Tag: Clinical-Nursing

Case Study: Fetal Abnormality

Write a 750-1000-word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

1.Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.

2.How does the theory determine or influence each of their recommendation for action?

3.What theory do you agree with? How would that theory determine or influence the recommendation for action?

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

 

Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.

Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother.

Explain the difference between the two types of diabetes

Your mouth contains thousands of bacteria. How can bacteria survive in your mouth when you are eating, drinking, and producing saliva throughout the day and these actions would ‘wash’ the bacteria away?

Describe the two active processes of cell membrane transport, state their energy requirements, and provide examples of substances transported by these methods

Core Principles & Values of Effective Team-Based Health Care

In the assigned article, “Core Principles & Values of Effective Team-Based Health Care”(
https://www.nationalahec.org/pdfs/VSRT-Team-Based-Care-Principles-Valures.pdf
) the authors state that “the incorporation of multiple perspectives in health care offers the benefit of diverse knowledge and experience; however, in practice, shared responsibility without high-quality teamwork can be fraught with peril.” Describe the perils that the authors say lead to uncoordinated care and unnecessary waste and cost. How do communication and interdisciplinary collaboration prevent adverse events?

Reflect on
a Pregnant patient
who presented with a
Gastrointestinal disorder
such as:

Nausea & Vomit
during your Practicum Experience.

1. Describe the
patient’s personal and medical history
,

2.  Drug therapy and 

3. Treatments, and 

4. follow-up care. 

5.
Then, explain how the
patient’s gender

might have impacted or influenced her care.

Note:

DUE:

November. 09. 2017

Write 1 page

APA format

Zero plagiarism

Locate and select a research article that addresses current best practices for assessing and managing NAUSEA & VOMIT DURING PREGNANCY. 

Be sure that the research article you select is from a reputable source

Need 3-4 verifiable references (See
 below

1. http://www.aafp.org/afp/2014

2.http://www. acog.org/patient)

3.Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

4.Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

5.U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from
http://www.womenshealth.gov/

6.National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

Review
 the strategic plan of your organization’s HR department.

Create
 a 2000 word paper APA format for your chief nursing officer detailing your research.

Address
 the following areas in your presentation and include why each is important:

Definition of human resource management

Nurse retention rates for the organization

The varying educational levels of nurses

Analysis of the employee satisfaction survey results and areas for improvement

Plans to recruit specialty nurses

Why proactive action is important in the areas identified

Recommended interventions

Research
 at least four peer-reviewed journal articles less than 5 years old to support your assignment.

Include
 APA-formatted references.

Introduction:

This article is about studying the pandemic of obesity around the globe. The focus of this article looks at many views and aspects of the reasons why we are experiencing this pandemic. Years ago people did not worry or think much about obesity because they didn’t see it very often. The authors of this article pursue the change in diets in the 1970’s. Something has clearly shifted around these times because by the 1980’s it was understood that dietary quality declined, physical activity was declining and obesity was on the rise in the United States. This study shows how the pandemic is not only here at home, but how it has reached rural areas in some of the poorest countries such as Africa and South Asia.

Incentive:

The purpose of this study is to attempt to determine what changes have occurred to cause this rise of obesity. There are reasons for why we are eating the way we do, and moving less then we used to. If we can understand what key factors are playing major roles in this occurrence, then we can attempt to restore this pandemic. This article may provide information regarding future options and changes necessary to overcome this problem.

Methods:

This is a review article so the authors themselves do not use any techniques and they do not do any of the actual studies. This peer-reviewed journal article takes results and discussions from multiple previous works and combines them to show the probable shifts of the human diet. The key aspects, among many others, these authors reached at are studies done on institutional and large-scale feeding programs, education: labeling and front-of-package initiatives, regulations regarding beverages and food marketing, schools, and country-specific initiatives.

Conclusion:

The authors found major shifts in the way humans eat and drink. Major problems are coming from the consumption of processed foods, fast food restaurants, lack of education, and dramatically reduced movement/exercise. The authors see an evolution process occurring that is non beneficial. We need to evolve towards a healthier diet involving less processed food and more nutrient-dense food. Obesity, cancer, and diabetes rates are all on the climb and a big factor of that is what we put into our bodies.

Analysis:

The most important thing I took from this article is that there differently is a change occurring around us and it comes from the decisions we make every day on what we decide to put in our bodies. I think it may be hard for some younger people to see a change happening because nothing seems new to us. We are used to the away from home meals and the easy access to fast food chains. As we get more and more educated on the topic, we begin to realize that health issues are on the rise, businesses are solely based on income rather than related health issues, and people are becoming lazy.

