Category: Nursing

Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.
Case Study Questions
Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.
Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.
Case Study Questions
Name the most common risks factors for Alzheimer’s disease
Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
Define and describe explicit and implicit memory.
Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
What would be the best therapeutic approach on C.J.
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years.

Dear DNP Students:
The American Association of Colleges of Nursing (AACN) published the new Essentials in 2021.
One of the Essential Domains relates to Self-care and Leadership, how they align and must be intentionally addressed.
Domain 10: Personal, Professional, and Leadership Development
Descriiptor: Participation in activities and self-reflection that fosters personal health, resilience, and well-being; contributes to lifelong learning; and supports the acquisition of nursing expertise and the assertion of leadership.
For DNP Project II, Students will participate in Self-reflections for each module.
This is a graded activity.
Utilize this space to reflect on emotional wellness and self-care as DNP Students, share a self-care tip, or reflect on your growth as a project leader.
Share an “ah ha” moment you experienced while working on your project.
Please do not share personal medical information or patient information here.
Upload your one-page reflection as a Word document, optional to include references/citations OR upload a short Panapto video/zoom recording of your self-reflection (3 – 4 minutes max)—no need to do both.
For additional reading about the AACN Essential – Domain 10, you can download this document: Domain 10_AACN Essentials 2021.pdf Download Domain 10_AACN Essentials 2021.pdf
https://www.aacnnursing.org/our-initiatives/well-being-resilience/resourcesLinks to an external site.
Self-reflection
Self-reflection
Criteria Ratings Pts
AACN Domain 10 – Self-reflection
view longer descriiption
100 pts
Excellent
Clear and thorough depiction of a leadership self-reflection. Up to 100 points
80 pts
Needs to Expand Further
up to 80 points
/ 100 pts
Total Points: 0
Choose a submission type

One of the most important skills a nurse needs is clinical judgment. This is a skill that can be learned. Reflect on your own ability to critically think and the reading for this module.
When see yourself as a nurse and giving care, discuss what qualities and behaviors you possess that make you a person that would have good clinical judgment. What three strategies can you use to develop better clinical judgment? As a nurse, what areas of the nursing process do you think might be more challenging to you given the critical thinking and clinical judgment skills you have now?

Hello, the writer is only doing pages 7, 9, and 10. This will be answered on the pages of the document that says level 2 direct patient care, you will use the information that I have entered about the patient in the second document, especially on pages 2,3,4, and 6 to answer the first document.

In at least 300 words answer the following questions about the case provided. Outside reliable resources can be used.
Case: Jennifer Perry, a 64-year-old African American female, has come to the clinic with an inflamed left thigh. As you assess her thigh, you discover an edematous, erythemicarea, 16 cm in diameter, which is weeping serous fluid.
How would you use gloves in the care of Ms. Perry?
What type of hand hygiene would you use after assessing Ms. Perry?

ANSWER

In the case of Jennifer Perry, a 64-year-old African American female with an inflamed left thigh, the use of gloves and appropriate hand hygiene practices are crucial to ensure both patient safety and infection control.

Use of Gloves: When assessing Ms. Perry’s inflamed left thigh, it is essential to use disposable, single-use, non-sterile examination gloves. Gloves serve multiple purposes in this scenario:

Infection Control: The patient has an open wound that is weeping serous fluid, which poses an infection risk. Wearing gloves will protect the healthcare provider from potential contact with infectious material, reducing the risk of cross-contamination.

Patient Safety: The use of gloves demonstrates a commitment to patient safety and minimizes the risk of introducing pathogens into the wound, preventing potential complications.

Personal Protective Equipment (PPE): Gloves are considered part of standard PPE, especially when dealing with wounds or bodily fluids. It is essential to adhere to universal precautions to prevent the transmission of infectious diseases.

Patient Comfort: Wearing gloves can help maintain a sterile environment for wound assessment and treatment while ensuring the patient feels safe and respected during the examination.

Hand Hygiene: After assessing Ms. Perry and removing the gloves, it is critical to practice proper hand hygiene. The type of hand hygiene to be used in this situation is handwashing with soap and water. This should be done for the following reasons:

Effective Decontamination: Handwashing with soap and water is the most effective method for removing potential pathogens and contaminants from the hands. It ensures thorough cleansing and reduces the risk of infection transmission.

Patient Safety: Hand hygiene is essential not only for the healthcare provider’s safety but also for the patient’s safety. Clean hands prevent the introduction of harmful microorganisms during wound assessment and care.

Compliance with Infection Control Protocols: Handwashing with soap and water aligns with infection control guidelines and regulations. It is a standard practice in healthcare settings to prevent healthcare-associated infections.

