Weekly Clinical Experience 4

Describe your clinical experience for this week

must be on geriatric patient.

  • Did you face any challenges, any success? If so, what were they?
  • Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
  • Mention the health promotion intervention for this patient.
  • What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
  • Support your plan of care with the current peer-reviewed research guideline.

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

Case 3

Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been sleeping very much because of the pain. She has been nauseous and vomited a couple of times two days ago but has only been drinking fluids. She states that she has not been around anyone else that had an upset stomach. She recalls prior to the onset of pain she had been at a church supper that included meats, refried beans, and many desserts which she sampled. She described the fried pies that she brought to the supper and ate the extras that afternoon.

Vital Signs: BP 130/80, HR 85, RR 20, Temp 99.0°F.

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

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.

disc5

 In recent years, there have been reports linking autism to vaccinations.  

 address the following  

 

  • Explain the controversy regarding vaccines as a possible cause of autism spectrum disorder.
  • Does the current US based research the “other causes” of autism better explain autistic spectrum disorder?
  • Use US scholarly journal articles to explain your response.

 Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  

Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.

The opioid epidemic in the United States has raised critical concerns about the appropriate use of opioids for chronic pain management. As advanced nursing practice pharmacology students, understanding the risks, benefits, and evidence-based strategies is essential. How to safely approach chronic pain patients while minimizing the potential for opioid misuse and overdose?

Cav

Cerebrovascular Accidents (CVAs):

Discuss the key pathophysiological mechanisms involved in cerebrovascular accidents (strokes). What are the major risk factors, and how do they contribute to the occurrence of a CVA?
How can primary and secondary prevention strategies (including lifestyle changes and medical management) be used to reduce the risk of stroke?
Deep Tendon Reflex Scoring:
Explain the 0 to 4+ scale for scoring deep tendon reflexes. How does this scale assist in assessing neurological health, and what can abnormal reflex findings indicate about a patient’s condition?
Diabetic Peripheral Neuropathy:
Describe the pathophysiology of diabetic peripheral neuropathy (DPN). What clinical signs and symptoms are typically seen in patients with DPN?
Discuss evidence-based health promotion strategies to prevent or manage DPN in diabetic patients, focusing on lifestyle modifications, medication management, and patient education.
Endocrine Disorders:
Cushing’s Syndrome
Discuss the pathophysiology of this disorder and its impact on overall health.
What are the major risk factors for this disorder, and how can these risks be mitigated through health promotion strategies such as lifestyle modifications, medication management, and patient education?
 

Create a Literature Review using APA 7 format, and scholarly references no older than 5 years.

Please ensure that the Literature Review includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Conducted a literature review on the use of integrative theory in clinical practice or research studies.  Use a minimum of six articles

Introduction: Discuss the historical background of integrative theory. Process use to find articles and how & why articles were selected: Keywords used in the search, data-based search, years used in the search, number of articles retrieved. The articles selected (3) how and why those these articles were selected. Summary of finding: Compare and contrast the selected articles selected of how integrative theory is used. Implication to practice: Discuss the implication of integrative theory to nursing practice. Conclusion/ recommendations: Discuss what you have drawn from reviewing literature so far. Where might the discussion proceed? APA Format & Clarity of writing: APA format corrects with no more than 1-2 minor errors: Use of a minimum of six current scholarly references.

null

Hindu Deity Discussion

 

After studying Module 5: Lecture Materials & Resources, discuss the following:

It is said that there are over 330 million gods and goddesses within the Hindu religion and each god/goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting 2 different Hindu gods/goddesses of your choosing that you would be interested in learning more about.

For each selected Hindu deity, you must provide the following:

  1. Name and Title (Ex: Vishnu, God of Preservation)
  2. Image of the deity
  3. Brief explanation of why you chose that specific god/goddess. Below are some examples of this:
    • Maybe that Hindu god/goddess reminds you of a Christian saint or biblical character who is the Catholic patron/patroness of a particular human endeavor, career field, or avocation that somehow pertains to you
      • Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music
    • Maybe you found the specific image of that god/goddess intriguing
    • Maybe there is a pop culture reference to the deity
      • Ex: TV series, movie, book, video game, etc.
  4. Deity in Scripture
    • Summarize a story from the Hindu scriptures in which that the deity plays a major role.
      • This can be their origin story or another important story about the deity.
  5. Relationship to other Hindu Deities
    • How is this specific deity related to at least 2 other Hindu deities?
      • Ex: Is the selected deity a mother/father to another deity or possibly a husband/wife of another deity?
  6. Imagery & Symbolism
    • Explain the traditional symbolism associated with the selected deity
      • Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them

Websites for assistance in selecting specific Hindu gods/goddesses:

Please Note: You are not limited to using these websites as additional websites and/or the Van Voorst text may be beneficial for you to consider consulting. 

 

  • Your post should be at least 150 words. Incorporating sources is not required for this discussion, however, you must include all of the required elements within your post.

null