nurse case study

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PART ONE: Compare and contrast: migraine headaches, tension headaches, and meningitis. 

-risk factors, pathophysiology, clinical manifestations

PART TWO:  Present a hypothetical case about meningitis that includes the following:

1. Vital information about a person who might be predisposed to this condition (I.e., a person who
may have risk factors for this condition).
2. The pathophysiology of the disease, including clinical manifestations.
3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.
4. How this condition compares to other differentials.
5. The evidence-based recommendations from the AHRQ Guidelines or guidelines recommended
from a professional organization. Based on these recommendations, discuss how to manage the
condition best.
6. A patient safety issue that could be associated with the condition presented in this case.

PART THREE: Answer these reflection questions:

  1. What information would a master’s prepared nurse gather from a patient with this condition?
  2. How could the master’s prepared nurse use this information to design a patient education session for someone with this condition?

Please note: 3-4 pages long, must use medical and masters level terminology. must be APA 7 format.

COMPARING AND CONTRASTING PHARMACOLOGIC OPTIONS FOR THE TREATMENT OF GENERALIZED ANXIETY DISORDER

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Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA approved indications when referring to different medication classes used in the treatment of GAD.

To Prepare:

  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history with GAD.

 Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used. 

M6 prep

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Please follow all directions 

topic : diabetes 

Advanced pathophysiology

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Fluid and Electrolyte Case Study

Case Study:

A 65 year old female is admitted to your unit complaining of nausea vomiting and diarrhea for 3 days. Her history is unremarkable except hypertension for which she takes hydrochlorothiazide. She relates feeling exhausted and having leg cramps which interfere with her sleeping. Notable assessment findings include:

Temp: 38.6C. AP 102 and irregular, BP 90/50; absent bowel tones, dry skin and poor turgor, and poor muscle tone. As the causes

Labs: K 2.0mEq/L; NA 137 mEq/L; CL 97 mEq/L; and WBC 20,000/ul.

MD orders:

I V D50 .9%Nacl with 20mEq KCL/L to infuse @ 90cc/hr.

40mEq of KCL IV over the next 2 ho0urs

K level 30 minutes after the 40mEq IV KCL has infused.

Bedrest: May use Bathroom

NPO

Questions

1. What fluid and electrolyte disturbances does this client have?

2. What electrolyte disturbance is o0f most concern with this client and why?

3. What signs and symptoms that the patient exhibits can result from this electrolyte disturbance?

4. What do you suspect as the cause(s) of this electrolyte disturbance?

5. What type of solution is D50NS + 20 mEq KCL?

6. Would you question any of these orders? Why or why not?

7. Would you expect to see any changes on an EKG if one is taken?

POLITICS AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

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  Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.  

To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

 Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

Discussion:

  An explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. 

Wk8

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Remediation for Students

 Expand all categories by clicking “Expand All” to see all categories under the topic areas.

 Create a Word Document with headings that correlate with the missed Knowledge Area, Question Topic, and Domain on the Pre-Predictor Exam Summary Report. (See Diagram 1 below).

 Use resources such as your textbook, or a reputable standard of care website, such as the American College of Cardiology, etc.to remediate. Summarize the missed content topic in 2-3 paragraphs and include a hyperlink to the reference.

 All missed questions must be addressed to earn all points. Missed questions are red color written on the other score report paper.

 Remediation should begin as soon possible.

It needs the first page bank paper for my cover sheet.

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Discussion

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 * Abortion is one of the most difficult and controversial moral issues we will consider. Listen to both sides, even if it is difficult to do. Both sides have important moral insights, even if ultimately these insights are outweighed by the insights of the other side. The goal of this discussion is not to convince you to accept one position over the other but to help you to understand both sides. As you consider this difficult issue, it is important to distinguish two questions:

1) Is abortion morally wrong?

2) Should abortion be illegal?

* Choose one of the questions above and argue both sides with supporting evidence. Please write your discussion choice in the title line. 

SOAP NOTE ABOUT THE HEALTHY ADULTS

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     How do acute or chronic health conditions impact a healthy individual ? 

Shadow Health Digital Clinical Experience Health History Documentation

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 Rubric for grading

subjective Documentation in Provider Note Template: Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.