Nursing  Required Readings Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby. Chapter 33, “Structure and Function of the Digestive System” This chapter provides information relating to the struct

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Assignment 1: Gastrointestinal Tract: Disorders of MotilityJamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.To PrepareReview this week’s media presentation on the gastrointestinal system.Review Chapter 33 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.Review Chapter 35 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.To CompleteWrite a 2- to 3-page paper that addresses the following:Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.Required ReadingsHuether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.Chapter 33, “Structure and Function of the Digestive System”This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.Chapter 34, “Alterations of Digestive Function”This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.Chapter 35, “Alterations of Digestive Function in Children”This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.McPhee, S. J., & Hammer, G. D. (2010). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.Chapter 13, “Gastrointestinal Disease”This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.Chapter 14, “Liver Disease”This chapter reviews the structure and function of the liver. It then explores the clinical presentation, etiology, pathogenesis, pathology, and clinical manifestations of three liver disorders: acute hepatitis, chronic hepatitis, and cirrhosis.Chapter 15, “Disorders of the Exocrine Pancreas”This chapter begins by reviewing the anatomy, histology, and physiology of the exocrine pancreas. It then examines the clinical presentation, etiology, pathology, pathogenesis, and clinical manifestations of acute and chronic pancreatitis, pancreatic insufficiency, and pancreatic cancer.Gasiorowska, A., Poh, C. H., & Fass, R. (2009). Gastroesophageal reflux disease (GERD) and irritable bowel syndrome (IBS)—Is it one disease or an overlap of two disorders? Digestive Diseases and Sciences, 54(9), 1829–1834.Retrieved from the Walden Library databases.This article examines the similarities between gastroesophageal reflux disease and irritable bowel syndrome. It focuses on symptoms presented in patients with the disorders, as well as management and treatment options.Required MediaLaureate Education, Inc. (Executive Producer). (2012c). The gastrointestinal system. Baltimore, MD: Author.This media presentation outlines the pathophysiology of the gastrointestinal system and associated alterations.Optional ResourcesAmerican Liver Foundation (2011). Retrieved from http://www.liverfoundation.org/National Digestive Diseases Information Clearinghouse. (2012). Retrieved from http://digestive.niddk.nih.gov/index.aspx

 
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Nursing  empirical reasoning

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Required ResourcesRead/review the following resources for this activity:Textbook: Chapter 14Lesson 1, 2Link (library article):Myopia and Ambient Lighting at Night (Links to an external site.)Link (library article):Myopia and Ambient Night-Time Lighting (Links to an external site.)Link (website):What Are Clinical Trials and Studies? (Links to an external site.)Minimum of 1 scholarly source (in addition to the textbook and noted readings)IntroductionAs the text points out, causal reasoning is used in clinical studies. As a professional in the health field, you will undoubtedly be referring to cause/effect studies for the rest of your professional life. In this discussion, you are asked to expand and deepen your understanding of clinical studies.In 1999, a study on the causes of myopia appeared in the prestigious journal Nature (Quinn). The study received wide-spread publicity in leading newspapers, such as the New York Times, and on television outlets, such as CBS and CNN. Within a year, another article in Nature followed up the 1999 study (Zadnik et al., 2000). The studies had dramatically different findings.Initial Post InstructionsUsing what you have learned from the text, as well as any other sources you may find useful (including the website in the Required Resources), analyze and evaluate the methodology of both studies and how methodology affected the differences in how the studies were reported.Reportage of both studies can be found with an Internet search using all of the following terms: .

 
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Nursing  Reflection on Learning

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Requirements:Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.You will need to post your reflection here before you are able to see other students’ posts.Some possible areas to explore:In your experience, how have changes in healthcare affected nurses’ ability to provide person-centered, holistic care?As you think ahead to your future practice as an NP, which of the concepts covered this week resonates most with you? Why?How do you anticipate that the concept of cultural humility will affect your practice?

 
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Nursing  Fasenra Treatment for teenagers

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Fasenra Treatment

 
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Nursing  For Essays Guru – Implementation of the IOM Future of Nursing Report

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Details:In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/statesReview your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.In a paper of 1,000-1,250 words:Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?A minimum of three scholarly references are required for this assignment.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 
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Nursing  Culture Awareness Module 4 Discussion

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The icebreaker for this Discussion is as follows:I would like you to share a quote with the class that reflects something about you, your life, and your experiences.Please read Traditional Male Circumcision in Eastern and Southern Africa: A Systematic Review of Prevalence and Complications, located at http://www.who.int/bulletin/volumes/88/12/09-072975/en/, and, after doing so, address the following question:Is there a line between protecting cultural traditional healing and protecting people’s lives/health? If so, what is the line? Who determines it?Please remember that every student is entitled to express his or her opinion and that differences of opinion must be communicated in a respectful manner.

 
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Nursing  MEdical Notas

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Do a Soap Note  for   an Adult  patientFollow the “Follow the rules “, “Soap Note Rubric”, and those attached as a guide.Use APA format and must include a minimum of 3 Scholarly Citations.Must use the sample templates attached and follow indications.plagiarism Maximo 15% accepted.Words 1000-1100 and well-developed Social Hx, Symptoms, HPI, ROS, objective/subjective assessment.

