Interpreting Lab Result of a Patient with Diabetes Mellitus

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Descriptio

n Interpret the meaning of each of the patient’s abnormal lab and diagnostic test results, as it relates to his medical problems. Include Scholarly References. See Case Study Data below: Mr. Tompkins is a 62 year old Native-American male. He comes in today because of the following symptoms: 1. Increasing dyspnea on minimal exertion (DOE) and 2. Swelling in his legs for the past week. 3. He has also noticed that his lower legs are red, warm to the touch, and mildly painful (4/10 on a pain scale). 4. His blood sugars on his fingersticks have been high – 190 fasting in the morning and 290 before evening meal.

5. He has gained 10 pounds since his last visit one month ago. His diet has not changed although he has been less active the past week due to the swelling in his legs. He denies chest pain, cough, fever, hemoptysis, taking any OTC meds, polyuria, polydipsia, and polyphagia. Medical History Diabetes Mellitus Type II for 5 years Family History Wife, children, and four living siblings have diabetes mellitus type II. His father and two brothers, now deceased, had hypertension as well as DM type II. Causes of deaths are not known. Medications Metformin increased to 1 Gm bid 30 days month ago to bring his sugars down about 20- to 30-points in the morning and evening. Allergies None reported. Social History Patient does not smoke or drink. Physical Examination Weight 225 lbs +10 pounds since his last visit 1 month ago, BMI 30 BP – 158/100, P – 100, T – 98, O2 sats – 94% room air at rest S3 & S4 gallop, + JVD, bibasilar crackles, 3+ pitting edema. The skin on his ankles to mid-calf is red, warm, slightly scaly, and tender to the touch. Labs Hemoglobin – 12 (13.8 – 17.2) Hematocrit – 38( 41 – 50) RBC Indices (MCV, MCH, MCHC) – In normal ranges WBC (white blood cells) – 12 (4.5 – 10.5) (differential is pending) BUN (blood urea nitrogen) – 22 (7 – 20) 6/8 Creatinine – 1.6 (0.8 – 1.4) Total cholesterol – 240 (<199) HDL (high-density lipoprotein) – 35 (>59) LDL (low-density lipoprotein) – 180 (<130) Triglycerides – 400 (30 – 149) Radiology Results of recent chest X-ray are pending.

Exploring the Level of Founder’s Awareness on Corporate Governance in Large Saudi Enterprises: The Contribution of Family Ownership

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Exploring the Level of Founder’s Awareness on Corporate Governance in Large Saudi Enterprises: The Contribution of Family Ownership

Dear writer, I need you to identify and write the gaps in between the uploaded Literature Review but only in terms of what has not been said by the respective researchers who approached my topic. then summarize them at the end of the literature review section in paragraphs. #minimun 4 gaps are required. # for example, in section 2.8.4, at the end of this section I identify one gap and highlighted it in yellow color so you can understand how to find the gaps.

Selective isolation distribution and diversity of marine actinobacteria for the discovery of new anti-cancer drugs

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Selective isolation, distribution and diversity of marine actinobacteria for the discovery of new anti-cancer drugs

Paper details the review should discuss the 9 following topics

1- abstract

2- Introduction

3- Secondary metabolites from marine actinobacteria( with table include all compounds up to date) and mention if any compounds has used commercially 4- Anticancer drugs from marine actinobacteria ( with table include all compounds up to date) and mention if any compounds has used commercially 5- Habitats and sampling for isolation of marine actinobacteria 6- Selective isolation of marine actinobacteria 7- Distribution of marine actinobacteria 8- Diversity of the most potent marine actinobacteria in anti-cancer activities ( with pie chart that illustrate percentage of microorganisms species that produce useful secondary metabolites) 9- conclusion and Future perspectives * should use new papers up to 2018 * references should include papers published from Saudi University two or three is okay * references please refer to Forntiers Microbiology Journal and follow their requirements * plagiarism should be less than 5% * create your own tables and figures do not copy them * images should be refereed to the original paper

Safe Nurse Staffing Policy

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Safe Nurse Staffing Policy

For this assessment, you will be required to develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national, or international).

To do this, you will reflect on several aspects of being a policy maker within the nursing position. A few things to consider are: • Why did you select the health or nursing profession policy issue?

