Immune

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

A 38 year female old med student goes to her physician with complaints of arthralgia and a new rash on her face bilaterally. The rash get worse when in the sun. When she is fatigued, she complains of a sharp pain in her chest when taking a deep breath. She has experienced this before, but this present episode has been the worst she has ever felt. An exam was completed and tests ordered. The following results are:

Physical:

Temperarture, respiratory rate, and BP normal, Heart rate regular and normal

Facial rash macular over the bridge of her nose and cheeks. Discoid scaling also noted on her extensor surfaces of her arms.

Joint pain and stiffness and pain in hands on active and passive motion

Pleural friction rub auscultated with deep respiration

Other systems examined normal.

Labs:

Serum electrolytes – normal

Hemoglibin and Hematocrit – low

Platelet count – slightly low

White blood cells – normal

BUN and Creatinine – elevated

Urine – Positive for Protein

CXR – Small pleural effusion noted

Antinuclear antibody (ANA) – positive

Anti-DNA antibodies – positive

Diagnosis: Systemic Lupus Erythematosus (SLE)

Questions:

1. What is the common descriptive term for this patient’s facial rash and why?

1. What does sunlight do to people with this disease that they are taught t avoid it?

1. Which lab results indicate renal dysfunction. Is this dysfunction related to SLE? Why or why not?

1. State the other signs and symptoms of SLE that are manifested in this patients physical exam and labs? Give the rationale for each.

1. What is the pathophysiology behind SLE causing widespread tissue damage?

1. What is discoid lupus and is it different from SLE?

1. What type of teaching and management plan will be need to be devised by the APN for this patient?

Decision Tree-wk 10

Case Study: https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_08/index.html

 

You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References to include:

 

  • Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
    • Chapter 13, “Impulsivity, Compulsivity, and Addiction” (pp. 538-578)

 

  • Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual DiagnosisLinks to an external site., 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439

critical thinking

Module 02 Content

1.

Top of Form

You are a Training Specialist hired by Universal Medical Supplies, Inc. This organization has been experiencing low productivity and errors in communication in the workplace. As part of an ongoing professional development series, the Vice President of the Human Resources department has tasked you with creating Critical Thinking training materials. The materials will be presented in many forms and by various means to help improve productivity and communication in the organization.

For a company training webinar, you will create an infographic using text and images that illustrate the concepts associated with cogent reasoning skills.

Instructions:

Use the Rasmussen library or other credible online resources to research one or more online articles about the topic of cogent reasoning and valid vs. invalid arguments.

Create an infographic that includes the following elements:

· Images and text that illustrate valid arguments.

· Images and text that illustrate invalid arguments.

· Images and text that illustrate cogent reasoning.

· An example of using evidence in defending an argument.

· An example of using evidence in refuting an argument.

· Include a space for references for the images and ideas used in the infographic.

Use
your own words when adding text to the infographic, and create
your own charts and diagrams. Do not copy/paste text, charts, diagrams, etc. directly into your infographic. Submit your infographic in a Word or PDF document.


Using the Online Library


Finding credible and reliable online resources


What is an infographic, and how do I create one?

Submit your completed assignment by following the directions linked below. Please check the
Course Calendar for specific due dates.

Bottom of Form

NUR 435 Week 7 Discussion: Workplace Culture and Diversity

Step 1 Read the article.

Review the article,  Managing Generational Diversity in the Hospital SettingLinks to an external site.

Step 2 Post your response to the discussion board.

Respond to the following question and, if appropriate, include personal experience as part of your answer.

  • The article discusses common threads of safe patient care and optimal patient outcomes. If you were the nurse manager on your unit, how would you use these concepts to work with generational differences?

Step 3 Read other students’ posts and respond to at least two of them by Friday at 11:59pm Mountain Time.

Use your personal experience, if it’s relevant, to support or debate other students’ posts. In your responses, provide one other example of how, as a manager, you would assist to meet patient/family needs. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

week 4 discussions

   

Week 4 Discussion Forum

      

Complete your week 4 required discussion prompt.