 
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Nursing  Critical thinking

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Does your family heritage or your observation of families make you think of family patterns that seem different from people’s assumptions about families? How might your insights or observations help researchers learn more about families in a variety of family sociocultural situations?

 
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Nursing  2-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

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4-Phenomenological research and grounded theory are common methods of conducting qualitative research.Similarities:·          Both collect data from their subjects’ perceptions and perspectives·          Both do their best to make sure their findings are not influenced by preconceived notions or judgments·          Both explore their participants’ personal experiences·          Both seek understanding the meaning of events and experiences on peoples’ lives, (Driessnack, 2007)Differences:·          Phenomenological research focuses on understanding the impact an experience has on a person’s life. The only sources of information are the people experiencing the event (phenomena). This type of research is often limited to interviews only, (Driessnack, 2007)·          Grounded theory research includes a variety of data sources, including diaries, observations, images, and past research. They compare the data they collected with older data and look for differences and contradictions, as well as social patterns.ReferencesDriessnack, M., Sousa, V. D., & Mendes, I. C. (2007). An overview of research designs relevant to nursing: part 2: qualitative research designs.5-“The purpose of phenomenological research is to provide a thorough description of a lived experience. Some researchers will summarize their findings with a written summary that combines the findings into a thorough description or an exemplar of the experience” (Grove 70).“Grounded theory research is an inductive technique that emerged from the discipline of sociology. The term grounded means the theory developed from the research has its roots in the data from which it was derived. Most scholars base the grounded theory methodology on symbolic interaction theory. George Herbert Mead (Mead, 1934), a social psychologist, developed symbolic interaction theory, which involves exploring how people define reality and how their beliefs are related to their actions. Reality is created by attaching meanings to situations. Meaning is expressed in such symbols as words, religious objects, patterns of behavior, and clothing. These symbolic meanings are the basis for actions and interactions. However, symbolic meanings are different for each individual, and we cannot completely know the symbolic meanings for another individual” (Grove 70-71).“Grounded theory has been used most frequently to study areas in which little previous research has been conducted and to gain a new viewpoint in familiar areas of research. Through their interviews to understand the perspectives of persons who were dying, Glaser and Strauss (1967) developed grounded theory research as a method and published a book describing it as a qualitative method. Nurses were attracted to the method because of its applicability to the life experiences of persons with health problems and its potential for developing explanations of human behavior (Wuerst, 2012)” (Grove 71).“Ethnographic research was developed by anthropologists as a method to study cultures through immersion in the culture over time. The word ethnography means “portrait of a people.” Anthropologists study a people’s origins, past ways of living, and ways of surviving through time—in other words, their culture. Culture is the focus of ethnography. Early ethnography researchers studied primitive, foreign, or remote cultures (Savage, 2006). Such studies enabled the researcher who spent a year or longer in another culture to acquire new perspectives about a specific people, including their ways of living, believing, and adapting to changing environmental circumstances. This reflects the emic approach, one of studying behaviors from within the culture that recognizes the uniqueness of the individual (Ponterotto, 2005). The emic view from inside the culture is the typical goal of ethnography” (Grove 74).I feel as though phenomenological research and grounded research have the most similarities due to the fact they both want to get to the root of the research by analyzing data from the core. Both types of research analyze both, people and experiences. I prefer grounded research because I like to investigate and analyze current and new research to understand it and create a different viewpoint, and maybe even learn about some of my own discoveries related to that research.ReferencesGrove, Susan, Jennifer Gray, Nancy Burns. Understanding Nursing Research, 6th Edition.      Saunders, 092014. VitalBook file.6-I use the online lecture notes to my advantage. They are very helpful for discussion questions. I do not have a hard copy of either the Burns and Gray textbook or the APA manual. I use online information about 99% of the time. I go to owlpurdue.com when I have questions about APA format/quotes. I feel as though it is quicker to have access to online materials whether your are at home on the computer or on your phone. Technology has took off in the last few years.Hope this is helpful.-Shelby.

 
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Nursing  case study

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APA Format.   -Introduction or abstract page   -Summary or Conclusion page-Four pages minimum, no including Introduction or abstract,  summary or conclusion, and Bibliography pages-It is completely unacceptable to Copy and Paste from the Internet, or other resources   -Bibliography has to be in APA Format, minimum 3, no more than 3 years oldThe following position is advertised on a career Web site: RN I Surgical Job Travel Involved: None. Job Type: Full-Time. Job Level: Minimum Education Required: Associate Degree Skills: Category: Nursing FTE: 0.9. Position Summary: Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees who are under your supervision. Requirements Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees that are under your supervision. Minimum Qualifications: Education: Graduate of an accredited school of Nursing. License/Certification: Current RN license in the state of XXX. Current BCLS Certification. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Note: An RN graduate is a nurse who has completed a course of study at a school of nursing and is eligible for the NCLEX. The RN graduate performs directly under the supervision of the charge nurse or RN designee.1. List three substantive questions you might expect to be asked in an interview for the job, and summarize your answers.2. Describe three to five ways in which you could prepare for the interview to make the most positive impression.3. Be sure to describe what you would wear and what material you would bring with you.

 
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