Pathophysiology

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Case Study:A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin is warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slightly sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.You get more information from A.M. and learnShe had some readings on her glucometer which were reading ‘high’She vomits almost every time she takes in fluidShe hasn’t voided for a day but voided a great deal the day beforeShe’s been sleeping long hours and finally woke up this morning and decided to seek careCurrent labs and vital signs:Case study adapted from:Harding, M.M. & Snyder, J.S. (2015). Winningham’s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from:https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.Instructions:Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.Use two evidence-based articles from peer-reviewed journals or scholarly sources to support your findings. Be sure to cite your sources in-text and on a References page using APA format.http://rasmussen.libanswers.com/faq/208365You can find useful reference materials for this assignment in the School of Nursing guide:

 
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Breastfeeding

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In a 3-page paper, written in APA format using proper spelling/grammar, research the topic of breastfeeding and address the following:Explain at least 3 advantages and 3 potential disadvantages or concerns related to breastfeeding.Explain at least 3 advantages and 3 disadvantages or concerns about formula feeding.Describe the impact that breastfeeding has on a working mother.Describe at least 1 legal issue and/or recent legislation related to breastfeeding.Be sure to include APA citations for any resources you used as references.Headings for the Written Assignment: BreastfeedingIntroductionAdvantages and Disadvantages BreastfeedingAdvantages and Disadvantages Formula FeedingImpact of BreastfeedingLegal IssuesConclusionReferences

 
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Reflection on Learning

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CO1: Integrate evidence-based and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1,4)CO2: Integrate knowledge related to evidence-based practice and person-centered care to improve health outcome. (PO 1, 2)CO3: Demonstrate professional and personal growth through a spirit of inquiry, scholarship, and service in diverse healthcare settings. (PO 3, 4)CO4: Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 5)CO5: Analyze research findings and evidence-based practice to advance holistic care initiatives that promote positive healthcare outcomes. (PO 1, 2, 5Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.What experiences have you had with EBP or QI in your practice area?What factors in your practice area support EBP? What barriers to EBP do you see?What do you think your role in research will be as an NP?readingTextbooksGray, J. R., Grove, S. K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.Chapter 1: Discovering the World of Nursing ResearchGreenhalgh, T. (2019).How to read a paper: The basics of evidence-based medicine and healthcare(Links to an external site.)(6th ed.). Wiley-Blackwell.Chapter 1: Why read papers at all?Chapter 2: Searching the literatureArticlesHain, D. (2017).Focusing on the fundamentals: Comparing and contrasting nursing research and quality improvement (Links to an external site.). Nephrology Nursing Journal, 44(6), 541-543.

 
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Nursing discharge project ischemic stroke power point due 3/02/21

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I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20%.Thank you for your help.

 
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Assignment: Analysis of a Pertinent Healthcare Issue: Analysis of a Pertinent Healthcare Issue

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Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.To Prepare:Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for the study.Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.The Assignment (3-4 Pages):Analysis of a Pertinent Healthcare IssueDevelop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.APA citation 3 to 4 references within 5 years

 
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family assesment

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After you have read chapter 20 of the class textbook and review the PowerPoint presentation, choose a family in your community and conduct a family health assessment addressing the questions below.1. Family composition.Type of family, age, gender and racial/ethnic composition of the family.2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?3. Do family members have any existing physical or psychological conditions that are affecting family function?4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.For example, working parents, children or any other member5. How adequately have individual family members accomplished age-appropriate developmental tasks?6. Do individual family member’s developmental states create stress in the family?7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?8. Any family history of genetic predisposition to disease?9. Immunization status of the family?10. Any child or adolescent experiencing problems11. Hospital admission of any family member and how it is handled by the other members?12. What are the typical modes of family communication? It is affective? Why?13. How are decisions make in the family?14. Is there evidence of violence within the family? What forms of discipline are use?15. How well the family deals with crisis?16. What cultural and religious factors influence the family health and social status?17. What are the family goals?18. Identify any external or internal sources of support that are available?19. Is there evidence of role conflict? Role overload?20. Does the family have an emergency plan to deal with family crisis, disasters?Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.Please present your assessment in anAPA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard and in the SafeAssign exercise (mandatitle “family assessment” 4 evidence-based practice references besides the class textbook are require and must be quoted in the assignment. A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).

 
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Module 11 Discussion – Community Awareness Project for Seniors

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Your assigned textbook reading this module included two sections in the appendix that included lists of “Organizations” and “Aging Associations and Societies”. You must now choose one organization, association, or society from the lists provided in your assigned readings; You may not deviate from those lists without the express permission of your faculty. Investigate what it has to offer your client and possible caregivers, and discuss the association’s purpose and why you chose this association to share with your client.Organizations:American Geriatrics Society, Alzheimer’s Association

 
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Religion, Culture and Nursing week13

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Religion, Culture and NursingRead chapter 13 of the class textbook and review the attached PowerPoint presentation, once done please write an essay comparing and contrasting two spiritual or religious beliefs about sickness causation and health.  Make sure that you include the following;Include the potential benefits of understanding spirituality too both health care providers and patients.What health issues may be better addressed by a nursing care staff with knowledge about religious diversity?INSTRUCTIONS:As stated in the syllabus present your assignment in anAPA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 13 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard(which is mandatory).  A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines and must be from a gerontology journal.

 
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Evidence-Based Practice Proposal – Section C: Solution Description

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Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 
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Parent Guide- Oppositional – Defiant Disorder/Conduct Disorder.

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Oppositional – Defiant Disorder/Conduct Disorder.Collaboration is essential to accurate diagnosis of the conditions under consideration in this week. For this week’s Discussion, you practice collaboration by working in a group on developing a “Parent Guide,” which will serve as a teaching tool for parents with children who have been diagnosed with a specific mental health disorder.It is recommended that you make your project as attractive as possible and consider using the finished product as teaching tools for families that you will work with in your own practices.Learning ObjectivesStudents will:· Analyze signs and symptoms of neurodevelopmental disorders· Analyze the pathophysiology of neurodevelopmental disorders· Analyze diagnosis and treatment methods for neurodevelopmental disorders· Evaluate Parent GuidesTo Prepare for this Discussion:Review the resources concerning your assigned disorder. Oppositional – (Defiant Disorder/Conduct Disorder.)·  Discussions instructions below.Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:· Signs and symptoms· Pathophysiology· How the disorder is diagnosed?· Treatment optionsProvide a minimum of three academic references.Required ReadingsAmerican Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.Standard 5E “Pharmacological, Biological and Integrative Therapies” (page 59)American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.“Neurodevelopmental Disorders”“Intellectual Disabilities”“Communication Disorders”“Disruptive, Impulse-Control, and Conduct Disorders”Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 3, “Contributions of the Sociocultural Sciences” (pp. 131–150)Chapter 31, “Child Psychiatry” (pp. 1152–1181, 1244–1253)Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

 
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