Pathophysiological changes associating with TB analysis and interpretation

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This is a paper that focuses on the pathophysiological changes associating with TB analysis and interpretation. The paper also provides a case study that is relating to the topic questions below.

Pathophysiological changes associating with TB analysis and interpretation

Case Study 1
Tuberculosis (TB)
Boris Vasilescu of Romanian heritage is a 62 year old factory worker. He has had an ongoing productive cough for 5 months with intermittent chest pain, experiencing night sweats, extreme tiredness, recently coughing up blood stained phlegm. His wife Magda has reported that he won’t eat the meals she cooks as a result; he has lost 10 kg from when his symptoms first started.
Upon presentation to hospital he is exhibiting the following physical symptoms: sharp chest pain, clammy skin, unilateral crepitation (crackling), shortness of breath, a respiratory rate of 20 breaths/min, temperature 38°C, oxygen saturation is 98% on room air, Pulse 110, BP 130/76, Weight 70kg.

He has had a chest X-ray showing upper lobe and cavity infiltrates suggestive of TB. A few days later – Boris has been diagnosed with active TB. He has been given appropriate antimicrobial medications upon discharge from the hospital.
Task Overview
This task will assess your understanding of conducting a comprehensive assessment of Boris introduced within the HSNS264 Moodle site who has TB. You will be required to provide a comprehensive overview relevant patient care and management such as an in-depth understanding of the patient’s TB condition, related anatomy and physiology, pathophysiology, relevant diagnostics including the pharmacodynamics of medications. Develop a nursing care plan and provide a relevant educational teaching plan prior to his discharge from hospital.

Instructions

Explore the case study on Boris, and consider a comprehensive assessment of his condition and the relevant patient care, medication treatment and management. Provide a detailed discussion of TB anatomy, physiology and pathophysiology. Discuss the pharmacological management of Boris’s TB condition, including the pharmacodynamics of medications in relation to his condition. Develop a nursing care plan prioritising his care and any relevant patient teaching prior to his discharge from hospital.

Assessment 2
1.  Firstly, analyse and interpret relevant objective and subjective data and explain them based on the pathophysiological changes associated with TB
2.  Secondly, evaluate and critique the pharmacological management prescribed for the patient
3.  Thirdly, identify nursing diagnoses relevant to the case study and develop a nursing care plan with rationales (Do not use tables for nursing care plan)
4.  Fourthly, discuss about education topics relevant to the patient prior to his discharge from hospital.
5.  Adheres to UNE general academic writing and presentation
6.  Lastly, demonstrate broad research about the topic from peer reviewed resources which are current and follow APA referencing standard

14 years girl with eating disorder-she recently discharges

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The patient is a 14 years girl with eating disorder. She recently discharges from hospital due to require NG tube feeding. She also has a 12 years old sister has same eating disorder. Both of her and her sister are rude to their mom. Pleas mention in the reflection and need for a therapy. Please concentrate on Plan part of this assessment.

14 years girl with eating disorder-she recently discharges

The patient is a 14 years girl with eating disorder. She recently discharges from hospital due to require NG tube feeding. She also has a 12 years old sister has same eating disorder. Both of her and her sister are rude to their mom. Pleas mention in the reflection and need for a therapy. Please concentrate on Plan part of this assessment.

ASSESSMENT:

List your priority diagnosis (es). For each priority diagnosis, list at least three differential diagnoses, each of which must be supported with evidence and guidelines. For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled. These should also be include d in your treatment plan.
Anorexia Nervosa 1st,
Bulimia Nervosa 2nd,
Binge eating disorder 3rd,

Please make up the s/s to fit the priority diagnosis (Anorexia Nervosa).

PLAN:

Include additional laboratory and diagnostic tests, consults, therapeutic modalities, health promotion patient education as well as disposition/follow up instructions as they pertain to your patients’ assessment.

Treatment Plan:

If applicable, include both pharmacological and non-pharmacological strategies, alternative therapies, follow-up recommendations, referrals, consultations, and any additional labs, x-ray, or other diagnostics. Support the treatment plan with evidence and guidelines.

Health Promotion:

Include exercise, diet, and safety recommendations, as well as any other health promotion strategies for the patient/family. Support the health promotion recommendations and strategies with evidence and guidelines.

Disease Prevention:

As appropriate for the patient’s age, include disease prevention recommendations and strategies such as fasting lipid profile, mammography, colonoscopy, immunizations, etc. Support the disease prevention recommendations and strategies with evidence and guidelines.

