast common versus nontraditional treatment modalities.
Directions
Selected topic one acute and one chronic womenâs health issue (urinary tract infection and osteoporosis).
Describe and outline the issue, prevalence, and significance.
Describe health promotion and screening for each issue.
Outline diagnostic tests or laboratories needed for each issue.
List and describe common treatment or management modalities for each issue.
Discuss patient education and follow up that is needed for each issue.
Identify health screening and promotion needs for women across the lifespan specific to the chronic illness.
For each selected issue, compare and contrast traditional versus nontraditional treatment options.
Assignment Requirements
1-Selection of illness or issue
Selected oneacute and one chronic womenâs health issue; thoroughly described and outlinedthe issue and significance.
Description of issues
Thoroughlyoutlined the health promotion, screening, diagnosis, management, patienteducation, and follow up of each problem including care across the lifespan forchronic illness.
3-Nontraditionaltreatment options
Thoroughlycompared and contrasted traditional versus nontraditional treatment options.
4-Format/Style
Text,title page and references page follow APA guidelines. No grammar, word usage,or punctuation errors. Overall style is consistent with professional work.
follow the conventions of Standard American English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format.
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Assignment 1: Differential Diagnosis for Skin Conditions
Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
In this Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.
To prepare:
· Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment.
· Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
· Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
· Consider which of the conditions is most likely to be the correct diagnosis, and why.
· Download the SOAP Template found in this week’s Learning Resources.
To complete:
· Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
· Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature.
Links:
http://www.skinsight.com/professionals
https://www.aafp.org/afp/2010/0315/p726.html
https://www.aafp.org/afp/2010/0315/p735.html
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Week 10: Summative Assignment: Critique of Research ArticleA research critique demonstrates your ability to critically read an investigative study. For this assignment, choose a research article related to nursing or medicine to critique. Articles used for one assignment can’t be used for the other assignments (students should find new research articles for each assignment). The selected articles should be original research articles. Review articles, meta-analysis, meta-synthesis, and systemic review should not be used. Mixed-methods studies should not be used.Your critique should include the following:Research Problem/Purpose State the problem clearly as it is presented in the report. Have the investigators placed the study problem within the context of existing knowledge? Will the study solve a problem relevant to nursing? State the purpose of the research.Review of the Literature Identify the concepts explored in the literature review. Were the references current? If not, what do you think the reasons are?Theoretical Framework Are the theoretical concepts defined and related to the research? Does the research draw solely on nursing theory or does it draw on theory from other disciplines? Is a theoretical framework stated in this research piece? If not, suggest one that might be suitable for the study.Variables/Hypotheses/Questions/Assumptions What are the independent and dependent variables in this study? Are the operational definitions of the variables given? If so, are they concrete and measurable? Is the research question or the hypothesis stated? What is it?Methodology What type of design (quantitative, qualitative, and type) was used in this study? Was inductive or deductive reasoning used in this study? State the sample size and study population, sampling method, and study setting. Did the investigator choose a probability or non-probability sample? State the type of reliability and the validity of the measurement tools. Were ethical considerations addressed?Data Analysis What data analysis tool was used? How were the results presented in the study? Identify at least one (1) finding.Summary/Conclusions, Implications, and Recommendations What are the strengths and limitations of the study? In terms of the findings, can the researcher generalize to other populations? Explain. Evaluate the findings and conclusions as to their significance for nursing.The body of your paper should be 4–6 double-spaced pages plus a cover page and a reference page. The critique must be attached to the article and follow APA guidelines.Need APA Help?Visit the Student Resources tab or the WCU Library tab at the top of this page.Points 280
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Provide three real world examples in a healthcare organization of under-use, overuse, and misuse for both quality and cost.
What are the implications for effectiveness, efficiency, and the patient for each of your examples.
*Basically, provide an example of underuse, overuse, and misuse. Then, for each example, list the implications or what could be wrong with the effectiveness, efficiency, and the patient in your examples. *help answering this question look at chapter 7 of the attached textbook**
Your response should be a minimum of 1000 words, and include a minimum of 3 scholarly sources.
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I NEED A POSITIVE COMMENT BASED IN THIS POST ..BETWEEN 100 TO 120 WORDS.
What clinical manifestations are present in Ms. G?
