Pathophysiology 370: In people with diabetes mellitus type 1

Pathophysiology 370: In people with diabetes mellitus type 1, explain the reason for ketoacidosis and ketonuria. Compare the effects of hypocalcemia on cardiac and skeletal muscle, and explain the rationale for each. Explain the function of vitamin D and the possible effects of a deficit of this vitamin.

Pathophysiology 370: In people with diabetes mellitus type 1

Week 4 Assignment
After reading the assigned chapters in your textbook, answer the questions listed below. Further, Please do not copy and paste your answers from the text or the internet. You may type the answers, but be sure that they are in your own words so that you can demonstrate that you understand the information and could teach it to your patient, when needed. Lastly, Please use complete sentences, proper grammar, and appropriate citations, if needed.

1)      In people with diabetes mellitus type 1, explain the reason for ketoacidosis and ketonuria.

2)      Compare the effects of hypocalcemia on cardiac and skeletal muscle, and explain the rationale for each.

3)      Furthermore, Explain the function of vitamin D and the possible effects of a deficit of this vitamin.

4)      List several factors that would predispose a pregnant woman with diabetes to cystitis.

5)      Moreover, Explain how decreased fluid intake or dehydration predisposes to calculi in the urinary tract.

6)      Why is there an increased risk of drug toxicity in the later stages of renal failure?

7)      List the factors predisposing patients to testicular cancer.

8)      Differentiate the following terms from one another: dysmenorrhea, premenstrual syndrome, and menorrhagia.

9)      Compare the early manifestations of chlamydial infection, syphilis, and genital herpes.

10)  Explain why genital herpes tends to recur.

Also, Why does my herpes keep coming back?
Herpes outbreaks can keep coming back rather unexpectedly. This is because the herpes virus takes up permanent residence in nerve roots, and can never truly be eliminated (7). Additionally, Genital herpes outbreaks that occur after the primary infection are called recurrent infections (1).

The community mental health nurse Care Programme Approach

This is a paper that is focusing on the community mental health nurse Care Programme Approach. The paper also contains various questions in the attachment to further answer the assignment.

The community mental health nurse Care Programme Approach

Question 1
Following a Care Programme Approach meeting, a community mental health nurse (CMHN) trained in smoking cessation visited Jane and her mum at home to discuss Jane’s health needs.  Jane agreed to attend her GP surgery to have her diabetes and chronic obstructive pulmonary disease reviewed, and to discuss her weight and smoking. The CMHN was aware that Jane was taking an antipsychotic treatment (Olanzapine) for a diagnosis of Schizophrenia. Which has weight gaining properties, but acknowledged to Jane that she didn’t know much else about the impact Olanzapine might have on Jane’s physical health.  Jane wanted to stop smoking too. However, was worried that doing so might make her put weight on (she heard this from one of her friends).

At the GP appointment, Jane was told that her body mass index and blood pressure were above the recommended guidelines and he informed her that both problems are likely to be caused by her diet and her smoking.  The GP has suggested that Jane would benefit from joining the local Stop Smoking Group.

Following her appointment with the GP, tells the CMHN that she wants to prioritise losing weight over stopping smoking. Jane also tells the CMHN that she does not want to attend the local National Health Service Stop Smoking Group. She is too embarrass about her weight and is afraid to go.  It’s Jane’s 60th birthday in 5 months’ time and she says that she would like to lose 2 stone and stop smoking by then; she’d also like to know more about the factors that have an impact on her physical health.  She says she is in preparation to do some exercise to lose weight but does not know where to begin.  Jane’s mum has said she would like to help Jane reach her goals too. The CMHN has agreed to visit Jane weekly to monitor her overall physical and mental health. Also, help her lose weight and stop smoking.

Question 1
(a)         Using the template provided formulate a care plan to manage two of Jane’s current challenges. (10 marks)
PLEASE NOTE: the wordage used in your care plan do not count towards the word allowance for answering this question.