REFLECTION:

Document what you learned from this experience? Any ah-ha’s?

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 6th edition formatting.

Assessing and Treating Clients with Psychosis and Schizophrenia

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Assessing and Treating Clients with Psychosis and Schizophrenia. Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client.

Assessing and Treating Clients with Psychosis and Schizophrenia

Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamics processes.

At each decision point stop to complete the following:

Decision #1
Firstly, Which decision did you select?

Secondly, Why did you select this decision? Support your response with evidence and references to the Learning
Resources.

Thirdly, What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Fourthly, Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

Decision #2
Firstly, Why did you select this decision? Support your response with evidence and references to the Learning
Resources.

Secondly, What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Thirdly, Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3
Firstly, Why did you select this decision? Support your response with evidence and references to the Learning
Resources.
Secondly, What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.

Epidemiology and nursing research to a communicable disease

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Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology and nursing research to a communicable disease

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology Paper Requirements
Include the following in assignment:
Firstly, A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.

Secondly, What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.

Thirdly, Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.

Fourthly, Discuss the role of the public health nurse in relation to this disease.

Additionally, How is the public health nurse involve d in finding, reporting, collection and analysis of data and follow up?

Finally, A minimum of three references is require d. The written essay should be at least 1250 words in length.

APA format.

More details;

What is epidemiology study?

Epidemiology is the study of diseases in populations of humans or other animals, specifically how, when and where they occur. Epidemiological evidence can only show that this risk factor is associate d (correlate d) with a higher incidence of disease in the population expose d to that risk factor.
Further, What are the components of epidemiology?
The epidemiologic triangle is made up of three parts: agent, host and environment.
  • Agent. The agent is the microorganism that actually causes the disease in question. …
  • Host. The agent infects the host, which is the organism that carries the disease. …
  • Environment. …
  • HIV.
A communicable disease is one that is spread from one person to another through a variety of ways that include. Contact with blood and bodily fluids; breathing in an airborne virus; or by being bitten by an insect.

 

The Case of the Tuskegee Syphilis Study by Allan M. Brandt

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Read Racism and Research: the Case of the Tuskegee Syphilis Study by Allan M. Brandt. (NOTE: the article is attached and another copy is available separately in this folder).

The Case of the Tuskegee Syphilis Study by Allan M. Brandt

Read Racism and Research: the Case of the Tuskegee Syphilis Study by Allan M. Brandt. (NOTE: the article is attached and another copy is available separately in this folder).

After reading the article, answer the questions from the two sections below:

Section 1:

In your own words, write 1-2 paragraphs describing the events presented in the essay. Answer each of the following specific questions in your response:

Firstly, What were the main discussion points of the essay?

Secondly, What were the results and consequences of the study?

Thirdly, Would it be acceptable to replicate this study today? Why? Or Why not?

Finally, Was this study ethical/unethical? Explain why.

Section 2:

Using one of the sociological perspectives on race and racism presented in the textbook, explain the events described in the essay.

For the sociological perspective you choose, explain how it is relevant to the article and draw one or more conclusions from your analysis.

Discuss the limitations of the sociological perspective you choose in describing the event. In other words, what does the perspective miss or not explain well.

The Case of the Tuskegee Syphilis Study by Allan M. Brandt
In 1932 the U.S. Public Health Service (USPHS) initiated an experiment in Macon County, Alabama, to determine the natural course of untreated, latent syphilis in black males. The test comprised 400 syphilitic men, as well as 200 uninfected men who served as controls. The first published report of the study appeared in 1936 with subsequent papers issued every four to six years, through the 1960s. When penicillin became widely available by the early 1950s as the preferred treatment for syphilis…

The SOAP Note analysis of a 56 year old white man

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This is a paper that focuses on the SOAP Note analysis of a 56 year old white man. The paper also provides questions to answer for the paper.

The SOAP Note analysis of a 56 year old white man

Week 5 Assignment 2:  SOAP Note

A 56-year-old white man presents with an accelerated decline in lung function. Last year you ordered an albuterol inhaler prn and also that seemed sufficient. Today he is dyspneic, pale, and seems almost listless. He continues to smoke, and his pack-year history is 40 years.

CC: “I have to sleep in my recliner because I can’t lie in bed, and I have no energy to do anything—I don’t even have energy to eat.”

