What are the various patterns of respiration and their significance?

An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation.

What could be the causes of this tingling sensation?

What are the various patterns of respiration and their significance?

Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not?

What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain.

Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use? Why or why not?

What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm?

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Discuss the primary reason for the medication error and the suggested steps implemented to prevent it.

Minimum of 300 words with at least two peer review reference in 6th edition apa style.

It is important for APRNs to know what medication errors occur and the cause of these errors in order to reduce them. Review research studies performed within the last 3-5 years regarding medication errors. Provide an overview of the chosen study. Discuss the primary reason for the medication error and the suggested steps implemented to prevent it. Discuss what steps you will initiate in your clinical practice to prevent prescribing errors.

Building on our conversation about a local practice problem and the role of stakeholders, it is recommended that stakeholders first define the problem as clinical, learning, or operational. Why is this distinction a foundational step in addressing the local problem?

Building on our conversation about a local practice problem and the role of stakeholders, it is recommended that stakeholders first define the problem as clinical, learning, or operational. Why is this distinction a foundational step in addressing the local problem?

How did you turn the situation into a positive learning experience?

Topic 2

Learning experience with a patient of a different ethnicity than yours

  • Describe an experience where you had to assess the needs, interests, and goals of a patient with an ethnic background different from yours, that resulted in a positive learning experience.
  • How did you turn the situation into a positive learning experience?
  • Did you personally have to deal with any stereotypical beliefs?

How can clients with diabetes reduce their risk of vision complications?

You are a licensed practical nurse (LPN) working in an eye surgery center. A new client with type 2 diabetes mellitus presents to the office, referred by their primary care provider. Consider the association between diabetes and eye diseases, and discuss the following questions:

· Diabetes increases the risk of which eye diseases, and why?

· What are additional risk factors for these eye diseases?

· How can clients with diabetes reduce their risk of vision complications?

use two professional references, published within the past 5 years 250 words.

What ethical arguments can you make base on the case study? 

ObjectiveThe students will complete a Case study tasks that contribute the opportunity to produce and apply the thoughts learned in this and previous coursework to examine a real-world scenario. This scenario will illustrate through example the practical importance and implications of various roles and functions of a long-term care settings. As a result of this assignment, students will be better able to comprehend, scrutinize and assess respectable superiority and performance by all institutional employees.

ASSIGNMENT GUIDELINES (10%):

Students will critically measure the readings from Chapter 5 in your textbook. This assignment is planned to help you examination, evaluation, and apply the readings and strategies to your of a long-term care settings
You need to read the PowerPoint Presentation assigned for week 3 and develop a 3-4 page paper reproducing your understanding and capability to apply the readings to your long-term care settings. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA Style 7th edition format when referring to the selected articles and include a reference page.

 

EACH   PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented.

2. Your Critique (50%)

Case study: Patient-Centered Care: Case Studies on End of Life in elderly

Background

Ms. L is an 87-year-old African American woman who was diagnosed with vulvar cancer at the beginning of 2017. She is also HIV-positive. By the time Ms. L engaged in care, the cancer had proliferated quite quickly in the setting of a compromised immune system. Upon discovery of the Stage 4 cancer, doctors recommended a dose of radiation and chemotherapy. However, during the course of this episode Ms. L was struggling with substance use. During her hospitalization, she tested positive for a number of substances, including heroin and cocaine. As a result, care providers had many discussions about pain management and which pain medications could be given to her. She was not on methadone treatment maintenance at first, so she was self-medicating to address her pain. While Ms. L wanted to seek help for her addiction to substances, some of the traditional models were not appropriate given the magnitude of her physical issues. There were expectations that she would get into outpatient treatment but she did not follow through, primarily because it was difficult for her to tolerate being in groups for long periods. (Given the location of her cancer, she could not sit upright for long periods or on the bus for transportation.) Ultimately, Lawanda Williams, Director of Housing Services at Health Care for the Homeless in Baltimore, Maryland, and her team were able to provide Ms. L with transportation and cab vouchers so she could access the full course of radiation that doctors had recommended. Her pain was never well controlled, because her physician refused to prescribe her any pain medications, due to the magnitude of her substance use. The radiation center gave her Percocet while she was there but would not give her anything that could not be directly supervised. After treatment, they sent her home with prescriptions for Tylenol and instructions to return and follow up with pain management teams, which she was unable to do because of her difficulties with transportation and sitting. Ms. L completed radiation and is in a period of holding to assess effectiveness of the initial course of radiation, but she still does not have a prescription for her significant pain and, as a result, continues to use substances to manage her pain. Ms. Williams observes, “I have been able to see how managing withdrawal and managing substance abuse in the context of a palliative care treatment plan does not always exist for patients experiencing homelessness. She does not fit very neatly into any mainstream treatment model.”

