Category: Nursing homework help

Patient: Julia Jackson
6 SLIDES MINIMUM
Julia Jackson is an 84-year-old woman who presents to the Emergency room with severe abdominal pain, especially in the left lower quadrant. An abdominal CT was ordered, and it found that there is a 5cm mass in the lower sigmoid colon with fecal impaction. The patient was admitted to the Med/Surg floor for treatment and resolution of fecal impaction. An oncology consult order was entered. The patient stated she has abdominal pain of 8 out of 10.
Create a presentation that lasts 3- 5 minutes.  
Briefly describe the patient you have been assigned 
Describe the patients’ problem 
As the RN how could teamwork and collaboration benefit this patient and help them reach a positive outcome? 
Identify 2 other healthcare professionals that would be appropriate to collaborate with and why. 
What would be the two outcomes for this patient related to the reason for collaboration with the identified 2 healthcare professionals? The outcomes should be formatted as patient-centered, measurable, and time-limited. 
Add speaker notes to each slide.
Support your presentation using at least two evidence-based resources. Consider a professional theme for your slides.  Use intext citations on your slides to support the data.  Your slides should not be overcrowded with words and content should be summarized in a bullet. Use notes pages to speak to your slides.  Include a reference page that conforms to APA. 

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.
Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.
An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.
The Assignment
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
Scenario: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.

Neurotransmission Discussion
Instructions: Select two of the following neurotransmitters:
Serotonin
Norepinephrine
Dopamine
Acetylcholine
Glutamate
Melatonin
Histamine
GABA
For each neurotransmitter, please discuss the following: pharmacologic action, the drug class it is most closely linked to, expected outcomes, and potential side effects. Based on this information, which condition would these neurotransmitters be considered for the treatment plan?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 evidence-based sources.

Case Study: A 16-year-old arrived at a local family planning clinic with pregnancy concerns due to unprotected intercourse. This encounter occurred two nights prior, and she believes she may be fertile but wants information regarding the “morning-after pill”.
What additional information should the nurse obtain during the assessment?
What educational information should the nurse provide to the patient regarding emergency contraception treatment and the side effects?

ANSWER
In this case, the nurse needs to conduct a thorough assessment and provide essential education on emergency contraception (EC) treatment and its side effects. Here are the steps the nurse should take:

**Assessment:**

1. **Menstrual History:**
– Determine the date of the patient’s last menstrual period (LMP) to assess the potential risk of pregnancy. Knowing the timing of the unprotected intercourse relative to her menstrual cycle is crucial in determining the effectiveness of emergency contraception.

2. **Details of Unprotected Intercourse:**
– Gather information about the timing of the unprotected intercourse, including the exact date and time it occurred. This information will help determine the window of effectiveness for EC options.

3. **Medical History:**
– Inquire about any underlying medical conditions or allergies the patient may have. Some medical conditions or allergies may influence the choice of emergency contraception.

4. **Current Medications:**
– Ask if the patient is currently taking any medications, as certain medications may interact with EC drugs.

5. **Contraceptive History:**
– Assess the patient’s history of contraceptive use. This information can help identify any patterns of contraceptive failure or gaps in knowledge about contraception.

6. **Sexual History:**
– Discuss the patient’s sexual history to determine whether this is an isolated incident or part of a pattern of risk-taking behavior. This conversation can provide insights into the patient’s need for ongoing contraceptive counseling.

**Education on Emergency Contraception:**

1. **Explanation of EC Options:**
– Explain that there are different types of emergency contraception available, including oral EC pills and copper intrauterine devices (IUDs). Provide information on where and how the patient can access these options.

2. **Timing is Critical:**
– Emphasize the importance of taking EC as soon as possible after unprotected intercourse for maximum effectiveness. Different EC options have different time frames for effectiveness.

3. **Efficacy and Risks:**
– Discuss the efficacy rates of the chosen EC method and any potential risks or side effects associated with its use. For example, oral EC pills may cause nausea or vomiting.

4. **Contraceptive Counseling:**
– Provide information on regular contraception methods, including the benefits and importance of consistent and correct use. Offer counseling on contraceptive options that may be suitable for the patient’s needs and preferences.

5. **Safety and Follow-Up:**
– Highlight the importance of seeking medical attention if the patient experiences severe side effects or if there are concerns about the EC’s effectiveness. Provide contact information for follow-up questions or concerns.

6. **Additional Resources:**
– Offer information about local family planning clinics, healthcare providers, or sexual health organizations where the patient can receive ongoing contraceptive counseling and reproductive healthcare.

It’s crucial for the nurse to provide non-judgmental, patient-centered care, ensuring that the patient is well-informed and able to make decisions about their reproductive health based on their individual circumstances and preferences.

Listening Score: My score for this exercise was 47. I was a bit surprised because I think I am a great listener to my friends or family when it comes to any problems they’re having. One question said “I interrupt people when they’re talking,” which I have caught myself doing that sometimes to give them my advice.
It is important to respect other cultures and be aware of their communication cues. An example of this would be the Chinese culture. They rely more on expressions and and posture and are indirect when they communicate. What seems of the norm to one culture, may not be the case for the other. When I go on vacation to a different country, I try and do some research for things to avoid there, and positive things to do!
Example: At times when I am having conversations with my friends, I tend to not listen to them all the way before jumping in with my advice. I tend to do that because I want what is best for them, but sometimes it comes off as not listening
My first college class was English, and there was a student from Russia starting her first year of college as well as a transfer. She spoke very little english so had a difficult time trying to communicate with the classmates. We were having a group project and to try explain things, we would use google translate. At one point, after we were somewhat on the same page, I made an ok sign and her facial expression changed for a moment. I did some research after and discovered it’s considered a rude gesture. I then realized the importance of being considerate with other cultures and how they may have different meanings. It is important to be active listening and show others we care about their feelings and what they saying.
Reflections: There was a time at work where our boss was explaining our new assignment, but at the same time I was going through personal issues at home. I wasn’t all too focused on what what being said at our meeting, so once it was over, I was confused of what was expected of me. I was present during the meeting, but not actively listening. Luckily, I had good relationships with my coworkers that helped fill me in. Going through personal things at home is no excuse to be slacking at work, but it does make it difficult at times to focus. It is important to try and leave things outside of work so it is easier to focus on what you’re doing in the moment more clearly.
APA Citations: Cuncic, A. (2022, November 9). What is Active Listening? Verywell Mind. https://www.verywellmind.com/what-is-active-listening-3024343Links to an external site.
Mclean, S. (2018). Exploring Interpersonal Communication. Hard Copy Book.

TOPIC: The Certified Midwife movement in the US – inception, progress, and barriers.
Be sure to include and summarize the following in relation to midwifery:
Social and political context
Scope of practice
Education
Legal recognition
Briefly describe significant changes, circumstances, or happenings.
Explain why you think these were important for midwifery.
(You do not need to include material not relevant to the specific period, unless it is essential to your discussion; anything you draw in this way should be brief. You may assume general knowledge.)
*Length: 1500 – 2000 words, plus cover page and references*