A 67-year-old Caucasian woman was brought to the clinic by her son

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A 67-year-old Caucasian woman was brought to the clinic by her son

A 67-year-old Caucasian woman wasbrought to the clinic by her son who stated that his mother had become slightly confused over the past several days. She had been stumbling at home and had fallen once but was able to ambulate with some difficulty. She had no other obvious problems and had been eating and drinking. The son became concerned when she forgot her son’s name, so he thought he better bring her to the clinic.

PMH-Type II diabetes mellitus (DM) with peripheral neuropathy x 20 years. COPD. Depression after death of spouse several months ago

Social/family hx – non contributary except for 30 pack/year history tobacco use.

Meds: Metformin 500 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months ago

Labs-CBC WNL; Chem 7- Glucose-92 mg/dl, BUN 18 mg/dl, Creatinine 1.1 mg/dl, Na+120 mmol/L,

K+4.2 mmol/L, CO237 m mol/L, Cl–97 mmol/L.

The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH).

Question:

Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH.

Differential Diagnosis for Skin Conditions SOAP NOTE 

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Differential Diagnosis for Skin Conditions SOAP NOTE 

1. Assignment: You are going to write a SOAP note. Use the attached template for the SOAP note and SKIN GRAPHICS. The skin graphics. Choose one graphic to write up for a SOAP note. This is to be written as a SOAP note (NO NARRATIVES). As you write the SOAP note, you must address all sections. If you are not given the information, you will need to make it up. Make sure that you use medical terminology to describe the image. Include 5 differentials and identify which is the most likely diagnosis. I recommend that you use the SOAP exemplar as a guide for this assignment.

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style.. Remember that not all comprehensive SOAP data are included in every patient case.

• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Concepts of Autonomy Confidentiality and Anonymity

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Concepts of Autonomy Confidentiality and Anonymity

Instructions
Read and review the resources listed above.
Review the IRB Process with assessment guides for your agency, or you may review those provided by IWU.
Present the Topics below (as assigned by your facilitator until all are taken): Concepts of autonomy, confidentiality and anonymity
Defining/describing the topic.
Explaining the scope of the topic i.e. its boundaries or overlap with another topic.
Giving the key points a researcher should know, do, avoid, etc.
Addressing only the informed consent section of a proposed IRB application, in layman’s words, thoroughly explain what their participation will look like, how their data will be collected and used, the potential benefits and risks to them, and who to contact should the risks become real.
Also, explain to the IRB committee members, the proposed mitigation and reparation should the risks come to fruition. Last, explain why or why not an expert in your topic should be added to the IRB committee membership to help guide the evaluation of risk and reparation inherent to your study

Evidence Based Practice EBP Considerations

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Evidence Based Practice EBP Considerations

Instructions
Explore these sites and review these guidelines
The CDC’s, Vaccines and Immunization Guidelines of the ACIP
The Canadian Pediatric Society’s, Clinical Tools & Resources for monitoring infant and pediatric growth & development
The American Psychiatric Association’s, Recently Released Guidelines covering multiple topics, including the prescribing of psychotropic drugs
American Association of Nurse Practitioners’, Clinical Practice Tools
Look up the Scope & Standards of Practice for each major/role:
Nurse Administrators
Nurse Educators
Nurses Practitioners
Meet with a member of your EBP / Clinical Practice Guidelines Council and discuss the process used for translating research into practice to discuss the following questions:
What process is used in your agency for ensuring that practice guidelines are applicable to your patient population?
What process is used to updated practice guidelines?
Of these guidelines and scope and standards of practice, which one(s) do you believe need the greatest attention for updating and why?
How do these guidelines impact each of the major roles in nursing: administrator, educator, provider?

How are retail and nurse-managed clinics different from traditional primary care providers

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How are retail and nurse-managed clinics different from traditional primary care providers

How are retail and nurse-managed clinics different from traditional primary care providers and are they in competition with traditional primary care providers? Use at least two references to support your response. Your text can serve as one of your references, but you must also use one additional recent, professional reference in your response. Both references must be clearly integrated in your response.
Has the ACA created more opportunities for professional nurses? What does the literature say?
Create a brief (3-5 slide) voicethread presentation with your response with current (no older than 5 years old) references (may use professional organizations as well as journals) with narration of your presentation.
Think of the 3 goals of the ACA: increase access to care, improve quality of care, and decrease costs of care–How do you see these three goals playing out in your workplace?
What do you see are the specific provisions within the ACA that have directly impacted the quality and delivery and type, or method, of care you give to your patients? What does the literature say about how quality, and type, or method, of care, since the passage of the ACA? Be specific.
What does current literature (no older than 5 years old) say about how the ACA has affected quality and costs of healthcare?
Create a brief voicethread presentation (3-5 slides) with your response and narration of your presentation.

