58-year-old male with shortness of breath

58-year-old male with shortness of breath

This paper focuses on a Family Medicine 28: 58-year-old male with shortness of breath. While working with your family medicine preceptor you are scheduled to see Mr. John Barley, a 58-year-old male who has sought medical attention

Family Medicine 28: 58-year-old male with shortness of breath

Family Medicine 28: 58-year-old male with shortness of breath

While working with your family medicine preceptor you are scheduled to see Mr. John Barley, a 58-year-old male who has sought medical attention only rarely in the past 10 years. He comes to the office today because of progressively worsening cough and shortness of breath during the previous month.

Before you and your preceptor Dr. Wilson enter the room to meet Mr. Barley, you think about the definition of dyspnea:

TEACHING POINT
Dyspnea Definition
Dyspnea is defined as an uncomfortable awareness of breathing.
Any problem in the mechanical system of breathing can trigger dyspnea, including (but not limited to):
Firstly, blockage in the nose
Secondly, fluid in the alveoli
Thirdly, irritation of the diaphragm

PATIENT HISTORY 1

Dr. Wilson greets Mr. Barley, introduces you, and then excuses himself to go see another patient. He states he will be back for you to present Mr. Barley’s case to him.
You sit down across from Mr. Barley and say, “Hi, Mr. Barley. Thanks for letting me work with you.” Mr. Barley says, “Sure, anyone working with Dr. Wilson is OK by me.”
You begin eliciting the history:

“I understand you have a cough and shortness of breath. Can you tell me more about it?”
“OK. Have you noticed anything else that seems to be related to the cough? Things like weight loss, chest pain, and fever?”
“Have you had any nausea, vomiting, or diarrhea?”
“Do you have shortness of breath when you are active and when you are at rest?”
“Have you had in the past, or currently have, exposures to things that can cause cough, like chemicals, and smoking?”
“Do you have any trouble lying flat when you sleep?”

You learn that he has not traveled recently, which could have exposed him to an unusual form of pneumonia.

He also has not been exposed to tuberculosis. From other questions, you learn that Mr. Barley has no leg swelling or paroxysmal nocturnal dyspnea (PND). You know that he has had no orthopnea.

As a farmer, he is active during the day. Deconditioning is not likely.
Wondering if his shortness of breath is due to a panic disorder, you ask him a series of questions and note that his symptoms are not associated with paresthesia, choking, nausea, chest pain, derealization feeling, trembling or shaking, dizziness, palpitations, sweating, chills, or flushes.

PATIENT HISTORY 2

HISTORY
Now that you have a good understanding of the history of the present illness, you continue the interview by turning to past medical, social, and family histories.
You say, “I think I have a clear idea about what brought you in today. Let me ask you now about your health in general.”
“Any serious illnesses in the past?”
“I’d like to ask about your personal life. Tell me about your home life.”
“Tell me about your immediate family health history.”
You say, “So I understand that you have had a cough with white phlegm for the past two winters and that you have been experiencing shortness of breath with exertion. Additionally, you may have been exposed to some chemical irritants at your farm, but you have been careful about this. You also smoke cigarettes.”

INSTRUCTIONS

Assignment
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 28: 58-year-old male with shortness of breath.

Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, further, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Lastly, use specific references from your text.

Discussion Question 4
Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5
Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and also use specific references from your text to support the inclusion of the diagnosis for this client.

Submission Details:
• Post your initial response to the Discussion Area by Day 3. • Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format. Finally, please follow the discussion rubric to make sure you have addressed the discussion criteria.

Role of the Advanced Practice Nurse in clinical experience

Role of the Advanced Practice Nurse in clinical experience

This is a paper discussing the unit NUR-565-01 on the role of the advanced practice nurse. A key aspect discussed is the knowledge of pathophysiology.

