Monthly Archives: May 2023

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 Discussion Question: Develop a response on,“What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities? in PowerPoint format.

 Please respond to the following questions based upon these course objectives:

• Explain the significance of microbiology.
• Describe microbial growth processes.
• Examine the control of microbial growth.
• Evaluate laboratory safety and aseptic technique.
• Interpret experimental results.

Please answer the following questions with supporting examples and full explanations.

• For each of the learning objectives, provide an analysis of how the course supported each objective.
• Explain how the material learned in this course, based upon the objectives, will be applicable to a professional application.

Reflect back on your journey through this course and answer the following:

• What are microbes and what is their relation to infectious disease?
• What defenses does the human body have to combat infectious disease?
• What are some treatments associated with the microbes that cause infectious disease?
• What infectious disease in the Infectious Disease Profile Series intrigued you the most? Why?
• What topic in the course did you find most interesting and applicable?
• Thoughts on your learning in the course?

Please be sure to validate your opinions and ideas with citations and references in APA format.

How Would You Handle This Petition?

Betty Smith, a unit clerk, has come to see you, the nurse-manager of the medical unit, to complain of flagrant discriminatory practices against female employees of University General Hospital.  She alleges that women are denied promotional and training opportunities comparable to those made available to men.  She shows you a petition with 35 signatures supporting her allegations.  Ms. Smith has threaten to forward this petition to the administrator of the hospital, the press, and the Department of Labor unless corrective action is taken at once.  Being a woman yourself, you have some sympathy for Ms. Smith’s complaint.  However, you believe overall that employees at University General are treated fairly regardless of their sex.

Ms. Smith, a fairly good employee, has worked on your unit for 4 years.  However, she has been creating problems lately.  She has been reprimanded for taking to much time for coffee breaks.  Personnel evaluations that recommend pay raises and promotions are due next week. 

Instructions:

1. Read the scenario above and answer the following questions:
   1. How should you handle this problem?
   2. Is the personnel evaluation an appropriate time to address the petition?
   3. Outline your plan and explain your rationale
2. Your paper should be:
   • Typed according to APA style for margins, formatting and spacing standards.
   • Typed into a Microsoft Word document, save the file, and then upload the file

The Centers for Disease Control and Prevention, Division of Informatics and Surveillance website contains a number of resources nurses could innovatively incorporate in care delivery. The CDC Wonder site could be utilized by nurses in a number of ways. https://wonder.cdc.gov/ (Links to an external site.)

For this discussion you will:

• Identify one of the resources at the CDC Wonder site above and describe how a nurse might use this information in practice.
• How might nurses utilizing telehealth benefit from these resources?
• Address what you find innovative about the link.
• Feel free to share some of your nursing innovation ideas!

 https://www.postpartum.net/ 

Website Review Visit the Postpartum Support International (PSI) website: https://www.postpartum.net/ Explore the website for a few minutes.

o Click on the “About” tab to view the PSI Mission and Vision. Copy and paste it into your document.

o Click on the “Learn More” tab on the top. Choose one topic and summarize the information presented.

o Click on the “Resources” tab. Review the “PSI Educational Brochure”. Provide an evaluation of the brochure. Is this something that you would provide to parents? Why or why not?

1. Discuss aspects of a health concern not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.

Answer the following questions to assist in data interpretation:

• What similarities are apparent between the data that were gathered and the data that were generated?
• What differences are apparent between the data that were gathered and the data that were generated?
• What are the weakness and strengths of this community?
• In what areas is improvement needed in this community?

The assignment should be written in an APA-formatted essay. The essay should be between 1500 and 2000 words in length and include at least two scholarly sources other than provided materials. 

The topic is Alzheimers so you need :

• Introduce the topic/condition
• Describe what it is
• Explain why it is a problem related to health and nursing

Here are 3 recommend sites to you to get information on this topic 

https://www.uspreventiveservicestaskforce.org/uspstf/

https://www.cdc.gov/nchs/fastats/

https://health.gov/healthypeople

1. you are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.
2. Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)
3. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.
4. Here is a link to our U.S. legislative process (bill to law) for review, if needed: https://www.congress.gov/legislative-process

• Bill name and number (indicate either H.B. or S.B.)
• Bill summary (in your own words)
• Address how this bill might impact professional nursing practice standards if passed? If not passed?
• How might the bill impact your own nursing practice?
• How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?
• How might this bill impact your community?
• References slide to include the Bill source in APA format.
• No more than 12 slides

DERMATOLOGY CASE STUDY

Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin  AF cream and it did not help relief her symptoms. She has not tried other remedies.

Denies associated symptoms of fever and chills. 

PMH: Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History:  Immunization is up to date and she received her flu shot this year.

Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right great toe swollen, itchy, painful and discolored.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.

PSYCH: Normal affect. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

Assessment:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab:

Fungal culture confirms fungal infection.

As an NP student, you need to determine the medications for onychomycosis.

1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.

2.  What labs for baseline and follow up of therapy would you order for this patient? Give rationale.