All posts by : chebby

Bm week 3 assignment 

J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

Case study questions:

1. Please name the potential most common sites for metastasis on J.C and why?
2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
4. Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
5. Describe the carcinogenesis phase when a tumor metastasizes.
6. Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date

Topic: Nursing & Health-Care-Policy

Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States.

Read/Reference

• Mason, D. J., Gardner, B. D., Outlaw, H. F., & O’Grady, T. E. (2016). Policy and politics: In nursing and health care. (7th ed.). Saunders. ISBN: 978-0-323-24144-1
  • Chapters 1-3, and 6
• American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
  • Use as a guide for writing in current APA format.

Submission Instructions:

• Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 current academic sources within past 5 years.

Topic: Transcultural Care

After studying Module 1: Lecture Materials & Resources, discuss the following:

**To provide culturally diverse nursing care, describe the six cultural phenomena that are evident in all cultural groups.**

Read/Reference

• Giger, J. N., & Haddad, L. (2021). Transcultural Nursing: Assessment and Intervention (8th ed.). St. Louis, MO:  Elsevier. 
  eBook ISBN: 9780323695565 
  Print ISBN:  9780323695541
  • Chapters 1-7

Submission Instructions:

• Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 current academic sources within past 5 years.

See attached

See attached document. 

Identify the different theories and their implications on the aging process.

1. Define aging from biologic, sociologic, and psychological theories.
2. Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.
3. Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
4. Based on your experience what health promotion strategies would you recommend to facilitate successful aging?

Instruction 

• APA, is to be 3-4 pages, excluding the *title, **abstract, and **references page.
• min of 3 current within last five years
•  submission will be reviewed for plagiarism with Turnitin.
• Price is firm ***

Tiff table due 3/31

I need a brochure of any of these titles. just one subject you can choose whatever you like.  

1- patient identifications

 2-Medication safety

3-Clinical alarm safety 

4- Reducing fall 

5-Pressure ulcers 

6- Protocols for preventing the wrong site, wrong procedure,or wrong person surgery.

power point