Tag: Health Medical

Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.

Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.

Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.

Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.

Competency
Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.
ScenarioYou are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.
Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits
Medical history: Chronic hypertension (HTN) x 5 years;
Allergies: PenicillinSocial history:

(+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years

1. (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use

Abusive partner with first pregnancy, states she has a new partner x 4 years

Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;
Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)Instructions
Write a two to three-page analysis of this scenario that answers the following questions:

What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?

Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.

What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?

What concerns should be discussed with Ms. Jones before she leaves her appointment?

• Each answer to your question should include the following:
• A correct answer with thorough development of the topic
• Gives clinical examples
• Include evidence from scholarly sources
• Appropriate use of medical terminology

I’m working on a health & medical writing question and need an explanation to help me understand better.

Moving from volume- to value-based payment methodologies can be challenging due to the cost of implementing them and to the variety of payment structures. The type of value-based program that works for one health care organization may not be the right fit for another. How do you as a health care executive determine the right structure for your organization? What do you need to take into consideration as you look at shifting from traditional payment methodologies to value-based care?

For this Discussion, review the resources for this week and reflect on the challenges health care executives might face when transitioning the payment methodology in a health care organization to a value-based model. Consider how the move to a value-based model might impact health care delivery for the health care organization.

Post an explanation of how you, as a current or future health care executive, would choose a value-based methodology for the health care organization that you currently work in or one with which you are familiar. Describe the organization’s current payment methodology, and explain your rationale for choosing to move to your chosen model. Be specific and provide examples.

Maintaining a healthy weight plays an important role in reducing risk of many diseases that include heart disease and diabetes. Knowing the kcalorie or energy contribution of individual foods will help you select foods that encourage energy balance. You will practice calculating the energy value of foods based on carbohydrate, fat, and protein content. We will apply this information when evaluating the nutrient density of foods in your own diet.

Directions

1. Complete this worksheet download. Calculate the number of kcalories (energy value) for the meal provided using the following conversions: protein provides 4 kcal/g, fat provides 9 kcal/g and carbohydrate provides 4 kcal/g.
2. Submit your work here as an attached file. Be sure to include your total kcalories for the meal and your assessment of the meal.

Imagine you work for a successful company and have been asked to be a guest speaker for an entry-level organizational behavior course at a local college. The goal of your presentation is to help the college students gain a basic understanding of organizational behavior and be able to speak to its importance in an organization. 

Address the following in your handout:  

Define organizational behavior.  

Describe how different components of organizational behavior are used within an organization.  

• Identify how the use of organizational behavior can lead to the success and failure of an organization. 
• Cite any reputable references. Reputable references include trade or industry publications; government or agency websites; scholarly works; your textbook, Organizational Behavior in Health Care (4th ed.); or other sources of similar quality. 

Building on the content from the Review of Literature presentation, the student will develop a scholarly paper that is a comprehensive overview of your assigned topic. The issue will be explored in relation to nursing leadership and management. The issue will be critically evaluated including the current impact of this issue upon nursing practice and the evolving health care system. Be specific in analyzing the impact of this issue on the healthcare setting. How is the issue impacting unit level functions of a healthcare agency?

After this, the student will discuss three ways of addressing this issue within the healthcare setting. This will be followed by choosing the one approach that the student deems the most appropriate first step in dealing with the topic.

This scholarly paper is to be a maximum of six pages excluding the reference page and title page. Use APA formatting throughout. Please proof-read your work carefully before submission.

MY TOPIC ASSIGNED IS BOOSTING MORALE.

Assignment: Assessing and Treating Patients

With ADHD
Not only do children and adults have different presentations for ADHD, but males and females may
also have vastly different clinical presentations. Different people 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 nurse
practitioner, you must perform careful assessments and weigh the risks and benefits of medication
therapies for patients across the life span. For this Assignment, you consider how you might assess
and treat patients presenting with ADHD.
To prepare for this Assignment:
Case Study: A Young Caucasian Girl with ADHD
Note: This case study will serve as the foundation for this week’s Assignment.
Review this week’s Learning Resources, including the Medication Resources indicated for this
week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and
treatment of patients with ADHD.
The Assignment: 5 pages
Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions
concerning the medication to prescribe to this patient. Be sure to consider factors that might impact
the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving
throughout the exercise. Before you make your decision, make sure that you have researched each
option and that you evaluate the decision that you will select. Be sure to research each option using
the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient
factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your
response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your
response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your
response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure
to justify your recommendations and support your response with clinically relevant and patientspecific resources, including the primary literature

Rubric, case study and problem statement in detail is also attached. Please let me know if you need me to send any resources which are listed in the materials

Assignment: Assessing and Treating Patients

With Impulsivity, Compulsivity, and Addiction
Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span.
Impulsivity is the inclination to act upon sudden urges or desires without considering potential
consequences; patients often describe impulsivity as living in the present moment without regard to
the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors,
resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an
individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these
behaviors often results in addiction, which represents the process of the transition from impulsive to
compulsive behavior.
In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients
address underlying causes of the disorders and overcome these behaviors. For this Assignment, as
you examine the client case study in this week’s Learning Resources, consider how you might assess
and treat clients presenting with impulsivity, compulsivity, and addiction.
MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex.
https://www.mentalhelp.net/addiction/impulsivity-a…
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this
week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and
treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.
Lupi, M., Martinotti, G., Acciavatti, T., Pettorruso, M., Brunetti, M., Santacroce, R., Cinose, E., Di
Iorio, G., Di Nicola, M., & Di Giannantonio, M. (2014). Pharmacological treatments in gambling
disorder: A qualitative review. Biomed Research International, 2014.
https://doi.org/10.1155/2014/537306
Reference:
The Assignment: 5 pages
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. 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.
At each decision point, you should evaluate all options before selecting your decision and moving
throughout the exercise. Before you make your decision, make sure that you have researched each
option and that you evaluate the decision that you will select. Be sure to research each option using
the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient
factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your
response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your
response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your
response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure
to justify your recommendations and support your response with clinically relevant and patientspecific resources, including the primary literature.

Rubric, case study and problem statement in detail is also attached. Please let me know if you need me to send any resources which are listed in the materials

CASE 1

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Define preconception period and discuss why this is an important time for women who are planning to get pregnant

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• Why folate supplement is important.
• Following the guidelines of the United States Preventive Service Taskforce (USPSTF) how you would recommend the folate to be taken. by women who plan to get pregnant?
• Name dietary sources for folate.
• Name patients with higher risk who indicate a need for folate. supplementation is recommended.

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CASE 2

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G.P is a 32 primigravida patient who blood type is B Rh negative. She is on her first trimester and have a vaginal bleeding episode.

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• Following ACOG what would be the appropriate management for this patient?

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CASE 3

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C.C is a 36-year-old female patient known in the office who came to consult you because she has been feeling left breast tenderness, low grade fever and malaise for about four days. She delivered her baby 3 months ago and is breastfeeding. You found the left breast warm and painful when examined. Fissures on nipples presented.

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• List your diagnosis and support.
• If infection is suspected which bacteria are usually involve in this process.
• Discuss a management plan for C.C (pharmacologic and non-pharmacologic treatment).
• List patient’s education and recommendations.

Please prepare and submit a 2-3 paragraph reflective analysis which addresses the following.

• How has your ability to communicate your ideas clearly through writing changed over the semester?
• What guidelines will you keep in mind for writing and communicating ideas clearly in academic and professional settings in the future?

Submit your completed work as an attachment to this Dropbox in Blackboard and include your last name in the name of your file.