Using the breadth of learning from this module:

Discuss and analyse the potential impact of the two care plans for Jane’s health and wellbeing you have written, with reference to holistic and evidenced based care.

The management of clients with motor speech disorders

This is a paper that focuses on the management of clients with motor speech disorders. The paper also provides a case scenario to analyse on the assignment topic.

The management of clients with motor speech disorders

Overview: The management of clients with motor speech disorders falls under the range of practice area, “speech”. The case study aims to facilitate acquisition of the skills and knowledge required for the evaluation and planning of assessment and treatment of motor speech disorders. There is a particular focus on the application of theoretical principles.

Case Scenario:

You are a newly graduated speech pathologist working on a neurorehabilitation ward. You have received a new referral. Using the case history and data , along with your own independent research, you are to:
1) Firstly, analyse and describe your client’s communication profile. Formulate a differential diagnosis that is theoretically driven and support by research and the case data.
Hypotheses should be regarding the level of breakdown and spared and impaired sensorimotor speech processes using a theoretical model (20%).

2) Secondly, formulate an assessment plan for your client detailing what additional information you would need to gather to guide your management and why. Rationales should be provided, with theoretical and research justification for each assessment goal or area. You should include examples of tasks or measures that you might use (30%).

3) Thirdly, set out an intervention plan with rationale. This should include:
Formulation of long-term goals and treatment period goals and also identification of the treatment approach or tasks you would use with clear justification (20%).
Application of the principles of motor learning to justify and outline the structure of practice and feedback regimen to ensure both acquisition and generalization of skills targeted during the treatment period. You may select one treatment period goal to demonstrate this application and use of motor learning theory (10%).

4) Lastly, outline what treatment outcome measures you will use and how they could be analysed to determine whether your intervention is effective and treatment goals achieved. (10%).

The identification of a nursing theory research and practice

This is a paper that is focusing on the identification of a nursing theory research and practice. The paper also provides further questions to answer the assignment topic.

The identification of a nursing theory research and practice

Nursing Theory, Research, and Practice
Students will write a 3-4 page research paper (not including title and reference page) based on a Nursing Theorist. References should be cited in APA format.  Subheadings for the paper should include:

·         Statement:  Firstly, briefly describe your personal nursing theory
·         Nursing Theorist:  Secondly, identify the nursing theorist you have chosen for your paper that aligns best with your personal nursing theory.  Explain why you chose this nursing theorist as your model.
·         Paper:  Thirdly, identify and explain: (1) the PROS (identify 2) of the nursing theory chosen and (2) the CONS (identify 2) of the nursing theory chosen.
·         Journal article:  Fourthly, based on the nursing theory chosen and the PROs and CONs of the theory as it relates to your personal nursing theory, identify and include (1) nursing journal article that relates to your paper. Article must be written within the last 5 years and be from a nursing journal.

Paper Rubric
The paper includes the statement of the student’s personal nursing philosophy
The paper uses a professional nursing theory in the paper that best aligns with the students personal philosophy
Include (2) Pros and (2) Cons of the nursing theory you chose
Composition of paper
Organize it with a minimum of 3 headings.
Include 1 peer-reviewed journal articles related to your paper.
Use correct APA format including title page, in-text citations, Spelling/Grammar and reference page

Learning outcomes

Firstly, description of your personal nursing theory
Secondly, identification of the nursing theorist you have chosen for your paper
Thirdly, the PROS (identify 2) of the nursing theory chosen and (2) the CONS (identify 2) of the nursing theory chosen.
Lastly, the PROs and CONs of the theory as it relates to your personal nursing theory, identify

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

This is an assignment that focuses on the Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders. The paper identifies the effect on structure and function of the GI tract.

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

A‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ssignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders. Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom. Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors.

Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and also you design an appropriate drug therapy plan. CASE STUDY: Case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan. To Prepare Review the case study assigned Reflect on the patient’s symptoms, medical history, and ‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍drugs currently prescribed. Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system. Also, whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder. Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Write a 1-page paper that addresses the following:

Explain your diagnosis for the patient, including your rationale for the diagnosis. Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Justify why you would recommend this drug therapy plan for this patient. Be specific and also provide examples. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at https://writingcenter.waldenu.edu/57.htm). Also, all papers submitted must use this form‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍atting.

The submission of patient care records on a medical compliant

This is an assignment that focuses on the submission of patient care records on a medical compliant. This includes interventions and medication administration.

The submission of patient care records on a medical compliant

Case Study
You are to submit 1x Patient Care Records Form (Ambulance reports) based on a medical compliant  from the below list. Medical Complaints-  Choose only one Vertigo Seizure Severe Abdominal Pain    Narcotic Overdose

You need to fill in all the relevant information on the PCRF which is shown in the example format. Additionally, you are to use critical thinking in regards to the presenting complaint including documenting relevant signs and symptoms you may find with a person of this condition. You need to mention what investigations you have completed to rule out any other differential diagnoses. A minimum of 3 sets of observations is to show an appropriate trend (whether it be improvement or deterioration post relevant treatment).

The submission of patient care records on a medical compliant

You need to include all relevant interventions and also medication administration from your third year scope of practice. In regards to medication administration you should be including appropriate dosages and interval regimes . Finally you need to ensure you document how you transport your patient and under what transport considerations. An example of this PCRF, the template and marking rubric can be found within this content folder.

You can download the PDF version of the only acceptable template for this assessment via this folder. Once you download this item into PDF you will immediately be able to start typing into the ‘purple shaded’ section of this form. Handwritten PCRF’s are NOT ACCEPTABLE and will result in a 0 grade if submitted. Please ensure they are also upload under the ‘Landscape’ paper orientation. You can download the PDF version of the only acceptable template for this assessment via this folder. Once you download this item into PDF you will immediately be able to start typing into the ‘purple shaded’ section of this form. Handwritten PCRF’s are NOT ACCEPTABLE and will result in a 0 grade if submitted. Please ensure they are also upload under the ‘Landscape’ paper orientation.

Comparing Two Virtual 12 Step Self-Help Groups and applying it to nursing

Comparing Two Virtual 12 Step Self-Help Groups and applying it to nursing.   Attend one virtual AA meeting (12 step self-help group) AND attend a second group (either a different brand of 12 step meeting OR a support group addressing a shared heath problem)

Comparing Two Virtual 12 Step Self-Help Groups and applying it to nursing

Firstly, Attend one virtual AA meeting (12 step self-help group) AND attend a second group (either a different brand of 12 step meeting OR a support group addressing a shared heath problem)

12 Step Self-help Groups
Examples: Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Overeaters Anonymous (OA),  Gamblers Anonymous (GA), SLA (Sex & Love Anonymous), Shopaholics Anonymous (SA), etc.

Meetings listed as:
“O” for open to anyone questioning an addiction or;
“C” for closed thus only those who identify having an addiction may attend.
After departing premises, write down observations, thoughts, reflections, specific behaviours, processes apparent in group, etc., a crucial step for writing process paper.

Attend second group for contrast and comparison; thus, second group attendance must be a different 12
Step Self-Help Group (e.g. if you went to AA first, you cannot attend AA for second, even if a different location, language, format, etc. so second group observation/participation could be NA, GA, SLA, CA, etc.)

For those students interested in contrasting and comparing the 12-step self-help group meeting with that of a structured support group (e.g. multiple sclerosis, brain injured, cancer patients, newly divorced & dating) can opt to seek out a local support group of his/her choosing. Determine if permission from group facilitator is needed for attendance.

Write a 3-5 page (not to exceed 5) paper following 7th Edition APA format as comparing/contrasting the two groups attended (see grading rubric that follows):

First section of paper will describe and discuss the differences and similarities in structure and function between the two groups.

Discuss purpose of the group in relation to your observations.

