help

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Critique a Aanp organization

Write a 2 page critique of this meeting using APA format for any cited resources and create a document that describes: 

  1. The Organization
  2. Mission, goals, and focus
  3. Membership

Discussion

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  1. What was your biggest “take away” from any/all of the simulations?
  2. What did you find most challenging from the simulations? 
  3. How is what you learned from the assignments applicable to the medical field?
  4. Give examples of how such knowledge can affect your direct patient care. 

NUR 445 – Week 5 Discussion: Ethical Issues

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Step 1 In your initial post of approximately 150 words, identify an ethical or legal issues or dilemmas that you have encountered in your practice. Use defining ethical terms in your post (for example, fidelity, beneficence, nonmaleficence, and so on).How was the situation resolved? Did the resolution follow ethical principles? 

Step 2 Read other students’ posts and respond to at least two of them by Friday at 11:59pm MT.
 Use one creditable source to support each response post.

Community Health Problem & Improvement Plan

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briefly describe one community health problem from your community’s health improvement plan. What structure, process, and outcome standards would you use to evaluate a program addressing this problem?

 Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

DUE REAL 2

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Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code

I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!

4/12
1345

Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.

4/12
1355

Neuro/Cognitive: Alert and oriented x4.

Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.

Respiratory: Lungs clear bilaterally.

Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.

Genitourinary: Continent. No pain or burning when urinating

Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.

Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.

5/7
1435

Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist

Diagnosis: New Crohn’s disease.

Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.

Date Temp HR RR BP SpO2 O2

4/12 1345 96.8 °F

(36.0 °C)

78 18 102/54 100% RA

5/1 0945 97.2 °F

(36.2 °C)

64 12 94/45 89% RA

5/1 1000 97.2 °F

(36.2 °C)

69 12 104/50 92% RA

5/1 1015 97.2 °F

(36.2 °C)

72 14 110/52 94% RA

5/7 1430 98.6 °F

(37.0 °C)

88 18 138/78 99% RA

Date Diagnostic Test Findings

5/1
1015

Upper GI
Colonoscopy

No abnormal findings.

Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.

5/5
1500

CT Scan of
Abdomen

Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.

5/1
0945

Endoscopy Center Nursing Note:

Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.

5/1
1000

Endoscopy Center Nursing Note:

Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.

5/1
1015

Endoscopy Center Nursing Note:

Client discharged to home in care of mother, Nancy. Follow-up appointment made.

Discussion

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 1) Does a person in need of an organ transplant have a moral right to obtain that transplant, supposing the availability of the needed organ?

 2) How should we choose who gets a transplant, supposing that there are not enough organs for all who need them?

 3) Please cite the textbook and any other source used in APA format.

Careers in Nursing and as an Anesthesiology Assistant

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After reading the provided articles and listening to our guest speakers discuss careers in nursing, you may be surprised to learn how many options nurses have in terms of careers beyond the typical hospital bedside. You find nurses in advanced practice as nurse practitioners and nurse anesthetists, as well as in academics, public health, administration, informatics, politics/government, consulting and a variety of practice settings beyond the hospital.

In this discussion board, share your reaction. You must specifically address the following two questions (and follow-up) in your response: 

  1. What was something specific that you learned that you didn’t know before? Which source did you learn it from (e.g., which reading or which guest speaker)?
  2. Did the wide variety of nursing options surprise you?

After stating whether you were surprised about the variety, address at least one of the following:

  • Why do you think nurses have so many options when it comes to careers beyond direct patient care?
  • What aspects of their training do you think prepares them for these many options? 
  • Do you think any other graduate careers have as many options and why/why not?  

Feel free to post any other thoughts related to this topic. Responses may be only one paragraph, but no more than two.

After posting your response, read your peers’ thoughts and reply to at least one classmate.

journal week 9

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Journal/Overview -The journal document should be 3-4 pages in length. No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.

Refer to the journal submission you completed in Unit 1 and reflect on the following:

Topic: The use of pharmacology in advanced practice.

1. How has your knowledge of pharmacology changed?

2. Do you find yourself thinking about medication use in your current employment differently? Why or why not?

3. Explain how your appreciation of the advanced practice role changed or did not change?

How do you envision using the knowledge from this course in your future advanced practice role?

You must complete this Journal submission before the Unit 10 Quiz will open.

m5 diss

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Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.

  • Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.
  • Develop 3 teaching points important for Sandra to know about her medications regimen.
  • What questions would you ask Sandra to verify that she understand the 3 teaching points?