Immune

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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?

HEALTH ASSESSMENT

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Assignment Content

1.

Top of Form

Answer the following questions in a one or two-page summary of the following questions:

1. Describe the 
four physical assessment techniques discussed in the textbook. Why is it important to perform the assessment techniques in order?

2. Describe the significant characteristics of a general survey. Why is the general survey important?

3.
Conduct a pain assessment on a family member/friend using 
one of the pain scales that are discussed in the textbook. Document your findings in a summarized format. (see instructions below). 

 

You may conduct the pain assessment on a fellow student, friend, or family member. Remember to secure their permission.

Include both subjective and objective data when performing the pain assessment & 

don't forget to ask the “PQRST” questions using the process described in the textbook. 

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Health Promotion: Prevention of Disease

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 Screening is the administration of measures or tests to distinguish individuals who may have a condition from those who probably do not have it.  Discuss the advantages and disadvantages of screening.   

s1w

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Iron Deficiency anemia

1. The week’s topics were choosen from the following website:  
Agency for Healthcare Research and QualityLinks to an external site.

2. Reply to the following prompt:

·

· Describe the diagnostic or screening tool selected, its purpose, and what age group it targets.

· Has it been specifically tested in this age group?

· Next, discuss the predictive ability of the test. For instance, how do you know the test is reliable and valid? What are the reliability and validity values? What are the predictive values? Is it sensitive to measure what it has been developed to measure, for instance, HIV, or depression in older adults, or Lyme disease? Would you integrate this tool into your advanced practice based on the information you have read about the test, why or why not?

3. You should include a minimum of two (2) scholarly articles from the last five (5) years (3 is recommended).

4. Your work should have in-text citations integrating at a minimum one scholarly article and the course textbook. APA format should be utilized to include a reference list. Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first – person use.

Case Soap Note

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Please see attachment 

help

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Analyze how the Institute for Healthcare Improvement article entitled Addressing Institutional Racism can positively affect the future of nursing. Examine how these strategies can contribute towards advanced practice nurses’ empowerment and patient safety. What strategies are required for nurses to shape a better future in healthcare?

1 page

PLEASE ONLY USE 2 REFERENCES

1 references will be from the article uploaded

Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

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Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

The discussion must address the topic.

Rationale must be provided

May use examples from your nursing practice ( pain management )

Minimum of two references in APA format within the last five years published

500 words with 2 scholarly references wiht in text citations less than 5 years old.

informatics

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As you learned from the chapter, reading, and video lectures, the cost of health care is a major concern in the US. As we discussed, value-based models promise to bend the cost curve in the right direction. The article you read by Erickson et al (2020) is mostly from the point of view of physicians so it is always a good idea to think critically about articles like this. Do you think that the authors present solid arguments in favor of what they propose? Do you think their point of view is similar to what you read and think about ways to decrease costs while increasing quality? Do you think that their point of view considers other health care-related professions?

Discussion 7

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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.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

Proactive Plan

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How should healthcare professionals proactively plan to update their knowledge and skills to respond to the major public health issues and challenges facing them and their clients?