Nursing  need inital discussion for below assignment

APA format 3 peer review references Please follow instructions on assignmentDue 10/3/18 at 4pm ESTAssesment 1: Assessing the AAssesment 1: Assessing the AbdomenbdomenA woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.Abdominal AssessmentSUBJECTIVE:CC: “My stomach hurts, I have diarrhea and nothing seems to help.”HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.PMH: HTN, Diabetes, hx of GI bleed 4 years agoMedications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhsAllergies: NKDAFH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERDSocial: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)OBJECTIVE:VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalSkin: Intact without lesions, no urticariaAbd: soft, hyperctive bowel sounds, pos pain in the LLQDiagnostics: NoneASSESSMENT:Left lower quadrant painGastroenteritisPLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.To prepare:With regard to the SOAP note case study provided:Review this week’s Learning Resources, and consider the insights they provide about the case study.Consider what history would be necessary to collect from the patient in the case study.Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.To complete:Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or Why not?What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.AAssesment 1: Assessing the Abdomen

 
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Nursing  project

While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team.Each week, you will complete a part of this project, submitting the final project in Week 5.Identifying a GroupIdentify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). In a Microsoft Word document of 4-5 pages formatted in APA style, address the following criteria:Identify a chronic illness and rationale for choice.Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.Discuss morbidity and comorbidity of the disease.Discuss the impact of the chronic illness and patient morbidity on overall health of the nation.Incorporate Healthy People 2020 goals and objectives for the specific illness group.Support your responses with examples and information from library resources, textbook and lectures.On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.Use this APA Citation Helper as a convenient reference for properly citing resources.This handout will provide you the details of formatting your essay using APA style.You may create your essay in this APA-formatted template.Submission DetailsName your document SU_NSG4055_W1_Project_LastName_FirstInitial.doc.Submit your document to the Submissions Area by the due date assigned.

 
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Nursing  Concept map part 1

Identify an individual in your personal life, from the media, a character in a movie, or from the course case studies that has been diagnosed with a medical condition you have some knowledge about (examples = diabetes, breast cancer, COPD)2.       Summarize the individual/character and his/her medical diagnosis on the template provided.3.  Provide examples of the subjective and objective symptoms related to the medical diagnosis under each corresponding Gordon’s Functional Pattern using the TEMPLATE provided (see handouts in learning resource folder for assistance).

 
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Nursing  Proper grammar and correct APA format, as applicable, are expected.

Submit a minimum of 5 pages on community health nurse. Instructions: APA format, Cover page, Heading, Reference page, a minimum of 5 articles to validate your assignment.

 
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Nursing  Urinary Tract Infections

Post a description of the pathophysiology of lower and upper urinary tract infections, including their similarities and differences. Select two of the following factors: age, genetics, behavior, gender, and ethnicity. Then explain how the factors you selected might impact the pathophysiology of the infections, as well as the diagnosis of and treatment for the infections.- This work should have Introduction and conclusion- This work should have at 4 to 5 current references (Year 2013 and up)- Use at least 2 references from class Learning ResourcesThe following Resources are not acceptable:1. Wikipedia2. Cdc.gov- nonhealthcare professionals section3. Webmd.com4. Mayoclinic.comLEARNING RESOURCES**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.Chapter      29, “Structure and Function of the Renal and Urologic Systems”This chapter introduces the structure and function of the renal and urologic systems. It covers renal blood flow, kidney function, and tests for renal and bladder function.Chapter      30, “Alterations of Renal and Urinary Tract Function”This chapter examines alterations of the renal and urinary tract function, including urinary tract obstruction, urinary tract infection, acute kidney injury, and chronic kidney disease. It focuses on the pathophysiology, clinical manifestation, and evaluation and treatment of those renal and urinary tract alterations.Chapter      31, “Alterations of Renal and Urinary Tract Function in Children”This chapter presents alterations of renal and urinary tract function that are common in children. These alterations include structural abnormalities, bladder disorders, nephroblastoma, and urinary incontinence.**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.Chapter      16, “Renal Disease”This chapter explores the structure and function of the kidney for preparation of examining renal diseases. It then examines renal diseases such as acute kidney injury and chronic renal failure.**National Kidney Foundation. (2012). Retrieved from http://www.kidney.org/index.cfm

 
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Nursing  Essay

Please no plagiarism!

 
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Nursing  Leadership Future of nursing

Topic: Future of NursingDo you believe that Nurses should belong to professional organizations. Why or why not?Describe what the ideal health care system of the future looks like.How do you plan to contribute to the future of Nursing Practice.Requirements:1500-1800 wordsReferences—Minimum 3 peer reviewed references, the oldest being no more than 5 years old.*********APA FORMAT IS REQUIRED **************

 
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Nursing  Weekly Article Summary

Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal.Submission Instructions:Must be a research article.Write a 1-page summary using an outline of the steps of the research process, discuss the study type, purpose, and research question(s).