• How does this issue affect nursing practice, healthcare delivery, and health outcomes for individual, families, and/or communities?

• What are the values and the ethical positions that underpin your perspectives?

• What are the criteria you will use to evaluate the success (outcomes) of your proposed policy change? By using both a top-down and a bottom-up approach, you will analyze and bring the nursing perspective to policy makers and stakeholders.

Identifying the values and ethical perspectives that underpin your position, you will develop criteria to evaluate the success of your work.

This will lead to a created a policy brief that can be sent to decision makers and created a plan to work with an organization/community to promote policy change at the local level. To guide you to your conclusion, using nursing research to support your position is vital.

This should include principles of community-based participatory research (CBPR).

Money-Driven Medicine

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Money-Driven Medicine

Watch the movie, Money-Driven Medicine and describe the film in detail. Summarizes what the main points/ideas the filmmakers were trying to relay. Demonstrate understanding of concepts, terms or perspectives by relating the film to at least three concepts learned from the Nursing 102 book, Essentials of the U.S. Health Care System, 5th edition. These concepts include but are not related to public health insurance, market/social justice, vulnerable populations, unequal access, importance of primary care, history, technology, generalists, nurses, determinants of health. I couldn’t provide the movie, so i don’t know, if you would be able to find the movie?

Depression due to a chemical imbalance in the brain and can only be treated successfully with medication

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Write an introduction paragraph for your topic. (You must continue with your selected topic identified in Week 3, unless you have received permission from your instructor otherwise.) For assistance with a thesis for your introduction paragraph, visit Ashford Writing Center’s Introductions & Conclusions (Links to an external site.) and Thesis Generator (Links to an external site.). Develop supporting Body Paragraphs (Links to an external site.) that apply a professional psychological perspective to a commonly held belief about why people think or act as they do. Consider both perspectives. Use headings as necessary to organize your work. (Use your sources identified in your Week 3 annotated bibliography, your course content, as well as any additional scholarly resources that support your argument. Visit APA Style Elements (Links to an external site.) for help with headings, and the Ashford University Library to obtain additional scholarly articles as necessary to fully inform your thinking and address gaps in your knowledge of the topic. Refer to the Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table for additional guidance.). Apply psychological theory and research to a commonly held belief. Employ examples to fully illustrate your analysis. Examine potential implications of diversity. Discern any relevant ethical issues. Relate potential applications of this insight to various careers. Write a conclusion paragraph that summarizes your findings and whether or not the commonly held belief you have chosen to explore is supported by psychological research and theory. Review Introductions & Conclusions (Links to an external site.) for more. The Fact or Fiction? Final Paper Must be five double-spaced pages in length at minimum (not including title and references pages) and formatted according to APA Style as outlined in the Ashford Writing Center’s APA Style (Links to an external site.)resource. Must include a separate title page with the following: A header Title of paper Student’s name Course name and number Instructor’s name Date submitted For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.). Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance. Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources. Using headings within your writing may assist you in organizing your thoughts more succinctly. For more information about using headings, please review APA Style Elements (Links to an external site.). Must use at least three scholarly, peer-reviewed sources. These may be from Week 3 annotated bibliography, unless your instructor has requested the use of differing sources. Additional scholarly sources are encouraged. Be sure to integrate your research smoothly rather than simply inserting it. Review Integrating Research (Links to an external site.) for more. The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. For more, review the Ashford University Library Quick ‘n’ Dirty (Links to an external site.) Must document any information used from sources in APA Style as outlined in the Ashford Writing Center’s APA: Citing Within Your Paper (Links to an external site.) guide. Must include a separate references page that is formatted according to APA Style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications. Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.

Alternative pain therapies for cancer

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Alternative pain therapies for cancer

Need 3 literature review and method.

 

I will attach an example how it should look.

Literature Review Table and Methodology Assignment Purpose:

Develop a method to organize the evidence (research articles) which will be used in your PICO paper.

The use of the literature review table assists the researcher to select the best articles to use for the literature review portion of the course during Week 7.

The literature review table also helps to more fully and efficiently understand the evidence collected as a whole by you individually and for your group to use during the upcoming assignments.

