2 case studies

need two case studies 

apa format

references must be less than 5 years 

must have at least 3 references.

please provide proof of turnitin.com 

no plagiarism

providing two templates you can use.

#1 Anemia (Differential diagnosis 1) Cardiac disease 2) varicella  3) Candida)

#2 impetigo (Differential diagnosis 1) herpes simplex  2) cardiac arrhythmia  3) Narcolepsy

please provide 3 differential diagnosis as you will see what I’m referring to when you open my supporting files.

Please be familiar with nursing, medical terms, and carefully review the examples before responding. You may use the template case study to complete the assignment. I am not concerned about pages needed, I am more concerned about qauilty of work.

7:2

In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

DISCUSSION RESPONSE(NUR630)

PLEASE RESPOND TO THE TWO PEOPLE DISCUSSIONS (KENYA AND Goldie) 

NOTHING LESS THAN A PARAGRAPH. 

Kenya Mcclendon 

Based on this 35 y.o. female with symptoms of a “very painful” vesicular rash along the left lateral rib, under the breast and has fatigue. Additionally, the woman has a 6-month-old infant who is breastfeeding and three other children over 3 years of age, all of whom were not vaccinated. Vesicular rashes can appear on almost any region of the skin and vesicular rash that appear on the trunk area are filled with red blisters. (Mayo Clinic, 2018).  Based on the information provided, chickenpox or shingles, herpes are possible diagnoses, however, chickenpox appears to be the probable diagnosis.

Chickenpox is an infection caused by the varicella-zoster virus. It causes an itchy rash with small, fluid-filled blisters, which is non-painful. Chickenpox is highly contagious to people who haven’t had the disease or been vaccinated against it. The chickenpox vaccine protects children and the initial dose if given between 12-15 months of age. Due to the woman declining the vaccine for her children, there is a high risk and the likelihood that her children may have also been exposed to the virus. I would ask if the children had an itchy rash, fever, poor appetite, or had gone to a daycare. Based the woman’s rash being painful, chickenpox is ruled out. The most probable diagnosis is shingles.

Shingles is an infection caused by the varicella-zoster virus, which is the same virus that causes chickenpox. (Mayo Clinic, 2018).  Even after the chickenpox infection is over, the virus may live in your nervous system for years before reactivating as shingles. This type of viral infection is characterized by a red skin rash that can cause pain and burning. Shingles usually appears as a stripe of blisters on one side of the body, typically on the torso, neck, or face. (Mayo Clinic, 2018). The woman is experiencing symptoms of fatigue  due to recent stress related to providing 24-hour care in her home to her mother, who is seriously ill.

 I would gather more information by asking the woman if her mom currently has a rash, did her mom have a history of chickenpox and was she vaccinated. Shingles could spread through direct contact with fluid from the rash blisters. (CDC, 2019). Treatment includes antiviral medications such as Acyclovir (Zovirax),: 800 mg PO q4hr while awake (5 times daily) for 7-10 days, Valacyclovir (Valtrex)  1000 milligrams (mg) three times a day for seven days and Famciclovir 500 milligrams (mg) every eight hours for seven days. (CDC, 2019). These medications are the most effective to treat shingles, shorten the length and severity of the illness and should be taken as soon as possible after the rash appears. (CDC, 2019). Pain medicine, would include Acetaminophen 325-650 mg every four hours as needed. The woman requires a two week follow-up care with medical provider.

Reference

Centers of Disease Control and Prevention (2019). Shingles. Retrieved from https://www.cdc.gov/shingles/about/index.html

Mayo Clinic Staff. (2018). Shingles.
mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054

2 Goldie Nwachuku 

 

  1. Which conditions should be considered as possible diagnoses?

Ans: It is possible the 35 year old woman has Shingles or herpes zoster, which is a viral infection caused by chicken pus virus known as varicellar-zoster virus

  1. What additional information should be gathered to make the diagnosis?

Ans:Taking medical history, looking at the rash and scraping the tissue from the rash or swab some fluid from the blisters and send to lab for testing

  1. Which condition is the woman likely experiencing?

Ans:The woman is experiencing herpes zoster or shingles virus due to the symptoms of severe pain and rash on the left lateral rib area.

