Tag: Nursing

  • [Solved] unit 6 discussion

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    see attached – ## 673unit6discussion.docx **## 673unit6discussion.docx** **Topic:** Mood Disorder Case scenario: Rita is an 18-year-old who presents to the emergency department with her parents after telling them earlier in the day that she did not want to be alive anymore. Rita reports that for the…

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    see attached

    – ## 673unit6discussion.docx

    **## 673unit6discussion.docx**

    **Topic:** Mood Disorder

    Case scenario:

    Rita is an 18-year-old who presents to the emergency department with her parents after telling them earlier in the day that she did not want to be alive anymore. Rita reports that for the past 6 months she has been "feeling down," and she has been having thoughts of killing herself throughout the last week. She has a plan to kill herself that involves taking all of the medications in her family's medicine cabinet.

    Despite quitting the track team, the patient reports a weight loss of 5 pounds in the past 6 months because of a decrease in her appetite. She denies fevers, chills, dizziness, lightheadedness, headache, vision changes, chest pain, palpitations, shortness of breath, cough, abdominal pain, nausea, vomiting, dysuria, auditory hallucinations, and visual hallucinations. She has no significant past medical, surgical, or psychiatric history. Upon further interview, Rita denies any history of substance use, any history of manic or hypomanic symptoms, or any identifiable recent life stressors.

    Her laboratory results reveal no abnormalities in thyroid-stimulating hormone levels, comprehensive metabolic panel, or complete blood count. Her urine drug screen is negative. Vital signs show her blood pressure is 102/70 mm Hg, respiration rate is 15/min, heart rate is 72/min, and temperature is 37.1 °C (98.8 °F).

    · What is the diagnosis for Rita?

    · What is the possible differential diagnosis?

    · What other medical conditions can cause depressive symptoms?

    · What are the diagnostic criteria for major depressive disorders?

    · What are the evidence-based treatment options for major depressive disorders?

    · Will you recommend inpatient hospitalization for Rita? Explain why or why not?

    · What are the ethical considerations for involuntary hospitalization?

    **## 673unit6discussion.docx**

    **Topic:** Mood Disorder

    Case scenario:

    Rita is an 18-year-old who presents to the emergency department with her parents after telling them earlier in the day that she did not want to be alive anymore. Rita reports that for the past 6 months she has been "feeling down," and she has been having thoughts of killing herself throughout the last week. She has a plan to kill herself that involves taking all of the medications in her family's medicine cabinet.

    Despite quitting the track team, the patient reports a weight loss of 5 pounds in the past 6 months because of a decrease in her appetite. She denies fevers, chills, dizziness, lightheadedness, headache, vision changes, chest pain, palpitations, shortness of breath, cough, abdominal pain, nausea, vomiting, dysuria, auditory hallucinations, and visual hallucinations. She has no significant past medical, surgical, or psychiatric history. Upon further interview, Rita denies any history of substance use, any history of manic or hypomanic symptoms, or any identifiable recent life stressors.

    Her laboratory results reveal no abnormalities in thyroid-stimulating hormone levels, comprehensive metabolic panel, or complete blood count. Her urine drug screen is negative. Vital signs show her blood pressure is 102/70 mm Hg, respiration rate is 15/min, heart rate is 72/min, and temperature is 37.1 °C (98.8 °F).

    · What is the diagnosis for Rita?

    · What is the possible differential diagnosis?

    · What other medical conditions can cause depressive symptoms?

    · What are the diagnostic criteria for major depressive disorders?

    · What are the evidence-based treatment options for major depressive disorders?

    · Will you recommend inpatient hospitalization for Rita? Explain why or why not?

    · What are the ethical considerations for involuntary hospitalization?

  • [Solved] FNP CL D4 REP

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    In-depth study guidance and analytical solution covering FNP CL D4 REP.

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  • [Solved] Determination of Death / Informed Consent

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    01. Uniform Determination of Death Act (UDDA): – How this law was created – Legal definition of death, describe 02. Define dying within context of faith, basic principle about human life 03. Bioethical Analysis of Pain Management – Pain Relief 04. What is the difference between Pain and suffering? E…

