Tag: Clinical-Nursing

Essay Writing – Introduction, Thesis Statement, and Annotated Bibliography

Chinese civilization

Describe and discuss gender roles in the traditional Chinese family as shown by particular characters and situations in
TWO
of the following works of fiction:
Golden Lotus (Jin Ping Mei), Unofficial History of the Scholars, Story of the Stone a
nd
ONE
of the following selections from
Chinese Civilization: A Sourcebook, 238-255.

54: Family Instructions

55: Concubines

56: Widows Loyal Unto Death

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Please
quote directly
from all three texts (the two works of fiction and one selection from Ebrey) to support your opinions. When you cite from Ebrey, please include the title of the article you’re quoting, not just “Ebrey.”

HOW TO HAND YOUR PAPER IN:
Writing assignments must be submitted through the Turnitin link on the iLearn course page by midnight on the due date, December 12.  No paper copy is necessary

FORMAT:
Your paper should have a meaningful title, which should appear on a separate title page with your name, the course number (HUM 530), and the due date. Please double space, number the pages and use 1” margin settings and a 12-point, easily readable typeface. Proofread carefully for errors in logic, organization, grammar, and spelling. Do not hand in your first draft–it should be a second draft at the very least.

SOURCES AND CITATION:
This is NOT a research paper.  It’s a response paper.  In the humanities, you learn to make interpretive arguments based on your own responses to primary sources, including novels, poetry, film, visual arts, music, and other forms of creative expression. Therefore, in your papers you should quote or refer to
only materials assigned in the course
,
which you should cite very briefly (author, title and page numbers only, in parentheses in the body of the text.) Do not include quotations in your minimum word count, and do not use other sources, whether they are print or online.  I will not accept your paper if you do.

NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

Week 1 discussion

Preventative Screening

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

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For this assignment, you will review the latest evidence based guidelines as they pertain to the case below. Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

Janice, a 21 year-old healthy female, presents to her nurse practitioner for her yearly check-up. She is sexually active with her boyfriend and uses condoms most of the time. She has never had a pelvic exam before.

Discuss the recommended screening tests, using the latest evidence based guidelines that the nurse practitioner should perform on Janice.

Discuss the recommended education and counseling that should be included in Janice’s care?

Week 2 discussion – NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

iHuman Case Study – Angela Cortez

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Angela Cortez”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 3 discussion

Contraceptive Management

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings, supplemental readings, and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will review the latest evidence based guidelines as they pertain to the case below. Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes ½ pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic exam is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for.

Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.

Are there any methods that you would not recommend for Karen? Why?

Week 4 discussion – NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

iHuman Case Study – Rachael Hardy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Rachael Hardy”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 5 discussion- NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

iHuman Case Study – Pamela Flowers

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Pamela Flowers”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 6 discussion – NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

iHuman Case Study – Sonya Phillips

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Sonya Phillips”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 7 discussion – NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

iHuman Case Study – Erin Davis

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. The iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Erin Davis”.

After completing your iHuman Case Study, answer the following questions using the latest evidenced based guidelines:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 8 discussion

LGBT Health Care

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will review and reflect on the LGBT article. This article can be applied to healthcare providers in the multiple care settings. Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

Discuss any “take-away” thoughts from the article.

How do you plan to make a positive impact on the care of LGBT patients when you become a NP? What attitudes/behaviors/communication/understanding is important for the NP to have?

What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient?

Week 9 discussion – NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

Hormone Replacement Therapy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will review the latest evidence based guidelines as they pertain to the case below. Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

Ms. Martin is a 55-year-old woman who has been on HRT for 4 years. HRT was prescribed because Ms. Martin was experiencing vasomotor symptoms associated with menopause. Her last mammogram was 2 years ago and last pap was 5 years ago. Ms. Martin made an appointment with her nurse practitioner to discuss discontinuing HRT after hearing and reading news reports about the dangers associated with the medication. Except for the HRT, Ms. Martin is taking no medication other than a daily vitamin. She had a tubal ligation after the birth of her third child but has had no other surgeries or history of any medical conditions. Her father had cardiovascular disease and died of a myocardial infarction at 77 years of age. Her mother was diagnosed with breast cancer at 81 years of age. Ms. Martin does not smoke and rarely drinks alcohol. She likes to work in her garden but is not involved in a formal exercise program. She has gained about 10 pounds since menopause.

