The adherence of medication in chronic kidney disease

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This is a paper that focuses on the adherence of medication in chronic kidney disease. The paper also discusses the individual differences relating to the topic.

The adherence of medication in chronic kidney disease

Title: A report on adherence of medication in chronic kidney disease (affecting adults) for dialysis nurses

The aim of this report is to address how individual differences have an impact on medication adherence in people with chronic kidney disease (CKD).

Individual differences:
Sociodemographic features and beliefs about medicines on adherence to medication treatment (Theofilou, 2013)
Age, e.g. older hemodialysis patients as well as older transplant patients are more adherent to medication treatment (Avram et al., 1990;
sex and also gender differences (Kimmel et al., 1995)
ethnic differences (Jindal et al., 2003)

AND SO ON! I assume there are many more individual differences that may determine the adherence to medication/treatment in people with chronic kidney disease (CKD).
STAKEHOLDERS REPORT

1.       Firstly, the task is to produce a REPORT addressing the impact of CHRONIC KIDNEY DISEASE (kidney failure; CKD) and THE ROLE OF INDIVIDUAL DIFFERENCES on this condition. This has to be presented as a 2,000 WORD REPORT directed at healthcare professionals (in this case DIALYSIS NURSES). At the end of the report reference list has to included and the report has to based on academic literature. It is like an academic writing for dialysis nurses.

2.       Secondly, to accompany this a LEAFLET has to be designed and created which will be aimed at a particular client group that has been identified in the report. (in this case PEOPLE WHO SUFFER FROM CHRONIC KIDNEY DISEASE and need dialysis). The contents of the leaflet have to be based on the evidence presented in the stakeholders report but should be suitable for the lay reader.

Lastly, it also needs to include some statistics, graphs, numbers too, which is easily comprehendible by the lay people/lay public who have this disease.
The Leaflet should be engaging and easily readable, avoiding special/technical/difficult terms and words.

Clearly define the adolescent health problem or issue and address why

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Clearly define the adolescent health problem or issue and address why it is of significance to the field of social work. (Describe the issue, who is affect ed, incidence/prevalence, costs – both financial and other – associate d with the issue, why action is needed)

Clearly define the adolescent health problem or issue and address why

Students are expected to write an individual final paper addressing an issue of public health importance relating to adolescents with the following components:

Firstly, clearly define the adolescent health problem or issue and address why it is of significance to the field of social work. Describe the issue;

who is affect ed;

incidence/prevalence;

costs – both financial and other associated with the issue;

why action is need ed?

Secondly, critically review school, family, and community programs and policies designed to prevent the health problem or promote health issue currently.

• Assess if the strategies have been evaluate d with rigorous research designs.

• Determine the results of these strategies. Were they effective? What doesn’t work?

Thirdly, employ peer reviewed literature and use mainly primary sources as references (e.g., not literature reviews or web-based articles)

Fourthly, present an evidence-based intervention that is derive d from your understanding of the problem. Also, the publish ed intervention research (please justify your selection of an intervention). Also, discuss implications for prevention. You should include a description of your proposed policy or program: rationale, design, intended audience, implementation, anticipated outcomes, and evaluation methods.

This is to be a professional research paper with accurate APA citations (minimum of 5 – 7 references required) from recent professional literature. Use referencing format per the American Psychological Association format (5th edition or later), which can be found online.

More details;

What are the problems and health concerns during adolescence?

The teenagers reported worrying mostly about chronic conditions such as acne, menstrual disorders, emotional problems, dental problems and being overweight. The psychosocial problems most important to the adolescents were school and family problems.

Role of the acute care nurse e.g unit staff nurse 

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Identify the role of the acute care nurse (e.g., unit staff nurse) in planning and coordinating care to transition patients to home (or other non-acute setting).

Role of the acute care nurse (e.g., unit staff nurse)

Clinical Reasoning Tool: Practice Excellence
Goal of this clinical reasoning tool. This assignment will assist nursing students in identifying and exploring the role of acute care nurses in the transition process.

Directions: 

The student will identify the role of acute care nurses in the transition (discharge) process related to the current Immersion setting. This role could be currently used in the Immersion setting or found in the nursing literature. ALSO, related to the Immersion setting.  Additionally, the student will complete the questions on this clinical reasoning tool to explore this role.  Further, responses should be detailed and thoughtful.  If the student refers to the literature a citation should be included (APA format).  After completion of this assignment, students will share findings in a clinical debriefing.