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    01. Uniform Determination of Death Act (UDDA):
    – How this law was created
    – Legal definition of death, describe
    02. Define dying within context of faith, basic principle about human life
    03. Bioethical Analysis of Pain Management – Pain Relief
    04. What is the difference between Pain and suffering? Explain
    05. Diagnosis / Prognosis: define both.
    06. Ordinary / Extraordinary means of life support. Explain the bioethical analysis.
    07. Killing or allowing to die? Define both and explain which one is ethically correct and why?
    08. Catholic declaration on life and death; give a summary of this document: [https://ecatholic-sites.s3.amazonaws.com/17766/documents/2018/11/CDLD.pdf (Links to an external site.)](https://ecatholic-sites.s3.amazonaws.com/17766/documents/2018/11/CDLD.pdf)
    09. What is free and informed consent from the Catholic perspective?
    10. Define Proxi, Surrogate
    11. Explain:
    – Advance Directives
    – Living Will
    – PoA / Durable PoA
    – DNR
    – Read and summarize ERD paragraphs #: 24, 25, 26, 27, 28, 55, 59, 61, 62.
    use the powerpoint as sources
    \
    PHI3633WK6-B.pdf](https://www.sweetstudy.com/files/phi3633wk6-b-pdf-10311905 "PHI3633WK6-B.pdf")
    \
    PHI3633WK6-A.pdf](https://www.sweetstudy.com/files/phi3633wk6-a-pdf-10311907 "PHI3633WK6-A.pdf")

  • [Solved] case study

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    Case study 1 to 2 pages help with information information provided below – ## Casestudy.docx **## Casestudy.docx** **Patient:** Marcus W., a 16-year-old African American male **Chief Complaint:** Severe joint and chest pain, fatigue, shortness of breath **History of Present Illness:** Marcus present…

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    Case study 1 to 2 pages help with information information provided below

    – ## Casestudy.docx

    **## Casestudy.docx**

    **Patient:** Marcus W., a 16-year-old African American male
    **Chief Complaint:** Severe joint and chest pain, fatigue, shortness of breath

    **History of Present Illness:** Marcus presented to the emergency department with complaints of severe pain in his knees, lower back, and chest. His mother reports that Marcus has been increasingly tired, has missed school due to fatigue, and is experiencing shortness of breath after climbing stairs. She also notes a low-grade fever and yellowing in the whites of his eyes.

    **Past Medical History:** •    Diagnosed with sickle cell disease at birth •    Frequent hospitalizations for pain crises •    On hydroxyurea therapy, though with inconsistent adherence •    Up to date on vaccinations

    **Family History:** Mother is a carrier of the sickle cell trait. Father’s status unknown.
    **Social History:** •    Lives with mother and two siblings •    Active in sports when well but has reduced participation over the past year •    No alcohol, tobacco, or drug use

    **Physical Exam Findings:** •    Pale conjunctiva •    Scleral icterus •    Tachycardia (HR: 112) •    Mild hepatomegaly •    Pain score: 8/10 (knees and chest)

    **Laboratory Findings:** •    Hemoglobin: 7.1 g/dL (low) •    Reticulocyte count: elevated •    Total bilirubin: elevated •    LDH: elevated •    Peripheral smear: sickled red blood cells

    **Answer these questions** •    Discuss the cellular pathophysiological processes involved in Marcus's disease. How do these relate to his presenting symptoms? •    Identify the genetic mutation responsible for this disease and its mode of inheritance. •    Explain how sickle cell disease affects the immune system. •    Describe how current treatments, such as hydroxyurea, target the cellular alterations of the disease.

    Rubric

    Develop a analysis, examining the patient signs and symptoms presented in the case study; discussing the primary cellular pathophysiological processes, and the significance for symptom development and diagnosis.

    What role do genetic mutations play in the development of the disease?

    What is the impact of the disease on the immune system? …… How do treatment strategies target the pathophysiological mechanisms of the disease?

    **## Casestudy.docx**

    **Patient:** Marcus W., a 16-year-old African American male
    **Chief Complaint:** Severe joint and chest pain, fatigue, shortness of breath

    **History of Present Illness:** Marcus presented to the emergency department with complaints of severe pain in his knees, lower back, and chest. His mother reports that Marcus has been increasingly tired, has missed school due to fatigue, and is experiencing shortness of breath after climbing stairs. She also notes a low-grade fever and yellowing in the whites of his eyes.

