1000 words patient case study

Question Description

I need an A in this assignment and I can get that by answering the prompts and also at the grading rubric i have attached, thank you!

NO PLAGIARISM FROM OTHER WEBSITES!

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. *please look into the attached rubric* thank you.

Application #3 Response

Question Description

Each student will submit weekly applications answering questions based on information covered in the class.

  • Application Length– your application should be no more than one page in length. There is no need to create a cover page. There is also no need to include a long header with your name, my name, and the class. That takes up unnecessary space on the page. In the header of the document you can place your name and application number and that should be fine.
  • Application submission– all applications are submitted to me via blackboard by 5 p.m. on the Friday of the week they are assigned
  • Application Lateness– Any applications turned in after5 pm will loose 25% off their grade. Applications submitted beyond two day’s lateness WILL NOT BE ACCEPTED. Exceptions to that are one a case by case basis.
  • Grammar and punctuation– Submitted a response that is one paragraph in length will result in you loosing 20% off your grade. Proper grammar and punctuation is expected in your responses.

Application #3

You are entering the final semester of your senior year of study with a major in public health education. The health education/ promotion program at your university requires seniors in their last semester to intern a minimum of 25 hours per week at a state or nonprofit agency.For this capstone experience, you have been assigned to the mayor’s office in a medium-size city near the campus.

During an orientation on the first day, you overhear that one of the tasks you will be assigned will involve meeting with the leaders of several community groups with the goalof creating smoke-free public parks in the city. The smoke-free park concept represents oneof the mayor’s main objectives in her second term in office. You also hear that the mayor is excited to have a health education student intern because she greatly respects the skills that a health education specialist possesses.

The second day you have the opportunity to meet with the mayor, and, in fact, she doesintroduce to you the idea of a smoke-free public park system. During this meeting you discover that she is quite knowledgeable about the negative health effects of second- and third-handsmoke in part because her son, a lifetime nonsmoker who worked in a pub in town (smokingwas allowed in pubs), died last year from lung cancer at the age of 36. At the close of the meeting, the mayor asks you to submit to her your philosophy of health education/promotion so that she can see what approach you might take with the community groups.

Using the model outlined in this chapter, write out your health education/promotionphilosophy. Based on your philosophy statement and given the project that you will be assigned, is the mayor’s office a good place for you to intern to hone your skills? Why or why not?

Instructions for the Diet and Wellness Project:

Question Description

Instructions for the Diet and Wellness Project:


This is a semester long project. It will require you to track what you eat/drink for 3 days and analyze it using the Diet and Wellness Plus through the Cengage website (purchased separately). Tracking will be done at a later time. The first step is to CREATE YOUR PROFILE.

The goals of this initial report:

1) provide evidence you have purchased the DWP program required for the semester-long diet analysis project

2) you created your profile following the directions outlined in the assignment

3) demonstrate the ability to create reports using the DWP program

4) demonstrate the ability to upload the DWP reports into Canvas successfully.

Please read instructions/rubric for details.

Step 1 of the Diet and Wellness Project – Creating a Profile:

  • Create your profile – do not complete the Wellness profile since we will only focus on the diet portion of health this semester
  • Enter the information for your primary profile.
  • Enter all activity minutes/intensity – make sure activity level is not VERY ACTIVE unless you are an athlete in season. You can change it later if this is too low
  • When you are finished, click SUBMIT.

