Blog Archives - Page 24 of 275 - Assignment Help Central

October 16, 2024

Case Study on Bertha

Case Study on Bertha

Bertha, a 58 – year – old Hispanic female, presents to the primary care clinic to establish care. She states that in 1985 she received a blood transfusion after sustained an MVA. She had tested positive for hepatitis C virus ( HCV ) in the past, but ignored any advice regarding treatment options. She brings a previous lab result with her today that shows :(ALT) level of 85 IU/mL (range 8 – 35 IU/mL). The lab form also states, “ HCV antibody is positive by enzyme immunoassay — confirmation is suggested.

Past medical history: Hypertension, dyslipidemia, hepatitis C.

Family history: Unremarkable

Social history: She works as a case manager of an HMO and is married with 2 children. Denies use of illegal drugs, denies alcohol abuse, and has no tattoos.

Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily.

Allergies: No known drug or food allergies.

OBJECTIVE General a ppearance: 58 – year – old female; pleasant, in no acute distress; good eye contact. Vital signs: T: 96.8; P: 76; RR: 25; SaO 2 : 91; BP: 138/80. Her weight is 174 lb, and her height is 63 inches.

HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy.

Cardiovascular: Regular rate and rhythm. Apical Pulse (PMI) is at 5th intercostal space, left sternal border. Pulses + 2 all extremities.

Respiratory: Lungs clear to auscultation, No wheezes; no crackles.

Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No organomegaly. No ascites.

Neurological: A & O × 4, CN II – XII grossly intact.

Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.,

CRITICAL THINKING

Which diagnostic or imaging studies should be considered confirm the diagnosis?,

What is the most likely differential diagnosis?,

What is your plan of treatment?,

Are there any emergent referrals needed?,

Case Study on Bertha

Past medical history: Hypertension, dyslipidemia, hepatitis C.

Family history: Unremarkable

Social history: She works as a case manager of an HMO and is married with 2 children. Denies use of illegal drugs, denies alcohol abuse, and has no tattoos.

Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily.

Allergies: No known drug or food allergies.

HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy.

Cardiovascular: Regular rate and rhythm. Apical Pulse (PMI) is at 5th intercostal space, left sternal border. Pulses + 2 all extremities.

Respiratory: Lungs clear to auscultation, No wheezes; no crackles.

Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No organomegaly. No ascites.

Neurological: A & O × 4, CN II – XII grossly intact.

Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.

CRITICAL THINKING

Which diagnostic or imaging studies should be considered confirm the diagnosis?

What is the most likely differential diagnosis?

What is your plan of treatment?

Are there any emergent referrals needed?

October 16, 2024

Gastrointestinal Case Study

By Academic Wizard Blog

Gastrointestinal Case Study

J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

Case study questions:

Please name the potential most common sites for metastasis on J.C and why?
What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
Describe the carcinogenesis phase when a tumor metastasizes.
Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.Gastrointestinal Case Study
J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

Case study questions:
1. Please name the potential most common sites for metastasis on J.C and why?,
2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?,
3. Based on the case study described proceed to classify the tumor based on the TNM Stage classification., Why this classification important?,
4. Discussed characteristic of malignant tumors regarding it cells growth and ability to spread.,
5. Describe the carcinogenesis phase when a tumor metastasizes.,
6. Choose the tissue level that is affected on the patient discussed above: Epithelial Connective Muscle or Neural. Support your answer.,

October 16, 2024

Weekly Clinical Experience

By Academic Wizard Blog

Weekly Clinical Experience

Describe your clinical experience for this week.,

Did you face any challenges, any success? If so what were they?

Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales,

Mention the health promotion intervention for this patient.

What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?

Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

Your initial post should be at least 500 words. formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Weekly (5) Clinical Experience

Describe your clinical experience for this week.,

Did you face any challenges any success? If so what were they?,

Describe the assessment of a patient detailing the signs and symptoms (S&S) assessment plan of care and at least 3 possible differential diagnosis with rationales, Weekly Clinical Experience,

Mention the health promotion intervention for this patient.,

What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?,

Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

Your initial post should be at least 500 words. formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Weekly (5) Clinical Experience

Describe your clinical experience for this week.,

Did you face any challenges, any success? If so what were they?

Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales,

Mention the health promotion intervention for this patient.

What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?

Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

Your initial post should be at least 500 words. formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

October 16, 2024

Adult Clinical Soap Note

By Academic Wizard Blog

Adult Clinical Soap Note

A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

Instructions:

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

S =	Subjective data: Patient’s Chief Complaint (CC).
O =	Objective data: Including client behavior, physical assessment, vital signs, and meds.
A =	Assessment: Diagnosis of the patient’s Condition. Include differential diagnosis.
P =	Plan: Treatment, diagnostic testing, and follow up

Click here to access and download the SOAP Note Template,

Submission Instructions: Adult Clinical Soap Note,

Your SOAP note should be clear and concise and students will lose points for improper grammar punctuation and misspellings.,

You must use the template provided. Turnitin will recognize the template and not score against it.,

Your submission will be reviewed for plagiarism through Turnitin.,

Adult Clinical Soap Note

Instructions:

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

S =	Subjective data: Patient’s Chief Complaint (CC).
O =	Objective data: Including client behavior, physical assessment, vital signs, and meds.
A =	Assessment: Diagnosis of the patient’s Condition. Include differential diagnosis.
P =	Plan: Treatment, diagnostic testing, and follow up

Click here to access and download the SOAP Note Template

Submission Instructions:

Your SOAP note should be clear and concise and students will lose points for improper grammar punctuation and misspellings.

You must use the template provided. Turnitin will recognize the template and not score against it.

Your submission will be reviewed for plagiarism through Turnitin.

October 16, 2024

Developmental Disorders Case Study

By Academic Wizard Blog

Developmental Disorders Case Study

Instructions

You are working in a community health center as an NP. Although you see children for mental health you will also see children for some basic “bridge” care until primary care providers have openings. If the medical issue is complex then the clinic coordinator will escalate the referral for quicker appointment scheduling.

Presentation: Makala, who is 7, has come to the clinic with a suspected ear infection and as a referral for her daughter’s behaviors. Makala’s mother says that her daughter has been rocking rhythmically and clutching her ear at the same time. There has been some moisture on her pillow in the morning and Makala is reluctant to let her mother investigate what is wrong.

Makala is attempting to rock while she is seated on her mother’s knee and uses the same repetitive vocalization “Don’t wanna go to the shops” over and over again. Developmental Disorders Case Study

She has a history of speech delay but can now complete many full sentences. She has also had some behavior and attention issues in school. She disrupts the teacher often and then gets up from her seat during focus time to go to play centers. She is not easily redirected and becomes argumentative.

She feels hot to touch and will not let healthcare practitioners approach her with any equipment. Her vocalization becomes louder and more insistent when you attempt the examination.

Recognizing possible autism as well as some ADHD diagnosis criteria, discuss the next steps in the answers to the questions.

Instructions

Write a 4-page paper answering the following questions. , Be sure to include a minimum of 2 scholarly articles to support your discussion.

Discuss autism and ADHD diagnostic criteria.,
How should you approach examining Makala as a child and strive to gain her trust?,
You suspect that autism may be a possibility., What should you do to ensure that your suspicions are correct and how should you go about referring Makala to the local autism team?,
Makala is showing signs and symptoms that may overlap between autism and ADHD. ,How do you differentiate autism from ADHD based on diagnostic criteria? Developmental Disorders Case Study,

All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.

October 16, 2024

Cultural Values Case Study

By Academic Wizard Blog

Cultural Values Case Study

L.W. is a nurse practitioner in an urban community., Many of her clients recently immigrated to the United States from various countries. She is challenged by the many different cultures she encounters and the different values and beliefs they hold toward Western medicine.

She is determined to earn her clients’ trust. She does this by providing health care services that are respectful of each client’s health beliefs and practices and cultural needs. She knows she must set aside her own values and beliefs to focus on what is important to her clients in order for them to have successful outcomes.

Questions for the case

Give at least two examples of emerging populations in the United States and describe their cultural characteristics that might interfere with their healthcare. Cultural Values Case Study

Discuss the 3 topics listed below for your case:

Identify the different roles and responsibilities of the nurse.

Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.

Which patient population is most likely to experience health disparities and why?

500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Cultural Values Case Study

Questions for the case

Give at least two examples of emerging populations in the United States and describe their cultural characteristics that might interfere with their healthcare.,

Discuss the 3 topics listed below for your case:,

Identify the different roles and responsibilities of the nurse.,

Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner., How would you work to improve your weaknesses? Identify your strengths.,

Which patient population is most likely to experience health disparities and why?,

500 words formatted and cited in current APA style with support from at least 2 academic sources.,

October 16, 2024

Therapeutic Relationship Case Study

By Academic Wizard Blog

Therapeutic Relationship Case Study

T.D. enjoys caring for the children and young people in the schools where she works, but sometimes she is faced with tough situations such as suspected child abuse and neglect, teen pregnancy, and alcohol and drug use among teenagers. She works hard to ensure that the children in her schools receive the best care possible.

Questions for the case

Several third graders reports having received no breakfast at home for more than a week. T.D. is exercising Advocacy for the students under her care. ,What type of actions she might be doing to exercise advocacy for the students?,

discuss the 3 topics listed below for your case:,

Moral distress is a frequent situation where health care providers should face., Please define and discuss a personal experience where you have faced Moral distress in your practice.,

Discuss how health promotion relates to morality.,

Discuss your insights about your own communication strengths and weaknesses. Identify situations in which it may be difficult for you to establish or terminate a therapeutic relationship. Therapeutic Relationship Case Study

500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Therapeutic Relationship Case Study

Questions for the case

Several third graders reports having received no breakfast at home for more than a week. T.D. is exercising Advocacy for the students under her care. What type of actions she might be doing to exercise advocacy for the students?

discuss the 3 topics listed below for your case:

Moral distress is a frequent situation where health care providers should face. Please define and discuss a personal experience where you have faced Moral distress in your practice.

Discuss how health promotion relates to morality.

Discuss your insights about your own communication strengths and weaknesses. Identify situations in which it may be difficult for you to establish or terminate a therapeutic relationship.

500 words, formatted and cited in current APA style with support from at least 2 academic sources.

October 16, 2024

Public Health Concern

By Academic Wizard Blog

Public Health Concern

Chapter 7 Food, Nutrition, Obesity Policy

Develop a presentation describing the public health issue a policy solution as well as identify & discuss a coalition and its’ members., Pretend to represent an organization that is part of the coalition and prepare and record a maximum of three minutes of testimony advocating for the policy solution., This will simulate a “mock” testimony presentation to policy makers., The goal is to develop a convincing and educational testimony to influence the policymaker’s stance about the selected legislation., For example, as an advocate you would like the policymakers to vote in the way intend them to (yes or no for a policy). Public Health Concern,

The goal is to develop a convincing and educational testimony to influence the policymaker’s stance about the selected legislation. For example, as an advocate, you would like the policymakers to vote in the way intend them to (yes or no for a policy). Public Health Concern

Topic:

Public Health Problem/Issue: Chapter 7 Food, Nutrition, Obesity Policy

Assigned Coalition: School Meals for All Coalition
Policy Options (select one):
- Healthy Hunger-Free Kids Act (HHFKA) of 2010: https://www.federalregister.gov/documents/2013/06/28/2013-15249/national-school-lunch-program-and-school-breakfast-program-nutrition-standards-for-all-foods-sold-in AND https://obamawhitehouse.archives.gov/sites/default/files/Child_Nutrition_Fact_Sheet_12_10_10.pdf
- Great analysis of the bill and potential negatives (this can help understand the opposition): https://policymatters.illinois.edu/the-potentially-negative-consequences-associated-with-the-healthy-hunger-free-kids-act/
- Excellent, solid review of the law (and evaluation later on): https://foundationsoflawandsociety.wordpress.com/2018/12/05/the-healthy-hunger-free-kids-act-of-2010/
- Farm to School Act 2021: https://www.farmtoschool.org/news-and-articles/farm-to-school-act-of-2021-introduced-in-house and https://assets.website-files.com/5b88339c86d6045260c7ad87/6112f97f5f27c14cb88c3a74_F2SAct2021-FactSheet.pdf
- A few additional points included here: https://sustainableagriculture.net/blog/release-farm-to-school-act-of-2021-support-child-nutrition-and-local-food-systems/ Develop a presentation describing the public health issue a policy solution as well as identify & discuss a coalition and its’ members. Pretend to represent an organization that is part of the coalition and prepare and record a maximum of three minutes of testimony advocating for the policy solution. This will simulate a “mock” testimony presentation to policy makers. The goal is to develop a convincing and educational testimony to influence the policymaker’s stance about the selected legislation. For example, as an advocate, you would like the policymakers to vote in the way intend them to (yes or no for a policy).