NUR-565-01 Role of the Advanced Practice Nurse

Firstly, relate the role and scope for the advanced practice nurse to the coordination and management of common and/or complex health conditions in community health care settings

Secondly, integrate knowledge of pathophysiology, as well as anticipated history and physical examination findings, to formulate comprehensive plans of care for persons with common health conditions including pharmacologic and non-pharmacologic measures

Thirdly, develop and demonstrate the appropriate diagnoses and differential diagnoses based on analysis and interpretation of the acquired history, presenting symptoms, physical findings, and diagnostic information for patients with all health problems

Fourthly, demonstrate advanced levels of clinical judgment and accountability with a preceptor in designing, delivering, and evaluating evidenced based care to improve outcomes in patients with all health conditions

Then, evaluate and incorporate the environmental influences on the health care needs of individuals and families across the lifespan to develop educational and health promotional activities

Lastly, critically analyze data and incorporate evidence base materials to identify differential diagnoses for health care conditions

Focus questions:

The student will need to provide supportive materials and evidence-based practice references based on the following:

  • Describe what is going well within the clinical experience. How is your relationship with the clinical preceptor?
  • Describe what new information/ knowledge/ skill you learned within the clinical experience.
  • Describe an experience you found difficult within the clinical experience. Sharing difficult experiences allows us to grow.  The explanation has no bearing on the grade offered in the reflection.
  • Identify ways the situation may have been different. Provide rationale.
  • Identify two strengths in your knowledge, skills and attitude identified within your clinical practice. The duration of time is from the last reflective journal.
  • Identify two areas of weakness in your knowledge, skills and attitude identified within your clinical practice. The duration of time is from the last reflective journal.
  • Identify steps to achieve mastery for the identified weaknesses.
  • Identify areas in which you need support from your clinical faculty.

Mrs J understanding of RN – BSN regarding pathophysiology

Mrs J understanding of RN – BSN regarding pathophysiology

This is an assignment that analyzes the Mrs. J understanding of RN-BSN regarding pathophysiology. Also, the assignment discusses the health promotion and restoration plan.

Mrs. J understanding of RN-BSN regarding pathophysiology

I‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍t is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Firstly, describe the clinical manifestations present in Mrs. J.

Secondly, discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

Thirdly, describe four cardiovascular conditions that may lead to heart failure. Additionally, what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

Cont.

Then, provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Also, explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

Lastly, outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Creating a brochure- proportion of infants who are ever breastfed

Creating a brochure- proportion of infants who are ever breastfed

For this assignment create a brochure. It is about to increase the proportion of infants who are ever breastfed.

Create a brochure- proportion of infants who are ever breastfed

Increase the proportion of infants who are ever breastfed https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health into a patient education brochure.

The information in your brochure should target a specific population group for your Healthy People 2020 topic and be organized, accurate, informative as well as attractive using appropriate graphics. See the following links on how to create a brochure:

To create a brochure using word  https://www.displays2go.com/Guide/How-Create-Pamphlets-Flyers-Word-25 (Links to an external site.)
You will create a brochure that will inform and educate your population of interest using the following criteria:

Firstly, Identify 3-4 important concepts related to the selected topic and place these creatively within your brochure with an appropriate heading.

Secondly,  Identify a minimum of three strategies your intended target audience can use to achieve desired results on your selected topic. Use an appropriate heading and graphics to outline the steps for your intended target audience for them to achieve desired results (related to selected topic).

Thirdly,  Utilize the foundations of the behavioral theory/model in the design and content of your health education brochure. Be sure to provide a reference for this on your reference page.

Further, Create a title page for your brochure. Include your name, the target audience, and feedback from a member of your target audience.

Please note you will need to share your brochure with a member of your target audience and document their feedback on the title page.  For example, John Doe reviewed the brochure and indicated he had difficulty understanding some of the terms. The terms were modified.

Also, Include references and intext citations for your sources. You need a minimum of three resources. Be sure to review rubric for how you will be graded.

Lastly,  Include a reference page in APA formatting or provide on the back of your brochure.

Nurse Hero Biography – nurse hero who made an impact to nursing

Nurse Hero Biography – nurse hero who made an impact to nursing

This assignment paper is on Nurse Hero Biography. Select a nurse hero who made an impact to nursing and use the following outline to complete the nurse hero biography.

Nurse Hero Biography-nurse hero who made an impact to nursing

Select a nurse hero who made an impact to nursing and use the following outline to complete the nurse hero biography.

Do not use Florence Nightingale as she is discussed throughout the semester.

Criteria:
Firstly, Early life: Birthplace and education.

Secondly, Adult life: Marriage and Children (if applicable)

Thirdly, Famous Years: What made this nurse? Stand out?

Fourthly, Important accomplishments?

Moreover, Speciality, if any?

Furthermore, Did they affect people positively or negatively?

