Day nine discussion one

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Discuss the common reasons that cause young adults to avoid regular health screening and supervision.15 words

 
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Competency for ABG

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CompetencyDescribe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.ScenarioTony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.Tony’s ABG results:pH 7.28PaCO2 – 55 mm HgPaO2 – 70 mm HgHCO3 – 30 mEq/LInstructionsIn a 1-2 page Word document:Determine Tony’s acid-base imbalanceDescribe possible causes of the imbalanceIdentify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalanceList the multidimensional care strategies that are appropriate for the care of TonyResourcesFor assistance with citations, refer to theAPA Guide.For assistance with research, refer to theNursing Research Guide.

 
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English

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In reference to U.S. presidential elections, answer the following in2-3 sentences each:Do you think voting should be made mandatory/compulsory for citizens? Why or why not?Suppose people were able to cast their vote online. What would be one advantage and one disadvantage of online voting?What do you think is the most important issue President Biden should deal with now and why?The U.S. president is elected for a 4 year term. Do you think this should be increased, decreased, or stay the same? Why?How interested are you in politics, in general? Give a reason for your answer.

 
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more than 200 words in two answers to your peers , 2 references each

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Week 5 DiscussionPeer 1During the course of this week, I had the opportunity to learn the mist important characteristic of Cardiovascular diseases (CVDs). The CVD are the leading cause of death worldwide, claiming an estimated 17.9 million lives yearly. Coronary heart disease, cerebrovascular illness, rheumatic heart disease, and other ailments all fall under cardiovascular disease (CVD). Strokes and heart attacks are responsible for causing four out of every five deaths resulting from cardiovascular disease. Additionally, one-third of these deaths occur in adults under 70. These conditions include but are not limited to coronary artery disease, chest discomfort, vascular disease, heart failure, and infectious endocarditis. The tests used to define the body mass index, blood pressure, cholesterol levels, ECG, and chest x-ray. Infective endocarditis, abbreviated as IE, is a disease that can be fatal and is very expensive to treat. Mortality and morbidity rates associated with IE continue to be high, with one in five patients passing away within 24 hours of their initial hospital admission. This is despite advances in surgical procedures and medical therapy. The chances of surviving IE over the long run are fifty percent. Delays in the diagnosis of IE can impact a patient’s ability to recover and even survive. The annual incidence of IE has reached nine instances per one hundred thousand persons in high-income nations, and the number of hospitalizations caused by IE has nearly doubled over the past few decades. Despite the lack of evidence on the prevalence of IE in countries with low and intermediate incomes, the overall majority appears to be higher than in countries with high incomes (Wang, 2020). Coronary artery disease leads to stiffening and narrowing of the coronary arteries, which provide blood to the heart muscle. Plaques are the culprit for this in the endothelium of the artery. The formation of an arterial plaque, also known as an atheroma, is the hallmark of atherosclerosis. The plaque has the potential to stiffen artery walls, which in turn reduces the amount of blood, oxygen, and nutrients that reach the heart.Peer 2Week 5 DiscussionThis has been a very informative and educative topic that has expanded my knowledge. I have learnt several issues from this topic that will help me build my profession. The first major lesson I have learnt is the Gold Guidelines for COPD. This week’s lesson has enlightened me on how to review and update information about new guidelines. This has been my greatest nightmare, as I couldn’t study and update the policies before this lesson. I have learnt that a post bronchodilator FEV1/FVC ratio of <0.70 is diagnostic for COPD. This is an important concept that has helped me know more and how to handle this concept. In addition, categorizing airflow restrictions into phases using the Global Initiative for Chronic Obstructive Lung Disease (GOLD) approach has improved my understanding of how to deal with them.Another key learning was obstructive vs restrictive lung diseases. I was able to learn and master knowledge regarding the differences between obstructive and restrictive lung diseases. Warner (2022) explains that obstructive lung diseases include health conditions that make it difficult to exhale air into the lungs. Individuals suffering from restrictive lung complications have a problem with expanding their lungs with air fully. This condition has nearly identical main symptoms, such as shortness of breath; this lesson has given me a better understanding of how to distinguish the two lung complications. Forced expiratory ratio (FEV1/FVC or FER%), the ratio of FEV1 to FVC, when expressed as a percentage, is the best method; I have learnt to distinguish the two.Finally, I have also learnt about the most common lung cancer. Adenocarcinoma is the most common lung cancer affecting many people, especially in the US (Lobb, 2018). This cancer is said to affect nonsmokers as well. Thus, it has become one of the major threats. However, I have also mastered Non-Small Cell Lung CA (NSCLC) as the best treatment option that will positively impact my career.