    **Past Medical History:** •    Diagnosed with sickle cell disease at birth •    Frequent hospitalizations for pain crises •    On hydroxyurea therapy, though with inconsistent adherence •    Up to date on vaccinations

    **Family History:** Mother is a carrier of the sickle cell trait. Father’s status unknown.
    **Social History:** •    Lives with mother and two siblings •    Active in sports when well but has reduced participation over the past year •    No alcohol, tobacco, or drug use

    **Physical Exam Findings:** •    Pale conjunctiva •    Scleral icterus •    Tachycardia (HR: 112) •    Mild hepatomegaly •    Pain score: 8/10 (knees and chest)

    **Laboratory Findings:** •    Hemoglobin: 7.1 g/dL (low) •    Reticulocyte count: elevated •    Total bilirubin: elevated •    LDH: elevated •    Peripheral smear: sickled red blood cells

    **Answer these questions** •    Discuss the cellular pathophysiological processes involved in Marcus's disease. How do these relate to his presenting symptoms? •    Identify the genetic mutation responsible for this disease and its mode of inheritance. •    Explain how sickle cell disease affects the immune system. •    Describe how current treatments, such as hydroxyurea, target the cellular alterations of the disease.

    Rubric

    Develop a analysis, examining the patient signs and symptoms presented in the case study; discussing the primary cellular pathophysiological processes, and the significance for symptom development and diagnosis.

    What role do genetic mutations play in the development of the disease?

    What is the impact of the disease on the immune system? …… How do treatment strategies target the pathophysiological mechanisms of the disease?

  • [Solved] Employment Contract

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    See attached At least 1000 words (4 pages) Times New Roman double Spaced (not counting appendices, or reference page) Use the contract in the attached document. \ AssignmentPrompt.docx](https://www.sweetstudy.com/files/assignmentprompt-docx-10311909 "AssignmentPrompt.docx")

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    See attached
    At least 1000 words (4 pages) Times New Roman double Spaced (not counting appendices, or reference page)
    Use the contract in the attached document.
    \
    AssignmentPrompt.docx](https://www.sweetstudy.com/files/assignmentprompt-docx-10311909 "AssignmentPrompt.docx")

  • [Solved] Module 3 Discussion

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    – ## module3.docx **## module3.docx** Please answer the questions below. 1. What should be included in an introductory paragraph of the research paper? 2. Select an introduction from scholarly, peer-reviewed research, and appraise the introduction to assess whether it includes the necessary elemen…

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    – ## module3.docx

    **## module3.docx**

    Please answer the questions below.

    1. What should be included in an introductory paragraph of the research paper?

    2. Select an introduction from scholarly, peer-reviewed research, and appraise the introduction to assess whether it includes the necessary elements of an introduction. Why and why not?

    3. How does PICOT help form a clinical question? Use Box 2.2 in your textbook to discuss population, intervention, comparison intervention, and outcome and how this process helps the student arrive at a quality clinical question.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

    **## module3.docx**

    Please answer the questions below.

    1. What should be included in an introductory paragraph of the research paper?

    2. Select an introduction from scholarly, peer-reviewed research, and appraise the introduction to assess whether it includes the necessary elements of an introduction. Why and why not?

    3. How does PICOT help form a clinical question? Use Box 2.2 in your textbook to discuss population, intervention, comparison intervention, and outcome and how this process helps the student arrive at a quality clinical question.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

  • [Solved] Case study

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  • [Solved] LAURA- CASE STUDY

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    PEDIATRIC TOPIC: OTITIS MEDIA PLEASE NOTE THAT THIS CASE STUDY MUST BE COMPLETED IN A PEDIATRIC CASE ONLY. REQUIREMENTS: -4 pages excluding cover and reference page, in APA format 7th edition with the following sections and _level 2 headings_: **Introduction** -Brief overview of pediatric health -In…

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    PEDIATRIC TOPIC: OTITIS MEDIA
    PLEASE NOTE THAT THIS CASE STUDY MUST BE COMPLETED IN A PEDIATRIC CASE ONLY.
    REQUIREMENTS:
    -4 pages excluding cover and reference page, in APA format 7th edition with the following sections and _level 2 headings_:
    **Introduction**
    -Brief overview of pediatric health
    -Introduce the disease condition chosen
    -Importance of understanding the condition
    **Presentation of Condition**
    -Describe the condition chosen and its pathophysiology.
    -What signs/symptoms are identified in the patient that can be found?
    -Identify if there can be presentation variations based on culture, race, ethnicity, age, etc.
    **Diagnosis of Condition**
    -Diagnostic testing (include imaging, labs, and other necessary evaluations based on condition)
    -Clinical evaluation via medical history and physical examination
    **Treatment of Condition**
    -Medications
    -Treatments
    -Managing symptoms (if needed)
    -Non-pharmacological treatments (if applicable)
    **Potential Health Risks if Left Untreated**
    -Physical and mental health risks
    **Recent Evidence-Based Advancements in Condition**
    -Choose one evidence-based treatment that has shown to improve condition within the last 5 years.
    -Briefly summarize the treatment and results.
    **Conclusion**
    -Recap points discussed in paper
    -Importance of management and early diagnosis (if applicable)
    -5 SCHOLARLY RESOURCES NO OLDER THAN 5 YEARS OLD WITH IN-TEXT CITATIONS
    -NO MORE THAN 10% PLAGIARISM ALLOWED
    – CHECK YOUR GRAMMAR AND SPELLING TO BE ACCORDING UNIVERSITY LEVEL
    – DUE DATE JUNE 6, 2025
    – WILL BE SUBMITTED VIA TURNIN IN.
    – TEMPLATE AND RUBRIC ATTACHEC
    \
    TEMPLATE.pdf](https://www.sweetstudy.com/files/template-pdf-10311829 "TEMPLATE.pdf")
    \
    RUBRIC.pdf](https://www.sweetstudy.com/files/rubric-pdf-10311831 "RUBRIC.pdf")

