Nursing  home work help

nursing class

 
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Nursing  Urgent, urg

Respiratory illnesses account for the majority of acute illness in children.  Typically, four variables influence a child’s respiratory illness.  Describe each of these four variables and how they impact a child’s respiratory illness.You are the nurse tasked with providing Metered Dose Inhaler (MDI) teaching to the parents of an asthmatic child.  Please identify key teaching points you would include when presenting this information to the parents.What is a peak flow meter and what do the results mean in the care of the pediatric patient?Identify and explain the responsibilities of the members of the Interprofessional Care Team necessary for the effective management of a patient with Cystic Fibrosis.Explain the pathophysiology of Cystic Fibrosis and identify the primary causation for the clinical manifestations a child might experience.

 
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Nursing  Health concept

System Admin  Max Points: 8.0Discuss how the concept of “health” has changed overtime.   Discuss how the concept has evolved to include wellness, illness, and   overall well-being. How has health promotion changed over time? Why is   it important that nurses implement health promotion interventions   based on evidence-based practice?

 
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Nursing  Project week 6

Complete Evidence Table as described in the Evidence Table Worksheet.

 
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Nursing  Pediatric – Week 8 Discussion 1st REPLY

Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.MB Discussion:What is the most likely diagnosis? Why?The most likely diagnosis for the patient is cerebral palsy. It is a group of disorders, which affect muscle tone, posture, and growth (Vitrikas et al., 2020). It usually develops due to the damage caused to developing and immature brain usually before birth. Warning signs of cerebral palsy start appearing during infancy (Patel et al., 2020). General complications associated with cerebral palsy include a combination of some of the following indicators. These include impaired movement related to inflated reflexes, spasticity or floppiness of the trunk and limbs, unusual posture, uncontrolled movements, and unstable gait (Vitrikas et al., 2020). The symptoms of cerebral palsy reported in the child included dragging legs while crawling, delayed accomplishment of motor skills milestones, and knee crossing when held by the axillae (Patel et al., 2020). Therefore, cerebral palsy is considered the most likely diagnosis.What would be three differentials in this case? Why?Spinal Muscular Atrophy Type 2 (SMA2) (G12.1)This is a genetic neuromuscular disorder, which affects the nerve cells, which control voluntary muscles (Mercuri et al., 2018). When unidentified, muscle weakness advances among babies with SMA2 during six months to one year. Babies suffering from SMA2 may develop the ability to sit independently. However, they are unable to stand or walk independently. Such children may also experience feeding and breathing issues. The significant indication of SMA2 is poor muscle tone, which is identified at the time of birth or within the initial few months (Ross & Kwon, 2019).Children affected by SMA2 may be able to initially reach some motor development milestones slowly. Generally, the highest motor development milestone reached by children with SMA2 is the ability to sit without support. Other warning signs of SMA2 in babies include tremors in fingers and skeletal abnormalities (Mercuri et al., 2018). The child was identified to be unable to roll over or sit at her six months wellness visit. She has not started pulling herself to stand at 11 months. Therefore, SMA2 is considered a possible diagnosis.Rett Syndrome Stage 1 (F84. 2)This is an uncommon genetic developmental and neurological disorder, which impacts how the brain develops (Corchón et al., 2018). It causes a gradual loss of speech and motor skills. This disorder mainly affects girls. In most cases of Rett syndrome, children appear to regularly develop for the initial six to 18 months of age and start losing skills they previously had. These may include the ability to crawl, use their hands, communicate, and walk (Azad, 2021).Stage 1 can start at any time between the age of six months and 18 months and lasts for a few months or years. During this stage, the warning signs are subtle and can be conveniently disregarded. Usual signs during stage 1 include less eye contact and gradual loss of interest in toys. They may also exhibit delayed sitting or crawling (Corchón et al., 2018). It is considered a differential diagnosis considering the risk factors of Rett syndrome such as female child, age between six and 18 months, and identified signs and symptoms.Spina Bifida Occulta (Q76. 0)This refers to a birth defect when the spine and spinal cord do not develop properly. It is a form of neural tube defect (Graham, 2021). Spina bifida occulta is the most common and mildest form of a neural tube defect. It causes a small gap or separation in single or more spinal bones. Walking and mobility problems are possible complications associated with spina bifida. This occurs as nerves, which control the leg muscles may work properly below the location of spina bifida defect. This may cause weakness of the leg muscles and paralysis in some cases (Graham, 2021). Considering the signs and symptoms identified in the child, it is considered a differential diagnosis.What developmental milestones are expected at this age?The anticipated development milestones accomplished by an 11-month-old child include crawling, standing up without support, taking steps or walking, and pointing towards or grabbing items they want. They may also be able to hold finger foods and feed themselves. They may babble or imitate words and wave bye-bye. They may start saying simple words such as mama and dada. They may also begin to exhibit personality traits, understand simple one-word requests or phrases, and stack play items. In addition, they develop preferences for textures and tastes and show curiosity and explore how things work (Burns et al., 2019).What do you believe is your best course of action/treatment plan for this appointment? Why?Currently, the information available about the patient is compliant with a possible delay in reaching motor developmental milestones. This would require performing three possible screenings. These may include Ages & Stages Questionnaires (ASQ), the Battelle Developmental Inventory, edition 2 (BDI-2), and the Child Development Inventories (CDI). The ASQ allows assessing developmental milestones. The BDI-2 allows assessing development milestones and personal, social, adaptive, motor, communication, and cognitive abilities or delays. Finally, the CDI would measure motor and fine motor skills, language and comprehension, and social skills (Burns et al., 2019).The best course of action would further include ordering diagnostic tests, including magnetic resonance imaging of the brain. This would allow us to assess the severity of the most likely diagnosis of cerebral palsy and identify the cause behind its occurrence in an otherwise healthy, full-term child with no history of trauma. An additional test to identify the cause of cerebral palsy would include metabolic and genetic testing, electroencephalography (Vitrikas et al., 2020). Identifying the cause allows determining the anticipated life quality of the patient. This allows the parents to prepare for the required adjustments that need to be made.The provider would consult with and make referrals to speech, physical, and occupational therapists, social workers to guide parents regarding community resources, orthopedists to prevent curvatures, contractors, hip dislocation, and child neurologists for further assessment (Patel et al., 2020). These will be the members of the multispecialty team required for the best possible care of the patient.ReferencesAzad, D. O. (2021). Rett syndrome. In F. R. Volkmar, Encyclopedia of autism spectrum disorders (pp. 3959-3968). Springer International Publishing. https://doi.org/10.1007/978-3-319-91280-6.Burns, C., Dunn, A., Brady, M., Starr, N., & Blosser, C. (2019). Burns’ pediatric primary care (7th ed.). Saunders.Corchón, S., López, I. C., & Cauli, O. (2018). Quality of life related to clinical features in patients with Rett syndrome and their parents: A systematic review. Metabolic Brain Disease, 33(6), 1801-1810. https://doi.org/10.1007/s11011-018-0316-1.Graham, P. (2021). Spina bifida occulta. Orthopaedic Nursing, 40(4), 259-261. https://doi.org/10.1097/NOR.0000000000000775.Mercuri, E., Finkel, R. S., Muntoni, F., Wirth, B., Montes, J., Main, M., & Sidorkiewicz, A. S. (2018). Diagnosis and management of spinal muscular atrophy: Part 1: Recommendations for diagnosis, rehabilitation, orthopedic and nutritional care. Neuromuscular Disorders, 28(2), 103-115. https://doi.org/10.1016/j.nmd.2017.11.005.Patel, D. R., Neelakantan, M., Pandher, K., & Merrick, J. (2020). Cerebral palsy in children: A clinical overview. Translational Pediatrics, 9(1), 125–135. https://doi.org/10.21037%2Ftp.2020.01.01.Ross, L. F., & Kwon, J. M. (2019). Spinal muscular atrophy: Past, present, and future. Neoreviews, 20(8), 437-451. https://doi.org/10.1542/neo.20-8-e437.Vitrikas, K., Dalton, H., & Breish, D. (2020). Cerebral palsy: An overview. American Family Physician, 101(4), 213-220. https://www.aafp.org/afp/2020/0215/p213.html.

