Marjorie Benton

Health promotion and disease prevention in older adults

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After studying Module 2: Lecture Materials & Resources, discuss the following:

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Requirements: 500 words

Read

  • Meiner, S.E., Yeager, J.J. (2019)
  • chapter 5,6,7,8

Answer preview

As nurses go about their elderly caring roles, they must familiarize themselves with essential end-of-life documents for effective healthcare delivery. This information helps the nurse educate the elderly and their family members on what they should consider for their care. One of these documents is the Lasting Power of the Attorney (LPA) which informs the appointed individual (s) who make healthcare decisions for the older adult (Meiner & Yeager, 2019). The other document entails the financial and legal plans, which inform the resources available for facilitating the long-term care costs. The third essential document is the end-of-life will, which informs the older adult’s wishes, including the kind of medical treatments they would like and long-term care living arrangements. In addition, the document also provides crucial information the elderly would like their loved ones to know.

[643 Words]

Health promotion and disease prevention in older adults

 

Marjorie Benton

Therapeutic range

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THEME OF THE WEEK: ORDERING A CORRECT DIAGNOSTIC WORKUP

You are working in the CVICU on night shift and are asked to come see a patient urgently. Upon entering the room, you see a 62 year old male sitting up in bed appearing anxious. The patient has been admitted from an outside hospital 6 days prior for new onset atrial fibrillation. The patient was started on digoxin (the patient could not be started on amiodarone due to elevated AST/ALT levels.) and has achieved a therapeutic range. The patients was last in normal sinus rhythm, and improving. Cardiology was considering the need for long term anticoagulation and none have been started as of yet. Patient began having nausea and vomiting at shift change and was given ondansetron with minimal relief. Patient is now reporting that his chest does not feel right and he is seeing halos around lights. The nurse reports the patient has been becoming lethargic and bradycardic. The patient had a stat ECG showing bradycardia with a first degree AV block. Vitals are listed below:

Vitals: P-49, RR-22, BP-117/77, O2-95%. Temp-37.5

Write what diagnostics (imaging, labs, procedures) you would order for this patient. Be sure to cover everything that can be a “can’t miss” diagnosis. Explain the justification (“medical decision making”) for each test you are ordering. Also include your most likely diagnosis.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and use literature where possible. They must be at least 100 words and supported by at least one source.
  • Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Requirements: Just answer the question I’m detail

Answer preview

Lastly, the digoxin test is crucial since it has been indicated that the patient started on digoxin treatment and attained a therapeutic range. However, there are adverse effects associated with digoxin intervention, such as vomiting, blurred vision, irregular heartbeat, and dizziness (Bauman, Domenico, and Galanter, 2016). These symptoms are present in the patient since the 62-year-old complained about the chest not feeling right, being lethargic, and having a pulse rate of 49. It may be suspected that the patient has insufficient or high drug levels in the blood system. Therefore, I will undertake a digoxin test sample of the blood. The results can be obtained from a clinical laboratory based on the blood sample. A suitable adjustment of the digoxin dose accordingly and reinstate the level of the drug in the blood to a normal range. My most likely diagnosis for the patient after analyzing the tests and symptoms is cardiac arrhythmias. The patient is experiencing arrhythmia that emerges from the atria, accounting for the onset of atrial fibrillation. Another possible diagnosis is bradyarrhythmia which is associated with a slow heart rhythm and rate of P-49. An atrioventricular block mainly causes it.

[763 Words]

Therapeutic range

Marjorie Benton

Musculoskeletal and neurological assessment

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Peripheral-vascular-musculoskeletal-and-neurological-assessment

Weekly assignment: conduct an assessment on the following body systems:

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook.

Write a summary of the assessment (subjective & objective data in narrative note) and the skills utilized. Answer the following 3 questions in the summary. Do not disclose any patient identifiers.

  1. What skills (assessment techniques) were utilized during the assessment?
  2. What subjective data did you collect? (list your findings)
  3. What objective data did you collect? (list your findings)

Answer preview

During the musculoskeletal assessment, I asked the patient if she was experiencing any symptoms such as muscle weakness, pain, swelling of the muscles, redness in her legs, warmth, or stiffness. I also asked her if she had ever been treated for chronic musculoskeletal diseases such as any form of arthritis. It was necessary to know if she had previous surgeries on the bones or muscles, such as knee or hip surgery, or if she was taking any medication or herbs for the muscles or bones (Rn, 2021).  The patient did not have any musculoskeletal symptoms based on the data gathered. She has never had surgeries on her bones or muscles, nor is she taking any medication or supplements for her bones.

