Nursing  APA Urinary Obstruction

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Urinary Obstruction Case Studies The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. Studies Results Routine laboratory studies Within normal limits (WNL) Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate Uroflowmetry with total voided flow of 225 mL 8 mL/sec (normal: >12 mL/sec) Cystometry Resting bladder pressure: 35 cm H2O (normal: 12 mL/sec) Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O) Electromyography of the pelvic sphincter muscle Normal resting bladder with a positive tonus limb Cystoscopy Benign prostatic hypertrophy (BPH) Prostatic acid phosphatase (PAP) 0.5 units/L (normal: 0.11-0.60 units/L) Prostate specific antigen (PSA) 1.0 ng/mL (normal: <4 ng/mL) Prostate ultrasound Diffusely enlarged prostate; no localized tumor Diagnostic Analysis Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems. Critical Thinking Questions 1. Does BPH predispose this patient to cancer? 2. Why are patients with BPH at increased risk for urinary tract infections? 3. What would you expect the patient’s PSA level to be after surgery? 4. What is the recommended screening guidelines and treatment for BPH? 5. What are some alternative treatments / natural homeopathic options for treatment?

 
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Nursing  Community Survey

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Please answer the following questions for a community nursing class-describe the critical attributes that define a community-define community health and goals of community health practice-describe primary, secondary, and tertiary levels of prevention-what is the role of the professional nurse in the community settingPlease answer those questions using proper apa 7th edition formatplease utilize at least 3 references

 
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Nursing  Assignment 1: Health Policy and Law Basics -FREE OF PLAGIARISM PROFESSORS USES SAFEASSIGN AND NOT TURNITIN

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Assignment 1: Health Policy and Law BasicsDue Week 3 and worth 150 pointsAs a chief operating officer of a hospital, you have been tasked with opening a new ambulatory care center in your city.Write a 2-3 page paper in which you:Specify whether you would utilize the professional autonomy, social contract, or free market perspective as the paradigm to design the structure of your new center. Debate at least two (2) advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of your perspective in action to support your response.Analyze the key components of three (3) sources of law related to the effects that each source could potentially have on your healthcare organization’s new initiative.

 
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Nursing  Health Care Policy

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Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.1-What do you think are some effective tactics for APN strategic positioning regarding pay equality?2-Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/Please answer the 2 question by separated.

 
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Nursing  NURSING THEORY PART 2

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Assignment 4 is a continuation for Assignment 3, please include intro and conclusion.

 
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Nursing  treatment for first psychotic episode

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mention some barriers for psychiatric patients for complaint with medication treatment. Comment about the best treatment for the first psychotic episode. Mention the consideration before start antipsychotic medications. What are the side effects of antipsychotic medications?Instructions:Use anAPA style and a minimum of 150 words. Provide support from a minimum of at least (2) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation.citations and references are included when information is summarized/synthesized and/or direct quotes are used, in whichAPA stylestandards apply.• Textbooks are not considered scholarly sources.• Wikipedia, Wikis, .com website or blogs should not be used.

 
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Nursing  1. Discuss the current financial health and the future projection on the financial sustainability of Medicare.

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1. Discuss the current financial health and the future projection on the financial sustainability of Medicare.2. Propose initiatives that the government might take as possibilities to preserve Medicare.Write a 3- to 5-page paper, typed and double spaced, with 12 pt. Times New Roman font and 1-inch page margins. Please use APA format with less than 7% plagiarism report and reference no more than 5 years old.

 
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Nursing  Public Health LAw Powerpoint

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You have been hired as an assistant to the public health officer for the state. The budget deficit has impacted your state, and with elections high on the list of worries, legislators are concerned about their public image and are contemplating reducing the public health budget for the state. You are being asked to prepare a presentation to persuade legislators not to cut public health spending.Select a public health program/service that will be impacted by a recently proposed state budget cut.Prepare a PowerPoint presentation to persuade legislators not to cut public health funding. Present the cost/benefit of the public health program/service, the expected impact of the proposed cut, and conclude with an alternative proposal.The presentation should have a minimum of 15 slides (not including the reference slides).Notes should be present with each slide describing the information on the slide.Provide supporting information. Use charts, graphs, and other visuals.Please make sure to present some state and local data of the community that will be impacted by the cuts.Assignment ExpectationsLength: Case Assignment should be at least 15 slides, not counting reference slides.

 
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Nursing  competent

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Get a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials., include the following:A complete cultural assessment using the 12 domains from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.A description of implications for health practices.

 
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Nursing  Clinical discussion

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APA Format.Minimum 250 words in one pageAt least 2 outside scholarly references.Turnit it similarity maximum 20%What are the effects of controlling BP in people with diabetes?What is the target BP for patients with diabetes and hypertension?Which antihypertensive agents are recommended for patients with diabetes?

 
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