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I need help writing a paper for my Health Administration and Records Management class

Situation: Patient “CP” is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest.

Background: CP was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. CP’s mom was here earlier, but she is a single parent and has two younger boys, so she had to go home.

Assessment: CP is awake and alert. His heart rate and rhythm are regular at 80–85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he’s not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive.

Recommendation: CP is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn’t too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition.

REQUIREMENTS 

Write a 6-10 page paper recommending treatment and care for patient regarding cystic fibrosis. Rubric will be attached. APA citations needed. At least 4 citations, only 1 being from an online source. Also include pathophysiology, nursing process, patient teaching, diagnostic tests, etc.  

Assignment: Using the two scenarios in the file 

1. Review the material concerning suicide presented in the text. Examine carefully each variable described by the SAD PERSONS scale. 

2. Evaluate the person’s suicide potential according to the SAD PERSONS scale. 

3. Using APA format provide details of your assessment and the basis for your findings. 

4. Utilize a minimum of 2 references; however, be sure your submission is thoughtful and displays your application of knowledge gained.  

HLT 121 Final Assignment- Worth 40pts

Choose one of the topics below. The breakdown of your pager should be as follows:

1. Address the topic with an opening page (1 page)

2. Content -answer the questions (8 pages) 

3. Summary (1 page). 

Your paper should be 10 pages total not including the reference page. (double spaced)

Ø Include a reference page of no less than 8 references one of which must be your text. Make sure your references are documented MLA style. Consult the TCC library. There is a specific way to cite a web reference. Make sure you do it correctly. Citing just the website is not correct.

Ø Submit by the due date or before. No late papers accepted.

Ø Call or email me if you have any questions or concerns.

For whichever topic you choose include a two of the items below that relate to your topic. 

o Evidence-based treatment practices.

o Addiction treatment outcomes.

o Addiction, psychiatry and the brain.

o Addictive substances such as prescription opioids and heroin.

o Substance abuse in youth/teens, older adults and other demographic groups such as health care or legal professionals.

Topics –

Addiction to things (video games, shopping, gambling, eating etc)

· Identify the addiction.

· What are the signs of an addiction to anything?

· What are the statistics for this type of addiction? What age group or demographic is it prevalent in? Any culture?

· Are there support systems or resources for this type of addiction?

· Any personal experiences with this addiction either with yourself or someone you know? 

Alcohol

· Are there any health benefits to alcohol consumption? If so what? Has this changed in the past year or so?

· Does the alcohol industry behave responsibly in marketing their products?

· What can we, as a society, do to reduce the problems associated with alcohol use?

· Does AA work? Why or why not? With the ACA laws now in place, what are alternatives? 

War on Drugs 

· Is the “war on drugs” succeeding? If so, in what ways? 

· Are any of the current drug policies working? If so, in what ways?

· Should some or all illegal drugs be legalized? If so, which ones and why?

· Should marijuana be legalized for medicinal purposes, if not for recreational use?

· What would you do to improve the drug epidemic just in your community?

Tobacco and e-cigarettes

· Should consumers have to pay a higher insurance premium because they smoke or use tobacco products? What about e-cigarettes? 

· What are health studies saying about the health impact of e-cigarettes vs tobacco cigarettes? Do we know enough about e-cigarettes to really understand the long term health effects? (CDC may be a place to start)

· Is there a connection between e-cigarettes and smoking? Meaning if a persons starts vaping are they more likely or less likely to take up cigarettes?

· What is the impact to children from e-cigarettes?

Submit your assignment here on the assignment tab. Do not email to me or you will lose 15pts right off the top. No late assignments accepted.

Start early because as you know by now life happens when you are doing other things!

Plagiarized papers will receive an automatic 0. 

5 pts off for no reference page.

Your papers will be graded according to the following criteria:

· Requirements followed __ 

· Minimum 10 pages__

· Format followed __

· Submitted on time and in proper manner __

· Content __ (well organized, researched and thought out)

· Proper grammar and spelling __ 

· Proper MLA citation format utilized __

· No plagiarism __

· Text included as one of your references__

Elements of Malpractice

There is a need to understand that malpractice is one of the legal issues that face nurse practitioners. Therefore, it is essential to understand the elements of malpractice to avoid legal problems in the future. There are four malpractice elements: the duty, breach of duty, damages, and causation. There is a need to ensure that nurses adopt several measures that prevent them from malpractice claims. These are such as documenting, educating patients, and ensuring that there is consent from patients.

