nursing c2
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ASAP= Online Quiz – Only for Medicine graduated/Tutors
Online Quiz10 multiple choice questions need to complete with in 10 minutesLimited time
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ME7 Dis
Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:NUR2488_Module07_Case Study_v2.docxHow would you use therapeutic communication and principles of cognitive behavioral therapy with the client?Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.What interdisciplinary referrals might be appropriate?
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MA3
Submit an evidence-based practice PPT about cultural competency in mental health nursing. An evidence-based practice PPT allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your PPT should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your PPT should be at least 8 slides (double-spaced, not including the title or reference slides) in APA Format and include:Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?Diagnosis: List any mental health (2) nursing diagnoses this person has (or 1 at risk for). Include at least (1) cultural diagnosis. (2 + 1 = 3 diagnoses)Planning: What planning needs to be done to ensure the cultural and emotional safety of the client? “The patient will…..?”Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met? “The nurse will…..”Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable-Use numbers and scales.In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.Just answer the evaluation aspect.The topic for my group is Native AmericansA word document with the answers complete is more than enough as long a sit is detailed.
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The question is to be submitted in 24 hours. Quality work needed.
Combines Nursing and Economics
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Reply to Leetal Pharmacology
1- Comments and reply to this post.Disorders such as peptic ulcer disease (PUD), gastroesophageal reflux disease (GERD), and irritable bowel syndrome (IBS) can be painful and often interferes with daily life. PUD occurs when excessive gastric acid secretion eats away at the inner surface of the stomach or small intestine (Kavitt et al., 2019). Conversely, GERD involves mucosal damage to the esophagus due to lower esophageal dysfunction resulting in abnormal reflux of gastric contents (Chen & Brady, 2019). The exact pathophysiology of IBS is unclear; however, some theorize it to be a result of altered gastrointestinal motility, visceral hypersensitivity, brain-gut reactions, bacterial overgrowth, and intestinal inflammation (Camilleri, 2021).Pantoprazole (Protonix) is a medication in the class of proton pump inhibitors (PPIs) that are most commonly used to treat PUD. One systematic review and meta-analysis determined that daily oral administration of pantoprazole is just as effective as when given intravenously. Researchers included several randomized controlled trials (RCTs) involving over 2,000 participants. They concluded that long-term relief was obtained with a PPI in addition to a decrease in the risks of bleeding (Csiki et al., 2021). Although rare, patients with previously diagnosed systemic lupus erythematosus (SLE) and/or a family history of SLE may be at risk of PPI-induced cutaneous lupus erythematosus. Severity is usually associated with the type of drug the individual is exposed to and clinically presents with “non-scarring, erythematous, annular polycyclic or papulosquamous cutaneous eruption so sun-exposed areas” (Aggarwal, 2016). This medication can be used short and long-term; however, patients who are prescribed pantoprazole long-term for more than one year should be monitored for bone loss, fractures, and Clostridium difficile-associated diarrhea (Lexicomp, n.d.). Magnesium levels should also be checked periodically for concomitant use with digoxin or diuretics (Lexicomp, n.d.). Side effects may include diarrhea, constipation, abdominal pain, and headache (Archangelo et al., 2022).Treatment for GERD can also be accomplished with PPIs, yet histamine-2 receptor antagonists (H2RAs) are also frequently used. Cimetidine (Tagamet) has been effective in treating patients with this condition. Unlike PPIs, H2RAs provide relief much faster than their counterparts but do not last as long (Song et al., 2021). Prior to prescribing this medication, I would confirm that the patient does not have renal insufficiency, as dosing would need to be tailored according to their creatinine clearance. Cimetidine is commonly used for short-term relief, especially in older adults, due to its adverse effects of confusion, dizziness, drowsiness, and headache (Lexicomp, n.d.). Monitoring parameters should include a complete blood cell count, gastric pH, any signs of occult bleeding, and kidney function for patients with renal disease (Lexicomp, n.d.).Understanding the different types of IBS and the patient’s predominant stool pattern is vital before prescribing medication for this disorder. Depending on the severity of the patient’s symptoms can help on whether or not dietary and lifestyle changes are needed or pharmacological therapy is warranted. When a patient exhibits signs of constipation, magnesium citrate (Citroma) can be used to aid in colonic distension, further promoting an increase in peristalsis (Archangelo et al., 2022). Magnesium citrate is highly contraindicated in patients with end-stage renal disease as it can alter serum electrolytes (Lexicomp, n.d.). With this being said, as a practitioner, it is essential also to know that this medication should be used with caution with certain neuromuscular diseases such as myasthenia gravis (Lexicomp, n.d.). Citroma should only be used short-term due to a high incidence of laxative dependence (Archangelo, 2022). Adverse effects that may be associated with magnesium citrate are abdominal pain, cramping, and nausea (Archangelo, 2022).
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3D Printing in Healthcare – 6 pages
IntroductionThe introduction clearly and concisely states the purpose in a single sentence that is engaging and thought-provoking. The introduction clearly states the main topic and previews the structure and content.Summarize the history of the emerging technology. Search “history of your topic.”How did it start?What are the major milestones for its development?Include the history to date.Explain how the system can improve the following topics. The information should be specific and not a repetition of information.Patient SafetyThis is specific to your topic and not things in general. How does your emerging technology in healthcare address improving patient safety?Quality ImprovementDo not describe why quality improvement in general is important. For your selected topic, focus on practice improvement. Examples include but are not limited to less errors, less complications, better outcomes, etc.Cost ContainmentHow does the emerging technology save money or decrease the cost?Be specific- what are the savings.Patient EngagementHow is a patient engaged in the technology?Identify and explain a minimum of three pros and three cons of this system.Be explicit what are the pros and what are the cons.Do not repeat the same information from other sections.Identify and explain ethical, legal and standards that impact this emerging technology.Be specific with the legislation, administrative rule or standards.Do not explain why HIPAA is important.Conduct a search onEthical issues related to your topic.Legislation related to your topic.Governmental agencies related to your topicStandards related to your topicEvaluate the potential barriers for the further development of this emerging technology.Why is this an emerging technology?Why is it not more common in healthcare?Minimum of 4 referencesTopic is 3D printing in healthcare. Be careful that you distinguish between development and fully functional.
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mha610
I hope this works
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Health History assignment
Chronic Painrelated tounknown etiologyas evidenced byself-reports of pain “I feel pain when sitting or lying down mostly at night” using a standardized pain scale, 4/10 on a 0 to 10 numeric rating scale. The patient reports an altered sleep-wake cycle.
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its due tuesday 26th at 9pm
Access to Health ServicesAccording to HealthyPeople.gov, access to comprehensive quality healthcare services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. Healthy People 2020 focuses on four components of access to care: coverage, services, timeliness, and workforce.Create a 3- to 4-page Microsoft Word document that addresses the following:Explain the Healthy People 2020 components of access to care pertaining toCoverageServicesTimelinessWorkforceIdentify at least one consequence that a lack of access to healthcare has on women and girls.Explain why access to care issues will need to be monitored even more closely within the U.S. healthcare system beginning 2014.Find at least two scholarly journal articles that discuss all or at least one of the topic areas related to access to care as defined by Healthy People 2020. Provide a synopsis of each article.Explain what type of barrier(s) (structural, financial, or socio-cultural) each article examines? Describe at least two policies or strategies that can be implemented to improve access to healthcare services as they relate to the articles you reviewed.Support your responses with examples.Cite any sources in APA format.
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