The subjective neurological data incorporated asking the patient about her demographic, personal, medical, and socioeconomic history of her family. That was to assess her mental status, sensory functioning, pupillary response, reflexes, the cerebellum, and vital signs. Based on the data gathered, her nervous system was normally functioning, meaning that her normal daily functioning was not affected. Additionally, the patient did not experience any pain, blurry vision, fatigue, or decreased arm and leg movement, nor did she experience numbness

[941 Words]

Musculoskeletal and neurological assessment

Marjorie Benton

Child’s development

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In a well-written discussion post address the following:

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

Requirements: at least 500 words

Answer preview

Culture affects the way people express their thoughts and emotions. It is, therefore, not surprising that different cultures manifest and treat anxiety and depression differently. In some cultures, such disorders are expressed using psychological terms, while in other cultures, they are described using other words. The way anxiety and depression are expressed in different cultures are related to the concept of health literacy and stigmatization. For instance, emotions are expressed very differently in the Hispanic culture. They tend to hide their negative emotions and not express them openly (Bailey, Mokonogho, & Kumar, 2019). That is due to the stigma surrounding mental health issues that cause them not to openly talk about their mental health issues for fear of embarrassment or shame. On the contrary, in other ethnic groups within the United States, people express their mental health issues openly. In cultures that use different languages to express mental health, like Latin culture, it becomes hard to seek help and communicate with healthcare professionals.

[635 Words]

Child’s development

 

Marjorie Benton

Anxiety disorder

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Reflect on your first experience treating a toddler, school-aged child, or adolescent with a mood or anxiety disorder. Create a power point with 10-15 slides excluding introduction and conclusion

  • Describe a clinical situation, in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen).
  • What feelings, prejudices, and biases did you experience during the interview?
  • How did you manage these anxieties, feelings, prejudices, and biases?
  • What assumptions did you make about children or families with mental illness?
  • What awareness did you develop during your clinical experience?
  • Describe how you changed as a result of your clinical experience?
  • Describe how will this clinical situation impact your advanced nursing practice?

Requirements: Power point 10-15 slides

Answer preview

vFeelings, biases, and prejudices can, at times, manifest themselves subconsciously.

vThey can undermine the provision of high-quality and safe mental healthcare.

vWatching Maria crying made me sympathetic to her situation and what she was experiencing.

vI also felt biased towards Maria’s parents, considering they were oblivious to the guilt she was feeling for the marital problems they were dealing with.

[Slide 7 of 14]

Anxiety disorder

Marjorie Benton

Healthcare vacant in developed countries

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Various programs to increase employment in the healthcare sector have recently been introduced in the Kingdom of Saudi Arabia. As a result, an increasing number of foreigners have been provided with the opportunity work in the Kingdom. Studies show that 30% of the workforce in Saudi Arabia consists of expatriates (expats), or individuals from other countries who reside in the Kingdom.

Assuming the role of Director of Human Resources, you have been tasked with filling a number of open positions in your hospital. One strategy you are considering is to recruit expats. There are national policies and procedures that employers must follow before recruiting for and hiring expats. Create a PowerPoint presentation for your facility’s Board of Directors with the following heading items in your submission:

  • Identify and describe an open position that needs to be filled.
  • Rationalize the need for this position.
  • Explain national policies that restrict expat employment in the Kingdom.
  • Describe how to “sell” the strategy of recruiting and hiring expats to the Board of Directors.
  • Conclusion.

Your presentation should meet the following structural requirements:

  • Be 7-8 slides in length, not including the cover or reference slides.
  • Be formatted according to APA and Saudi Electronic University writing guidelines.
  • Provide support for your statements with citations from a minimum of four scholarly articles. These citations should be stated in the Notes section of the slide in which they appear. Two of these sources may be from the class readings, textbook, or lectures, but four must be external.
  • Presentation notes are required for each slide to support the slide content. These must be a part of the presentation, and so the presentation cannot be submitted in PDF format, which does not make notes visible to the instructor. About 150 words on each slide in the presentation notes area will suffice.
  • Utilize headings to organize the content in your presentation.

Requirements: a PowerPoint presentation of 7-8 slides in length, not including the cover or reference slides.   |   .doc file

Answer preview

´Effective recruitment, selection, and preparation of new employees is important for the company.

´More foreigners are more skilled than our home expertise

´Employing foreigners is cheaper compared to the local employees who ask for higher salaries.

´It will be easier to explore new markets.

[Slide 6 of 9]

Healthcare vacant in developed countries

Marjorie Benton

Pre-implantation Genetic Diagnosis

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IVF & Natural Family Planning

After studying the course materials located on Module 4: Lecture Materials & Resources page, answer the following:

  1. Description and bioethical analysis of:
    • Pre-implantation Genetic Diagnosis PGD
    • Surrogate motherhood
    • “Snowflake babies”
    • Artificial insemination
  2. What is Natural Family Planning (NFP)?
  3. Describe the 3 Primary ovulation symptoms.
  4. Describe the 7 Secondary ovulation symptoms.
  5. Describe various protocols and methods available today.
  6. Describe some ways in which NFP is healthier than contraception.
  7. Bioethical evaluation of NFP as a means and as an end.
  8. Read and summarize ERD paragraphs #: 38, 39, 42, 43, 44, 52.