Ms. G presents Pain, heaviness, chilling, unable to bear weight on her left leg, round, yellow-red wound with yellow drainage, elevated white count, neutrophils, bands, wound culture with Staphylococcus aureus.
Ms. G is a young female (23y/o) with diabetes that weighs 184.3 pounds and measures 5 feet 2 inches tall. Based on Ms. G’s weight and height she is obese. She has been home applying heat to her leg for the past 48 hours. The heating pad could have caused damage to the tissue possibly already infected causing further damage. Obesity has also been identified as being one of the risk factors in the development of lower extremity cellulitis (Antimicrobe, 2014).
The pain, heaviness, and chilling are all indicators that her body might be fighting infection. The open wound observed with erythema, swelling, and thick yellow exudate is also indicative of infection. According to Antimicrobe cellulitis is an acute infection of the skin that involves the subcutaneous tissues. It is manifested by: swelling, erythema, tenderness, warmth, and fever (Antimicrobe, 2014).
Ms. G has a low grade fever of 102.2. According To Your Health website a patient with a fever between 100 degrees Fahrenheit and 102.2 degrees Fahrenheit is beneficial by assisting the body in repelling the microbes or invader from the body (To Your Health, 2012).
White blood cells help fight infection (leukocytes). Elevated WBC is due to infections that are mostly related to bacteria. Neutrophils are the first cells to respond and arrive at the site where inflammation occurs. Neutrophils conventional units are between 45%-73%. Neutrophils increase with an acute infections, trauma, surgery, and leukemia to name a few (Brunner, 2008). Ms. G’s, neutrophils are just slightly elevated at 80%.
The body’s immune system responds by the inflammatory response which is started by the response of tissue injury or invading organisms.
Normal band count is between 2-6%. Bands are immature white blood cells. When the body is under significant attack by bacteria or virus and immature cells might be released early into the circulation to fight infection. Ms. G has 12% band count which is also indicative of infection.
What recommendations would you make for continued treatment?
Cooling measures plus Tylenol should be started to reduce fever and pain. Provide wound care on a daily basis and practicing proper skin hygiene. Making sure that patient has their lower extremity elevated to reduce edema. Advise to pump her feet on a regular basis to promote circulation. Provide patient with a diabetic diet while in the hospital. An antibiotic treatment will need to be started. Accu checks with a sliding scale should be implemented. Provide diabetic education before the patient is discharged.
Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
The ARC: Anatomy Resource Center (n.d.), identifies that the muscle groups affected would be the soleus, tibialis, anterior extensor, digitorum longus, and the gastrocnemius.
What is the significance of subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?
Objective date is collected by physical examination, including observation, palpation, percussion, and auscultation, and by laboratory analysis and other studies to eliminate possible diagnosis pertaining to the patient’s signs and symptoms.
Subjective data is a collection of data that has been provided by the patient or family. The subjective data is retrieved from the description of an event rather than from a physical assessment.
What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delay wound healing?
A diabetic patient takes longer for their wound to heal but the wound can rapidly get worse, so it requires close monitoring. If the patient has an elevated blood sugar it will cause the arteries to stiffen and cause narrowing of the blood vessels. Narrowed blood vessels than lead to decreased blood flow and oxygen to the wound. The patient having an elevated blood sugar also decreases the function of red blood cells that are able to fight infection. Ms. G lives alone has not been able to walk for three days and has not had proper nutrition based on her current weight and current situation making the wound to get worse. Without the proper and sufficient nutrition and oxygen the wound will heal very slowly.
References
Antimicrobe. (2014). Cellulitis. Retrieved from http://www.antimicrobe.org/e1.asp#t1
ARC: Anatomy Resource Center. (n.d.). Explore the human body. Retrieved from http://conhs.gcumedia.com/bio155/anatomy/arcBio155v2.swf
Brunner, L. (2008). Brunner & Suddarth’s textbook of medical-surgical nursing (11th ed.).Philadelphia: Lippincott Williams & Wilkins.
To Your Health. (2012). The facts about fevers. Retrieved from http://www.toyourhealth.com/mpacms/tyh/article.php?id=1521
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Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, of 750-1000 words in APA format.
Health History and Medical Information
Health History
Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
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