What evidence-based information will you provide to Ms. Martin regarding her concerns of HRT? Discuss the advantages and risks associated with HRT.

What are your recommendations for Ms. Martin? Will you recommend continuing or discontinuing HRT and why?

What alternative treatments for menopausal symptoms will you discuss with Ms. Martin?

Discuss the recommended screening tests, using the latest evidence based guidelines that Ms. Martin should have.

What health promotion, maintenance, and prevention education would be important to provide to Ms. Martin?

Week 10 discussion

Prophylactic Hysterectomy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

For this assignment, you will review and reflect on the Prophylactic Hysterectomy article. This article can be applied to healthcare providers in the primary care and specialty settings. Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

Discuss any “take-away” thoughts from the article.

What are the ethical dilemmas to consider with prophylactic surgeries?

Discuss the screenings/interventions/options/education that you would provide to a patient that has a strong family history of ovarian cancer. What if the patient has no health insurance? What resources could you offer to assist the patient?

NSG6330 Practicum II Adult Health: Women’s Health Essay Assignments

History of Art Essay- The Hagia Sophia, Instanbul

History of Art – The Hagia Sophia, Instanbul, Turkey

For this assignment, you will create work of art that is influenced by the following building. Using your textbook, the library, Unit Resources, and the Internet, familiarize yourself with the following:

The Hagia Sophia, Istanbul, Turkey

In your exploration, go beyond looking at illustrations; you should gain an understanding of the historical significance of the building.

You will create work of art and upload it to the Discussion Board. If you did not create work digitally, you will need to scan the finished product. Your file should be a .jpg or .gif file. Remember, your colleagues will view your work.

Which example will you be using as your inspiration? Thoroughly explain why you selected it. Include all of the background research that you discovered on the building including why this particular piece inspires you.

When you have finished your exploration, create work of art that is influenced by the building you explored in Part I. Be creative!

Attach the artwork and explain why the medium you selected is appropriate for your inspiration piece. Did you utilize any special techniques to accomplish your art?

Telenursing Essay

The use of information technology in the health care sector has found a wide spectrum of applications. One of the sectors that has hugely benefited in the application of IT is the nursing sector. Nurses in most of the healthcare facilities in the Country are using Information systems to provide very much needed services to patients who would otherwise not access them.

One of the areas that have found use of Information technology is the use of telenursing in diagnosis and teleconsultation whereby the nurses do not have to travel to the patient or vice versa but rather do the diagnosis remotely. By interviewing the patient online, the nurses are able to determine the disease the patient is suffering from and prescribe medication where possible. Further appointments can be arranged through the same avenue (Loretta et. al., 2007).

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Another use of telenursing is in the intensive care units in the health facilities. Nurses have adopted the use of telemedicine to provide high quality and well researched solutions to patients who are critically ill. By provision of critical care to the patients by the nurses, they help to enhance the patient care, safety and monitoring of how the patients are doing. Tele-intensive care information systems have transformed how critical care nursing services are offered by providing the most critical services through technology (Williams’s et. al., 2012).

The next very important application of telenursing is in the monitoring of patients with chronic diseases. The information system allows nurses to access information in a central database through the internet. The patients can send their symptoms to the doctors through the main server and be advised on the appropriate drugs to use.  This system has worked well in the management of Diabetes Mellitus in remote patients. By using telenursing services, the patients were able to bring their conditions under control (Kawaguchi, et. al., 2004).

Information technology finds a lot of applications in today’s health-care sector. The adoption of IT is the future and should be implemented for effective and efficient provision of healthcare services. This will help in the reduction of the death rates witnessed due to gaps in the provision of critical healthcare services.

