Category: Nursing

A 64-year-old male presents to the clinic with complaints of gradual onset of weakness to the left hand. He is left hand dominant. He has had ongoing numbness and tingling that feels as though it starts at his elbow. However, over the past 2-3 days he had been dropping items due to the weakness. He denies any recent injuries but states that he sustained a crushing injury to the left thumb 4 years ago. He is employed as a mechanic. Several years ago, he tripped over a tire and fell backwards, striking his head on the fender of a car. He didn’t seek medical attention because he only had a small scrape on his elbow. A CT of the head is within normal limits and all labs are normal with the exception of a slightly elevated, non-fasting blood sugar (135). He has no history of diabetes. An x-ray of the neck reveals mild-to-moderate degenerative disc disease at C6-C7 with neuroforaminal narrowing and slight impingement of the exiting nerve root
The Assignment (3 – page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following:
Explain both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
Use 7 APA citation reference to support your case study. Reference must be within last years with nursing analysis.

Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources.
Explain what is meant by connected health. Provide three examples of connected health in today’s healthcare environment. Explain the benefits and drawbacks of each.
In what ways has informatics impacted public health – please provide at least three examples.

Adverse Childhood Experiences: What is an Ounce of Prevention Worth?
From statistical data, in addition to redlining laws and policies, identify three risk-related behaviors that are common among adolescents in your community. Explain how they could create antecedent factors that might be manifested in their adult lives and across the life course. What sources of information were used to construct your response?
3 apa citations

CP is a 64-year-old male who presents to the emergency department (ED) via ambulance for chest pain. He was out shoveling snow from his driveway when he developed left anterior chest pain, pressure-type, radiating to his jaw and shoulder. Despite the cold weather, he was sweating. He also noted palpitations and shortness of breath, although he thought it was just because he was “a little out of shape.” He was afraid that something was wrong, so he asked his wife to call 911.
Past Medical History
Hypertension
Hyperlipidemia
Diabetes mellitus
• Gout Medications
Hydrochlorothiazide, 25 mg once daily
Allopurinol, 300 mg once daily
Social History
Retired factory worker
Smokes one pack of cigarettes per day
Drinks about six beers per day (sometimes more)
Physical Examination
Well-developed obese man in moderate distress
Height: 69 inches; weight: 252 lbs.; blood pressure: 172/110; pulse: 92; respiration rate: 16; temperature: 98.7 °F
Lungs: Scattered bilateral wheezes
Heart: Regular with grade II/VI systolic murmur
Extremities: No edema
Labs and Imaging
Complete blood count with mild leukocytosis (WBC 12.9k)
Potassium: Low at 2.9 mEq/L
Glucose: 252 mg/dL
Troponin I: 1.7 ng/L
Uric acid: 11.1 mg/dL
EKG: ST segment depression with T-wave inversion over lateral leads; no pathologic Q waves Next Steps
CP’s admitting diagnoses are non-ST segment elevation acute coronary syndrome, hypertension, diabetes mellitus, obesity, alcohol abuse, hyperuricemia, and smoker
Discussion Questions
1. What medications should be instituted for CP?
2. What medications should be continued after discharge?
3. What lifestyle modifications can be recommended for CP?3 apa citations

ADHD (p.59)
STUDY GUIDE FORUM

Abnormal brain development or damage at an early age can lead to neurodevelopmental disorders. Within this group of disorders, some are resolvable with appropriate and timely interventions, either pharmacological or nonpharmacological, while other disorders are chronic and need to be managed throughout the lifespan.
For this Assignment, you will develop a study guide for an assigned disorder and share it with your colleagues. In sum, these study guides will be a powerful tool in preparing for your certification exam.
Create a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5-TR but also supported by at least three other scholarly resources.
Areas of importance you should address, but are not limited to, are:
Signs and symptoms according to the DSM-5-TR
Differential diagnoses
Incidence
Development and course
Prognosis
Considerations related to culture, gender, age.
Pharmacological treatments, including any side effects.
Nonpharmacological treatments
Diagnostics and labs
Comorbidities
Legal and ethical considerations
Pertinent patient education considerations

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.
Often decisions are not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.
To Prepare:
Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.
Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.
Respond to at least two of your colleagues on two different days, by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose.

