Monthly Archives: May 2023

Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Discussion: Pharmacokinetics and Pharmacodynamics

1-Discussion Question:  56-year-old patient with newly diagnosed stage 1 hypertension has been referred to you for counseling regarding lifestyle modifications. He is married, with four children—two in high school, two in college. His job as a senior vice-president for a major retail chain requires that he work long hours and frequently eat at restaurants. He smokes two packs of cigarettes a day, has a body mass index (BMI) of 29 kg/m2, and a waist–hip ratio of 1.6. He usually drinks one to two dry martinis to relax after he gets home from work.

a.  How would you develop a realistic plan to help this patient reduce his blood pressure and prevent complications?

b. Which risk factors would be among your top two or three priorities for this patient,and what interventions or recommendations would you provide for modifying these?

2- APA style

3- 3 paragraphs with 3 sentences each

4- 2 references not older than 2015

Choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a three paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reserach 

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

There are two parts to this:

1. Self-evaluation paper that addresses your growth as a nurse in relation to clinical experiences, education, maturity, and professionalism and how the PRICE (Professionalism, Respect, Integrity, Caring, Engagement) model has impacted you. This should be one to two pages long. 

2.  Professional Goals, how will you achieve them? One short term, One long term. This should be a page long.

No references needed.

 APA Style at least three references and citations. 

 References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical. 

PLEASE FOLLOW EACH STEP FROM 1 TO 5

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction 

2. Statement of the issue

3. Evidence supporting the issue 

4. Prediction of the future role of the nurse 

5. Conclusion 

Mr. E is a pleasant, 70-year-old, black, male

Source: Self, reliable source

Subjective:

Chief complaint: “I urinate frequently.”  

HPI:  Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.

Allergies: NKA

Current Mediations:

Multivitamin, daily

Aspirin, 81 mg, daily

Olmesartan, 20 mg daily

Atorvastatin, 10 mg daily

Diphenhydramine, 50 mg, at night                                                                                                                   

Pertinent History: Hypertension, hyperlipidemia, insomnia

Health Maintenance. Immunizations: Immunizations up to date

Family History: No cancer, cardiac, pulmonary or autoimmune disease in immediate family members

Social History: Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use. 

ROS: Incorporated into HPI

Objective:

VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.

Mr. E is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop

Respiratory: Clear to auscultation 

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly           

Neuro: CN 2-12 intact                                                                                                                        

Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated

Labs:

Test Name

Result

Units

Reference Range

Color

Yellow

Yellow

Clarity

Clear

Clear

Bilirubin

Negative

Negative

Specific Gravity

1.011

1.003-1.030

Blood

Negative

Negative

pH

7.5

4.5-8.0

Nitrite

Negative

Negative

Leukocyte esterase

Negative

Negative

Glucose

Negative

mg/dL

Negative

Ketones

Negative

mg/dL

Negative

Protein

Negative

mg/dL

Negative

WBC

Negative

/hpf

Negative

RBC

Negative

/hpf

Negative

Lab

Pt’s Result

Range

Units

Sodium

137

136-145

mmol/L

Potassium

4.7

3.5-5.1

mmol/L

Chloride

102

98-107

mmol/L

CO2

30

21-32

mmol/L

Glucose

92

70-99

mg/dL

BUN

7

6-25

mg/dL

Creat

1.6

.8-1.3

mg/dL

GFR

50

>60

Calcium

9.6

8.2-10.2

mg/dL

Total Protein

8.0

6.4-8.2

g/dL

Albumin

4.5

3.2-4.7

g/dL

Bilirubin

1.1

<1.1

mg/dL

Alkaline Phosphatase

94

26-137

U/L

AST

25

0-37

U/L

ALT

55

15-65

U/L

Pt’s results

Normal Range

Units

WBC

9.9

3.4 – 10.8

x10E3/uL

RBC

4.0

3.77 – 5.28

x10E6/uL

Hemoglobin

11.5

11.1 – 15.9

g/dL

Hematocrit

35.0

34.0 – 46.6

%

MCV

85

79 – 97

FL

MCH

28

26.6 – 33.0

Pg

MCHC

34

31.5 – 35.7

g/dL

RDW

14

12.3 – 15.4

%

Platelets

220

150 – 379

X10E3/uL

PSA

5.4

0-4.0

ng/mL

Assessment:

Diagnosis: Benign prostatic hyperplasia, ICD-10: N40.1

Please answer the following:

For the sake of this case study, the patient has confirmed BPH and prostate cancer has already been ruled out. Hence, please document your prescribed treatment plan for this patient (i.e. don’t state “refer to urology”).

1. What is your treatment plan (include specific dosage and frequency)? Why did you choose this treatment plan? Do you change any of his current medications?  In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your decision. Does the patient have any comorbidities that influenced your choice as well (1 point)? 

       Three months later, the patient notes improvement, but no resolution of symptoms. What would be your next prescribed treatment option (1 point)?

1. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

Emergency Plan for the Older Adult

Locate the American Red Cross in your area: http://www.redcross.org

• Identify what is necessary for emergency supplies to have on hand for a healthy older adult. Consider visiting with an older family member or friend to identify specific needs for this older adult (reasonable for this person)
•  Assist the older adult (OA) in creating their Personal Emergency Plan and contacts
•  Describe what the OA was surprised to need or what they seemed to predict on their own
•  Why is this important for OA singles or couples who live independently without services?
•  Complete at least two slides for each bullet point with a total of 10 slides

Assignment Expectations:

Length: Minimum of 10 content slides

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. The title/objective/reference slides do not count towards the minimum slide count for this assignment. 

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

What is a conceptual framework?

A conceptual framework is “a set of relatively abstract and general concepts that address the phenomena of central interest to a discipline, the propositions that broadly describe those concepts, and the propositions that state relatively abstract and general relations between two or more of the concepts” (Butts & Rich, 2018, p. 96).

Conceptual frameworks have a practical value because they guide research and practice. Each conceptual framework of nursing gives the disciple a unique perspective of the metaparadigm concept and provides a path for concrete theories.

Directions

In this assignment, you are going to locate a conceptual framework that you could use in advanced nursing practice. Explain how your chosen conceptual framework of nursing relates to the unique perspective of the metaparadigm concept of person/client, nurse, health, and environment and apply the value of a conceptual framework to advanced nursing roles. Keep in mind, that the conceptual framework is used to allow for practical applications of the metaparadigm concept that will lead to a concrete theory.

Assignment Details

For this Assignment, your paper must be 2 to 3 pages, not including the title and reference pages. Minimum requirement of at least five sources of support.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources. 

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least five sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th Edition 

HELLO I HAVE A DOCUMENT ATTACHED. PLEASE READ IT CAREFULLY AND ANSWER THE QUESTION USING APA FORMAT. PLEASE NO PLAGIARISM, I DO CHECK FOR PLAGIARISM MYSELF TOO BEFORE SUBMITTING THE ASSIGNMENT AND NO INTERNET SOURCES. USE ONLY SCHOLASTIC SOURCES.