Retail and Nurse-managed Clinics vs Traditional Primary Care Providers

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Retail and Nurse-managed Clinics vs Traditional Primary Care Providers

How are retail and nurse-managed clinics different from traditional primary care providers and are they in competition with traditional primary care providers? Use at least two references to support your response. Your text can serve as one of your references, but you must also use one additional recent, professional reference in your response. Both references must be clearly integrated in your response.
Has the ACA created more opportunities for professional nurses? What does the literature say?
Create a brief (3-5 slide) voicethread presentation with your response with current (no older than 5 years old) references (may use professional organizations as well as journals) with narration of your presentation.
Think of the 3 goals of the ACA: increase access to care, improve quality of care, and decrease costs of care–How do you see these three goals playing out in your workplace?
What do you see are the specific provisions within the ACA that have directly impacted the quality and delivery and type, or method, of care you give to your patients? What does the literature say about how quality, and type, or method, of care, since the passage of the ACA? Be specific.
What does current literature (no older than 5 years old) say about how the ACA has affected quality and costs of healthcare?
Create a brief voicethread presentation (3-5 slides) with your response and narration of your presentation.

A 72-year-old male patient is scheduled for a bronchoscopy due to changes noted on a recent chest x-ray

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A 72-year-old male patient is scheduled for a bronchoscopy due to changes noted on a recent chest x-ray

A 72-year-old male patient is scheduled for a bronchoscopy, due to changes noted on a recent chest x-ray. A retired factory worker, the patient was recently notified that the buildings that he had worked in for over 25 years were destroyed due to asbestos. Additionally, the number of employees from this company with respiratory diseases or allergies is significantly above the national averages. What symptoms would you anticipate the patient would have presented with to warrant a chest x-ray?

Assessment of Respiratory Function

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Assessment of Respiratory Function

A 72-year-old male patient is scheduled for a bronchoscopy, due to changes noted on a recent chest x-ray. A retired factory worker, the patient was recently notified that the buildings that he had worked in for over 25 years were destroyed due to asbestos. Additionally, the number of employees from this company with respiratory diseases or allergies is significantly above the national averages. What symptoms would you anticipate the patient would have presented with to warrant a chest x-ray?

 

Lifestyle Assessment Behavior

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Lifestyle Assessment Behavior

Mr. Smith is a 40-year-old African American male who smokes 1 pack of cigarettes a day. His diet consists mainly of fried food with very few fruits and vegetables which he eats with his meal in the evening. Mr. Smith works at an automobile factory from 7:00 am – 3:30 pm five days a week where he is in the tire division which requires placing tires on the car. On weekends, Mr. Smith enjoys watching his favorite football team play and gathering with friends. His home is on a small lot which does not require much maintenance. He has a wife and two children, ages eight and ten. Review the five different behavior theories of change as found in the reading assignment (see link below). Discuss one theory you could apply to Mr. Smith. In your own words, describe the meaning of theory. How would this behavior theory relate to a change in Mr. Smith’s behavior?

Mr Smith is a 40-year-old African American male who smokes 1 pack of cigarettes a day

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Mr Smith is a 40-year-old African American male who smokes 1 pack of cigarettes a day

Mr. Smith is a 40-year-old African American male who smokes 1 pack of cigarettes a day. His diet consists mainly of fried food with very few fruits and vegetables which he eats with his meal in the evening. Mr. Smith works at an automobile factory from 7:00 am – 3:30 pm five days a week where he is in the tire division which requires placing tires on the car. On weekends, Mr. Smith enjoys watching his favorite football team play and gathering with friends. His home is on a small lot which does not require much maintenance. He has a wife and two children, ages eight and ten. Review the five different behavior theories of change as found in the reading assignment (see link below). Discuss one theory you could apply to Mr. Smith. In your own words, describe the meaning of theory. How would this behavior theory relate to a change in Mr. Smith’s behavior?