Role Modeling: Practicing proper hand hygiene sets a positive example for patients and encourages them to adopt good hand hygiene practices themselves.

In conclusion, when assessing a patient like Ms. Perry with an inflamed wound, the use of gloves and proper hand hygiene are non-negotiable practices. They are essential not only for infection control but also for patient safety, provider safety, and compliance with established healthcare protocols. These practices reflect a commitment to providing high-quality care while minimizing the risk of complications and infections.

Write three pages paper excluding the presentation and references page. Use APA-7 formatting.
Please make sure that you are utilizing information from peer-reviewed journals.
· You must present your writing double-spaced, in Times New Roman, Arial, or Courier New font, with a font size of 12.
· Pay attention to grammar rules (spelling and syntax).
· Your work must be original and not contain material copied from books or the internet.
Use 3 reference sources with no more than 5 years of publishing
· When citing the work of other authors, including citations and references, use APA -7 style to respect their intellectual property and avoid plagiarism. Remember that your writing must have a cover page that includes the name of the institution, the program, the course code, the title of the activity, your name and student number, and the assignment’s due date

For this assignment, you will need to write a 2000 to 2500-word essay in which you analyze Human Resource Management (HRM) issues and make recommendations for the employee handbook of a hospital. First, you should perform research on the Internet and select an actual hospital that has its employee handbook published online. Once you’ve selected the hospital, assume that you work for the organization you’ve selected, and that you’ve been given the task of researching ways to improve the employee handbook and reduce HRM risks.
Once you’ve selected the hospital and its employee handbook to use for this project, you will need to do the following:
Identify and explain specific HRM risks that the hospital faces with respect to (a) recruitment and hiring, (b) terms and conditions of employment, (c) compensation and benefits, (d) employee performance and evaluation, and (e) employee discipline and termination.
Identify areas in the employee handbook that can be revised or supplemented to mitigate these HRM risks.
Propose language for five specific revisions to be made to the employee handbook.
When writing your essay be sure to include:
An introduction that identifies the hospital that you’ve chosen, describes the community that it serves, and provides an overview of its employees.
Why HRM risks and the recommendations you are making are important.
Differentiation between peer reviewed research and any other sources of information utilized.
Analysis of specific risks within each of the five topic areas.
A reference page in APA format and APA formatted citations throughout the essay

Write a 1-page narrative in APA format that addresses the following:
Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriiptions and names of off-label drugs that require extra care and attention when used in pediatrics. Please follow attache rubric and APA template

Sensory Impairment and Nursing Care
Answer the following:
1. Evaluate the impact of sensory impairment and how it relates to future nursing practice and the professional role
2 a. Describe importance of a more empathetic understanding of sensory impairment and how it can impact patient care outcomes.
b. Explain and evaluate three approaches to support positive patient outcome
c. Analyze how a professional nurse can support people with sensory impairment and raise awareness of service provision?
3 a. What community services are available in your area for sensory impaired individuals and how are these services accessed? (provide at least three online links/contact information) – around CLARKSVILLE and NASHVILLE AREA IN TENNESSEE
b. How will these services benefit sensory impaired persons? (Around CLARKSVILLE and NASHVILLE AREA IN TENNESSEE)
c. Theorize the potential implication of limited access to services and provision of care for the sensory impaired community members in your area. (HINT: Think health care disparities). (Around CLARKSVILLE and NASHVILLE AREA IN TENNESSEE).
Include this source, Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 12th Edition, Mariann M. Harding, Jeffrey Kwong, Debra Hagler, and Courtney Reinisch, include the page on the citation.
Other sources should have come from reliable website sources in the USA, evidence-based, reliable journals, and searchable on the reliable database, such as EBSCOhost. Sources should be at least five years (2019 onwards).

Explain your diagnosis for the patient, including your rationale for the diagnosis. What labs would you order?
Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Discuss each of the patient’s medications. Create an updated drug therapy plan.
Justify why you would recommend this drug therapy plan for the patient. Be specific and provide examples. Use and cite at least 4 sources for written assignments.

Case study assigned:
Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescriiption drugs:
Synthroid 100 mcg daily
Nifedipine 30 mg daily
Prednisone 10 mg daily
Flagyl 500 mg TID
Metronidazole 250 mg daily

Vitals:
Temp: 98.8oF
Wt: 155 lbs
Ht: 5’7”
BP: 136/82
HR: 90 bpm

PE:
Eyes: EOMI
HENT: Normal
GI: Nondistended, minimal tenderness
Skin: Warm and dry
Neuro: Alert and Oriented
Psych: Appropriate mood
Please use only journal articles less than five years old