Step 2 of the Diet and Wellness Project – Create and Submit your DRI Report:

  • This assignment is submitted in Canvas
  • After you have completed your profile follow these instructions to make sure you submit the report correctly
  • Log into Diet and Wellness Plus
  • Top Menu – select REPORTS
  • Select “DRI Report”
  • Review the report to make sure all data is correct (height, weight, age, activity level, etc.) if the report is not correct, go back and EDIT PROFILE
  • Print report as a PDF file and save report to submit in Canvas if you do not have Adobe Acrobat or PDF Creator make sure to download it so you can submit pdf files.
    • Image

    Print report as a pdf file and save to submit in CanvasDRI reportPrint report as a pdf and saveprint report as pdfUse the screenshots provided and watch the following video how to create and submit the DRI report and the 3 Day average report in DWPRubricDRI Report (1)

    DRI Report (1)
    Criteria Ratings Pts
    This criterion is linked to a Learning OutcomeSubmitted DRI report on time
    1.0 ptsFull Marks 0.0 ptsNo Marks
    1.0 pts
    This criterion is linked to a Learning OutcomeActivity level as Sedentary/Low Active
    1.0 ptsFull Marks 0.0 ptsNo Marks
    1.0 pts
    This criterion is linked to a Learning OutcomeAccurate height/weight/age/gender
    1.0 ptsFull Marks 0.0 ptsNo Marks
    1.0 pts
    Total Points: 3.0

Week 13 Assignment 13.1: Suicide Case Study

Question Description

Due: Day 7

Grading Category: Case Studies

In this assignment, you will review the Suicide Case Study patient and analyze the data to determine the health status of the patient. Please respond to the questions that are presented within the case study.

  • Follow the requirements posted on the rubric.
  • Use the Word document that is located within the case study for your case study answers.
  • Papers are usually around 5-6 pages in length.
  • When the Word document is complete, upload it to the corresponding case study assignment and week’s dropbox in your clinical (665CX) course.

All papers must conform to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded.

Instructions

This case study consists of one hypothetical patient situation. After viewing the video, you should answer several questions about patient care. You can use outside materials to help you.

In your answers, you should make specific reference to relevant guidelines and other clinical information. The national guidelines should also be considered with treatment plans.

Access various aspects of the case using the tabs on the left. You will see an introduction video and a questions section. Download the Case Study Word template from within the Case Study Documents tab. Use this template to complete this assignment and then submit it to the submission page in your course.

https://lmscontent.embanet.com/Media/RC/NU665C/NU6…

Psych HX

  • Some elementary school problems with bullying and resulting encounters with school counselor.
  • Showed increasing problems with lying and stealing as a youngster.
  • Recommended mental health counseling, but parents never followed up.
  • One previous suicide attempt at age 27 resulting in three-day hospital stay.
  • Intermittently compliant with outpatient treatment.
  • Stopped taking escitalopram 20mg several months ago because of sexual side effects.

Labs

  • Total Cholesterol: 220
  • Triglycerides: 172
  • SGOT (AST): 48
  • SGPT (ALT): 36
  • HGB: 16.5gm/dl
  • HCT: 45%
  • Na: 134
  • K: 3.2
  • Free T4: 1.1
  • TSH: 3.2

Questions

  1. What is your diagnostic formulation? How does the diagnosis(es) meet DSM criteria?
  2. What are your rule-outs (differentials)?
  3. What screening/assessment tools would you use (if any) and why?
  4. Discuss the etiology of your major psychiatric diagnosis(es) and the psychological underpinnings.
  5. Discuss the epidemiology associated with your diagnostic formulation.
  6. Discuss medical concerns (if any) and suggested interventions.
  7. What would be your therapeutic interventions while the patient is in the hospital? Outpatient? Include both psychotherapeutic and psychopharmacologic interventions. Be specific and evidence based when determining your treatment strategies.
  8. Discuss key points that might be considered when interviewing this patient considering his diagnosis(es).
  9. What should you keep in mind about counter-transference issues that might come up with this type of client? How would you manage your feelings and minimize impact on the therapeutic process?
  10. Give the prognostic factors associated with your diagnostic formulation.
  11. Discuss the risk assessment for this gentleman.
  12. As a resource for nursing staff, what factors would you keep in mind when consulting with them around the care of this patient?

week 4 101 medical terms

Question Description

Unit 4 Assignment – Breaking Down Medical Terms

Submit Assignment

  • Due Sunday by 11:59pm
  • Points 110
  • Submitting a text entry box or a file upload
  • Available Sep 23 at 12am – Sep 29 at 11:59pm 7 days

Estimated time to complete: 60 minutes

Instructions:

  • Read the inpatient history and physical report, IP case 4 attached below.
  • Identify at least 10 different medical terms that can be broken down into word parts (prefix, root word, or suffix).
  • Identify the medical term along with the components and lay meanings. (Note: The medical terms do not need to contain all three word parts.)

