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.

Case Study – Kidney Transplant

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Paper details Case Study – Kidney Transplant

E.M is a 24-year-old female that had a kidney transplant six months ago. She is currently taking cyclosporine, mycophenolate, and prednisone.

She comes to the emergency room at the request of the transplant coordinator with body aches, chills, and severe headache. The assessment and laboratory data noted the following: • T-101.9°F – HR 120 – RR 24, BP 195/100, SPO2 98% RA • Bilateral 1+ edema noted in the ankles • Pain and tenderness when palpating around the kidneys • WBC 2,500 • She has not urinated in 12 hours. She is diagnosed with acute organ rejection and transferred to the transplant unit and started on Antithymocyte globulin (rabbit) and high dose steroids. [McCuistion, L.E., Vuljoin-DiMaggio, K., Winton, M.B., and Yeager, J.J., (2018). Pharmacology A Patient-Centered Nursing Approach (9 ed.) St. Louis, MO: Elsevier.] Assignment: 1. Write two nursing diagnoses with related to and as evident by statements (Only one may be at risk for)? 2. Write a short-term (during shift) and a long-term (before discharge) SMART goal for the patient? 3. What is the action for cyclosporine, mycophenolate, and Antithymocyte globulin (rabbit)? 4. Why does E.M require cyclosporine, mycophenolate, and prednisone? 5. What significant side effects/adverse effects are possible with cyclosporine, mycophenolate, and Antithymocyte globulin (rabbit)? 6. In addition to the physician and nurse, name five other professions that should be involved in M.J.’s care and why? 7. Name some advantages and problems with interdisciplinary teams?

Apply the principles of the Quality Use of Medicines framework to a patient

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Apply the principles of the Quality Use of Medicines framework to a patient scenario.

Paper details Dear writer,

This paper about applying the principles of the Quality Use of Medicines framework to a patient scenario.

I’m not satisfied about the content of this assignment and the way paragraphs divided, the way the paper was written was in wrong direction and i will explain that. when I ordered revision, the writer fix some parts and left the rest. I will try as I can to make clear instructions about the problem that may help you to fix this work. just to be clear we have: – patient scenario – assignment 1 about pharmacokinetics and pharmacodynamic. – assignment 2 which current paper about applying the principles of the Quality Use of Medicines framework to a patient scenario. 1- this assignment 2 based on two previous papers, first we wrote patient scenario and then the second work based on the patient scenario and the medications that he used, I wrote about the pharmacokinetics and pharmacodynamic of medications (assignment 1). current paper supposed to be built on assignment 1, so I will attach the three works, and after you read them you will have clear idea about what you are dealing with. 2- Please read the patient scenario and assignment 1, you will find the main problem is old patient who have type 2 diabetic and other associated diseases. The case scenario is about specific problem which is possible to happen in diabetic patient (if any diabetic patient takes the diabetic medication without eating before can face hypoglycemia and some time lead to coma if the condition is critical. so, since this current paper should build on previous works, it should be in the same scope or problem. in another word, if we need to write about the four diseases in the patient ( diabetes mulitas, asthma, rheumatoid arthritis transient ischemic attack (TIA) and the patient’s medications that have been discussed in assignment 1 to apply the principles of the Quality Use of Medicines framework to a patient scenario. we need to keep the same direction of the main problem (hypoglycemia) and then we write about the rest problems. for example, when we write about diabetic type 2 in elderly, we should write about hypoglycemia in this case and even in last two important parts in this paper (Strategies for Medical Education of Patients Based on Ethical and Socio-Cultural Aspects, and Recommendations for Further Research). if you read this part you will find it in general and there was no mention or focus on the main problem.

Dialectical behavior therapy as treatment for borderline personality disorder

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Topic Clare is brought to the ER after slashing her wrist with a razor. She had previously been in the ER for drug overdose and has history of addictions. She can be sarcastic, belittling and aggressive to those who try to care for her. She has a history of difficulty with interpersonal relationships at her job. Clare is diagnosed with borderline personality disorder. First, identify the defense mechanisms Clare is using, and second,discuss the various dialectical behavioral activities that can be utilzed with Clare.

Nurse Leadership Interview

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Leadership Interview and Reflection Paper-Appendix D You may select to interview a person in a leadership position.

The person must be responsible in some capacity for other employees. The interview may be conducted by phone, email or in person. This nurse manager may be from a variety of health care areas: Hospital Unit Managers; Chief Nurses; Home Health Director of Nursing; Nursing Home Director of Nursing; Unit Charge Nurse or if not listed you may approach your faculty to determine if the individual you want to interview is appropriate. As with all papers, utilize APA format. The Interview Paper must be APA formatted and should have: a Title Page; Interview section the paper should be a minimum of 3 but no more than 5 pages, Reflection portion should not be more than 2 pages (each student reflection), and a Reference Page. See Appendix D for grading rubric Interview section:

In your interview, include the name of the leader and his or her position, organization or field the leader works in, and length of time in position. Below are some questions you may ask the leaders. Include at least 10 questions in your interview-List these. 1. Describe the organization that you work in, including the culture of the organization and your responsibilities as a leader. 2. Describe your leadership style. 3. Describe the steps taken to get in your current leadership position. 4. What has been your biggest challenge as a leader? 5. What has been your greatest achievement as a leader? Reflection: Include a citation to one Leadership Article of your choosing and attach copy Each group member must write their own reflection portion related to the interview.