One of the elements of malpractice in nursing is the duty of care. The element of duty of care means that as a nurse, one is obligated to act to eliminates breach of duty to protect the patient (Cypher, 2020). Therefore, if a patient presents themselves to a nurse, they should be treated in a manner that uplifts their health. A good example of a breach of duty of care in nursing is whereby the nurse does not provide a safe environment for the patients, thus getting injured. The patient may claim that the nurse failed to provide a duty of care to them.

The second element of malpractice in nursing is the breach of duty. It is essential to understand that nurses have several duties assigned to them. As a result, they need to ensure that they regularly address their duties to promote their patients’ safety and health. However, in cases where the nurse fails to undertake their specific responsibility, they may breach their duty. An example of a breach of duty in nursing is ensuring that the bed rails are up. This is to prevent patients from falling. However, if the nurse fails to have the bed rails up, and the patient falls and gets injured, the nurse may breach duty.

The third element of malpractice in nursing is that of damages. There is a need to understand that damages refer to the injuries or any financial repercussions that the patient may have incurred (Cypher, 2020). There is a need to understand that in cases of malpractice, patients may experience damages. Therefore, there is a need to ensure that patients claim damages as a remedy. A good example of nursing malpractice damage is when the patient falls from their bed because the rails were not up as required, and they suffer injuries. The patient may need to be compensated for injures acquired, and this is referred to as damages in nursing malpractice.

References

Brous, E. (2020). The Elements of a Nursing Malpractice Case, Part 3B: Causation. AJN The American Journal of Nursing, 120(1), 63-66.

Catalano, L. A., & Werdman, E. (2017). Avoiding legal risks in critical care nursing. Nursing2020 Critical Care, 12(4), 30-35.

Cypher, R. L. (2020). Demystifying the 4 Elements of Negligence. The Journal of Perinatal & Neonatal Nursing, 34(2), 108-109.

A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

Develop a 1- to 2-page case study analysis in which you:

·  Explain why you think the patient presented the symptoms described.

·  Identify the genes that may be associated with the development of the disease.

·  Explain the process of immunosuppression and the effect it has on body systems.

Case Study: 

A 51 year old male presents to the emergency department for epigastric pain that has lasted for 1 week. On a scale of 1 to 10, patient describes pain as a 10. The pain is constant, sharp and radiate to the right upper quadrant. It is associated with nausea, vomiting, and fatty stools with liquid consistency. It is also associated with severe puritus (itching). He denies melena or hematochezia. He has jaundice. He has no other medical problems and takes no medications. Patient’s father died of pancreatic cancer. He has weight loss of 40 lbs in 4 weeks. He denies drinking of alcohol and illicit drug use. He smokes 1-2 packs of cigarette every day for the past twenty years.

Medical diagnosis: Pancreatic cancer stage IV.

Using APA format style (6th edition): Write 3-5 pages on:

1. Treatment options for the disease process (pancreatic cancer)

2. Dedicate 2 of the pages to pathophysiology of pancreatic cancer. (Pathophysiology, 2 pages)

3. Patient’s education

Reply to this discussion post (site sources if applicable)

Professional presentations are a part of educating and implementing new projects in a variety of different settings. One personal strength that I have regarding presenting a topic or idea is that I am prepared, know and understand my topic in order to give a clear and informative presentation. One weakness I have with presenting is that I get nervous speaking in front of large groups of people. I have worked on this throughout my previous college education and I still get some nerves every time I have to speak in front of a large crowd.

One method I would think would assist with nerves regarding formal presentations includes preparation; however I always feel that I am prepared. In turn, I must just ensure that I have confidence in myself to present effectively and demonstrate the time I have taken to research and prepare for the topic being presented. Confidence in oneself can take time and I feel practicing the presentation, asking for feedback and knowing the material will all assist with ensuring that I have a positive presentation. It is important to work on confidence when presenting so that the message is presented in a clear way that will benefit the target audience.

Discuss ways your organization uses technology to gather patient and health care information, and how this information and data are used to direct patient care and outcomes.

no more than 21% plagiarims