References

Williams et. al. (2012).
Tele-ICU Enhancements. Telenursing in the Intensive Care Unit: Transforming Nursing Practice.
Vol. 32 Issue 6, p62. Retrieved from http://connection.ebscohost.com/c/articles/83835228/tele-icu-enhancements-telenursing-intensive-care-unit-transforming-nursing-practice

Loretta et. al. (2007).
Chapter 48: Patient Safety, Telenursing, and Telehealth.
NCBI. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2687/

Kawaguchi, et. al. (2004).
Development of a telenursing system for patients with chronic conditions. SAGE Publications.
vol. 10 no. 4 239-244. Retrieved from http://jtt.sagepub.com/content/10/4/239.abstract

Telenursing…Is It in Your Future?

Readings:

Hebda, T., & Czar, P. (2013). 
Handbook of informatics for nurses & healthcare professionals
 (5th ed.). Boston, MA: Pearson.

Chapter 9: Improving the Usability of Health Informatics Applications (pp. 170–175)

Chapter 13: System Integration and Interoperability

Chapter 25: Telehealth (key information to prepare for Telenursing…Is It in Your Future?)

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Homework:

The Course Resources tab under Course Home has APA resources for you to review to receive valuable information that will help you prepare your own scholarly paper. In addition, the library has a Course Guide for NR361 that provides instructions regarding ways to search on the topic of telehealth. The NR361 Course Guide is located at http://library.chamberlain.edu/NR361

Discussion Question:

Please cite some of the readings listed and please get one article from each data source provided below…..thx…Remember this nursing related……

1.) Library Search for Telenursing Resources (graded)

This week’s lesson points out key concepts in searching the National Library of Medicine’s PubMed/MEDLINE database, the Chamberlain Library’s EBSCO/CINAHL database, and Google Scholar. The lesson this week directs you to links and resources on the basics of searching these three information sources. The tutorials are very helpful. You are strongly urged to view them prior to posting.

Locate one article in each of the data sources to prepare your scholarly paper due during Week 4, Telenursing…Is It in Your Future? Briefly summarize each article in your post.

Plan of Care Nursing Essay Assignment Example

SUBJECTIVE

Fred, a 62-year-old male, presents to the primary care clinic with the chief complaint of fatigue. Upon further questioning, he also reports some difficulty concentrating and a decreased sex drive. Further review of symptoms reveals dry skin, left knee weakness, occasional heartburn, and polyuria and wheezing on exertion. He denies any chest pain or palpitations. He reports being on antidepressants in the past but did not take them as directed. He is easy to get along with, forthcoming in his complaints, and describes his fatigue as a little bit more pronounces in the last couple of months. He also complains of erectile dysfunction, which he has noticed is worse in the last few years, especially since his diabetes is out of control.

Past Medical and Surgical History: Significant for uncontrolled type 2 diabetes, insulin dependent. The patient reports the last hemoglobin A1c of 10.2. He also has hypertension, gout, obstructive sleep apnea (with refusal to wear CPAP), and dyslipidemia. His past surgical history includes a deviated septum repair 20 years ago.

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Family History: His mother died at the age of 81 of Parkinson’s disease; his father died at the age of 57 of Hodgkin’s disease; and he has one sister who is alive and well at the age of 58.

Screening: He had a negative colonoscopy in 2008. His most recent PSA value was 3.1 in 2007.

Social History: He reports drinking 2 drinks of hard liquor daily. He quit smoking 20 years ago and drinks 4 cups of coffee every day. He reports not adhering to his prescribed diabetic diet and has many financial and marital stressors at home. He is self-employed with some college education.

Medications:

Humalog, 75/25, 20 units in the morning and 20 units at night

Nexium, 40 mg daily

Crestor 10 mg daily

Allopurinol, 300 mg daily

Trazodone, 150 mg at night

Lopid, 600 mg twice daily

Baby aspirin, 81 mg daily

Micardis 40/12.5 daily

Actos, 30 mg daily

Allergies: NKDA, NKFA, or environmental allergies. All immunizations are up to date.

OBJECTIVE

Vital signs: Temp 98, Pulse 72, RR 20, B/P 138/90. His weight is 312 lbs. and his height is 58 inches.