1. What did you learn about the connection between culture, health career roles, and leadership from conducting this interview? How can this improve your leadership abilities? 2. What surprised you, if anything, about the interview. 3.Were there any nuances to the leader’s responses, which may be attributed to healthcare roles or cultural differences in leadership behaviors discussed in the module? please use this question to write the paper

Nursing Leadership and Management.

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Description 1. Why is the subject of workplace health and safety of concern to nurses? How are these concepts related to patient safety and patient outcomes? 2. What action is suggested when you are faced with an angry or hostile coworker? 3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse? 4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances. 6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? • Latex allergies • Needlestick injuries • Violence 3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” Which concepts discussed in these sections are particularly important to the beginning RN? Why? 4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns. • Substance abuse among nurses • Emergency preparation • Quality of work life within the organization

Describe a health promotion model used to initiate behavioral changes

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Description

Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?See attached for material. This is not an essay but just an answer to a question. I will copy and paste what you write to an online school website. References needs to be APA. Please use attached as a 1 of the sources.

Patient Management and Delegation

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Use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered. Then, include an introduction and conclusion to tie the paper together. If you have any questions regarding the assignment please contact your instructor using the Course Help forum. Grading Rubric Competency 20 Points 16 Points 12 Points 0 Points Points Earned Reflection Reflects on feelings experienced as the charge nurse related to delegation and caseload management. Describes feelings experienced as the charge nurse related to delegation and caseload management. List feelings experienced as the charge nurse related to delegation or caseload management. . Does not complete assignment. /20 Summarize Summarizes the change nurse responsibilities. Discusses two charge nurse responsibilities. Names three or details one charge nurse responsibility Does not complete assignment. 20 Reflection Reflects on correct and incorrect decisions and responses; considers changes to make if repeating module. Reflects on correct and incorrect decisions and responses OR considers changes to make if repeating module Briefly lists correct and incorrect decisions and responses OR lists changes to make if repeating module Does not complete assignment. 20 Competency 30 Points 25 Points 15 Points 0 Points Application to Practice Reflects on 3 or more experiences can be applied to practice. Reflects on how the 2 of the experiences can be applied to practice. Reflects on how the 1of the experiences can be applied to practice. Does not complete assignment. /30 Competency 7 Points 4 Points 2 Points 0 points Points Earned Format Organization is logical, ideas are clear, and transitions are smooth. Spelling, grammar, punctuation, mechanics and usage correct and consistent with Standard American English. No typographical errors For Powerpoint, Bulleted points only, no paragraphs to read Augments all information with voice Organization good, ideas usually clear and transitions usually smooth. Spelling, grammar, punctuation, mechanics, and usage good and consistent with Standard American English; errors do not interfere with meaning or understanding. There are a few minor typographical errors For Powerpoint, Usually applies bulleted points. Briefly augments information with voice Organization does not meet requirements. Spelling, grammar, punctuation, mechanics and/or usage interfere with understanding and do not reflect scholarly writing. There are major typographical errors. For Powerpoint, rarely applies bulleted point Rarely augments with voice Does not complete assignment. No audio included /7 Competency 3 Points 2 Points 1 Point 0 points APA Format Demonstrates competent use of mechanics and APA Minimal APA errors Many APA errors Complete lack of understanding

Nursing diagnosis

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From the move ” good will hunting”by Robin William an Matt Damon > give 3 nursing diagnosis with 3 parts(nursing diagnosis, related factors and evidence by) > cite few subjective and objective data to support the nursing diagnoses. >Give the summary of the movie with emphasis to criticism of therapist communication techniques, communication blocks/pitfalls by therapist and strength, weaknesses of the therapy session and as a nurse how do you think you can apply the therapeutic communication you have learned in the movie to nursing in general.

How effective are smoking cessation interventions delivered by nurses

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1. Introduction to paper is clear and concise. A thesis statement identifies topic, purpose and scope of paper. 2. Review of literature identifies main issue. Impact/importance of topic is addressed for nurses/patients/profession as applicable. Each view point is clearly explained and supported. 3. Conclusion of paper summarizes main point discussed in the paper and brings the discussion to a close. 4. Basic APA format is used with title page and references list. running head in proper format and location, spacing, page numbers paragraph indents are correctly implemented. 5. in text cites are correctly formatted, including up to 2 direct qoutes. 6 use at least 3-4 .Sources. Sources cannot be no more than 5 years old. use reputable sources (articles, journals, etc….