Submission Instructions:

  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA style

Requirements: 2-3 pages

 

Read

  • Ethical and Religious Directives for Catholic Health Care Services (6th ed.). (2018).
    Paragraphs: 38, 39, 42, 43, 44, 52

Answer preview

One of the secondary ovulation symptoms is mittelschmerz which refers to ovulation pain in the lower abdomen. It occurs fourteen days prior to menstruation. Another symptom is ovulation spotting, whereby a woman experiences light bleeding during this cycle, although it is not common in all females. The third symptom is the swollen vulva, which occurs in the area where ovulation occurs. Fourthly, increased libido, which is stimulated by high estrogen levels. However, libido is low due to reduced estrogen when ovulation is not taking place (Gnoth et al., 2016). The fifth ovulation symptom is breast tenderness caused by high progesterone hormones. The tender breasts result in pain in the nipples, and fluid delays as the breasts prepare for lactation and conception. The sixth symptom is bloating, which occurs due to increased fluids in the lower abdomen stimulated by progesterone. Lastly, ferning is a symptom of the mucus forming fern in its secretions. It is a result of sodium chloride crystallization on the mucus.

[1265 Words]

Pre-implantation Genetic Diagnosis

Marjorie Benton

Mental health patients

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Create a power point with 10-15 slides excluding introduction and references. Reflect on your experience interviewing a toddler, school-aged child, or adolescent with attention deficit hyperactivity disorder

  • Describe the clinical situation in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen). What feelings, prejudices, and biases did you experience during your clinical experience?
  • How did you manage your anxieties, feelings, prejudices, and biases?
  • What assumptions did you make about people with mental illness?
  • What awareness did you develop during your clinical experience?
  • Describe how you changed because of your clinical experience?
  • Describe how this clinical situation will impact your advanced nursing practice?

Requirements: power point 10-15 slides

Answer preview

  1. i) People who are most impacted for having mental health patients are the family members and the close friends.

-The parents of the boy were more affected by the mental state of their child than any other person.

  1. ii) People with mental health problems are not aware that they need help.

– During the interview, the boy seemed unconcerned of what was going on and what the interview was all about.

  1. ii) Mental health problems like ADHD are challenges that can be cured when adequately managed.

– The teacher cited that she has had past pupils who exhibited the same problem and now are healthy young adults.

[Slide 8 0f 12]

 

Marjorie Benton

Therapeutic drug

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After studying Module 4: Lecture Materials & Resources, discuss the following:

  • Therapeutic drug monitoring is a frequent practice in health care. How does age affect drug absorption, metabolization and excretion?
  • The use of salt substitutes can cause hyperkalemia in older adults when use in conjunction with what types of drugs?
  • Describe how you would prevent and evaluate risk factors for medication nonadherence in older adults?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Requirements: 500 words

Answer preview

maintaining a balance in the potassium levels. By regulating potassium levels, blood pressure is kept at a constant level, affecting how nerve impulses are sent. Salt substitutes should be used cautiously since they contain a lot of potassium and may interact negatively with potassium-sparing drugs by causing hyperkalaemia. Hypokalaemia may be caused by both gastric loss and diuretics such as chlorothiazide, chlorthalidone, and hydrochlorothiazide.

Drug adherence helps determine the effectiveness and success of medications and therapy administered to a patient. Drug adherence is the degree to which an individual’s behaviour corresponds to the agreed recommendations by a healthcare provider. In order to identify the risks for no adherence in older adults, it is important to use a checklist which includes first whether the cost of the drugs is burdensome to the patient. Second, do the drugs

[600 Words]

Therapeutic drug

Marjorie Benton

Child Health Case

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This week you will be working on assessment tools and diagnostic tests as well as health risk concerns

Child Health Case:

Case #1

  • 7 year old severely underweight Hispanic female in 2nd grade who lives with her overweight mom during the week and her normal weight father on the weekends.

You are allowed to make up information regarding the details of the case, medications, vital signs and development of the suggested case.

Requirements: 3-4 pages

 

consider what health issues and risks may be relevant to the child in the health example.
  • Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
  • Consider how you could encourage parents or caregivers to be proactive toward the child’s health.
  • An explanation of the health issues and risks that are relevant to the child you were assigned.
  • Describe additional information you would need in order to further assess his or her weight-related health.
  • Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
  • Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
  • Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.
  • references 2017 and up

Answer preview

The additional information needed to assess the patient’s weight-related condition further includes biological factors. Tests would be conducted to examine the functionality of the hypothalamus, which is responsible for regulating appetite. Hormone levels in the body such as neuropeptide Y should be assessed since it stimulates hunger. Also, examining changes in the gut microbiome is vital to determine possible imbalances that increase the production of fatty acids. Another additional information that is crucial to assess factors relating to overweight in children is genetic data. Genetic variations play a role in influencing metabolic processes in the body that regulate appetite centers (Rohde et al., 2019). Further, genetic imbalance affects insulin resistance and ectopic fat deposition, which are some of the common triggers for obesity among children. Lastly, detailed information about the child’s environmental factors is crucial in determining its influence on increased BMI. Patterns in feeding during the infancy stage, sleep-wake cycle, and poor eating habits significantly contribute to obesity among adolescents.

[1023 Words]

Child Health Case