Monthly Archives: May 2023

ABDOMINAL ASSESSMENT

Subjective:

• CC: “My stomach hurts, I      have diarrhea and nothing seems to help.”
• HPI: JR, 47 yo WM, complains      of having generalized abdominal pain that started 3 days ago. He has not      taken any medications because he did not know what to take. He states the      pain is a 5/10 today but has been as much as 9/10 when it first started.      He has been able to eat, with some nausea afterwards.
• PMH: HTN,      Diabetes, hx of GI bleed 4 years ago
• Medications: Lisinopril 10mg, Amlodipine 5      mg, Metformin 1000mg, Lantus 10 units qhs
• Allergies: NKDA
• FH: No hx of colon      cancer, Father hx DMT2, HTN,      Mother hx HTN, Hyperlipidemia, GERD
• Social: Denies tobacco use;      occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 99.8; BP 160/86; RR      16; P 92; HT 5’10”; WT 248lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall      symmetrical
• Skin: Intact without      lesions, no urticaria
• Abd: soft, hyperactive bowel      sounds, pos pain in the LLQ
• Diagnostics: None

Assessment:

• Left lower quadrant pain
• Gastroenterit

With regard to the Episodic note case study provided:

• Review this week’s Learning Resources, and consider the      insights they provide about the case study.
• Consider what history would be necessary to collect      from the patient in the case study.
• Consider what physical exams and diagnostic tests would      be appropriate to gather more information about the patient’s condition.      How would the results be used to make a diagnosis?
• Identify at least five possible      conditions that may be considered in a differential diagnosis for the      patient.

The Assignment

1. Analyze the subjective portion      of the note. List additional information that should be included in the      documentation.
2. Analyze the objective portion      of the note. List additional information that should be included in the      documentation.
3. Is the assessment supported by      the subjective and objective information? Why or why not?
4. What diagnostic tests would be      appropriate for this case, and how would the results be used to make a      diagnosis?
5. Would you reject/accept the      current diagnosis? Why or why not? Identify three possible conditions that      may be considered as a differential diagnosis for this patient. Explain      your reasoning using at least three different references from current      evidence-based literature.

@ Teacher A+ 

Kindly send a bid on this next assignment

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

if you need reduce information feel free to do it.

 Think about an article that you have reviewed, is it consistent with the type of research (quantitative or qualitative) being reported in the article? Please explain. 

most recent article used

Tahan, H. M. (2020). Essential Case Management Practices Amidst the Novel Coronavirus Disease 2019 (COVID-19) Crisis: Part 2: End-of-Life Care, Workers’ Compensation Case Management, Legal and Ethical Obligations, Remote Practice, and Resilience. Professional case management.

Verhoeven, V., Tsakitzidis, G., Philips, H., & Van Royen, P. (2020). Impact of the COVID-19 pandemic on the core functions of primary care: will the cure be worse than the disease? A qualitative interview study in Flemish GPs. BMJ Open, 10(6), e039674.

one paragraph and use two reference and one should be text book  Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett. 

Need 3 differential diagnosis and one primary diagnosis and need pilgrims free 100% and need 3 new references as well.  It will go through turnit in as well.

 Review the National Coalition Against Domestic Violence webpage on Domestic Violence Statistics: Prevalence of Domestic Violence (Links to an external site.) which gives statistics among various categories of race, age, gender, ethnic background, etc.  After reviewing this article, post a statement of how the role of the human service professional can be effective in this situation.  What was your personal reaction to the vast array of statistics for this crisis?  

Apply information from the Aquifer Case Study to answer the following discussion questions:

• Discuss the Mr. Payne’s history that would be pertinent to his genitourinary problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
• Describe the physical exam and diagnostic tools to be used for Mr. Payne. Are there any additional you would have liked to be included that were not? 
• Please list 3 differential diagnoses for Mr. Payne and explain why you chose them.  What was your final diagnosis and how did you make the determination?
• What plan of care will Mr. Payne be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?
• EXAMPLE IS UPLOAD 

 Based on the required topic study materials, write a reflection about worldview and respond to following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
   1. What is ultimate reality?
   2. What is the nature of the universe?
   3. What is a human being?
   4. What is knowledge?
   5. What is your basis of ethics?
   6. What is the purpose of your existence?

Remember to support your reflection 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.

Steve Shell has brought in his 9-month-daughter Emily for her wellness examination and immunizations. Steve is a single father raising his daughter after Emily’s mother was killed in a motor vehicle accident (MVA). Steve is doing a great job of raising Emily by himself, but he still has some concerns about his abilities as a father. He has several questions for the nurse practitioner. The nurse practitioner’s examination of Emily is unremarkable and she is growing and developing as expected. (Learning Objectives 6 and 7)

A. What should the nurse practitioner include when teaching Steve about promoting healthy eating habits and appropriate sleep and rest?

B. What can the nurse practitioner offer Steve regarding promoting appropriate discipline with Emily?

C. Since Steve is a single parent and sole income earner, he is required to place Emily in day care while he is at work. Steve is concerned about the effects of day care on Emily’s development. What can the nurse practitioner teach Steve about child care?