Some of the shocking information includes how much our fat intake has increased over time. Between 1985 and 2010 individuals intakes of vegetables increased by up to 6 times the amount. Caloric sweeteners are seen in 75% of foods and beverages bought in the United States. In 1977-78 two-thirds of added sugar in the US diet came from food, today over two-thirds comes just from our beverages. Many countries have seen major increases in the production of beef, pork, dairy, eggs, and poultry. Increased consumption of animal-source food has both positive and negative health effects. This is good for poor countries where people need a few extra grams of animal source food, but over consumption of these foods are linked to excessive saturated fat intakes.

The study also showed reduced intakes of legumes, coarse grains, and vegetables. Most of the reasoning behind this is the relative price shifts. These foods began increasing in price, while processed foods kept getting cheaper.

I found this whole article to be interesting and informative. We don’t really look at diabetes and obesity as a pandemic, but it really is. I found it interesting that nearly the entire world is going through this pandemic, even the poor countries across the globe. Industrialization has really played a big factor in this. Money makes the world go round, and when uneducated/uninformed people find “food” that is cheaper and can feed more people, then they are going to buy it; not caring what is inside of that food. Businesses know that people are going to buy something that is cheap and that tastes good. The evolution of this process has led to a viscous cycle of manmade chemicals in processed food, and people only looking at price tags rather than food labels. Over the past few decades scientists are finally noticing the alarming increasing rates of diabetes, cancer, and obesity. The evolution of food and business is taking a toll on our bodies and the statistics are backing it up. This article is one of very few that are addressing concerns about rapid dietary shifts around the world. Some actions need to be taken to create effective programs and policies to help end this pandemic.

I guess the only question/concern I have is how so many policies and regulations have been able to get passed to allow major corporations to put so much unhealthy chemicals and ingredients into our food. I would hope organizations, such as the world health organization, would be powerful enough to keep some of the harmful ingredients out of some of these foods. The only explanation I can see for allowing this is just ignorance. The fact that people didn’t know how our bodies would respond to new ingredients and new changes to our food must have been the reason to let some of these regulations goes through. I think it is clear now that the way we eat now is damaging our health.

 

 

 

 

 

 

 

 

Global nutrition transition and the pandemic of obesity in

developing countries

Barry M Popkin, Linda S Adair, and Shu Wen Ng

Abstract:

Decades ago, discussion of an impending global pandemic of obesity was thought

of as heresy. But in the 1970s, diets began to shift towards increased reliance upon

processed foods, increased away-from-home food intake, and increased use of

edible oils and sugar-sweetened beverages. Reductions in physical activity and

increases in sedentary behavior began to be seen as well. The negative effects of

these changes began to be recognized in the early 1990s, primarily in low- and

middle-income populations, but they did not become clearly acknowledged until

diabetes, hypertension, and obesity began to dominate the globe. Now, rapid

increases in the rates of obesity and overweight are widely documented, fromurban

and rural areas in the poorest countries of sub-Saharan Africa and South Asia to

populations in countries with higher income levels. Concurrent rapid shifts in diet

and activity arewell documented aswell. An array of large-scale programmatic and

policy measures are being explored in a few countries; however, few countries are

engaged in serious efforts to prevent the serious dietary challenges being faced.

© 2011 International Life Sciences Institute

Source:

Popkin, B., L. Adair, and S. Wen. “Global Nutrition Transition and the Pandemic of Obesity in.”
Nutrition Reviews
(2012): n. pag. Rpt. in
THEN AND NOW
. Vol. 70. N.p.: n.p., n.d. 3-21. Web.

2 full pages apa format, 2 references,  explain the treatments for esophageal atresia(what they are, how they are performed and why, etc.) Due weds. 11/8 AT 1pm EASTERN TIME. Must be 100% original work and plagairism free guaranteed.

Project Assignment – Outline of the Project (comments from instructor)

You have a start to your outline. You need to provide details/specifics.

(Please review the assignment and links, and see the Course Announcement on outlines, and resubmit this. Please go over the assignment in detail. Please follow the link to what a “good” outline looks like. (below). While I am not looking for all of the details of your final project, I AM looking for basic information. For instance, don’t just have: 5. Treatment options

  A. Surgery

  B. Medication

Or (worse yet)

5. Treatment Options

  A. One treatment option

  B. Another treatment option

I want you to provide more details, such as listing out the types of surgeries, or the medication classifications.

i.

The more information like this that your provide, the better your final project will be. Ignore the ?one page? limit if you need to! I am more concerned about quality and sufficient information, and less about length!

ii.

You are also welcome to change aspects of your outline if, as you do more research, you discover a treatment option that is in the experimental phase, or is newer, and that you didn’t know about. Your plans for your paper may change as you research!

Below is the example of how the right outline should be.