Example: Subgastric = Sub/gastr/ic = pertaining to below the stomach

Prefix: Sub = below

Root: gastr = stomach

Suffix: ic = pertaining to

  • Submit the terms, components, and lay meanings in Word document attached to the assignment submission area.

Assignment FIles

Rubric

HC101 – Unit 4 Assignment

HC101 – Unit 4 Assignment

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeTerm IdentificationHC101-CO2

35.0 pts

5

10 terms are identified correctly

32.0 pts

4

9-8 terms are identified correctly

28.0 pts

3

7 terms are identified correctly

24.0 pts

2

5-6 terms are identified correctly

21.0 pts

1

4 or less terms are identified correctly

0.0 pts

0

3 or less terms are identified correctly. Or assignment not submitted.

35.0 pts

This criterion is linked to a Learning OutcomeTerm Descriptions

35.0 pts

5

10 terms are described correctly

32.0 pts

4

9-8 terms are described correctly

29.0 pts

3

7 terms are described correctly

25.0 pts

2

5-6 terms are described correctly

22.0 pts

1

4 or less terms are described correctly

0.0 pts

0

3 or less terms are described correctly. Or assignment was not submitted.

35.0 pts

This criterion is linked to a Learning OutcomeTerms broken into identified word parts

40.0 pts

5

10 terms are broken into word parts correctly

36.0 pts

4

9-8 terms are broken into word parts correctly

32.0 pts

3

7 terms are broken into word parts correctly

28.0 pts

2

5-6 terms are broken into word parts correctly

24.0 pts

1

4 or less terms are broken into word parts correctly

0.0 pts

0

3 or less terms are broken into word parts correctly. Or assignment was not submitted.

40.0 pts

Total Points: 110.0

Next

Examine the sources of evidence that contribute to professional nursing practice

Question Description

Week 2: Research, Practice Problems, and Questions (graded)

No unread replies.11 reply.

Purpose

This week’s graded topics relate to the following Course Outcome (CO).

  • CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
  • CO 2:Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)
  • CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence. The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

  • Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.
  • Write your clinical question in the PICO(T) format for your nursing practice problem. *To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your required reading or access the following link:

NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)

  • List each of your PICOT elements.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.

5. Grading Rubric Definitions

The following are definitions for terminology used in Discussion Board Rubrics:

* Credited – Stating where the information came from (specific article, text, or lesson). Examples: Our text discusses…. The information from our lesson states…, Smith (2010) claimed that…, Mary Manners (personal communication, November 17, 2011)…. APA formatting is not required.

** Assigned readings – Those listed on the syllabus or assignments page as required reading. This may include text readings, required articles, or required websites.

*** Scholarly source – Per the APA Guidelines in the Resources, only scholarly sources should be used in assignments. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Wikipedia, Wikis, .com website or blogs should not be used as anyone can add to these. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.

Complete DQ and respond back to 2 post

Question Description

1. Write a 175- to 265-word response to the following:

  • How are risk management and quality management used in health care? What is the difference between them? What are the similarities? Explain.

