Comprehensive Psychiatric Evaluation 1

/in /by

Question

/in /by

250 words, APA style, it needs a reference not a bibliography

 Question: Does my patient have significant aortic stenosis? 

 A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.  

Meds

aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd

PE

HR 90, regular
PB 134/70

Labs

chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)

CV

RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.

PMI is mildly enlarged and sustained

Neck

Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux

CXR

Xray shows cardiomegaly and mild vascular redistribution

ECG

Unchanged with an incomplete LBBB pattern

Clinical Diagnosis

Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).

Clinical Questions

Is this patient’s worsening CHF due to significant aortic stenosis? 

Please elaborate why you think it may be aortic stenosis according to patient’s symptoms and how do you assess each symptom.

NUR 514 Clinical Soap note 1

/in /by

W4 Discussion.

/in /by

 Advanced practice nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current single-study qualitative scholarly article related to your PICOT question. Appraise the article using the Rapid Critical Appraisal Questions for Qualitative Evidence (Melnyk & Fineout-Overholt, 2023, Appendix C). Summarize your appraisal of the article in your own words. 

Include the following sections:

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Provide an overview of the study
      1. Purpose
      2. Study design
    2. Describe the study
      1. Research question
      2. Study aims
      3. Sampling technique, sample size, and characteristics
    3. Validity and reliability
      1. Are the results of the study trustworthy and credible?
      2. What were the results?
    4. Explain why and how you could use the study results in your practice to make a difference in client outcomes. If you cannot use the results, why not?
    5. Include a complete APA reference and the Chamberlain Library permalink for the selected article. 

Nuring

/in /by

can you help me with my question,

Nuring

/in /by

Can you help me with my homework

statement into a Doctor of Nursing program (DNP).

/in /by

  

statement into a Doctor of Nursing program (DNP). 

NGR5131 Culture and Advanced Nursing Practice

/in /by

Haitian Discussion

The St. Fleur family is well respected in the Haitian community because they are religious with great moral values. They moved to the United States because of political issues in Haiti. Ronald, the youngest son of this family, is 27 years old and lives at home with his mother and father. Recently, he began having fevers and subsequently developed pneumonia. He was admitted to the hospital, where laboratory tests were HIV positive. Ronald was in shock when the doctor informed him that he was HIV positive. He confessed to the doctor that he was gay but he could not tell his family. He said that he did not want to bring shame to the family. Because he couldn’t be in a formal relationship owing to his family and the Haitian community’s view of homosexuality, he has been very promiscuous over the years.

  1. What are Haitians’ dominant cultural views of homosexuality?
  2. If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
  3. Identify three specific culturally congruent strategies to address in designing HIV-prevention practices in the Haitian community?
In APA format 

Benchmark – Capstone Project Change Proposal Dissemination and Reflection

/in /by

 

The purpose of this assignment is to reflect on the dissemination of the Capstone Project Change Proposal PowerPoint developed in Topic 9 and presented this week.

Present the PowerPoint you created in Topic 9 to a group of relevant interdisciplinary leaders or stakeholders at your practicum site.

After presenting your PowerPoint, write a 250-500-word reflection that includes the following:

  • Describe who was part of the audience for your presentation and their role related to the proposed project.
  • Describe two ways in which you communicated professionally during your presentation.
  • Discuss the feedback and questions received from the audience after your presentation. Identify any biases that might have affected your presentation of your project.
  • Describe how this interprofessional collaboration and experience will affect your professional practice in the future.

Transition 2

/in /by