week 4 health promotion

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Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension.

PATHO-WEEK 3

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Pulmonary Function:
D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

Case Study Questions

  1. According to the case study information, how would you classify the severity of D.R. asthma attack?
  2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
  3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:

  • Serum glucose 412 mg/dL
  • Serum sodium (Na+) 156 mEq/L
  • Serum potassium (K+) 5.6 mEq/L
  • Serum chloride (Cl–) 115 mEq/L
  • Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L

Case Study Questions

  1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
  2. Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
  3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
  4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
  5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

Submission Instructions:

  • You must complete both case studies
  • Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

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

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

Discussions on Spirituality in Nursing Practice

Integrating spirituality into nursing care has been widely accepted as a means of providing holistic care that leads to better patient outcomes. Spirituality assessment tools allow for data collection regarding integrating spirituality in nursing practice and improving the address of the spiritual requirements in the nursing clinical surroundings. This debate focuses on two prominent tools used to evaluate spirituality in nursing, specifically, the Spiritual Assessment Scale (SAS) and the FICA Spiritual History Tool.

Few tools specifically exist to evaluate spiritual and religious coping in multicultural clinical settings (Casaleiro, Caldeira, & Esperandio, 2022)—and such instruments can help healthcare providers understand the degree to which prayer and religious considerations influence patient care. The authors assert that spirituality should be evaluated clinically, culturally sensitive, and respectfully. Among the tools they mention is the Spiritual Assessment Scale (SAS), a measure of spiritual well-being and coping across patients of various religious and spiritual traditions. This guide helps nurses evaluate patients’ coping skills and how much spirituality contributes to their health. The authors state that SAS is helpful in various clinical environments in which patients’ spiritual needs may vary.

In another instrument that nurses frequently use for spiritual assessment, by Green (2021), the FICA Spiritual History Tool is presented. This tool includes questions related to the patient’s Faith or beliefs, the importance of spirituality, Community involvement, and how these factors affect their health (FICA). According to Green (2021), the FICA tool helps nurses have meaningful discussions with patients regarding spirituality, resulting in a holistic understanding of their necessities. The ease of the tool and its comprehensiveness give it excellent efficacy in practice, promoting discussions of patients’ spiritual wellness with nurses.

Both articles underscore the necessity of integrating spiritual assessment as a component of a patient-centered model of care into nursing practice. Green (2021) states that an enforced spiritual health assessment improves therapeutic relationships and makes patients more satisfied; thus, the implementation of this type of tool is successful in practice. Casaleiro et al. (2022) contend that addressing performance, attention, and social danger during patient care is paramount to adequate cultural competence for clinicians to mitigate biases and holistically consider the patient’s needs.

Incorporating tools like the Spiritual Assessment Scale (SAS) and the FICA Spiritual History Tool into nursing practice is vital to addressing the spiritual aspect of patient care. These instruments are essential in providing nurses with practical assessments that enable them to offer patient-centered care that affirms and nurtures spiritual needs and enhances holistic care.

References

Casaleiro, T., Caldeira, S., & Esperandio, M. R. G. (2022). Instruments for assessing spiritual/religious coping in multicultural clinical settings. Journal of Christian Nursing, 236–243. https://doi.org/10.1097/CNJ.0000000000000997

Green, C. (2021). Nurses and patients’ perspectives on spiritual health assessment. Journal of Religion & Health, 60(1), 122–133. https://doi.org/10.1007/s10943-020-01113-5

nurs 507CL m2 discussion

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

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

Evaluating Spirituality in Nursing Practice

      Spirituality is a fundamental aspect of patient-centered care, significantly impacting how individuals cope with illness and make health-related decisions. Over time, healthcare professionals have developed structured approaches to assess spiritual needs, ensuring that these concerns are addressed as part of holistic nursing practice. Several validated tools assist nurses in evaluating patients’ spiritual well-being and integrating this dimension into care planning.

     One widely used assessment method is the FICA Spiritual History Tool, developed to guide clinicians in exploring a patient’s spiritual beliefs and their role in health. This model focuses on four key areas: personal faith, the importance of spirituality in daily life, connections to a religious or spiritual community, and how these beliefs influence medical decisions (Puchalski, 2020). By incorporating this approach into patient assessments, nurses can gain valuable insight into an individual’s values and preferences related to their care.

      Another recognized framework is the HOPE Spiritual Assessment Tool, which facilitates discussions about spiritual concerns. The acronym HOPE represents sources of hope, engagement in organized religion, personal spirituality and practices, and the impact of these beliefs on healthcare choices (Anandarajah & Hight, 2021). This method is particularly beneficial for patients receiving palliative or end-of-life care, as it allows nurses to explore existential concerns and provide appropriate support tailored to the patient’s needs.

      Additionally, the Spiritual Well-Being Scale (SWBS) is a standardized questionnaire that measures an individual’s overall spiritual wellness. This tool evaluates both religious well-being—reflecting one’s connection with a higher power—and existential well-being, which pertains to finding meaning and purpose in life (Bufford et al., 2022). The SWBS is particularly useful for identifying individuals experiencing spiritual distress, especially those managing chronic illnesses or facing significant life transitions.

         Utilizing these tools allows nurses to deliver compassionate and holistic care by addressing spiritual dimensions that influence patient well-being. Acknowledging and supporting a patient’s spiritual concerns fosters emotional resilience, enhances coping mechanisms, and strengthens the nurse-patient relationship. Integrating spirituality into nursing practice ultimately contributes to a more comprehensive and meaningful approach to healthcare.

References

Anandarajah, G., & Hight, E. (2021). Spirituality and medical practice: Using the HOPE questions as a practical tool. Journal of Palliative Medicine, 24(3), 456-462. https://doi.org/10.1089/jpm.2021.0093

Bufford, R. K., Paloutzian, R. F., & Ellison, C. W. (2022). The Spiritual Well-Being Scale: A psychometric review and applications in health care. Journal of Religion and Health, 61(2), 765-779. https://doi.org/10.1007/s10943-021-01374-8

Puchalski, C. M. (2020). The FICA spiritual history tool: Clinical application in holistic nursing care. Journal of Holistic Nursing, 38(1), 12-18. https://doi.org/10.1177/0898010119895363

PP ON ASTHMA

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Goal: Develop a PowerPoint presentation on ASTHMA discussed in the McCance text.

Textbook: McCance, C. K., Huether, E. S., Brashers, L. V., & Rote, S. N. (2019). Pathophysiology: The
biologic basis for disease in adult and children (8th ed). Elsevier.
Print: 9780323413176
eText: 9780323583473

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Format Requirements: 

· Presentation is original work and logically organized.

· Followed APA format including citation of references.

· Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.

· Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Content Requirements:

· ASTHMA

· Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level.

· Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder.

· Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.

· Must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly

Response

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See Attachment

Tiff week 4 700

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Tiff week 4 700

BJ week 4

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Bj week 4

Worksheet 3

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