APA- SCHOLARLY- REFERENCED- 
No Word minimum, but needs to be well thought out.I uploaded the APA template, PLEASE INCLUDE INTRODUCTION AND CONCLUSION TO PAPER. I WILL DISPUTE IF NOT SCHOLARLY OR PLAGIARIZED!

1. Patient stays in the hospital are being reduced for any number of reasons, but that does not mean the patients should not be monitored. In your opinion, identify no more than four new real-time devices you believe are crucial for a large enough pool of patients that every patient should be tethered to them, both in the hospital and at home during recuperation and rehabilitation. Explain your rationale and provide evidence. 
2. Explain how data analytics leads to improved outcomes from both what you have read and from any personal experiences you can share.
3. In combat aviation, the concept of situational awareness and data fusion is critical. Attack or defend the notion that healthcare providers need similar kinds of data fusion to provide a more robust patient situational awareness, especially in situations of noisy and conflicting data.
4. Explain the key concepts behind six sigma analytics and explain why or why such approaches should not be used. Explain and support your position.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

A patient reports having occasional acute constipation with large, hard stools and pain and asks the primary care NP about medication to treat this condition. The NP learns that the patient drinks 1500 mL of water daily; eats fruits, vegetables, and bran; and exercises regularly. How would you address your patient’s concerns?  What medication would you add and why? 

Constipation is among the commonest reason that makes people self medicate (Teri Moser Woo 2016 pp535). It is very common and can be caused by variety of factors ranging from lack of exercise, immobility, neuronal abnormality, iatrogenic causes as well. Appropriate management requires an evaluation for secondary etiologies, such as systemic disorders and drugs. Once secondary causes have been eliminated, idiopathic constipation may be associated with normal or slow colonic transit, defecatory dysfunction (pelvic floor dysfunction), or both. Laboratory work up specifically electrolytes and radiological investigation would be considered for the above mentioned patient. This is after a thorough History and physical exam.

Since the patient above exercises and eats well, I would start with a stimulant Laxative in this case. Stimulant laxatives — Stimulant laxatives such as bisacodyl (e.g., some forms of Dulcolax), Senna (e.g., Senokot), and sodium picosulfate (e.g., Dulcolax drops). According to (Johnson DA, Barkun AN, Cohen LB, et al 2014) A randomized four-week trial of sodium picosulfate (10 mg daily) in 45 patients with chronic constipation demonstrated improved bowel function for those receiving medication compared with placebo

 

                                                                        Senna

Category: Senna is a stimulant laxative, primarily exert their effects via alteration of electrolyte transport by the intestinal mucosa. They also increase intestinal motor activity

Use: Senna is use for constipation, generally causes bowel movement in 6 to 12 hours

Warning and Education: Senna should be used appropriately. Failure to have a bowel movement or occurrence of rectal bleeding after use should be reported to health care provider. It is not recommended for use in patients experiencing stomach pain, nausea, vomiting, or a sudden change in bowel movements which lasts >2 weeks. If constipation did not improve after being on Senna for one week, return to the clinic. Do not use for more than 1 week.

Adverse reaction: Some adverse reaction that can result from Senna use include: abdominal cramps, diarrhea, nausea, vomiting

                                                               

                                                                    References

Anderson PO, Sauberan JB. Modeling drug passage into human milk. Clin Pharmacol Ther. 2016;100(1):42-52. [PubMed 27060684]

Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Am J Gastroenterol, 2014;109(10):1528-1545. [PubMed 25223578]

Woo, T. M. & Robinson, M. V. (2016): Pharmacotherapeutics for Advanced Practice Nurse     

        Prescribers. (4TH ed.). Philadelphia: F. A. Davis Co

Liu Z, Yan S, Wu J, et al. Acupuncture for Chronic Severe Functional Constipation: A Randomized Trial. Ann Intern Med 2016; 165:761.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

Clinical discussion online assignment in class

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

1. What are the effects of controlling BP in people with diabetes?
2. What is the target BP for patients with diabetes and hypertension?
3. Which antihypertensive agents are recommended for patients with diabetes?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 
How would you explain the analysis of variance, assuming that your audience has not had a statistics class before? 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Syste

What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"