  • [Solved] W-DISC 6

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    **Case Scenario:** The nurse manager of a medical–surgical unit has a budgeted ADC of 20. A new vascular surgeon has been admitting patients to the unit, which is requiring an increase in nursing care to treat these additional patients. The current budgeted HPPD is 7.59. You have been monitoring the…

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    **Case Scenario:**
    The nurse manager of a medical–surgical unit has a budgeted ADC of 20. A new vascular surgeon has been admitting patients to the unit, which is requiring an increase in nursing care to treat these additional patients. The current budgeted HPPD is 7.59. You have been monitoring the number of patients with higher acuity in anticipation of budget planning.
    You have been reviewing reports, and over the past 6 months since the surgeon came on board, you have noticed an unfavorable salary variance. You also have been tracking the actual census, and the ADC on average remains at 20; however, six of the patients have higher acuity. You are proposing the configuration of the unit be changed to a blended model with an overall ADC of 20. The blend is 70% medical–surgical (ADC and 30% step-down (6 ADC).
    **Answer the following Questions:**
    You need to discuss the issues with the nurse leader you report to.
    1.  What discussion points should you plan to cover? Will there be a need for additional FTE caregivers to care for the change in acuity? If so, how many FTEs? Have you been staffing above the staffing guideline using OT?
    2.  The assumption is you are using OT to cover the additional clinical requirements. Financial reports indicate for the 6 months OT expense is $125,000, which is unfavorable to the budget. What are your recommendations? Compare the cost of OT used over the past 6 months with the cost of hiring the additional RNs.
    3.  Develop a revised staffing grid. (very basic does not need to be complex)
    Please note the grading rubric for the discussion board.
    As a reminder, all discussion posts must be a minimum of 4 **50 words initial,** references must be cited in APA format 7th Edition, and must include a minimum of 2 scholarly resources published within the past 5 years with dog # and in-text citations. NEED BE ORIGINAL REFERENCES, THEY WILL BE CHECKED FOR IT.
    NO PLAGIARISM MORE THAN 10%
    NEED TO FOLLOW EACH REQUIREMENT REQUESTED BY INSTRUCTOR
    IT IS A VERY IMPORTANT ASSIGNMENT
    DUE DATE JUNE 5, 2025

  • [Solved] JEN- CASE STUDY

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    TOPIC: DIABETES IN OLDER ADULTS IN FLORIDA PLEASE AS A CONTINUATION OF THE CASE STUDY ATTACHED, CONTINUE TO THE FOLLOWING SECTIONS BELOW FROM 5 TO 8. 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected pop…

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    TOPIC: DIABETES IN OLDER ADULTS IN FLORIDA
    PLEASE AS A CONTINUATION OF THE CASE STUDY ATTACHED, CONTINUE TO THE FOLLOWING SECTIONS BELOW FROM 5 TO 8.
    5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2 paragraph. You may use bullets if appropriate).
    6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).
    7. Provide a detailed plan for evaluation for each outcome. (1 paragraph).
    8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph).
    9. Conclude the paper with a Conclusion paragraph. DON'T TYPE the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph).
    Requirements:
    3 PAGES
    Your must strictly following APA standards and CORRECT GRAMMAR AND SPELLING
    Remember, your Proposal must be a scholarly demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion.
    NO MORE THAN 10% PLAGIARISM CAN BE ALLOWED
    DUE DATE JUNE 7, 2025
    \
    CasestudyPart1Jen..docx](https://www.sweetstudy.com/files/casestudypart1jen-docx "CasestudyPart1Jen..docx")