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. 

GASTROINTESTINAL TRACT BLEEDING

Patient Profile

Maria, a 48 year-old woman was transferred from emergency department (ED) to transitional care unit (TCU) with a diagnosis of probable gastrointestinal (GI) tract bleeding and abdominal pain. Patient c/o nausea and vomiting blood x2 weeks.

Subjective Data:

-Has a history of alcohol abuse

-Has a history of poorly controlled peptic ulcer disease due to non-compliance with treatment

-Is overweight, but recently lost 10 pounds

-Work as an admission coordinator at local junior college

-Live with her spouse, who was recently diagnosis with prostate cancer

-Recently experienced the death of a her mother from cardiac arrest

  Physical Examination:

                        B/P = 77/41 HR 49 RR 16 T (tympanic) 37.9 (100.2) O2 Sats 98% RA

                        Lungs clear to auscultation, S-3 heart sound to auscultation

Diaphoretic, short of breath, anxious

  
Laboratory Studies

NA 157 Serum K (potassium (3.0)

Hgb 7.6 HCT: 22.8 PLTs 138

RBC 3.32 WBC 11.6

Critical Thinking Questions:

1. Briefly explain the pathophysiology of the development of GI tract bleeding. What is the etiology associated with acute GI tract bleeding?

2. Identify common causes of GI tract bleeding and list predisposing factors specific to Maria.

3. Discriminate between the characteristics of upper and lower GI tract bleeding.

4. What complications did Maria experience?

5. Which factors determine whether blood products will be administered to a patient with GI tract bleeding?

6. Maria Hgb and Hct values dropped. Discuss the drop in Hgb and Hct values in relation to Maria blood loss.

7. If Maria continues to have active bleeding from the GI tract despite conservative management, what other medical procedures might be implement and why?

 

Interview with a Culturally Competent Healthcare Professional

Healthcare Professional Interview:

Interview with a culturally competent Registered Nurse, Nursing Leader, or Advanced Practice Nurse. BSN students must select a nursing professional with a BSN or higher degree in nursing practice. The interview must address the following topics:

• The practitioner’s philosophy regarding cultural diversity. (10 points)
• Their strategies for providing culturally congruent healthcare. (10 points)
• How do they address the uniqueness of cultural health practices? (Provide examples). (10 points)
• How do they address issues such as cultural bias, language barriers, and client conflict? (10 points)
• The challenges and benefits of addressing healthcare disparities. (Provide examples). (10 points)

This is an all-or-none assignment. Please ensure that all of the concepts listed above are included in your interview. The interview should be at least one page in length and uploaded. Please pay close attention to spelling and grammar.

 

In a Word document, develop your own career mapping concept map (which highlights your own stages of progression). Your concept map should include and identify future stages of your nursing career progression, as well.

Be sure to address the following in your concept map:

• Educational status
• Training
• Experience present and future
• Work setting
• Nursing level of practice
• Associations
• Certifications
• Community activities
• Mentoring
• Certifications

 

Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).

(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)

• What additional information should the nurse obtain from the client?
• What nursing intervention is most appropriate in this situation?
• What screening tests should be obtained to determine the risk for preterm labor?
• If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).

Module 04 Content

1.

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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.

As part of the company’s training plan, they want to provide articles for the staff on the company’s intranet as required reading prior to other training activities. You will create one of those articles in the form of a blog post. It should provide an overview and give concrete examples of logical fallacies being used in the news and social media.

Instructions

Use online resources to create a blog post that illustrates how logical fallacies and audience manipulation appear in the news and social media. Social media may include sites like Facebook, Twitter, Instagram, and others.

Your blog post should be a minimum of 5 paragraphs that includes the following elements:

· An introduction to the topic of logical fallacies.

· 2 examples of audience manipulation in the
news with a clickable link to the articles inserted in the blog post. Explain each fallacy example and how it is being used to manipulate the audience.

· 2 examples of audience manipulation in
social media. Explain each fallacy example and how it is being used to manipulate the audience. The two examples can be from the same or different social media sites. Example: One from Facebook and one from Twitter. Insert a screenshot image of each social media post.

· A summarizing paragraph.

· References with links to your sources.

Write your blog post in a Word document. Be sure to proofread for grammar and spelling.

For assistance with logical fallacies in advertising, news, and social media, please see:

·

What is a logical fallacy?

For assistance with writing a blog post, see:

·

Blog Writing: Tips and Best Practices to Keep Readers Engaged

·

The Art of Digital Marketing

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