Page limit: 1 page
Identify the role of the acute care nurse (e.g., unit staff nurse) in planning and coordinating care to transition patients to home (or other non-acute setting).

Describe the impact of the acute care nurse’s function on patient care outcomes after transition from the acute care setting.

Identify and describe any barriers to practice excellence as related to potential complications that impede safe and effective transitions of care from your acute care setting.

How can acute care nurses contribute to changing and supporting evidence-based practice to better addresses the physical and behavioral needs for patients and families during transition from the acute care setting.

More details;

What is the role of the nurse in patient transitions?
Additionally, Nurses play a key role in promoting successful transitions by developing and evaluating the transition plan and identifying and communicating barriers to the plan. Nurses must engage patients and caregivers as active partners and advocates for their healthcare and community support needs.

 

The hospital where you work is at maximum capacity-every bed is 

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The hospital where you work is at maximum capacity. Every bed is occupied on every unit. The emergency department (ED) is full, and patients awaiting admission are being held in the hallways.

The hospital where you work is at maximum capacity-every bed is

Firstly, the hospital where you work is at maximum capacity; every bed is occupied on every unit.

Secondly, the emergency department (ED) is full, and patients awaiting admission are being held in the hallways.

Thirdly, you have just left a Director’s meeting where everyone has been informed that the ED is not able to go on diversion. Therefore, patients awaiting admission from the ED will be sent to the nursing units within the next three hours.

Further, you have been ask ed to admit patients to your unit and place them in the alcoves at the end of each hallway. Also, Rental beds and privacy screens will be deliver ed within the hour.

Lastly, you are the nurse manager of a progressive care unit where all patients are monitor ed for their cardiac rhythms.

More details;

When admitting a patient what are the basic procedures?
  • In Preparation. Prior to the day of your hospital procedure or admission, there are several processes that must be completed, including: …
  • Registration. …
  • Patient Advocate Consultation. …
  • Pre-Admission Testing. …
  • Anesthesia Evaluation/Questionnaire. …
  • The Day of Arrival. …
  • Billing and Payment. …
  • Phone Numbers.
What is the most common reason for hospital admission?
Highlights. Circulatory disorders (diseases of the heart and blood vessels) were the most frequent reason for admission to the hospital through the ED, accounting for 26.3 percent of all such admissions; injuries accounted for 11.4 percent.
Can you make a hospital admit you?
Decision to Admit to the Hospital. Generally, it is in your best interest to ask the emergency department doctor to contact your primary care physician, even if he or she does not admit patients to the hospital where were taken. … This “on call” physician can admit you to the hospital.

J.S. is a 54-year-old Hispanic woman who presents to her primary-care 

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J.S. is a 54-year-old Hispanic woman who presents to her primary-care clinician for follow-up regarding elevated blood pressure. She was last seen 2 weeks prior with a blood pressure of 162/94 mmHg.

J.S. is a 54-year-old Hispanic woman who presents to her primary-care

Case Study:
J.S. is a 54-year-old Hispanic woman who presents to her primary-care clinician for follow-up regarding elevated blood pressure. She was last seen 2 weeks prior with a blood pressure of 162/94 mmHg. She has no significant medical history. Additionally, she is a 1 ppd tobacco user with a history of 25 pack-years, and she has a family history of premature cardiac death.

Evaluation:
Her vital signs are as follows: height, 5 ft. 4 in.; weight, 188 lb.; pulse, 84 beats/min; blood pressure, 168/98 mmHg; and body mass index, 32.3. As J.S. has been found to be hypertensive (>149/90) on two consecutive office visits, starting an antihypertensive medication is indicated.

Questions:
Firstly, What is your initial choice for an antihypertensive medication in this patient? (Further, support your treatment plan with a discussion of the evidence based guideline you utilized)

Secondly, Which therapeutic lifestyle change is a priority in helping J.S. achieve blood pressure control?

Thirdly, Which of the following diagnostic tests would you order for J.S. to establish a baseline before starting an anti-hypertensive?