 
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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  Project 3 H

PRICE IS FIRM!!!!

 
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Nursing  CASE STUDY! NEEDED ASAP.. NEED ID DONE WITHIN 8 HOURS.. 4-6 PAGES

Read the case study titled “Revitalizing a Brand”, located in the online course shell. Use the Internet or Strayer databases to research the branding and communication strategies of one (1) health services organization that is similar to the health services organizations mentioned in the case study.Write a four to six (4-6) page paper in which you:Describe the current marketing communication, identity, and brand position of Plaza Home Health Services.Conduct a Strengths Weaknesses Opportunities Threats (SWOT) analysis associated with the current marketing communication, identity, and brand position of Plaza Home Health Services.Assess the importance of benchmarking in Plaza Home Health Services’ development and implementation of an effective brand strategy (marketing communication, identity, and brand position).Compare branding and communication strategies of a similar health services organization with that of Plaza Home Health Services. Determine whether or not Plaza Home Health Services should apply additional best practices into its current branding and communication strategies. Provide a rationale and support for your response.Use at least five (5) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources.Your assignment must follow these formatting requirements:Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

 
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Nursing  healing hospital HLT 310 V benchmark assesment

Consider how the paradigm of a healing hospital might influence your philosophy of caregiving and write an essay of 500-750 words that addresses the following:Describe the components of a healing hospital and their relationship to spirituality.What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment?Include biblical aspects that support the concept of a healing hospital.Prepare this assignment according to the APA 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  soap note

Case:  Unable to have intercourse due to lack of desire1-24 years old afro American2-no past medical history3-married, no kidsRequirements:1- primary diagnostic2- three differential diagnostic3-ICD 104- Treatment: medication, doses, strength, route, frequency, duration5- Education6-Planning7- Follow up appointmentsFollow FNU format.

 
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