  1. What other information should you obtain from the patient?

Ans: Taking Medical history including history of chicken pox and chicken pox vaccine (Hollier, 2016).

  1. What treatment plan should you prescribe?

Ans: Research study shows that shingle vaccine is a preventative therapy and not a treatment for those who already have shingles.

No treatment for shingles

Antiviral medications taken 3 days after rash appears to help reduce severity of shingle attack

Cool wash cloth, pain reliever, calamine lotion, oatmeal bath to help relieve itching.

  1. What follow-up care should you recommend?

Ans:According to Centers for Disease control and prevention (CDC), it is recommended that the patient with shingles stay away from anyone who has not had chicken pox or the chicken pox vaccine or any one with weak immune system.

After recovering, to get RZV, shingrix a preferred shingles vaccine given in 2 doses separated by 2 to 6 months apart.

  1. Based on the likely diagnosis, what are your concerns about the other members of the family?

Ans: Shingles are not contagious but one can catch chicken pox from someone with shingles if one never have chicken pox or vaccine as in the case of the three children over 3 years whom parents have chosen not to vaccinate against common childhood illnesses. Stress can increase risk of shingles. Immune system may be weaker when one have infection.

The new born baby of mother with shingle may be given Zoster immune globulin due to baby immature of immune system to fight off the attack.

The main objective of medical research on shingles are to develop drugs to fight the disease and prevent or treat its complications and also to study and understand the disease well to prevent it especially in people at high risk (National Center for Immunization and Respiratory Disease).

Power Point Presentation

 

Resources:

Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not-for-profit facility. The hospital is located in Jefferson City, which has a population of 50,000 with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care.

Your role in this planning process will be as the director of the radiology department, where you perform a wide variety of X-ray procedures, nuclear medicine, ultrasound, and MRI testing. In this planning process, you will evaluate the strengths, weaknesses, opportunities, and threats to the hospital, and the role your department can play in increasing business for the hospital. 

Create a 10- to 12-slide Microsoft® PowerPoint® presentation as an educational tool that showcases your knowledge of the strategic planning process and its role in the hospital. Your presentation should:

  • Describe the purpose of a strategic plan.
  • Consider how a strategic plan should align to the mission and vision statements.
  • Explain why multiple stakeholders are important to the strategic planning process.
  • Describe all stakeholders that are involved in the strategic planning process.
  • Consider their position and level of decision-making.
  • Explain the purpose of a communication plan in the strategic planning process.

Cite 3 peer-reviewed, scholarly, or similar references to support your presentation.

Format your assignment according to APA guidelines. Include a title page, detailed speaker notes, and a references page.

Group therapy

I NEED A RESPONSE TO THIS ASSIGNMENT

ZERO PLAGIARISM

3 REFERENCES

Cognitive Behavioral Therapy (CBT) helps in changing thinking patterns and unhealthy habits. This therapy sessions can be helpful both in group and family sessions. CBT helps patients reframe and retrain their thought processes both in group and family sessions. During a group session medication and cognitive behavior therapy ,are combined to help control the core symptoms of distraction, short attention span and impulsiveness.It is more effective at increasing the habits and skills needed for executive self-management and may also serve to improve emotional and interpersonal self-regulation. During psychotherapy sessions and after, the therapist is expected to complete therapy notes about patient’s behavior and responses. An example is during sessions whereby the therapist lists a couple of hypotheses and examine questions to be asked that can prompt responses from the patient. During the sessions for patients struggling with Post Traumatic Stress Disorder, multiple treatment modalities were used. According to Norman, Hemblen, Schnurr, and Eftekhari (2018), the Clinical Practice Guideline (CPG) for Post traumatic Stress Disorder in 2017 suggested evidence-based recommendations for the treatment of PTSD that are most effective therapies for the disorder these are; individual trauma-focused psychotherapies, primarily Prolonged Exposure (PE), Cognitive Processing Therapy (CPT) and Eye Movement.

