Infertility and IVF treatment in women after 35 years

/in /by

Infertility and IVF treatment in women after 35 years.” A Global Special Topic Presentation= 40% of total grade

The student will choose one-health topic-affecting women around the world and create a poster presentation; the topic chosen for this presentation must be different from a topic that was covered in the “This Life I Live” Paper.

The presentation should include background on the topic, facts and statistics on the topic, impact of this issue, and plan for improvement.

Examples of global special topics would be human trafficking, extreme poverty, environmental disasters, child marriages/early child bearing, sexual assault, domestic violence, living in a war area, HIV/AIDS, death during childbirth, etc. You can select any topic that you would like, use the topic discussion board to post your topic for approval.

Grading Rubric Background- Provide a clear background of this global health issue.

What is the history of this problem (how long has it been an issue, how did it start, where is it most prevalent) 20 Significance

– Demonstrate how significant this problem is using statistics, data, facts. 20 Impact

– How many places does this issue impact. What is the impact to the women living in these areas/conditions? How does this issue impact other regions 15 Plan for Improvement- How can the world help solve this problem or help people living in these conditions. What currently is being done to improve the conditions/issue, what else needs to happen to solve this problem? 20 Visual

– Poster is visually appealing (color, font size, mix of images/words), easy to read, easy to understand without oral presentation. Writing style, APA, grammar, spelling all appropriate for a 400 level courses. *Tips to making a good poster https://nau.edu/undergraduate-research/poster-presentation-tips/ How to set up a PowerPoint Poster: https://www.youtube.com/watch?v=A4qXONix2aQ 25 Attachments` PlattSavageFinnell Poster_ FINAL.pptx Final Presentation Sample Template.pptx Attached are further instructions for the paper. Infertility and IVF treatment in women after 35 years.This topic is good but please be sure you are discussing it based on how infertility impacts different parts of the world and not just the clinical aspect of infertility. Use a template to complete this assignment.Thank you

Pharmacology Nursing Process

/in /by

Case Study Myocardial infaction

 

Pharmacology Nursing Process

– Pharmacology Nursing Process G.M. is a 50 year-old Caucasian male who presented to the emergency department with chest pain, after playing basketball with his son. He had no significant medical history before the event and was diagnosis with a myocardial infarction. He responded well to medical management and is set to be discharged today. Your assessment notes the following:

• Vital signs BP 100/65, heart rate 72 bpm, respirations 28 bpm, and temperature 98.9°F.

• Normal S1 and S2 heart sounds, electrocardiogram shows normal sinus rhythm with ST wave elevation.

• Skin is warm, dry, with 1+ edema noted in ankles

• Lungs sounds are clear

• Complains of shortness of breath when walking 100 feet. O2 saturation 94% on room air.

• Complains of mild chest pain after walking 100 feet, but it is relieved after sitting down.

• Complains of dizziness when going from laying to sitting and from sitting to standing. Assignment:

1. List the Subjective and Objective assessment findings

2. List two nursing diagnosis with related to and as evident by statements (one diagnosis may be “at risk for”)

3. Write two planning or outcome goals for the patient in SMART (specific, measurable, achievable, realistic, and timely) for the patient.

i. One must be a short-term goal: the first this to address.

ii. The other is a long-term goal, before patient is discharged.

He is going home on the following medications:

• Aspirin 325 mg PO daily

• Nitroglycerin 0.3 mg SL prn for chest pain that is not relieved after sitting down, may repeat x if chest pain not relieved after 15 minutes.

• Atenolol 50 mg PO BID. Hold if systolic blood pressure less than 90 mmHg.

Assignment: 4. Name two nursing interventions for all three medications (you may not repeat any interventions)

5. Name an assessment findings (one for each medication) that indicate the medication effectiveness.

6. What side effects could that patient experience for each medication

7. What adverse effects for each medication does the patient need to report?

8. Name five teaching points for each medication to communicate before the patient’s discharge

Clinical assessment

/in /by

Family assessment

Clinical assessment

This clinical assignment focuses on the family system and all the subsystems that affect the family, how the family unit copes, and how the nurse can help the family maintain a state of equilibrium. In your text is an outline of the Calgary Model and how it helps in the interviewing and assessment of the family.

Using this model as a guideline choose a family you know to help you complete this assignment; these should not be your own family. Be sure the family is well in that they are not dealing with a newly diagnosed chronic or acute illness.

Families with long- standing chronic illnesses, such as controlled hypertension or diabetes, are acceptable. Do not choose a family with acute problems including acute psychiatric illnesses. Contact the family and explain the project you need to complete and if they are willing to participate.

Set up a meeting time to speak with family members who would be most helpful with this project. Have questions prepared concerning all of the subsystems that affect families including ethnic backgrounds, working status of family members, education, etc. You may need to meet with the family more than once. Using the family assessment summary in your text, complete a family assessment.

This assessment must include content on all of the subsystems discussed in class this semester as well as a genogram, a list of family diagnoses including strengths and problems (stressors) related to each diagnoses.

