Pediatric week 5 discussion 1

/in /by

What strategies can the nurse use to cope with the stress of providing care for children who are dying and avoid burnout?

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

week #2 reflective

/in /by

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.New practice approachesInterprofessional collaborationHealth care delivery and clinical systemsEthical considerations in health carePractices of culturally sensitive careEnsuring the integrity of human dignity in the care of all patientsPopulation health concernsThe role of technology in improving health care outcomesHealth policyLeadership and economic modelsHealth disparitiesWhile APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Human Anatomy and Physiology

/in /by

For your initial discussion post, provide one example of homeostasis within the body. Provide a brief 3-4 sentence explanation of the example you choose. Additionally, identify and discuss 1-2 obstacles you may face with this course while learning anatomy and physiology. Examples may include being new to online learning, time management issues, personal or family commitments, test anxiety, etc.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

SOAP NOTE 5 OB / HYPERTROPHY OF BREAST

/in /by

Faculty Comments:  MRU Soap Note Grading RubricThis sheet is to help you understand what is required, and what the margin remarks might be about on your comments of patients. Since most of your comments that you hand in are uniform, this represents what MUST be included in every write-up.1) Identifying Data (5/5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number.2) Subjective Data (30/30pts.): This is the historical part of the note. It contains the following:a) Symptom analysis/HPI (Location, quality, quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts).b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts).c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written in this manner.3) Objective Data(25/25pt.): Vital signs need to be present. Height and Weight should be included where appropriate.a) Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts).b) Pertinent positives and negatives must be documented for each relevant system.c) Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts).4) Assessment (10/10pts.): All diagnoses should be clearly listed and worded appropriately with ICD 10 codes. Rationale and Explanation must be evidence based and have 1-2 in text references to back up your reasoning for making your main diagnosis selection. 3 differential diagnosis must be noted, rationale not required but encouraged.5) Plan (15/15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections. Should not be generic information and should be tailored to your patient and their needs / specific diagnosis.6) Subjective/ Objective, Assessment and Management and Consistent (10/10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified.Clarity of the Write-up(5/5pts.): Is it literate, organized, and complete?

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

kamy 11/22/2017

/in /by

We have discussed the role of the RN, and how he/she has to preform within his/her scope of practice in order to do a new procedures. What are a couple of ways that may be in the gray area as far as things we have all done, that is not necessarily outside our scope of practice, but is not generally within it either?

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Response to peer

/in /by

Prolixin (fluphenazine) is a typical, high-potency antipsychotic used for the management of psychosis in patients with schizophrenia. This medication acts primarily via antagonism of  postsynaptic dopamine-2 receptors in the mesolimbic, nigrostriatal, and tuberoinfundibular neural pathways. The blockage of dopamine targets the positive symptoms in schizophrenia, including: hallucinations, delusions, and disorganized speech. Though Prolixin is frequently prescribed off-label for psychosis or psychotic symptoms related to major neurocognitive disorders and dementing illnesses, all antipsychotics (including Prolixin) are not FDA-approved for these purposes; this particular medication is not FDA-approved for augmentation of mood stabilization or treating concurrent psychotic symptoms in patients with bipolar disorder but used to manage chronic tic disorders and Huntington disease by controlling unusual movements and chorea. Common side effects of Prolixin include sedation, anticholinergic effects (dry eyes, dry mouth, constipation), blurred vision, dizziness, hypotension, rebound tachycardia, and EPS. Some severe adverse effects include neuroleptic malignant syndrome, liver function abnormalities and jaundice, seizures, and agranulocytosis. Similar to many other antipsychotics, Prolixin comes with a black box warning for increased risk for cerebrovascular events and death in elderly patients with psychosis. Dosing for Prolixin range from 1 mg – 40 mg; however, typical dosing is 2.5 mg – 10 mg PO daily every 6-8 hours and elderly patients should begin at 1 mg – 2.5 mg PO daily. Oral fluphenazine has a half-life of 14-16 hours with no pediatric dosing available. Baseline electrocardiograms has to be obtained in all patients with preexisting cardiac conduction abnormalities and assessing for EPS should be routine. Providers should obtain complete blood counts and metabolic panels to monitor for changes in white blood cell counts, liver transaminases, blood urea nitrogen levels, and creatinine levels (Siragusa et al., 2022).

