Archive for category: Nursing Assignment Help

Description Evaluate the Health History and Medical Information for Mr. M., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN. Case Scenario Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing. Objective Data Temperature: 37.1 degrees C BP 123/78 HR 93 RR 22 Pox 99% Denies pain Height: 69.5 inches; Weight 87 kg Laboratory Results WBC: 19.2 (1,000/uL) Lymphocytes 6700 (cells/uL) CT Head shows no changes since previous scan Urinalysis positive for moderate amount of leukocytes and cloudy Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L Critical Thinking Essay In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following: 1)Describe the clinical manifestations present in Mr. M. 2)Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support. 3)When performing your nursing assessment, discuss what abnormalities would you expect to find and why. 4)Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family. 5)Discuss what interventions can be put into place to support Mr. M. and his family. 6)Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each. You are required to cite to a minimum of two 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. Referance https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/2

Be sure to address all parts of the question when necessary. The essay should cover the topic thoroughly and will probably be one page in length. The text can provide the information you need to answer the question although outside legitimate sources can also be used. For all essays, you need to cite your sources or provide a direct, active link to the website used following APA format. DO NOT USE WIKIPEDIA, BLOGS, or TWEETS. Do not copy word-for-word what is in your textbook or your reference for the essay unless you are using quotation marks to indicate it is a direct line or quote from the reading. Best practice is to paraphrase the material instead of using direct quotes. You do not have to set up the entire essay in APA format just make sure you are using in text citation when needed and providing references.

Operations Management – Case Study – Clear Eyes Cataracts Clinic

Read the ClearEyes case and provide a written analysis that includes answers to the following questions. Your paper should be typed, in paragraph form, 12 point font, double-spaced. You should provide a thorough analysis that includes answers to the above questions. Your paper should be a minimum of 3-5 typed pages. 1) Use the process flow diagram exhibit to calculate capacity utilization for each category of staff, and for intake, surgical, and examination rooms. What is the clinic’s capacity per year? 2) By what percentage would patient volume and capacity utilization change if ClearEyes cut in half of the patients who complete intake but fail to show up for surgery? If the clinic could increase customer yield as described above, would it need to add any staff or room capacity? If so, how much? 3) How much would pretax profit change if this increase in yield were accomplished? 4) What actions could ClearEyes take to increase yield? Be careful to recommend actions, rather than results of actions such as “reduce ptient anxiety about the operation”. 5) What course of action would you recommend to Connors?

Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations.

They may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric mental health nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for clients across the lifespan.

For this Assignment, you consider how you might assess and treat clients presenting with ADHD.

Learning Objectives Students will: Assess client factors and history to develop personalized therapy plans for clients with ADHD Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD Evaluate efficacy of treatment plans Evaluate ethical and legal implications related to prescribing therapy for clients with ADHD Learning Resources

Note:

To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings Note: Review all materials from the Discussion. Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291. Note: Retrieved from Walden Library databases. Required Media Laureate Education (2016d). Case study: A young Caucasian girl with ADHD [Interactive media file]. Baltimore, MD: Author Note:

This case study will serve as the foundation for this week’s Assignment. To prepare for this Assignment: This case study will serve as the foundation for this week’s Assignment. The Assignment Examine Case Study: A Young Caucasian Girl With ADHD 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 pharmacodynamic processes.

Gastrointestinal Tract: Disorders of Motility

s Assignment 1: Gastrointestinal Tract: Disorders of Motility Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned. Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. To Prepare • Review this week’s media presentation on the gastrointestinal system. • Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production. • Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different. • Select a patient factor “gender” Consider how this factor might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor. • construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis. To Complete Write 3-pages paper that addresses the following: • Describe the normal pathophysiology of gastric acid stimulation and production. • Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders. • Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. • Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. “Gender” • Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.