October 16, 2024

Health Issue Advocacy Action

By Academic Wizard Blog

Health Issue Advocacy Action

Step One: Find a health or social service organization that has an advocacy web page. It is common for an advocacy group to have some kind of action you can take or a link to take action on their home page. Here are some suggestions:

If you are already working in health or social service (e.g. nursing) your professional association often takes positions on health policy you might care about.,
- Public health professionals may want to start with the American Public Health Association for a variety of health issues and actions you can take: http://action.apha.org/site/PageNavigator/Advocacy.,
- Another organization that provides opportunity for the public to take action is the American Cancer Society Cancer Action Network. The core issues American Cancer Society Cancer Action Network is focused on are tobacco prevention, cancer research and health care access to name a few. Visit their take action page
  - For instance, on this page you can “take action” on this bill: Speak for health Fund Public health in 2019. Advocating for this bill will help to provide adequate funding for critical public health agencies and programs in FY 2019. To take action you would fill out the provided form and then submit it. Upon submission APHA will ensure delivery to the appropriate state Senators and Representatives. Once completed, you have advocated and in fact, taken action on this health issue! Nice work! Health Issue Advocacy Action
Also, in your text, there are lists of stakeholders (organizations/groups) in chapter 4 pp 74-75; 77 that may have a website in which you could choose to take action. Further, chapter 6-14 covers public health issues and many stakeholders are described in each (which may also have an associated web page you could view and select an action).

Step Two: Then, engage in an advocacy action (e.g. contact your elected officials, mail, email, call; write a letter to the editor) through their online advocacy site.

Step Three: Primary Post

In the first paragraph of your primary post, describe the organization you selected, the policy action they desired (e.g. support of a bill, policy, movement), and the action you took (e.g. sign a petition, submit a pre-filled letter, etc..).
- Include a SCREEN SHOT of the action you took. Usually, it is a pre-written letter to a policy maker. Whatever type it may be, take the shot, save it as a .jpg on your pc and insert it into your primary post. Health Issue Advocacy Action
What public health issue/health problem does the policy action that you took address? Be as specific as you can so someone else reading your post will understand the situation.,
Identify one health communication principle, (e.g. tailoring key messages target audience channels social marketing- 4 Ps) and describe how it applies to the action you took. ,
Identify one advocacy principle (e.g. problem definition policy solution stakeholders branch of government unintended consequences of the policy, how to amplify this action) that is being applied to this advocacy action and describe how it applies to the action you are being asked to take. ,

Organizational Reputation and Sustainability

October 16, 2024

Clinical Decision Making

By Academic Wizard Blog

Clinical Decision Making

Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?

Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located.,

What treatment is recommended by the CPG for your client’s situation?,

Discuss your personal professional assessment of the client’s situation provided in the scenario., What pharmacological treatment is necessary and why?,

Reflect on additional questions you have about your assigned client that may influence treatment., What else do you need to know? What follow-up assessments labs or conversations are required to ensure optimal health outcomes?,

Clinical Decision Making

Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?

Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located.

What treatment is recommended by the CPG for your client’s situation?

Discuss your personal professional assessment of the client’s situation provided in the scenario., What pharmacological treatment is necessary and why?

Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?

Clinical Decision Making

Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?

Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located.

What treatment is recommended by the CPG for your client’s situation?

Discuss your personal professional assessment of the client’s situation provided in the scenario., What pharmacological treatment is necessary and why?

Previous page 1 … 22 23 24 25 26 … 275 Next page

Category Archives: Blog