Cognitive Behavioral Therapy is used in Family therapy. It is recommended in the treatment of ADHD and other mental health related diseases. During family sessions, it was noted that Parents are often exasperated by children with ADHD, and when an adult has the illness, spouses and children are affected. In family therapy, the family can learn ways to help and support each other.CBT is typically a short-term intervention, with changes often apparent after only a few sessions.

During family Cognitive therapy sessions examples of discussions were anxiety, analysis of family relationships, and a variety of other topics. This helped to alleviate some of the symptoms of ADHD, especially in those who are experiencing other issues, such as anxiety and depression, along with ADHD. Talk therapy  helped alleviate some of these concerns, bringing one’s ADHD back into focus.

Skill based therapy is particularly effective with young children. Therapists specializing in the treatment of attention problems can focus on helping children develop specific skills and time management strategies. CBT is helpful in changing unhealthy habits.During these sessions the child can be helped to talk about upsetting thoughts and feelings, explore self-defeating patterns of behavior, learn alternative ways to handle emotions, feel better about him or herself despite the disorder, identify and build on their strengths, answer unhealthy or irrational thoughts, cope with daily problems, and control their attention and aggression. Medication helps to control the core symptoms of distraction, short attention span and impulsive behaviors. CBT is more effective at increasing the habits and skills needed for executive self-management and may also serve to improve emotional and interpersonal self-regulation (Martin n.d).

            Family therapy is recommended in the treatment of ADHD because ADHD does not just affect those who have the condition. Parents are often exasperated by children with ADHD, and when an adult has the illness, spouses and children may be affected. In family therapy, the family can learn ways to help and support each other. (Psychcentral.org). Example was during a family and CBT group session where the patient continued to be suicidal and verbalizes thoughts of hurting herself through cutting or strangulation. She is currently on the 1:1 care and have staff with her 24/7 until discontinued by the psychiatrist.

During Individual therapy she verbalized purging after eating because she does not want to get fat and loosing self-esteem. The therapist continues to use psychotherapy in groups and individual to help patient focus. She denies visual and auditory hallucinations.

During the family sessions, the patient is nervous and anxious, twisting her fingers and verbalized that the father emotionally abused her. She expressed anger.

Explain at least two challenges counselors might encounter when using CBT in the group setting.

Being misinterpreted during the session by other patients and family members during sessions.

Having family sessions with parents who are divorced and fighting over child custody.

References

Martins (n.d). Additional Treatments for ADHD. Retrieved October 18, 2020 from https://psychcentral.com/lib/additional-treatments-for-adhd/

Norman, S., Hemblen, J., Schnurr, P., & Eftekhari, A., (2018). Overview of Psychotherapy for PTSD. PTSD: National Center for PTSD. Retrieved October 18,,2020 from https://www.ptsd.va.gov/professional/treatment/overview/overview-treatment-research.asp

Parekh, R. (2017). What is Posttraumatic Stress Disorder? American Psychiatric Association. Retrieved October 18,2020 from https://www.psychiatry.org/patients-families/ptsd/what-is-ptsd

Health Informatics and Medical Technology

 The Evolving Healthcare Technology Environment

The focus of this week’s discussion is health technology. It offers the opportunity to share your thinking about three questions:

Start with an operational definition of “healthcare technology” to offer the reader context for your post. It may not mean the same thing to all.

1. What are the most important trends in health care technology?

2. What factors are driving and/or limiting the further growth of health care technologies?

3. Based on the above trends and factors, identify five (5) ways health technology will likely change the role of health care managers by 2030

4. Which laws are in place to integrate information technology into healthcare?H

Consumer and Provider Costs

 

Assignment Content

  1. In response to federal policy and service requirements, health insurance plans are increasingly developing high-deductible insurance policies and narrow networks. These types of policies require the consumer to pay more out-of-pocket. To portray this in a positive light, this trend has been labeled as “consumer-based” to suggest that the consumer must pay more from their own funds and, thus, encourage consumers to make better health care choices. However, this could be labeled as a burden on the consumer.

    Write a 350- to 525-word article that identifies and evaluates the impact that federal or state health care policies are having on consumer costs. Explore both positive and negative effects.

    Include a citation of your article in your assignment.

    Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).