 
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Nursing  Presentations of ADHD

I NEED A RESPONSE TO THIS ASSIGNMENTZERO PLAGIARISM3 REFERENCESCase 1: 8-year-old girl who was naughtyChild maltreatment (physical, emotional and sexually) has consistently been found to be associated with attention-deficit/hyperactivity disorder (ADHD) (Stern, Agnew-Blais, Danese, Fisher, Jaffee, Matthews, & Arseneault, 2018). Three questions that I would ask the eight-year-old: Tell me about a time when you have experienced any trauma? Have anyone inappropriately touched you?  Have you had any physical abuse?  Has anyone ever did anything that made you feel harmful?  Did your dad ever live in the home?  Have you ever experience any family violence in the home? Rationale:  The American Academy of Child and Adolescent Psychiatry (AACAP) also advises the clinician to have a degree of suspicion of possible abuse in cases of young children presenting with ADHD-like symptoms (Vaughn & Kratochvil, 2006).  Could you explain to you and your father’s relationship?  Understanding the family dynamics and the exposure in the home.  (Did mom and dad have a history of yelling, fussing, and fighting in the home?  Have you ever been suspended from school?  Have you been in detention at school? Rationale: Evaluate the degree of her behaviors at school.Identify people in the patient’s life, you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.Medical, social, and family histories should be reviewed for medical, contextual or environmental, and genetic risk factors (Felt, Christner & Kochhar, 2014). Ideally, the father, if he is available:  Questions would be to gain insight into the family dynamics.  Does anyone in your family have a mental health diagnosis? Can you explain your history in school? (Did you have academic trouble?) Rationale: Assess the possibility of genetics and to make sure of the appropriate diagnosis for the patient.  Explain the relationship between you and her mom?  Was there any physical or domestic violence in the home? Rationale: Gathering more information about the home environment would help identify childhood exposure.Mother would be a second person:  Can you explain your childhood when you were adopted? Did you experience family violence? How was your relationship with your daughter’s father?  Do you have trouble keeping tasks? Does anyone in your family have a history of mental illness? Rationale: The pathogenesis of ADHD is assumed to be multifactorial, influenced by genetic and environmental factors (Starck, Grunwald, & Schlarb, 2016).Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.The American Academy of Child and Adolescent Psychiatry (AACAP) recommends that the initial assessment consists of a thorough developmental, medical, psychiatric, and family history of the child, as well as a systematic assessment for DSM-IV symptoms. Standardized rating scales, such as the Conners’ Rating Scales for parents and teachers, or the ADHD-IV Rating Scale, may be utilized to document baseline symptom severity (Vaughan & Kratochvil, 2006).  Lab work: To rule out any co-morbid conditions that can be the cause of the disease process. Hearing and eyesight tests, a blood test for lead levels (kids living in low poverty areas are more susceptible to lead exposure). A thyroid assessment to rule out possible disorder and CT/MRI to rule out brain abnormalities.  The diagnostic test administered is not based on an isolated assessment.  For example, ACE assessment, which is a trauma assessment for mom and daughter to rule out trauma history).  Bipolar assessment because with the medication in the scenario, her focus and attention improved, but her aggression continue to have highs and lows. Strength and Difficulties questionnaire (behavior screening for emotion, conduct, hyperactivity, peer problems, and pro-social behavior).  School reports of psychoeducational or other standardized testing, grades, behavior reports, and any individualized educational plans (IEPs) should be reviewed in the course of the diagnostic evaluation (Vaughn & Kratochvil, 2006).List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.Three differential diagnosis:  Oppositional Defiant Disorder which is classified as: Disruptive, Impulse-Control, and Conduct Disorders: According to the Diagnostic and Statistical Manual of Mental Disorders, for a patient to be classified as having oppositional defiant disorder A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least six months as evidenced by at least four symptoms of the following categories, and exhibited during interaction with at least one individual who is not a sibling ((American Psychiatric Association, 2013).  The patient presented with anger and resentful, aggression, refusing to comply with school rules and loss of temper.  The teacher also complains of the patient being more argumentative and disobedient than the other children in her class, which is a classified symptom.2.  Intermittent explosive disorder3.  Posttraumatic stress disorderV61.8 Sibling relational problemPharmacologic agents and their dosingThere are different classifications of medications that can be initiated for the treatment of ADHD.  Effective management of ADHD is necessary for children and adolescents and may include non-pharmacologic treatments, pharmacologic therapy including use of stimulant and non-stimulant medications, or a combination of the different treatment modalities which is considered safe and effective (Brown, Samuel, & Patel, 2018).  The two pharmacologic medications for the patient would be a stimulant and a drug that can be used as monotherapy or combined with the medication to minimal side effects.  Ritalin LA 20mg is the first drug of choice for ADHD.  Stimulants are considered to be the first drug of choice in the treatment of ADHD.  Short-acting start working in about 30 to 45 minutes and generally wear off in 3 to 6 hours as compared to long-acting that work in phases and last longer. As it relates to the above scenario, the patient would require medication to last the duration of the school day.Atomoxetine is a non-stimulant therapy that works by increasing the amount of norepinephrine in the brain.  This drug is not a controlled substance making it less likely to cause abuse and dependency.  The weight of the individual doses this medication.  For children less than 70kg the initial dose is 0.5mg/kg/ per day and increases to a target dose of 1.2mg/kg per day after seven days (Stahl, 2017).Medication is effective for treating ADHD symptoms, and studies suggest that earlier identification and treatment may improve longer-term educational, work, and social outcomes (Currie, Stabile, & Jones, 2014).Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentationsThe lesson learned from this case study: There is an abundance of information to compile when diagnosing and implementing treatment for a child with ADHD.  The total dynamics of ADHD and other conditions will be vital to make an appropriate diagnosis.  The inclusion of socio-economic status, environmental factors, family structure, genetics, co-morbid conditions that predispose the child will need further exploitation.  To offer available community resources for psychotherapy, for example, in-house therapy due to the length of time it takes to drive as voiced by the patient’s mother would help add to the quality of care and possibly decrease stress.  How would this implement this into my practice?  In would be used to treat the whole person versus the symptoms.Reference

 
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Nursing  Current Trends in Fitness and Wellness Assmt Part 2

I have attached the instructions and needed materials for this assignment. Please review and ensure you can complete this assignment before committing. Thanks!

 
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