 
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Due today

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Provide an example of a possible confusion between theological beliefs and ethical principles in a commonly-held religious belief system. Are there practices within this faith that might be critiqued as unethical? How should we apply the fundamentals of ethical reasoning in this case? Your response should be at least two pages in length and should be typed using 12-point Times New Roman font. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations in APA format. The title and reference page do not count towards the 1 pageminimum.

 
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topic 4 DQ 1

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This is the question:You have been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses.Please use this Grading Rubric and Sample Table for this DQClass this question assumes you are the nurse manager and is a how you would evaluate and implement a  standard practice or standing order into your unit. Complete all of the learning activities, critically think and post your reply.Here is a link to  “An Explanation of the Scope of RN Practice Including Standardized Procedures” from the CA BON, your state BON site likely has something similar, but this gives a general idea of procedures one might follow.  LisaGrading RubricDiscusses/ lists the process used to determine whether the standardized procedure falls within RNs’ scope of practice (consider your Nurse Practice Act/ Board of Nursing, standards in your workplace, staff training) this is asking .. how will you as a nurse manager make sure that this new procedure is in your staffs scope of practice. 6 pointsDiscusses process used to introduce the new procedure with physicians and fellow nurses. (Think legalities, change theory and nursing process) 6 pointsAPA and writing 3 pointsUses 1 properly formatted referenceCorrectly formatted in text citationsWriting free of mechanical grammar and spelling errors.BELLOW IS ATTACHED THE LINK ” An explanation of the Scope of RN Practice Including Standardized Procedure” that has to be used to answer this assigment

 
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Nursing interventions

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How will nursing interventions improve the quality of health in patients with congestive heart failure disease and stroke? detailed  outline and draft

 
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can you tell us about your organization’s “Constitutional Manual” and how it addresses quality issues?

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You stated: “The constitutional manual for the organization is the most important document that defines people’s conduct and behavior in the workplace. This should therefore be printed and given to every employee and whenever there are changes in any of the already printed material, new copies should be given. Among the issues addressed in the manual is dressing code, ethical issues dealing with integrity, corruption, behavioral conduct of each member, the punishments associated with the default of the same among other work related factors. The penalties should be hefty and therefore many people will agree to abide by the constitution that they individually sign.”this is great information but can you tell us about your organization’s “Constitutional Manual” and how it addresses quality issues? This can be any organization.

 
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Pathophysiology, Nursing Role transition, Biology and Facilitative Communication and Helping Skills (Due 20 and 40 hours)