Physical exam:
Blood pressure: 132/94
Pulse rate: 120 beats/min
Respiration rate: 36/min.
Height: 5΄9΄΄
Weight: 160 lbs
AP to lateral diameter: 1:1
Cough with clear mucoid sputum
Diminished breath sounds
Hyperresonance over lung fields on percussion and use of accessory muscles during respiration
Pulmonary function tests: Postbronchodilator FEV1 < 0.6
FEV1/forced vital capacity < 0.7
Chest x-ray film: Small heart, hyperinflation, and flat diaphragm
Arterial blood gases: Arterial hypoxemia and also respiratory acidosis

Questions:
1.    Firstly, what additional subjective data do you think the patient will share?
2.    Secondly, what additional objective data will you be assessing for?
3.    Thirdly, what National Guidelines are appropriate to consider?
4.    Fourthly, what tests will you order?
5.    Will you be looking for a consult?
6.    What are the medical and also nursing diagnoses?
7.    Also, are there any legal/ethical considerations?
8.    Additionally, what is your plan of care? Medical, nursing, complementary therapies
9.    Subsequently, are there any Healthy People 2020 objectives that you should consider?
10. Using the Circle of Caring, what or who else should be involved to truly hear the patient’s voice, getting him and also the family involved in the care to reach optimal health?
11. What additional patient teaching may be needed?
12. Finally, what billing codes would you recommend?

Identify a problem of interest within your clinical practice and research

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The focus of the final two weeks will be on bringing the information together through research.  You will identify a problem of interest within your clinical practice and research the data.

Identify a problem of interest within your clinical practice and research

Final Assignment: Evidence-Based Paper

Introduction
The focus of the final two weeks will be on bringing the information together through research.  You will identify a problem of interest within your clinical practice and research the data.

Learning Objectives 
FIRSTLY,  Bringing it all together.
SECONDLY, Checklist for the Week.
This week, you will need to complete the following:
THIRDLY, Do your own research.

Objectives
FIRSTLY,  Identify and discussion basic designs, corresponding questions, analytical methods related to research questions, and limits on implications of findings (e.g., causal vs. relational)

Deliverables
FIRSTLY,  Write a 6-8-page (not including the title and reference pages) paper.
SECONDLY, APA formatted paper with an introduction and conclusion.
THIRDLY,  APA headings for each section of the paper.
FOURTHLY, At least 5 peer reviewed articles.

Step 1: Research

·         Review previous research and new research to complete.
Step 2: Consider
For your final paper you will identify an issue in nursing and explore the evidence.
FIRSTLY, What is the problem?
SECONDLY, What do you hope to achieve by addressing it?
THIRDLY,  Identify your search strategies
FOURTHLY, What level of evidence were you able to find?
FURTHER, Write a literature review of at least 5 articles to address your problem.
ADDITIONALLY, Solutions.
Step 3: Write
FIRSTLY, Write a paper that addresses the questions above.

Please refer to Rubric to get full possible pints.

Criteria for grading

Intentional Learning and Reflection
25.0 pts
Exemplary
Identifies/addresses a relevant topic and a thesis that provides direction for the content that is engaging and thought provoking. The thesis clearly and concisely states the position, premise, or hypothesis and is consistently the focal point throughout the presentation. Demonstrates a sophisticated understanding and careful, critical analysis of the research topic and thesis (argument). Compares/contrasts perspectives, considers counter arguments or opposing positions, and draws original and thoughtful conclusions with future implications.

This criterion is linked to a Learning Outcome Decision Making and Clinical Reasoning
25.0 pts
Exemplary
Provides compelling and accurate evidence to support in-depth analysis to the central position beyond the required (2) research sources with at least 1 source from a periodical database. Research sources are highly relevant, accurate, recent (less than 5 years old) and reliable and add to the strength of the content.

Organization & Presentation
25.0 pts
Exemplary
Content is effectively organized. Ideas are arrange logically, flows smoothly, with a strong progression of thought from paragraph to paragraph connecting to the central position. Includes all required components (introduction, body, conclusion, citations, references, etc.). For a slide presentation, the design, font size, style, and spacing are optimal for audience viewing

This criterion is linked to a Learning Outcome Writing and APA Formatting
25.0 pts
Exemplary
Content is well written and uses Standard English characterized by elements of a strong writing style. Basically, free from grammar, punctuation, spelling, usage, or formatting errors. APA guidelines for formatting are consistently followed. Includes in-text citations and references that are written correctly.

Total 100 points

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.