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Argument for Illegal Drugs! 400 WORDS

/in /by

Using approximately 300-500 make an argument for why illegal street drugs (excluding marijuana) should be made legal (even if you don’t personally believe this). Be sure to use at least three (3) APA references that support or oppose your argument.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

funding proporsal(dementia people in Australia)

/in /by

Develop a program and write a funding proposal in2500 words. you may choose to focus on one of these health issues(dementia) in a specific population group such as Aboriginal and Torres Strait Islander people. For this health issue, write a funding proposal which addresses the points below. You should structure your plan using headings and subheadings. Your proposal should include the following project details:Project nameExpected length of the projectPopulation targetA brief description of the characteristics of your target population (e.g., CALD, Indigenous, disability, other)A project summary or abstractBriefly outline who the program is designed for, the goals and objectives of the project, the strategies and the evaluation plan.BackgroundDescribe the rationale for your intervention and how you determined what is needed. In this section you will also identify the determinants for this particular issue.Project objectives and goalsProject planOutline the program objectives and the key strategies and activities you are proposing.Evaluation planDescribe each phase of evaluation for your program.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

DQ response

/in /by

Samantha Chanel De VeraPosted DateApr 21, 2022, 12:41 PMUnreadReplies to Blessy AlexanderCardiogenic shock is inadequate tissue hypoperfusion due to a primary cardiac dysfunction(Shankar et al., 2022). It is the most common cause of mortality in patients admitted to the hospital with AMI. Cardiogenic shock is complex and is characterized by profound depression of myocardial contractility resulting in a downward spiral in which progressive myocardial dysfunction leads to decreased stroke volume, cardiac output (CO), and low MAP, which reduces the myocardial perfusion(Shankar et al., 2022). The reduction in CO leads to severe tissue hypoperfusion, can worsen the ischemia, and may finally result in refractory shock and subsequent death. Systemic vasodilation also occurs with cardiogenic shock caused due to inflammatory mediators like interleukins and tumor necrosis factors and is associated with cardiogenic shock mortality(Shankar et al., 2022). Vasopressors and inotropes create vasoconstriction or increase cardiac contractility in patients with cardiogenic shock. While vasopressors increase vasoconstriction, leading to increased systemic vascular resistance (SVR), inotropes increase cardiac contractility and improve CO(Shankar et al., 2022). Fitzsimons and Nicoara (2021) wrote that the most used mechanical support device has been the intraaortic balloon pump (IABP). The balloon pump is positioned in the proximal descending aorta. Inflation of the balloon during diastole displaces blood toward the aortic root and into the coronary arteries, thereby augmenting diastolic BP to increase coronary blood flow and improve coronary perfusion. In addition, rapid deflation of the balloon during the systolic phase of the cardiac cycle just before aortic valve opening reduces LV afterload and LV end-diastolic pressure, thereby decreasing myocardial oxygen consumption and myocardial work through a reduction in the isovolumic phase of ventricular systole. Although IABP counter pulsation does not directly increase systemic blood flow, the resulting increase in myocardial performance typically increases CO by approximately 20%.Adequate nutritional therapy for these hemodynamically unstable patients can improve patient clinical outcomes. Dietary recommendations for patients with cardiogenic shock are high caloric, high protein diet. Despite vasopressors, inotropes, mechanical circulatory support and adequate nutritional therapy, patient may require more interventions with cardiogenic shock. Most patients with CS after MI have significant left main coronary artery or three-vessel disease. In such patients, achieving complete revascularization makes CABG a potentially critical therapeutic strategy(Reyentovich, 2020). A surgical approach also permits the correction of concomitant severe mitral regurgitation, which is often present after an MI(Reyentovich, 2020).ReferencesFitzsimons, M. G., Nicoara, A., & Maisonave, Y. (2021, May 28). Short-term mechanical circulatory support: Initiation and management considerations. UpToDate. https://www.uptodate.com/contents/short-term-mechanical-circulatory-support-initiation-and-management-considerations?search=intraaortic%20balloon%20pump&source=search_result&selectedTitle=2~87&usage_type=default&display_rank=2#H3923583124Reyentovich, A. (2020, December 15). Prognosis and treatment of cardiogenic shock complicating acute myocardial infarction. UpToDate. https://www.uptodate.com/contents/prognosis-and-treatment-of-cardiogenic-shock-complicating-acute-myocardial-infarction?sectionName=Coronary%20artery%20bypass%20graft%20surgery&search=cardiogenic%20shock&topicRef=47&anchor=H36&source=see_link#H36Shankar, A., Gurumurthy, G., Sridharan, L., Gupta, D., Nicholson, W. J., Jaber, W. A., & Vallabhajosyula, S. (2022). A clinical update on vasoactive medication in the management of cariogenic shock. Clinical Medicine Insights: Cardiology, 16. https://doi.org/10.1177/11795468221075064

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

see attached

/in /by

What are the main components of trauma-informed care why is the ACEs model of screening is so important in primary care and psychiatric mental health care for ALL patients?https://youtu.be/95ovIJ3dsNkhttps://www.acesaware.org/provide-treatment-healing/provider-toolkit/

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.