Lastly, Conclusion: Summarize your research findings

More details on this assignment:

Who was the 1st nurse?
Florence Nightingale
Florence Nightingale, the First Professional Nurse. In the rigid Victorian society of the time, and in the bosom of a well-off British family in which the role of women was limited to their social life, the young Florence Nightingale was clear that she wanted to be a nurse. 
Who is a famous nurse?
3 Famous Nurses in History
  • Florence Nightingale 1820 – 1910. Perhaps the most famous nurse in history, Florence Nightingale was known as the Lady with the Lamp. …
  • Virginia Henderson 1897 – 1996. Henderson was known as the First Lady of Nursing. …
  • Clara Barton 1821 – 1912. Clarissa Harlowe “Clara” Barton began her nursing life by caring for her father.
Why did Florence Nightingale spent 11 years in bed?
Nursing lore has long maintained that the mysterious illness that sent Florence Nightingale to bed for 30 years after her return from the Crimea was syphilis. In May of the following year, she developed a near-fatal illness (most likely brucellosis).
What is the nursing oath?
It is an adaptation of the Hippocratic Oath. I solemnly pledge myself before God and in the presence of this assembly, to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug.

Alternative Pain Management on a Medical Surgical Unit

Alternative Pain Management on a Medical Surgical Unit

Project #5: Implementation Plan Instructions This assignment requires that you adapt the analysis done for Projects #1 – 4 to a new environment. Use your prior work, i.e. the recommendation memo and network diagram, to develop a high-level plan for implementing an infrastructure that includes the required controls, changes, etc. to mitigate vulnerabilities and convergence issues in the second case study’s environment. You may need to do additional analysis to address issues specific to the second case study’s environment. Your high-level plan should include all the system development life cycle (SDLC) gates/decision points and all relevant tasks. Describe and relate the implementation solution to CIA and incorporate, people, processes and technology to this plan. Note: Make sure that you include (in detail) the steps you would take to secure the new infrastructure. Putting It All Together Your plan will be a combination of a paper and a detailed list of steps and resources that you would follow to implement and complete this project. Think about all of the actions, resources, and tasks that you would need in order to effect a successful implementation. These should also be included as part of the plan. The minimum structure for this assignment is below: • INTRODUCTION o Purpose of Plan • GOALS AND OBJECTIVES o Business Goals and Objectives o Project Goals and Objectives • SCOPE o Scope Definition o Items Beyond Scope • PROJECTED EXPENSES o System Development Life Cycle/Schedule o Milestones • ASSUMPTIONS o Project Assumptions • CONSTRAINTS o Project Constraints o Critical Project Barriers Additional Information 1. Consult the grading rubric for specific content and formatting requirements for this assignment. 2. Your 5 – 8 page Implementation Plan should be professional in appearance with consistent use of fonts, font sizes, margins, etc. You should use headings and page breaks to organize your paper. 3. Your paper should use standard terms and definitions for cybersecurity. See Course Content > Cybersecurity Concepts Review for recommended resources. 4. The CSIA program recommends that you follow standard APA formatting since this will give you a document that meets the “professional appearance” requirements. APA formatting guidelines and examples are found under Course Resources > APA Resources. An APA template file (MS Word format) has also been provided for your use CSIA_Basic_Paper_Template(APA_6ed,Nov2014).docx. 5. You must include a cover page with the assignment title, your name, and the due date. Your reference list must be on a separate page at the end of your file. These pages do not count towards the assignment’s page count. 6. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a) using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and correctly structured sentences and paragraphs. 7. You are expected to credit your sources using in-text citations and reference list entries. Both your citations and your reference list entries must follow a consistent citation style (APA, MLA, etc.)

Temporomandibular joint disease

Temporomandibular joint disease

For the assignment, you will write a case study about temporomandibular joint disease using words and abbreviations from the course, as well as other words as needed. You will be able to select a disease of interest from a list that I will provide. A format for the case will be provided, and you will need to include a list of references from quality websites or books. I have given you a list of NIH websites to get you started in the right direction. Make sure to have 3-8 citations. NO PLAGIARISM Links to NIH Institues The NIH has various institutes that cover human diseases of interest. It is excellent quality information. To get background information for your case, select the appropriate institute. Then pick your disease off their list. Use the webpage as a citation. NIH National Cancer Institute http://www.cancer.gov/types NIH National Eye Institute https://nei.nih.gov/health NIH National Heart Lung and Blood Institute http://www.nhlbi.nih.gov/health/health-topics/by-alpha/ NIH National Institute of Allergy and Infectious Diseases https://www.niaid.nih.gov/diseases-conditions/infectious-diseases NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov/Health_Info/default.asp NIH National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov/health-information/health-topics/Pages/default.aspx NIH National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/disorder_index.htm NIH homepage https://www.nih.gov/institutes-nih/list-nih-institutes-centers-offices