Read and respond to at least two of your classmate’s discussion posts. Be constructive and professional with your thoughts, feedback, or suggestions. 125 words for each response

2.In the health care industry, quality and risk management are used in health care more for protection in safety and financial. Quality management helps manage, minimize and mitigate risks. Risk management is an integral part of keeping patients safe and ensuring that the care they receive does not threaten their health or safety. The differences in the two are quality management main focus is to keep up with manufacture regulations and risk is to make sure the products keep the patient safe. According to “Finding Common Ground Between Quality Management And Risk Management”(2019), “From a high level, both disciplines rely on cause-and-effect analysis techniques to decide which corrective and preventative actions are the best choice. Both risk management and quality management strategies must find ways to account for uncertainty. After all, in the quality management space there is no such thing as an absolutely perfect quality product.” They both tend to have the same type of reasonings but in different ways.

Reference:

Finding Common Ground between Quality Management and Risk Management (2019). Retrieved from https://www.iqs.com/common-ground-quality-manageme…

3.Risk management and quality management both work together reciprocally to help with giving the best patient care and consideration. Quality management experts center around most ideal results in patient consideration. Likewise, the quality director is generally in charge of guaranteeing that the association meets accreditation and other administrative necessities and that result information is accounted for in an exact and convenient design. Through graph reviews, peer audits, and other proper procedures, quality administration experts search out occasions of problematic consideration or blunders that can be helped through procedure improvement. Risk management managers are likewise absolutely for most ideal results, yet this may not be clear to their quality management partners who accept that risk managers are just centered around monetary misfortunes from medical misbehavior cases and different types of hierarchical obligation. The finance center is only one factor in the mind-boggling condition that comprises the act of risk management, a significant factor. All things considered, an association’s capacity to convey protected, quality consideration depends in enormous part upon its monetary quality. Each dollar spent on expert risk misfortunes is a dollar that may be spent on patient care.

Health Program Data Analysis for Obesity in Oklahoma

Question Description

Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response.

DQ: Health Program Data Analysis

What does it mean to analyze the collected data from a program evaluation? An analysis involves reviewing multiple components, such as analyzing and synthesizing findings. This includes tabulating information to explore how many individuals participate in the program, reviewing demographics, analyzing the number of participants achieving the outcome goals, and analyzing and stratifying data by race, gender, age, income level, and geographic locations. It is also important to conduct a comparative analysis to review strengths, weaknesses, and any limitations and to review gaps. The next step is combining all of this information to make decisions and present to stakeholders for further input and suggestions regarding the program.

Using the Internet, obtain scholarly articles and materials to draw inferences and support your philosophy. Review the textbook readings that will help you respond to this assignment.

Respond to the following:

  • Compare and contrast qualitative and quantitative methods used for designing a program. (Use a 2×2-table format to present your analysis).
  • Review the decision tree for statistics. You can review the tree online at the following:
  • After reviewing the information:
    • Select three public health statistical methods that you would use in a public health program (Obesity)
    • Provide a complete analysis for each statistical method.
    • Explain why these methods are important and what data or information you could obtain for your program.

Write a 1-paragraph response. Support your methods with appropriate examples and scholarly references. Comment on the postings of at least two peers with scholarly information.

Evaluation Criteria:

  • Compared and contrasted qualitative and quantitative methods used for designing a program.
  • Recommended three feasible public health statistical methods that you would use in a public health program for your selected health issue or health disease topic.
  • Analyzed each statistical method in detail.
  • Explained why your selected statistical methods are important and what data or information you could obtain for your program.
  • Responses demonstrated an in-depth research and analysis.
  • Justified your answers with appropriate research and reasoning.
  • Commented on the postings of at least two peers.

Advanced Nursing Research Methods Disc (NEW)

Question Description

Does caffeine cause cancer? Is autism caused by childhood immunizations? What is the relationship between eating sugary sweets at night and weight gain? It is often helpful to determine and explore relationships between variables. This is especially important in health care, a field dedicated to providing quality care for patients and improving health outcomes. Examining relationships between variables forms the basis for correlational statistics.

In this Discussion, you identify a health care or nursing practice problem that can be explored with correlational statistics and formulate a research question for exploring that problem. You also develop a null and alternate hypothesis, determine the variables related to the study, and predict relationships between the variables based on what you know of correlational statistics.