Instructions: Review the Rubric (below) associated with this assignment. (Individual Assignment)

1. After reading the assigned readings (text and aticles), and viewing the Library Videos provided on Week 2 content on D2L, you will each (individually) complete a literature review table on the selected topic your group identified in Week 2. Each student will collect 3 (three) different types of articles on the group topic from the following research designs: 1 qualitive, 1 quantitative, and either 1 clinical guideline or 1 systematic evaluation.

Use the Week 3 Literature Review Table Blank Form/Template and the Week 3 Literature Review Example (below) to organize the information from the 3 articles you have found through your search of the literature. Journal articles used should be from within the past 5-10 years.

These articles will be found and reported in your table individually and should not intentionally be articles collected by others in your group. Your group will use the articles from your research to develop a strong PICO Poster during Week 7. 2. See Example of a Literature Review Table (below–helps to use a header within columns 4-6, e.g., Findings, Variables, Conclusions.).

In each section of the table, fill out the information requested. Columns 1 & 2 are descriptive of the article (use the information for your references at the bottom of the table. Column 3 includes the Level of Evidence and study design found in each article.

Articles will include: One Article from 3 of these 4 Levels of Evidence: Qualitative; Quantitative; and a Clinical Guideline or Systematic Review (for a total of 3 articles, one each of 3 designs). Column 4 will include the sample/population: list who the participants were, how many, how were they selected, grouped. Column 5 should identify findings, variables studied, study methods, results and limitations of the findings identified in the articles.

Transcultural health and wellness group presentation

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Transcultural health and wellness group presentation

Theoretical Presentation (Group Presentation) 1. Topic : Josepha Campinha-Bacote – A Culturally Competent Model of Care (1991) Cultural group : KOREAN GROUP IN ASIA 2. Research the model 3. Create a clinical scenario and use the chosen theoretical nursing framework as a guide in the planning and delivery of patient care/interventions. 4.Based on the scenario, develop a culturally sensitive Education Plan* for the patient upon discharge, utilizing the chosen theoretical nursing framework. 5. ELABORATE ON THE KOREAN CULTURE 6.APPLY THE MODEL ( CULTURALLY COMPETENT MODEL OF CARE ) IN THR CARE OF A KOREAN PATIENT DURING ASSESSMENT, DIAGNOSIS, PLANNING/ IMPLEMENTATION, EVALUATION 7. Include the various concepts in the description.. *Note: utilize TNS Standard of Practice on Cross Cultural Communication (#9) to help with developing the Education Plan. 8. USE PRESENTATION, VIDEOS, COLORFUL PICTURES, AND CASE STUDIES

Compliance with section 1557 of ACA for Language Access Services impact care for LEP patients

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Compliance with section 1557 of ACA for Language Access Services impact care for LEP patients

 

Paper details:

Guidelines, Leaning Contrast-(TOPIC OF THE RESEARCH PAPER), SMAC Check list-(STRATEGIC PLANNING and the syllabus. The topic of the research paper is as follows; Compliance with section 1557 of ACA for Language Access Services impact care for LEP patients

Briefly discuss the how UVA and UVB rays contribute to the process of oncogenesis in skin cells

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A 32-year-old woman is concerned about the possibility of being pregnant. During the initial interview, you discover that she missed her usual menstrual cycle over 3 weeks ago. You also notice that her complexion is markedly tan for this time of the year (winter season). You briefly comment on this fact, and she states, “I want to keep my summer tan. So, I keep going to the tanning salon weekly.” She is here today to confirm the pregnancy with her primary care provider, and you are the nurse completing the initial interview. When asked if she has been taking a folic acid supplement, she states that she had “no concerns of pregnancy and was not aware of the need to take this medicine.” After she sees her primary care provider, he gives you the plan of care. The plan is to have a maternal serum marker test drawn today and recommend that she start on 600 μg of folic acid daily. In analyzing this case, please answer the following questions: Discuss any teratogenic effect of this individual not taking a folic acid supplement. Explain what effect may occur on the developing fetus, identifying specific risks noted in this case. Explain why the primary care provider included a maternal serum marker test in the plan of care for this individual. Discuss the vulnerability of the fetus based on trimesters and teratogens and the role of the folic acid supplement. Briefly discuss the how UVA and UVB rays contribute to the process of oncogenesis in skin cells. How would you educate this individual on the risk of skin cancer related to increased exposure to UVA/UVB rays? Would you expect the primary care provider to perform a skin assessment during this visit? Why or why not?