Use of Clinical Systems to Improve Outcomes and Efficiencies

Use of Clinical Systems to Improve Outcomes and Efficiencies

Netflix Case Study  his case paper is different than other papers that you may have written in that your paper will not only be read by me, but also by other members of the class. With this in mind, you will want to make the paper as engaging and interesting as possible so as not to bore your classmates. Some strategies to do this would be to pick a company that others in the class may not have heard about or to present an interesting business problem that a company may encounter. I will grade your paper based on the following three criteria: Interestingness: Is your paper engaging and is it written with the audience’s interests (the class and me) in mind? Does your paper include the appropriate marketing terminology that is presented in the textbook? Writing Style: see writing rubric below. A successful paper is usually at least four pages (1.5spaced). Some possible topics could include: A company that successfully balances corporate social responsibility and profit. A company that has used outstanding marketing practices to reinvigorate the firm and increase profitability by creating a competitive advantage in the marketplace. A domestic firm (or organization) that has successfully entered the international marketplace. A new firm (<10 years old) with extraordinary growth and marketplace success. Things that you may want to include in your paper are: (although you are free to deviate and choose a format that you feel is more interesting for the class). A situation analysis with product/service description and SWOT analysis. A description of the firm’s marketing activities that include target market selection, product positioning strategy, and the important elements of distribution, promotion and pricing. A discussion of how the firm satisfies the needs of its customers and what elements about the company makes them extraordinary. Have they been able to create a sustainable competitive advantage? A note about writing: Excellent writing abilities are imperative to success in business and this is a skill that you can expect to improve during this course. This is a graduate level course and I expect graduate level accomplishment in writing. I will grade not only on your mastery of the content, but I also expect the correct use of grammar, spelling and business terminology. I will also expect you to have a polished writing style. If you know your writing is weak, then consider having a friend proofread your paper and/or contact the Academic Support Center for an appointment, http://www.uww.edu/acadsupport/tutorial/ — This is a free service provided by the University.

Stress in the Healthcare Workplace Nurse Burnout

Stress in the Healthcare Workplace Nurse Burnout

Description

Stress is a common phenomenon in healthcare. Write about stress in healthcare and the impact it can have on employees, organizational performance, the delivery of patient care, etc. Identify and describe the different kinds of stress that can occur. Discuss why stress in a healthcare environment may be more of a pressing issue as compared to other industries (be sure to address factors, such as, professional hierarchy, personalities, ethnicity, gender, etc.). Describe if / how employee burnout (due to stress) is impacting the delivery of care. Once you have written about stress in the workplace, identify some best practices to alleviate the negative effects of stress in the workplace. How should managers behave so that employees experience less stress on the job? Ground all your work in existing theory. What strategies can the organization use so that the employees experience less stress on the job? This write-up has to be supported by current facts and literature. Possible Deliverables • What does the healthcare environment look like currently? • Why is stress more prevalent in healthcare? What impact can it have on an organization, employees, and patients. • Define stress – when is it good and when is it bad? • What can administrators do to address employee stress? What can employees do to better manage stress? • Using established theories to describe stress in a healthcare environment

Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization Choose a nursing issue that impacts your practice. The nursing issue may involve a structure, process, or outcome. Examples might include an increased number of patient falls, long wait times in the Emergency Department, high staff turnover, and poor medication compliance in an outpatient setting • Review the literature (including a minimum of eight peer-reviewed articles published within the last five years) related to the nursing issue • Your team is in charge of establishing a committee to address this issue • Establish membership of your committee including which disciplines should be represented and what individual responsibilities are • Provide goals and objectives for your committee • Provide a timeline for expected resolution of the issue and dissolution of committee • Provide guidelines for communication among committee members, including resolution of conflict • Describe how you will implement your evidence-based solution to the issue, addressing and measuring the effectiveness of your model • You are expected to interview nursing and other healthcare leaders and their facility to help develop their committee • You are also expected to attend interdisciplinary or interprofessional Development of team Membership Duties and responsibilities of team members Committee goals and objectives Timeline