2 Coments Each One 150 Words (CITATION AND REFERENCE)

REPLY 1

The functional health patterns are indispensable in enabling a nurse to develop an understanding of the past state of health for a patient and their current conditions. The general health patterns cover aspects such as general health, nutrition, elimination activity, sleep, cognition, living environment, beliefs, hygiene, and self-perception.

An examination of the functional health patterns points out that they enable a nurse to get a comprehensive analysis of the conditions facing a patient. For instance, a nurse can administer care based on functional health patterns (Wobeser,2014). Besides, it is through an examination of the functional patterns that nurses can conduct a detailed examination and raise questions that bear relevance to the prevailing condition facing the patient. Such an approach will enable the nurse to carry out an informed diagnosis that will mitigate the likelihood of medical errors (Gordon,2014). The past and present medical conditions will discern the administered treatment.

An evaluation of diseases such as kidney failure points out that functional health patterns are indispensable in deriving an understanding of proper understanding of the condition and offering the right medication. Notably, kidney failure has several symptoms, such as fatigue, confusion, nausea, weaknesses, and shortness of breath. The symptoms are common in other conditions and could easily be misdiagnosed if a nurse does not undertake a close examination of the functional health patterns in a patient. By examining the history of the symptoms, frequency, and the ancestry of a patient, a nurse can effectively rule out some medical conditions and enhance the likelihood of making the right diagnosis (Gordon,2014). Furthermore, in the case of terminal illnesses that are associated with elimination complexities, a nurse may rely on functional health patterns to help patients manage their pain. Such an approach enhances the quality of life for the patients.

References

Gordon, M. (2014). Manual of nursing diagnosis. Jones & Bartlett Publishers.

Wobeser, G. (2014). Towards the Endgame and Beyond: Complexities and Challenges for the Elimination of Infectious Diseases. Journal of wildlife diseases50(2), 426-426.

REPLY2

Kidneys are the organs that filter waste products from the blood; they form urine that gets eliminated from the body along with toxins and waste products. Kidneys are also involved in regulating blood pressure and electrolyte balance. Kidney/renal failure, also known as end-stage renal disease (ESRD) is the last stage of kidney disease. This usually requires dialysis or kidney transplant as a treatment.

Nurses play an important role in providing education and support for patients that are undergoing dialysis or are preparing to receive a kidney transplant. The first step in nurses’ responsibilities is patient assessment. By definition, assessment “is a process of collecting data from and about the client and identifying his/her problems or needs in the best possible manner that will set the stage for better planning” (Gbobbo, J. E., 2008). Nurses use observation, interview, examination and consultation in their process of gathering information and then the data collected would be analyzed to develop a plan of care.

Part of the nurses’ role is to analyze and discuss with their patients medication adherence; studies show that poor adherence is “dangerous and costly, and it contributes to hospitalizations, adverse effects, progression of disease, decreased quality of life, and excess morbidity and mortality” (Mason, N. A., 2011).

Also, “patients on chronic hemodialysis take large numbers of medications, a situation sometimes referred to as polypharmacy” (Briones, P. L., Merrill, D., & Salman, L., 2015). Nurses should discuss with each patient medication administration, side effects, interactions, adverse reactions of each medication. They should also observe current patterns of medication compliance and discuss past and current factors that can contribute to non-compliance.

References:

Briones, P. L., Merrill, D., & Salman, L. (2015). Medication Adherence in Patients on Chronic Hemodialysis: Practical Applications in Clinical Practice. Nephrology Nursing Journal: Journal of the American Nephrology Nurses’ Association42(6), 585–588

Gbobbo, J.E. (2008). Strategies for promoting client’s adaptation to renal failure based on nursing process. West African Journal of Nursing19(1), 55–61

Mason, N.A. (2011). Polypharmacy and medication-related complications in the chronic kidney disease patient. Current Opinions in Nephrology Hypertension, 20(5), 492-497. doi:10.1097/MNH.0b013e328349c261

 
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New Utah Law Allows Organ Donations From Prisoners; Nearly 250 Sign Up

his assignment is designed to provoke thought about organ donations and the laws that are in place to govern the process.

http://vitals.nbcnews.com/_news/2013/04/13/17674231-new-utah-law-allows-organ-donations-from-prisoners-nearly-250-sign-up?lite

Google the name of this forum and read the associated article. Read the information on pages 165- 170. What are your thoughts about this new law? Is this law aligned with the provisions allowed under the Uniform Anatomical Gift Act or does this Utah’s new law contradict it? Do you believe prisoners should be allowed to donate organs? Why or why not? Who should foot the bill for the procedure?

Make sure you address each question and connect you response to what you have read. DO NOT SIMPLY GIVE YOUR OPINION.

 
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Write Paragraphs

Review pages 163-167 and 183-184 in chapter 6 (Deviance, Crime and Punishment). In your own words, describe how the following approaches explain crime and delinquency: Anomie (Emile Durkheim and Robert Merton) , Differential Association (i.e. Edwin Sutherland),  Labeling (i.e. Howard Becker) and Control (i.e. Travis Hirschi), Broken Windows (i.e. Wilson and Kelling).  Use no less than 200 words to discuss each theory and indicate word count at the end of your essay

 
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Community Teaching Plan: Teaching Experience Paper

  The RN to BSN program meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan
  2. Epidemiological rationale for topic
  3. Evaluation of teaching experience
  4. Community response to teaching
  5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide. 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.