The most common type of outline is an
alphanumeric outline
, or an outline that uses letters and numbers in the following order:

I.     Roman Numerals

A.    I, II, III, IV, V, VI, VII, VIII, IX, X, etc.

B.    Represent main ideas to be covered in the paper in the order they will be presented

II.    Uppercase Letters

A.   A, B, C, D, E, F, G, H, I, J, K, L, etc.

B.    Represent subtopics within each main idea

III.      Arabic Numbers

A.    1, 2, 3, 4, 5, 6, 7, 8, 9, 10, etc.

B.    Represent details or subdivisions within subtopics

IV.    Lowercase Letters

A.    a, b, c, d, e, f, g, h, i, j, l, m, etc.

B.    Represent details within subdivisions

Outline with
main ideas, subtopics, subdivisions and details
:

Thesis: Drugs should be legalized.

I. Legalization of drugs would reduce crime rates

A. Prohibition

1. Before Prohibition, crime rate related to alcohol were low-to-medium

2. During Prohibition, crime rates related to alcohol were high

a. Arrests for drunkenness and disorderly conduct increase 41%

b. Federal prison population increased 366%

3. After Prohibition, crime rates related to alcohol were very low

B. Amsterdam/Netherlands

1. Before Amsterdam had legalized marijuana, drug-related crime rates were high

2. After Amsterdam had legalized marijuana, drug-related crime rates dropped

II. Legalization of drugs would benefit the economy

A. Taxes

1. Local taxes

2. State taxes

3. Federal taxes

B. Business Owners

1. Drug production

2. Drug quality testing

3. Drug sales

III. Legalization of drugs would benefit public health

A. Quality of drugs would increase

1. Fake/dangerous drugs eliminated

2. Fake/placebo drugs eliminated

3. Amount of active ingredient standardized and stabilized

B. Drug users with addiction issues would get more help

1. Hospitals

2. Clinics

3. Public health clinics

C. Your people would be less likely to start drugs

Full-sentence outline
:

Each roman numeral (I, II, III, IV…) indicates the      start of a new paragraph. So I. is the first sentence of the introduction,      II. is the first sentence of the first paragraph of the body, III. is the      first sentence of the second paragraph of the body, and so on.

Each capital letter (A, B, C, D…) indicates a      main point within the structure of the paragraph. So in our introduction,      A. is the attention getter, B. is another attention getter, C. describes a      point that makes the topic personal, and D. is the thesis statement.

Each Arabic numeral (1, 2, 3, 4…) indicates a sentence      or piece of supporting evidence for each main point. So in the first body      paragraph (II.), point A. is a general statement that needs some      additional support, so 1. provides a supporting statement of fact and the      citation of where that information came from. 2. provides another sentence      with supporting evidence, as does 3.

Example of a full-sentence outline:

Warming Our World and Chilling Our Future

Thesis Statement: Today I want to share what I have learned about global warming and its causes.

I. Global warming is alive and well and thriving in Antarctica.

A. In winter 1995, an iceberg the size of Rhode Island broke off.

B. In October 1998, an iceberg the size of Delaware broke off.

C. All of us have a lot at stake.

1. Now, I am what you call a “country mouse.”

2. I love the outdoors.

3. You can be a “city mouse,” and like clean air, good water, and not having to worry about sun.

D. Today I want to share what I have learned about global warming and its causes.

II. Global warming is a gradual warming of the Earth from human activities (citation).

A. It is characterized by a high concentration of carbon dioxide in the atmosphere.

1. Each year five tons of CO2 are pumped into the atmosphere (citation).

2. The carbon dioxide traps heat.

3. 1998 set temperature records (citation).

B. Carbon pollutants also eat a hole in the ozone layer (citation).

1. In 1998 this hole set a size record.

2. This allows more ultraviolet radiation to reach Earth.

C. If this problem is not corrected; we may see disastrous results (citation).

1. There could be dramatic climate changes.

a. There could be drought in the middle of continents.

b. There could be many severe storms.

c. There could be rising sea levels that would destroy coastal areas.

2. There could be serious health problems.

a. There could be an increase in skin cancer.

b. There could be an increase in cataracts.

c. There could be damaged immune systems.

D. Now that you understand what global warming is and why it is important, let’s examine its major causes.

III. The loss of woodlands adds to global warming (citation).

…..

IV. Industrial emissions accelerate global warming (citation).

…..

V. Personal energy consumption magnifies global warming (citation).

…..

VI. In conclusion, if you want to know why we have global warming, listen for the falling trees, watch the industrial smokestacks darkening the sky, and smell the exhaust fumes we are pumping into the air.

A. Gore told a story on how global warming can sneak up on us.

B. Addressing the National Academy of Sciences, the vice president said, “If dropped into a pot of boiling water….”

C. The more we know about global warming, the more likely we are to jump and the less likely we are to be cooked.