Students will need to summarize their project by explaining how the family members and the family unit cope with any problems that may arise; are they able to maintain a state of equilibrium or are they having difficulty maintaining a functional system? What could be done to improve or help with coping of the identified problems? Could some of the coping mechanisms of one family help another family if similar problems exist? Beyond the textbook, students should search for additional resources to help explain the subsystems of the families; for example, their response to illness may be based on cultural background or religious beliefs. Find resources to support this and explain fully.

Is there a gap between nursing education and nursing practice

/in /by

Is there a gap between nursing education and nursing practice?

Please explain and support your answers Academic Level :

Bachelor Paper details Is there a gap between nursing education and nursing practice?

Please explain and support your answers

Please write a five (5) page essay, and include a PowerPoint presentation with at least 10 – 12 slides.

Your essay should be: Be a total of five (5) pages or more. Original, work and will be checked for plagiarism. Cite your sources – type references according to the APA Style Guide. Please include at least five (5) current professional nursing references in your presentation that are no more than 5 years old.

Nursing education curriculum

/in /by

nursing education Please answer the below 2 question. The answers should be separate and each one have 2 references less than 5 years old. Each question should be answered in 1.5 pages 1-One of the Curriculum Committee members proposed using only the test banks that come with the program’s textbooks. How should the Curriculum Committee respond? How do you plan to develop your own test banks for your courses? 2-Students are protesting several questions on a unit examination. To address their concerns ethically, how should the faculty analyze their exams? What are important components of item analysis, and what is your philosophy on handling questionable test items?

Health Care Delivery Models and Nursing Practice

/in /by

Examine changes introduced to reform or restructure the U.S. health care delivery system.

In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Include the following:

1)Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

2)Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

3)Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings. 4)Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three 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.

The use of Telehealth

/in /by

The use of Telehealth This assignment is based off a video discussing the use of TELEHEALTH with a child who was recently diagnosed with cystic fibrosis. The assignment requires you to explain how the use of Telehealth would benefit this patient. This includes making a care plan with this patient. The patient and patients mother live far from hospital, cost, etc. Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decision about the plan you proposed Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario. explain the ways in which an evidence-based practice model was used to help develop the care plan reflect on which evidence was most relevant and useful when making decisions regarding the care plan identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. INSTRUCTIONS: Propose an evidence-based care plan to improve the safety and outcomes for a patient. Explain the ways in which an EBP model was used to help develop the care plan. Reflect on which evidence was most relevant and useful when making decisions regarding the care plan. Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style

Circumstances under which children should be prescribed drugs for off-label use

/in /by

Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples. Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.

Circumstances under which children should be prescribed drugs for off-label use

 Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and also excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

Firstly, review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.

Secondly, reflect on situations in which children should be prescribed drugs for off-label use.

Finally, think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics

Resources

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
·         Chapter 9, “Drug Therapy in Pediatric Patients” (pp. 58—60)

Corny, J., Lebel, D., Bailey, B., & Bussieres, J. (2015). Unlicensed and off-label drug use in children before and after pediatric governmental initiatives. The Journal of Pediatric Pharmacology and Therapeutics, 20(4), 316–328. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557722/

This article highlights pediatric governmental initiatives to prevent unlicensed and off-label drug use in children. Review these initiatives and guidelines and how they might impact your practice as an advanced practice nurse.

Panther, S. G., Knotts, A. M., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. A. (2017). Off-label prescribing trends for ADHD medications in very young children. The Journal of Pediatric Pharmacology and Therapeutics, 22(6), 423–429. doi:10.5863/1551-6776-22.6.423

Write a 1-page narrative in APA format that addresses the following:

Firstly, explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.

 

Secondly, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.

 

Finally, include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

 

Mrs. Thomas is a 54, year old African American widow

/in /by

Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment.

Mrs. Thomas is a 54 year old African American widow

Appendix C – Mrs. Thomas

Scenario:
Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she have so much energy that she exhaust ed all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma.

Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant.

Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU.

A family meeting with the oncology and ICU team was call ed to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care.

Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.

Discussion questions:

1. What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.

2. Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.

3.How would you handle all the family members and friends wanting to be included in the discussion?

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF)

/in /by

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

A 41-year-old obese male patient is diagnosed with congestive heart failure CHF

Congestive Heart Failure

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

1.            Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works?

2.            If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?

More details;

The following are key points to remember from this state-of-the-art review on diuretic therapy for patients with heart failure (HF):

Chronic kidney disease (CKD) is a strong predictor of adverse outcome in HF, and also CKD impairs the “reserve” available for the kidneys to respond to the insult posed by congestion.

In normal circumstances, renal blood flow (RBF) is around 20% of cardiac output. Mainly determined by differences in renal arterial and venous pressure. In HF, both natriuresis and maximal free water excretion are decreased.

RBF and glomerular filtration rate (GFR) are autoregulated by three major mechanisms:

Firstly, the myogenic response, the macula densa tubuloglomerular feedback,

Also, renin secretion.

All three of these processes serve to maintain the GFR constant, but at the expense of renin-angiotensin-aldosterone system activation.

HF is also characterized by a low distal tubular flow secondary to increased fractional reabsorption in the proximal parts of the tubules and often concomitantly decreased GFR.