More details;

There are many classes of antihypertensives, which lower blood pressure by different means. Among the most important and most widely used medications are thiazide diuretics, calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists (ARBs), and beta blockers.
Further, What is the best antihypertensive medication?
According to many studies, thiazide diuretics (hydrochlorothiazide, chlorthalidone) and calcium channel blockers (amlodipine) are the place to start. Another option. ACE inhibitors (lisinopril, benazepril, etc) or ARBs (valsartan, irbesartan, losartan) are also recommend ed as a good place to start.
Lastly, What are the new antihypertensive drugs?
We review three new classes of antihypertensive drugs: imidazolines, monatepil, and neutral endopeptidase inhibitors. Imidazolines are a new generation of central acting drugs.

The Yellow Wallpaper illustrate the dangers of the Rest Cure

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How does “The Yellow Wallpaper” illustrate the dangers of the Rest Cure as a treatment, especially those related to gender roles? You may include in your answer how late 19th century ideas about women shaped Mitchell’s Rest Cure, but make sure to include references to the short story.

“The Yellow Wallpaper” illustrate the dangers of the Rest Cure

How does “The Yellow Wallpaper” illustrate the dangers of the Rest Cure as a treatment, especially those related to gender roles? You may include in your answer how late 19th century ideas about women shaped Mitchell’s Rest Cure. But make sure to include references to the short story.

More details;

What is the rest cure in the Yellow Wallpaper?
The cure involved four basic elements: bed rest, force-feeding/overfeeding, massage, and electrical stimulation of the muscles. Later, Mitchell adapted the rest cure to treat hysteria and other nervous disorders in the civilian population.
What is the mental illness in the Yellow Wallpaper?
Nervous exhaustion

The protagonist of the story might have been suffering from puerperal insanity, a severe form of mental illness labelled in the early 19th century. He claimed by doctors to be triggered by the mental and physical strain of giving birth.

What is the symbolic meaning of the yellow wallpaper?
Clearly, the wallpaper represents the structure of family, medicine, and tradition in which the narrator finds herself trapped. Wallpaper is domestic and humble, and Gilman skillfully uses this nightmarish, hideous paper as a symbol of the domestic life that traps so many women.
Who is Jane in Yellow Wallpaper?
There are only two possibilities for the identity of ‘Jane’ in Charlotte Perkins Gilman’s ‘The Yellow Wallpaper’. It is either a typo for Jennie, or Jane refers to the narrator herself. This lesson covers both, and focuses on the argument that Jane is the name of the narrator.

Briefly explain the pathophysiology of myocardial infarction in this patient

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Briefly explain the pathophysiology of myocardial infarction in this patient. In your answer identify the clinical manifestations of an MI demonstrated by Kath Harris and why these are occurring. Identify the risk factors evident within this case study. How would you manage Mrs Harris’ care?

Briefly explain the pathophysiology of myocardial infarction in this patient

Your assignment is to produce a written piece of work addressing the following areas;

PATHOPHYSIOLOGY
Firstly, Briefly explain the pathophysiology of myocardial infarction in this patient. Secondly, In your answer identify the clinical manifestations of an MI demonstrated by Kath Harris and why these are occurring. Lastly, Identify the risk factors evident within this case study. How would you manage Mrs Harris’ care?

MANAGEMENT
Furthermore, Outline the immediate nursing and medical management Mrs Harris requires in the treatment of an acute MI. In your answer include the pharmacological management required by a patient with an acute coronary syndrome.

MEDICATIONS
– Identify three medications that would be used in the treatment of an MI and outline the indication for use, mechanism of action, administration method, side effects, and nursing care required for these medications (No tables).

Aim of assessment
Additionally, The purpose for this case study is to enable students to produce a nurse-led case management plan, using evidence-based information relevant to nurses and up-to-date Australian statistics, for improving the health and quality of life for an older adult who have suffered a myocardial infarction. Also, Content should include discussion on pathophysiological treatment options, based on national guidelines and implications for nursing practice.

More details;

What does pathophysiology mean in medical terms?
Pathophysiology ( a.k.a. … Pathology describes the abnormal or undesired condition, whereas pathophysiology seeks to explain the functional changes that are occurring within an individual due to a disease or pathologic state.
What is an example of pathophysiology?
Medical Definition of
Pathophysiology

Pathophysiology: Deranged function in an individual or an organ due to a disease. For example, a pathophysiologic alteration is a change in function as distinguished from a structural defect.

Pathophysiology 370: In people with diabetes mellitus type 1

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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

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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

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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%).