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Parts 4 and 5   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts 6 and 7   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 12 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.The number of words in each paragraph should be similarPart 1: minimum  2 pages and one paragraphPart 2: minimum  4 pages and two paragraphs (40 hours)Part 3: minimum  2 pagesPart 4: minimum  1 pagePart 5: minimum  1 pagePart 6: minimum  1 pagePart 7: minimum  1 pageSubmit 1 document per part2)¨******APA normsThe number of words in each paragraph should be similarMust be written in the 3 personAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted responses are not acceptedDon’t write in the first personDo not use subtitles or titlesDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowedPart 1:  Minimum 6 references (3 references per case)  (APA format) per part not older than 5 years  (Journals, books) (No websites).Part 2:  Minimum 6 references (APA format) per part not older than 5 years  (Journals, books) (No websites)Parts 4 and 5:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXXQ3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________The number of words in each paragraph should be similarPart 1: PathophysiologyCase 1: Integumentary FunctionK.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.1. Name the most common triggers for psoriasis and explain the different clinical types (One paragraph)2. There are several types of treatments for psoriasis (One paragraph)a. Explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B.b. Also include non-pharmacological options and recommendations.3. A medication review and reconciliation are always important in all patient (One paragraph)a. Describe and specify why in this particular case is important to know what medications the patient is taking?4. What others manifestation could present a patient with Psoriasis? (One paragraph)Case 2: Sensory FunctionC.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.5. Based on the clinical manifestations presented on the case above (One paragraph)a. Which would be your eyes diagnosis for C.J (Explain the diagnosis and document your rational)6. With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not. (One paragraph)7. Based on your answer to the previous question regarding the etiology of the eye affection (One paragraph)a. Which would be the best therapeutic approach to C.J problem.The number of words in each paragraph should be similarPart 2: Pathophysiology (40 hours)Topic: Coronary Artery Disease (CAD)Population: Elderly1. Description (what is) (One paragraph)2. Incidence (One paragraph)a. Globalb. National3. Prevalence (One paragraph)a. Globalb. National4. Pathophysiology to the cellular level (One paragraph)5. Assessment (Two paragraphs)a. Signb. Symptomsc. T3st and 3xams6. Care/treatment (Two paragraphs)a. Pharmacologyb. Non-pharmacology7. Influence (specific) (One paragraph)a. Geneticsb. Genomics8. Patient education for management (Two paragraphs)a. Stylelifeb. Dietc. Physical activity9. Considerations for education and care  (Two paragraphs)a. Culturalb. Spiritual10. Reflection for advanced practice nurses (APNs)  (One paragraph)The number of words in each paragraph should be similarPart 3: Nursing Role transition1. What is the quality of care delivered (One paragraph)2. What is the relationship between quality of care delivered and APNs (One paragraph)3. How to measure and monitor the quality of care delivered (Two paragraphs)4. How to measure and monitor the outcomes achieved by an Advanced Practice Nurse. (Two paragraphs)Parts 4 and 5   have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.The number of words in each paragraph should be similarPart 4: Biology (Four paragraphs per page)Topic: Invertebrates1. What is photosynthesisa. Describe the ways animals can acquire energy.2. Do all animals acquire energy by consuming other organisms? Explain3. Read the two articles provided below- https://www.livescience.com/6030-surprising-sea-slug-plant-animal.html- See file attacheda.  Discuss if the invertebrates in question can, in fact, perform photosynthesis.4. Are there other examples of kleptoplasty in the animal kingdom?Part 5: Biology (Four paragraphs per page)Topic: Invertebrates1. What is photosynthesisa. Describe the ways animals can acquire energy.2. Do all animals acquire energy by consuming other organisms? Explain3. Read the two articles provided below- https://www.livescience.com/6030-surprising-sea-slug-plant-animal.html- See file attached (File 1)a.  Discuss if the invertebrates in question can, in fact, perform photosynthesis.4. Are there other examples of kleptoplasty in the animal kingdom?Parts 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.The number of words in each paragraph should be similarPart 6: Facilitative Communication and Helping Skills (Five paragraphs per page)Topic: Topic: Beginning and Ending a Counseling SessionYou have learned the importance of preparing for and appropriately beginning meetings with clients because effective engagement with clients starts in the first few minutes. Part of that initial process will be explaining that you see the clients as the experts on their life. You as practitioner will learn from them. Another essential part of beginning a first meeting is explaining elements of confidentiality. How to appropriately close a meeting was also covered.1. Give an example of how you might open an initial meeting with an individual and witha. A group.2. Name in a paragraph the important elements to include when you open a meeting with a new group or client.3. Summarize the important elements of confidentiality in working with clients.4. What is the most important thing to cover when it comes to discussing confidentiality with minors?5. Give an example of how you might close a meeting.Part 7: Facilitative Communication and Helping Skills (Five paragraphs per page)Topic: Topic: Beginning and Ending a Counseling SessionYou have learned the importance of preparing for and appropriately beginning meetings with clients because effective engagement with clients starts in the first few minutes. Part of that initial process will be explaining that you see the clients as the experts on their life. You as practitioner will learn from them. Another essential part of beginning a first meeting is explaining elements of confidentiality. How to appropriately close a meeting was also covered.1. Give an example of how you might open an initial meeting with an individual and witha. A group.2. Name in a paragraph the important elements to include when you open a meeting with a new group or client.3. Summarize the important elements of confidentiality in working with clients.4. What is the most important thing to cover when it comes to discussing confidentiality with minors?5. Give an example of how you might close a meeting.

 
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Functional Medicine; For EG

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See Word doc attached 🙂

 
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