Consider what you might put in a toolbox if you were going to build something in your home. You might want a hammer, some nails, maybe a level, and if they were available power tools could be a big help and perhaps may the project finish more quickly. The most important part of your toolbox is having tools you know how to use properly and keeping them at your fingertips, ready to use when needed.
Now that we have reviewed the benefits of focusing on your strengths, as much if not more than areas with room for growth, consider what you would want to have in your leadership toolbox. What strengths have you identified that are your primary tools as a leader? What strength would be the first tool you might take out of your toolbox if you needed to help organize a skilled team? Would you choose a different tool if you moved into a team that had never worked together before?
For this assignment, imagine you are the leader of a group in one of your courses and the assignment is to do a semester-long service learning project. You will need to identify and discuss specific things you could do to create a positive climate, positive relationships, positive communication, and positive meaning in a group with your peers.
First, consider the strengths you have that would help you lead this semester-long project. In your response of at least 300 words include what you would include in your leadership toolbox to help you create a positive and productive leadership style to support your team.
Create a 250-350 word response that includes the following:
Paragraph 1: Identify at least three of your leadership strengths that are in your leadership toolbox that you can rely on supporting you as a leader in a variety of settings. Include a short description of the strength and why you feel it would be helpful to you as a leader.
Paragraph 2: Describe what you would use from your toolbox if you were the new leader of a team that was highly skilled in their field. Why do you feel this would be the best choice for this team?
Paragraph 3: Discuss which choice you would make if you were asked to be the leader of a team that had never worked together before. Provide an explanation of why you would or would not choose something different from your toolbox for this group.
Please keep in mind, even if you have not had an opportunity to lead a group formally, you can reflect on how you have provided leadership in many different settings to help support your thinking for this reflection.

Discussion: 1. Research online and find a recent medical error that made the news . Answer the following questions. 2. Who was involved? 3. What were the ramifications for the patient and/or staff? 4. Reflects on the incident and think about the error?

Explain the healthcare core competency “work in intperprofessional teams”. Why is this issue important to address in healthcare education? What is its impact on practice?

Assessment Description
In addition to the topic Resources, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.
Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.
In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic Resources.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
THE ANSWER
Question 1: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
Respecting a patient’s autonomy is a fundamental ethical principle in healthcare, and it should not be lightly overridden. In Mike’s case, he believes that pursuing further medical treatment for James would be irrational and potentially harmful due to his Christian worldview and belief in God’s plan. As a healthcare provider, the physician should engage in open and empathetic communication with Mike to understand his perspective fully.
However, the physician must also consider the best interests of the patient, James, who is not able to make decisions for himself. Balancing autonomy with beneficence (doing good) and nonmaleficence (avoiding harm) is challenging. In cases where a patient’s decision-making appears irrational and potentially harmful, it is crucial for the physician to explore alternatives and provide information that aligns with medical standards and evidence-based practice.
The physician should engage Mike in a shared decision-making process. This involves presenting the available treatment options, discussing potential risks and benefits, and addressing Mike’s concerns within the framework of his Christian beliefs. It may be necessary to involve a chaplain or spiritual counselor to facilitate this discussion. Ultimately, the decision should prioritize James’s best interests while respecting Mike’s autonomy to the extent possible.
Question 2: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
A Christian worldview often views sickness and health as part of God’s divine plan and purpose. Illness can be seen as a test of faith, an opportunity for growth, or a means through which God works in mysterious ways. However, it is essential to recognize that the Christian perspective on medical intervention varies among individuals and denominations.
Mike, as a Christian, should approach James’s healthcare decisions with prayer, seeking guidance from his faith, and consulting trusted spiritual leaders. He should remember that while God is the ultimate healer, God may work through medical professionals and interventions. Mike should weigh the principles of beneficence (doing what is best for James) and nonmaleficence (avoiding harm) alongside his faith.
Honoring these principles may involve seeking medical treatment that aligns with established medical standards and has the potential to improve James’s health and well-being. This decision does not necessarily contradict trusting God but can be seen as a means of cooperating with God’s plan for healing.
It is essential for Mike to engage in open dialogue with the healthcare team, including discussing his religious beliefs, fears, and concerns. Through this dialogue, a mutually acceptable plan can be developed that respects both James’s medical needs and Mike’s Christian values.
Question 3: How would a spiritual needs assessment help the physician assist Mike in determining appropriate interventions for James and for his family or others involved in his care?
A spiritual needs assessment is crucial in understanding a patient’s and family’s belief systems, values, and priorities in the context of healthcare decisions. In James’s case, it can help the physician better comprehend Mike’s Christian worldview, the role of faith in decision-making, and any potential conflicts between medical interventions and religious beliefs.
Such an assessment can provide insights into Mike’s perspectives on life, death, suffering, and the role of God in his family’s well-being. It can reveal whether Mike sees medical intervention as complementary to, or in tension with, his faith.
By conducting a spiritual needs assessment, the physician can tailor communication and care plans that respect Mike’s values while ensuring the best interests of James are considered. This assessment may also identify specific spiritual resources, such as chaplaincy services or support groups, that can provide emotional and spiritual support to Mike and his family during challenging times. Ultimately, it promotes a patient-centered approach that honors both the medical and spiritual dimensions of healthcare.