 Links to an external site.  Consider where your research proposal most closely fits within or  aligns to the listed statements. Choose one or two and explain in detail  why you feel it aligns with the NLN’s vision.

powerpoint

MDC3

NUR2502

Module 8

Cardiovascular Presentation

This Photo by Unknown Author is licensed under
CC BY-NC-ND

Rheumatic carditis

1

Presentation

2

This Photo by Unknown Author is licensed under
CC BY

Cardiovascular PowerPoint Presentation for NURSES in your unit!

2

Infographic topic & overview

3

Target audience = other nurses

Key themes – the disease, nursing care

Topic – Cardiovascular disorder covered in modules 7-8

Rubric Section 1

Overview of a cardiovascular disease

(5 points)

Thorough overview of the cardiovascular disorder

Signs and symptoms

Thorough pathophysiology of the condition

How it develops?

What is happening at the cellular / tissue level?

Why it occurs?

4

4

Rubric Section 2

Diagnostic Tests

(5 points)

5

Full list of diagnostic tests

Detail of specific labs utilized

Be sure to provide description of test or tools that other nurses may not be familiar with

This Photo by Unknown Author is licensed under
CC BY-NC-ND

5

Rubric Section 3

Treatment

(5 points)

6

Full list of treatment modalities

Acute and chronic treatment

Description of unique treatment that other nurses may not be familiar with

Detail of medication classes, procedures, different surgeries and what they are called

6

Rubric Section 4

Multidimensional Nursing Care (20 pts)

KEY NOTES:

Worth 50% of the assignment – should be the largest section!

Be clear about multidimensional nursing

7

Rubric Section 4

Multidimensional Nursing Care (20 pts)

Detailed description of the nurse's role in providing multidimensional care

Physical needs (MUST be present)

AT least two of the others:

Social needs

Financial needs

Emotional needs

Cultural needs

Environmental needs

Appropriate NURSING interventions – HOW you provide that care!

8

Rubric Section 4

Multidimensional Nursing Care (20 pts)

What are the interventions the nurse offers (multiple)? Be thorough!

How the nurse promotes health and maintenance and reduces risk…

What do you teach for discharge?

How we connect to resources?

Modifiable risk factors?

9

Rubric Section 5

Spelling, grammar, & creativity

(5 points)

10

APA referencing required, including in-text referencing

Creative design

Spell check and grammar check

Read it out loud to yourself

All references must be listed on the reference list AND in-text citations are required.

10

11

Email for feedback

Email me questions!

11

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Nursing ASSIGNMENT

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 4 peer-reviewed research articles from your research.

· For information about annotated bibliographies, visit 

https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

· Include an introduction explaining the purpose of the paper.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

· Use APA format and include a title page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

DISCUSSION 1

1- Discussion Post- Submit your PICOT question. What is the healthcare problem you propose to change? What impact does it have on the patient, community, cost of care, quality of life, readmissions? Discuss your setting.

Health care problem: Inadequate management in heart failure patients

picot question cant be RB approval

2-Discuss which Nursing Theoretical/Change Theory you will use for your Capstone and why. 

I NEED ONE PAGE PER EACH QUESTION, MUST BE ORIGINAL WORK EACH PAGE NNED TO HAVE ITS REFERENCES.

due date September 1 , 2023

Psychopharmacology

1.Define psychopharmacology and pharmacodynamics and describe the neuron’s cellular structure. Include the definition of synapses as well as their significance to the nervous and psychological system. 

2.Research an article on neuron’s cellular structure works and explain what you found interesting about this topic.

Discussion should be 500 words minimum. Reply to classmates 250 words. References in APA not older than 5 years.

Post your original response by the end of Day 3. Then, by the end of Day 6, comment on at least two of your classmates’ posts.

If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.

Please Note

Interdisciplinary teams

We have now learned about a number of different careers in Health Professions. What should be evident is that no one in health works alone. Interdisciplinary teams are key to providing good care for patients. An interdisciplinary team is ” a group of healthcare providers from different fields who work together or toward the same goal to provide the best care or best outcome for a patient or group of patients.” 

In 2 paragraphs (3-5 sentences each) please describe an interdisciplinary healthcare team as you envision it. Be specific, list 4 different healthcare professionals you would see treating a patient in the hospital. (You can decide the illness the patient has to give you freedom to be creative with your team. ) Then describe their role on the team and how they work together.