What rationale exists for attendance? Perceived benefits from attendance?

Perceived detriments from attendance?

Demographics forming group (e.g. gender, age range, diversity of demographics, locals)?

Group cohesion or division? Met group objective for meeting?

Analyze impact of group on identified health problem.

Second section of the paper will discuss applicability of the group within scope of professional psychiatric nursing.
Paper should be rooted in Chapter 13 Group Interventions in Boyd (2018) Psychiatric Nursing: Contemporary Practice. However, students will need go to nursing literature to validate an assumption or observation; thus, students’ group process papers are expected to have citations beyond just textbook.

Nurse become sensitive to the complexities of caring 

This assignment is intended to help the future nurse become sensitive to the complexities of caring for diverse ethnic groups during their practice. Students will be required to explore the social and healthcare beliefs…

Nurse become sensitive to the complexities of caring

This assignment intention is to help the future nurse become sensitive to the complexities of caring for diverse ethnic groups during their practice.  Students requirement is to explore the social and healthcare beliefs and traditions of 4 ethnic groups to include one from the United States, one Hispanic, one Middle Eastern, and one Asian.  You should include your cultural group in whichever of these is appropriate.  Students will be expect ed to examine each group in some detail, compare similarities and differences between the groups, and compare one group to the student’s own ethnic background. There is a rubric for this assignment to guide you.

The paper MUST be in APA style; spelling, punctuation, and grammar will also be graded.  The paper  submission will be through Turnitin and cannot have more than 25% shared content with other sources.

More details;

How do you provide culturally competent care to diverse client groups?
Here are 5 ways to help you provide culturally competent nursing care.

Firstly, Perform a cultural competence self-assessment.

Secondly, Obtain a certificate in cultural competence.

Thirdly, Improve communication and language barriers.

Fourthly, Directly engage in cross-cultural interactions with patients.

Further, Participate in online chats and networks.

How does culture influence health beliefs?
The influence of culture on health is vast. It affects perceptions of health, illness and death, beliefs about causes of disease, approaches to health promotion, how illness and pain are experience and express ed, where patients seek help, and the types of treatment patients prefer.

How does diversity affect nursing?

Diversity in the Nursing field is essential because it provides opportunities to administer quality care to patients. … Every healthcare experience provides an opportunity to have a positive effect on a patient’s health. Healthcare providers can maximize this potential by learning more about patients’ cultures.

Assessing the abdomen A woman with abdominal cramping

This is an assignment that focuses on assessing the abdomen A woman with abdominal cramping. The paper also requires reviewing the episodic note case study.

Assessing the abdomen A woman with abdominal cramping

A‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ssignment 1:
Lab Assignment: Assessing the Abdomen A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CT scan. The CT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping. Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this Lab Assignment, you will firstly analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. Secondly, you will consider what history collection should be from the patients as well as which physical exams and diagnostic tests to conduct. You will also formulate a differential diagnosis with several possible conditions.

Assignment

To Prepare Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study. With regard to the Episodic note c‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ase study provided: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study. Additionally, consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Identify at least five possible conditions that may be in a differential diagnosis for the patient.

The Assignment Analyze the subjective portion of the note. List additional information that should be in the documentation. Also analyze the objective portion of the note. List additional information that should be in the documentation. Why or why not? What diagnostic tests would be appropriate for this case, and how would the results  to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions to consider as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-base‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ literature.

HPI ROS and physical exam-Physical Exam of the Adult Patient

For the purpose of this assignment, include: complete HPI, ROS, and physical exam comprehensive Physical Exam of the Adult Patient. Elicit and document a patient history, including: Chief Complaint, History of Present Illness, Past Medical and Surgical History, Family History and Personal Social History.

HPI, ROS, and physical exam-Physical Exam of the Adult Patient

For the purpose of this assignment, include: complete HPI, ROS, and physical exam Comprehensive Physical Exam of the Adult Patient.
Firstly, Elicit and document a patient history, including: Chief Complaint, History of Present Illness, Past Medical and Surgical History, Family History and Personal Social History.