To prepare:

  • Review this week’s Learning Resources and the “Correlation” tutorial focusing on the types of research questions that can be answered using a correlational statistic.
  • Brainstorm a number of health care delivery or nursing practice problems that could be explored using correlational statistics. Then, select one problem on which to focus for this Discussion.
  • Formulate a research question to address the problem and that would lead you to employ correlational statistics.
  • Develop a null hypothesis and alternate hypotheses.
  • Ask yourself: What is the expected direction of the relationship?

By Day 3

Post a cohesive response that addresses the following:

  • Identify your selected problem in the first line of your posting and post your research question.
  • Post a null hypothesis and alternate hypotheses for your research question and identify the dependent and independent variables that would be associated with the research study.
  • Provide your prediction for the expected relationship (positive or negative) between the variables. Why do you think that sort of relationship will exist? What other factors might affect the outcome?

IMPLEMENT SOMETHING FROM THESE REQUIRED READINGS:

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

  • Chapter 23, “Using Statistics to Examine Relationships”Chapter 23 explains how to use statistics to examine relationships between groups using correlational analyses, scatter diagrams, Spearman rank-order correlation coefficient, and Kendall’s tau.

Statistics and Data Analysis for Nursing Research

  • Chapter 4, “Bivariate Description: Crosstabulation, Risk Indexes, and Correlation” (pp. 59–61 and 68–78)This chapter describes components of bivariate descriptive statistics, including crosstabulation, risk indexes, and correlation. The chapter also discusses the concepts of absolute risk, relative risk, odds ratio, and correlation matrices.
  • Chapter 9, “Correlation and Simple Regression” (pp. 197–209)This portion of Chapter 9 continues the discussion of inferential statistics and explores correlation and simple linear regression.

Public Health: Health Promotion And Disease Prevention

Question Description

NSG/486: Public Health: Health Promotion And Disease Prevention

Wk 2 Assignment: Funding Proposals

#1

Using the health care law or policy you researched for this week’s learning activity, create a proposal or presentation for continued funding of a related program.

Create two separate proposals, one that addresses liberal viewpoints and one that addresses conservative viewpoints.

Convince each group that continued funding is essential to the wellbeing of its recipients.

Address the following in each proposal:

-The party platform principles

-How the program advances the party agenda

-Program data related to target population outcomes

Format your proposals as one of the following:

-18- to 20-slide presentation

or

-875-word paper

****This next paragraph has to do with #1*****

Creating Common Ground

In this article, the author talks about the importance of policy in health equity and the role we all play in improving population health.

Read “Can There Be Political Common Ground for Improving Population Health?” from this week’s University Library Readings.

-The Politics of Health
This week’s assignment requires you to consider the perspectives of differing viewpoints. This activity is designed to give you time to find and research a law or policy in preparation for it and receive feedback from your faculty member about the topic.

Identify or choose one health care law or policy at the local, state, or national level in preparation for this week’s assignment, Funding Proposals.

Consider the following examples:

-Immunizations

-Legislation around HIV/AIDS

-Legislation around health promotion and prevention (for example, obesity)

-Legislation around over-the-counter Narcan™ (naloxone) or needle exchange

Research the law or policy to determine:

-The main purpose of this law or policy

-The main population affected by this law or policy

-How this law or policy affects a population it is intended to serve

Write a short summary and submit it to your faculty member for feedback and approval.

#2

On a separate page:

In this week’s library readings, Keepnews (2013) states “the challenges facing the U.S. health care system— expanding access, reducing costs, ensuring quality, and transforming how care is delivered—affect everyone, regardless of political affiliation. Everyone—including every nurse, and certainly every nurse preparing for an advanced role— needs to understand the issues surrounding health reform” (p. 183).

Respond to the following in a minimum of 175 words:

What role do politics play in key issues like expanding access, reducing costs, and improving quality in your organization, community, or practice setting? Cite specific examples from practice or literature.