 
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Discussions

Discussion Questions 1. Visit the NetMotion Web site (www.netmotionwireless.com) and access and read other Mobility XE success stories. Discuss the patterns that can be observed in the benefits that Mobility XE users have realized via its deployment and use.

2. Do some Internet research on the security implications of HIPPA requirements for hospital networks. Discuss the major types of security mechanisms that must be in place to ensure hospital compliance with HIPPA requirements.

3. Do some Internet research on the use of VLANs in hospitals. Summarize the benefits of using VLANs in hospitals and identify examples of how St. Luke’s could further enhance its wireless network by implementing VLANs. Sources [CONR03] Conery-Murray, A. “Hospital Cures Wireless LAN of Dropped Connections.” Network Magazine, January 2003. [NETM03] Netmotion Wireless, Inc. “NetMotion Mobility: Curing the Wireless LAN at St. Luke’s Episcopal Hospital. Case Study, 2003. Netmotionwireless.com/resources/case_studies.aspx. [NETM07] Netmotion Wireless, Inc. “St. Luke’s Episcopal Health System: A Case Study in Healthcare Productivity.” 2007. Retrieved online at: http://www.netmotionwireless.com/st-lukes-case-study.aspx

 
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Leadership

Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas. Consider how you feel about the following issues:

  • Respecting the wishes of a suffering client that he is permitted to die with dignity,
  • Respecting the health surrogate’s wishes regarding termination of life support,
  • Or even observing another nurse take two tablets of Oxycodone as ordered but keeping one for herself.

Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.)

 
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Politics And Society In The Middle East

Orientalism Project

For this assignment you are to pick a piece of art or media that contains depictions of the Middle East. Through a close read/viewing of your chosen work, you are to critique how the region is being represented. In your writing should provide:

-Start with a description of Orientalism.  What is it and how is it defined by Said? (Think back to when you watched On Orientalism by Edward Said. )

-A description of the work.  Be descriptive, but focus on what makes the work orientalist!

-In what ways does the MENA get represented in the work?

-Does the work claim any authority about the region?

-Does the work present any tropes about the region reproduced from other sources?

-How is Said’s critique applicable to critiquing the work you have chosen?

  • Your assignment should be written in clear prose, as well as analyze your chosen work. 
  • You are to provide a copy, photograph, or link to the work.  If the work is a film, please provide a link to the trailer.  
  • Please turn in the assignment in Times New Roman, 12 in. font with 1” margins.  
  • Should be 3-4 pages double-spaced.
 
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Maternal Care During Labor

 An 18-year-old  Primigravida presents to Labor and delivery with what appears to be active labor.  Upon questioning you discover that she has received no prenatal care.  In obtaining some history while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per day, occasional marijuana for  stress,, and denies any support system.  The Father of the baby (FOB) has no knowledge of the pregnancy.  She does not take prenatal vitamins.  She states “They were too hard to swallow”.  She has no idea when her LMP was and she relates always being irregular.  * remember LMP is to ask the first day of her Last Menstrual not when the bleeding stopped.

 

What other questions are essential for her safe care?

What lab values do you need to obtain?

What exam findings should you obtain at this time?

What education will you provide for her?

She asks you how long this will take to have the baby- what is your best response?

 

Part 2 

Objective information:
fetal heart tones are 130 with minimal variability.

Vaginal exam reveals 4 cm dilated, 90% effaced , -1 station

She is complaining of pain 8/10 on a numeric scale.

An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 cc/hour in the left forearm.

How can you provide non-pharmacological comfort to this patient?

What are the pharmacological methods to use?

Without prenatal records or history GBS is unknown, What must you provide?

Contractions are 5 minutes apart and you receive an order to augment labor- what non-pharmacological methods can you provide or  ask the provider to provide?

Pitocin is ordered please include at what rate you will start Pitocin and how  often you titrate. What equipment is necessary to run and hang Pitocin?

Minimum 500 words including intext citations, 500 words does not include citations and cover page and use APA style

 
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Neurology System

74-year-old male with a history of hypertension and smoking, is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, patient‘s blood pressure was 178/94, pulse 78 and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact.

Mild to moderate dysarthria. Able to protect airway.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

(1- to 2-page case study analysis)

explain the following:

· Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

 
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Marketing To The Bottom Of The Pyramid

Read through Case 3-3Preview the document. Then, addresses the following:

  1. Summarize the case in one paragraph.
  2. Question #1 from the case: Develop a set of guidelines that the company could use to start evaluating the potential of a specific Bottom of the Pyramid (BOP), market segment for one of its products.
  3. Question #2 from the case: Argue either pro or con on one of the following:
    1. Is it exploitation for a company to profit from selling soaps, shampoo, personal computers, and ice cream, and so on, to people with little disposable income?
    2. Can making loans to customers whose income is less than $100 monthly at interest rates of 20 percent to purchase TVs, cell phones, and other consumer durables be justified?
    3. One authority argues that squeezing profits from people with little disposable income—and often not enough to eat—is not capitalist exploitation but rather that it stimulates economic growth.
  4. Describe the types of challenges a global marketer might face when using a bottom-of-the-pyramid strategy?

The assignment:

  • Must be two to three double-spaced pages (approximately 600-900 words) in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use APA style headings to organize paper, as outlined in the Ashford Writing Center.
  • Must use at least two scholarly sources in addition to the course text.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.

 
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