CASE STUDY CHALLENGE:

1. Harm reduction: How can care providers best advocate for a harm reduction approach while seeking to deliver palliative care services, including hospice care?

2. What ethical arguments can you make base on the case study?

3. Why do you think that long-term care and palliative care insurance lacks of popularity among older Americans.

3. Conclusion (15%)

Briefly summarize your thoughts & conclusion to your critique of the case study and provide a possible outcome for Aging in America base on Health ethics Context?

Evaluation will be based on how clearly you respond to the above, in particular:

a) The clarity with which you critique the case study;

b) The depth, scope, and organization of your paper; and,

c) Your conclusions, including a description of the impact of these Case study on any Health Care Setting.

Describe and discuss the organization of the public health care system at the federal, state, and local levels.

Politics and The Law

The Health Care System

Economics of Health Care

Read chapters 10, 11 & 12 of the class textbook and review the attached PowerPoint presentations.  Once done answer the following questions.

  1.  Discuss the power of nursing to influence and change health policy.
  2.  Mention and discuss current health policy issues.
  3. Describe and discuss the organization of the public health care system at the federal, state, and local levels.
  4. Analyze the influence of socio-cultural, political, economic, ethical, and religious factors that influence the health and culturally diverse individuals, groups, and communities.

As stated in the syllabus present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 3 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.  You must post two replies on different dates to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies cannot be posted on the same day, I must see different dates in the replies.   A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Please check your assignment after the week is due or after it is graded because I either made comments or ask for clarification in some replies or the assignment that required your response.

Due dates:  Assignment – Wednesday, May 20, 2020, at 11:59 PM in the discussion tab of the blackboard, and in the SafeAssign exercise in the assignment tab of the blackboard.

Mention the herb that you chose. What are the common uses of this herb? Mention possible contraindications.

Students are required to post a minimum of three times per week (1 main post answering the question 100% before Wednesday at 11:59 PM EST and 2 peer responses by Sunday at 11:59 PM EST). The three posts in each individual discussion must be on separate days (same day postings / replies will not be accepted).

Chapter 7 – Herbs and Nutritional Supplements

Questions:  Choose one of the common medicinal herbs (table 7.3 / page #123 & 124 of your textbook)(PLEASE DO St. JOHN’S WORT) answer the following questions?

1. Mention the herb that you chose. What are the common uses of this herb? Mention possible contraindications.

2. Is there any research study done on this herb? Mention the research study and discuss results of it.

Guidelines: The answer should be based on the knowledge obtained from reading the textbook, no just your opinion. Is there are 5 questions in the discussion, you must answer all of them. (the book is Complementary and alternative Therapies for Nursing Practice Fourth Edition, Karen Fontaine)

Grading Criteria: Student mentions one medicinal herb discussed in the book (10 points). Common uses (20 points). Contraindications (20 points). Mention research study (20 points). Discuss results of research study (30 points).

Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. 

The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial.

Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings:

1.     Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products.

2.     Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements.

Requirements:

No Plagiarism

At least 350 words

Support your post with at least 2 evidenced-based guidelines published within the last 5 years.

APA 6th edition

How might the cultural, spiritual, and/or philosophical background of the mother, family, and community inform the mother’s reaction?

During an outpatient visit with a 6-month-old child, the child’s mother appears to be anxious about the child’s runny nose and fever.

How might the cultural, spiritual, and/or philosophical background of the mother, family, and community inform the mother’s reaction? How can the nurse offer support to the mother?

Your initial post must include a minimum of 300 words and include proper grammar, punctuation, and reference(s).