Secondly, Accurately document Subjective Abnormal Data.

Thirdly,  Elicit a complete Review of Systems (ROS).

Fourthly, Demonstrate understanding the meaning of Pertinent Positives and Negatives.

Furthermore, Demonstrate the components of symptom analysis using the “Seven Attributes of a Symptom.”

Also,  Begin the practice of sequencing and coordinating the Comprehensive Physical Exam of the Adult Patient.

Additionally,  Identify anatomical landmarks of the human body pertaining to the systems listed below.

Lastly, Correlate examination techniques of the following body systems using the correct sequence and anatomical landmarks in an adult patient:

A. General Survey, Vital Signs, Pain g. Female Genitalia*

b. Behavior and Mental Status h. Anus Rectum and Prostate
c. Skin, Hair, and Nails i. Musculoskeletal System
d. Lymphatic System j. Nervous
e. Head and Neck
f. Thorax and Lungs
b. Cardiovascular
c. Breasts and Axilla
d. Abdomen
e. Peripheral Vascular
f. Male Genitalia

8. Use correct terminology to record objective components of the physical examination findings.
Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition

• Chapters 1, 2, & 3. Review, “Seven Attributes of a Symptom” found on page 70-71.

Please focus your reading for this unit on the sections of each chapter that detail system anatomical landmarks and general examination techniques. For the most part, this reading assignment, while extensive, is a review of material previously mastered at the undergraduate level. There is a tremendous amount of useful and important information in these chapters, which will become more useful as you gain skills and increase expertise in performing the physical exam. The goal of this course is to gain proficiency in the exam itself, and to be able to document your findings. As you read, keep this in mind.

The only way to become comfortable and proficient in physical exam skills is to practice them. We strongly suggest that you practice your assessment skills for each system at least 10 times on different classmates.

Chapter 1:

Firstly, Introduction to Health assessment

Chapter 4:

Secondly, The Health History

Chapter 6:

Thirdly, Physical examination

Chapter 7

Fourthly, Beginning the Physical Examination: General Survey, Vital Signs, Pain

Chapter: 8

Further, Nutrition

Chapter 9:

Also, The Skin, Hair and Nails

Chapter 10:

Additionally, The Head and Neck Page 7 of 25

Chapter 11:

Moreover, The EYES

Chapter 12:

Besides, Ears, Nose, Mouth and Throat

Chapter 13:

Apparently, The Thorax and Lungs

Chapter 14:

Also, The Cardiovascular System

Chapter 10:

Further, The Breasts and Axillae

Chapter 11:

Also, The Abdomen

Chapter 15:

Furthermore, The Peripheral Vascular System

Chapter 16:

Also, The Gastrointestinal and renal System

Male Genitalia and Hernia

Chapter 14:

Moreover, Female Genitalia

Chapter 15:

The Anus, Rectum, and Prostate

Chapter 16:

Lastly, The Musculoskeletal System

Chapter 17:

Finally, The Nervous System

 

ASSESSMENTS

1. Using the guidelines presented in the “Components of the Health History” chapters 1& 4 from Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition text, obtain and document a complete ROS for a patient. Document Pertinent Positives and Negatives while taking this ROS, using the Components of the Health History in the Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition text, found under “Present Illness.” Include a thorough description of each positive finding on the elicited ROS.

2. Complete a separate one-page document and choose one of the Subjective Abnormal Findings mentioned by your patient in the CC, History of Present Illness, or Review of Systems. Document your understanding of how to use the “Seven Attributes” for symptom analysis found in the Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition text.

3. Nursing Care plan Peripheral artery disease

This assignment should be submitted to APD in Week 13.
Review the Grading Rubric below which will guide you as you prepare to demonstrate proficiency in your documentation of the Review of Systems and the Seven Attributes of symptom analysis.