General: He has a very pleasant attitude. His is a morbidly obese male, calm, pleasant and in no acute distress.

Skin: His color is pale. His skin is clear. Small senile keratosis is noted on his left arm.

HEENT: Negative

Neck: He appears to have short neck syndrome. He has not palpable nodes, no JVD.

Cardiovascular: Regular rate and rhythm. S1 and S2 are present without any murmurs, rubs, or gallops.

Respiratory: Breath sounds CTA with equal rise and fall of chest.

Abdomen: Obese, nontender, bowel sounds present in all four quadrants.

Musculoskeletal: Full range of motion to all four extreme.

Genital: He has normal genitalia. There is no evidence of swelling. His testicular exam is normal and there is appropriate hair growth:

List at least 3 differential diagnoses (rule in or out by history, exam, or lab work).

Create a plan of care for this patient.

 

Plan of Care Nursing Essay Assignment Example Response

The 3 differential diagnoses for Fred, 62 year old, are

1- Diabetic Neuropathy

2-Depression

3-Hypertension induced left ventricular failure

                                     
PLAN OF CARE

Diabetic Neuropathy

Management of diabetic neuropathy should begin at the initial diagnosis of diabetes. The primary care needs to be alert for the development of neuropathy—or even its presence at the time of initial diabetes diagnosis—because failure to diagnose diabetic polyneuropathy can lead to serious consequences, including disability and amputation.

Consider any patient with clinical evidence of diabetic peripheral neuropathy to be at risk for foot ulceration, and provide education on foot care.

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If necessary, refer the patient to a podiatrist. Admit patients for an infected diabetic foot ulcer or gangrene.

Patients with diabetic peripheral neuropathy require more frequent follow-up, with particular attention to foot inspection to reinforce the need for regular self-care. The provision of regular foot examinations and reinforcement of the educational message on foot care have been shown in several studies to significantly reduce rates of ulceration and even amputation.

The primary care is responsible for educating patients about the acute and chronic complications of diabetes, including the psychological impact of sexual dysfunction in both men and women. The importance of involving a neurologist (preferably with expertise in peripheral neuropathy) in the treatment of patients with diabetic neuropathy cannot be overemphasized.

 

Depression

The nurses will assess every shift the patient’s mental status regarding suicidal thoughts.

The nurse will give the patient opportunities to make decisions about the hospitalization and treatment plan.

The nurse will discuss with the patient about how set-up a network of people he can talk to during emotional times.

The nurse will encourage the patient to verbalize feelings, perceptions, and fears of his current situation.

The nurse will discuss with the patient 3 coping techniques he can use to help his feel more control over his current situation.

Plan of Care Nursing Essay Assignment Example

 

Hypertension induced left ventricular failure

Assess for abnormal heart and lung sounds.

Monitor blood pressure and pulse.

Assess mental status and level of consciousness.

Assess patient’s skin temperature and peripheral pulses.

Monitor results of laboratory and diagnostic tests

Monitor oxygen saturation and ABGs.

Give oxygen as indicated by patient symptoms, oxygen saturation and ABGs.

Administer cardiac glycoside agents, as ordered, for signs of left sided failure, and monitor for toxicity.

Encourage periods of rest and assist with all activities.

Teach patient the pathophysiology of disease, medications.

Instruct patient to get adequate bed rest and sleep.

Improve myocardial contractility/systemic perfusion.

Reduce fluid volume overload, Prevent complications.

Provide information about disease/prognosis, therapy needs, and prevention of recurrences.

Plan of Care Nursing Essay Assignment Example

The Patient Protection and Affordable Care Act (PPACA) Essay

The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the American Nurses Association “Key Provisions Related to Nursing” summary at 
http://www.rnaction.org/site/DocServer/KeyProvisions_Nursing-PublicLaw.pdf?docID=1241&verID=1
. Discuss how these two provisions have impacted, or will impact, your current practice of nursing.

Innovative health care delivery model that incorporates an interdisciplinary care delivery team

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?

Voluminous Qualitative Data

Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data?