Case Study 19273975

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Answer all questions with a scholarly response using APA and include 2 scholarly references.

 
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Case Study 19277931

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A 38-year-old woman presents to the office with complaints of weight

loss, fatigue, and insomnia of 3-month duration. She reports that she has

been feeling gradually more tired and staying up late at night because

she can’t sleep. She does not feel that she is doing as well in her occupation

as a secretary and states that she has trouble remembering things.

She does not go outdoors as much as she used to and cannot recall the

last time she went out with friends or enjoyed a social gathering. She

feels tired most of the week and states she feels that she wants to go to

sleep and frequently does not want to get out of bed. She denies any

recent medication, illicit drug, or alcohol use. She feels intense guilt

regarding past failed relationships because she perceives them as faults.

She states she has never thought of suicide, but has begun to feel increasingly

worthless.

Her vital signs and general physical examination are normal, although

she becomes tearful while talking. Her mental status examination is significant

for depressed mood, psychomotor retardation, and difficulty attending

to questions. Laboratory studies reveal a normal metabolic panel, normal

complete blood count, and normal thyroid functions.

➤ What is the most likely diagnosis?

➤ What is your next step?

➤ What are important considerations and potential complications of

management?

 
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Case Study 19283065

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Health policy

 
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Case Study 19283325

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Case Study, Chapter 1, Health Care Delivery and Evidence-Based Nursing Practice

1. Suzanne Jones, 76-year-old patient with COPD is admitted to the ICU. Mrs. Jones is placed on mechanical ventilation to assist with her breathing. After 2 days on the ventilator, Mrs. Jones is extubated and then transferred to a medical-surgical unit. The medication regimen is adjusted during the hospitalization. Mrs. Jones is discharged home after 6 days. She and her family are pleased with the care she receive in the hospital. 

  1. Describe the quality performance tools that may be used to demonstrate that the care and treatment rendered are both cost-efficient and of high quality.
  2. Describe the quality performance tools that may be used to demonstrate that the nursing care utilized is evidence-based care and high quality, resulting in patient satisfaction and good patient outcomes.

2. The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans. 

  1. Describe how clinical pathways are used to coordinate care of caseloads of patients.
  2. What is the role of the case manager in evaluating a patient’s progress?
  3. What are examples of evidence-based practice tools used for planning patient care?
 
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Case Study 19285929

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Case Studies  

1- Knee Injury 

A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. 

Studies and Results:

Routine laboratory values: Within normal limits (WNL)

Long bone (femur, fibula, and tibia) X-ray: No fracture

Arthrocentesis with synovial fluid analysis

Appearance: Bloody (normal: clear and straw-colored)

Mucin clot: Good (normal: good)

Fibrin clot: Small (normal: none) 

White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3)

Neutrophils <25% (WNL) 

Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level)

Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears

Arthroscopy Tear in posterior aspect of medial meniscus 

Diagnostic Analysis  

The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. 

Critical Thinking Questions  

1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching?

2. Why is glucose evaluated in the synovial fluid analysis? 

3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards) 

2-Testicular Cancer  

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. 

Studies and Results 

Routine laboratory studies: Within normal limits (WNL) 

Ultrasound the testicle: Solid mass, right testicle associated with calcifications 

HCG (human chorionic gonadotropin): 550mIU/mL (normal: <5) 

CT scan of the abdomen: Enlarged retroperitoneal lymph nodes 

CT scan of the chest: Multiple pulmonary nodules 

Diagnostic Analysis 

At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. 

Critical Thinking Questions 

1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 

2. What might be the side effects of cytotoxic chemotherapy? 

3. What was the purpose of preserving his sperm before chemotherapy? 

4. Is this young man’s age typical for the development of testicular carcinoma?

 

 
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Case Study 19298633

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Case study on Knee Injury. Review and answer all questions in APA format, Two Scholarly References,  Turn-it-in less than 20%

 
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Case Study 19299405

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Students much review the case study and answer all questions with a scholarly response using APA and include 3 scholarly references. Answer both case studies on the same document. Turn it in Score must be less than 20% .

Testicular Cancer 

Case Studies 

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. 

Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. 

Critical Thinking Questions

 1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer?

 2. What might be the side effects of cytotoxic chemotherapy? 

3. What was the purpose of preserving his sperm before chemotherapy? 

4. Is this young man’s age typical for the development of testicular carcinoma?

Knee Injury Case Studies 

A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. 

Studies Results 

Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. 

Critical Thinking Questions 

1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching? 

2. Why is glucose evaluated in the synovial fluid analysis? 

3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)

 
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Case Study 19335245

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Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 1, 2, 3, 4
  • Lesson
  • Minimum of 1 scholarly source (in addition to the textbook)

Optional Resources to Explore
Feel free to review the library guide for scholarly sources and videos at the following link:

  • Link (website): History Library Guide (Links to an external site.)

Introduction
The purposes of each case study assignment include the following:

  • To hone your abilities to research using scholarly sources
  • To advance critical thinking and writing skills
  • To compile a response to the prompts provided
  • To explore a historical topic and make connections to change over time

Instructions
Pick one (1) of the following topics. Then, address the corresponding questions/prompts for your selected topic:

Option 1: Exploration and Effects on Native Americans

  • Explain what motivated the European world powers to explore the Americas.
  • Describe the economic effects of exploration based on the Colombian exchange.
  • Analyze the effects of exploration on Native Americans.
  • Based on research, analyze if Europeans might be held accountable for transmitting Old World diseases to people in the Western Hemisphere.

Option 2: Slavery vs. Indentured Servitude

  • Explain how and why slavery developed in the American colonies.
  • Describe in what ways the practice of slavery was different between each colonial region in British North America.
  • Analyze the differences between slaves and indentured servants.

Option 3: Women in Colonial America

  • Pick two colonies (New England, Middle, or Southern colonies) and explain how women’s roles differ in the two colonies of your choice.
  • Describe what legal rights women held during the colonial period.
  • Analyze how Native women’s lives were different from colonial women’s lives.

Make sure to use your course text and incorporate an additional scholarly source from the Chamberlain Library in your response.

Writing Requirements (APA format)

  • Length: 1-2 pages (not including title page or references page)
  • Use standard essay writing process by including an introduction, body paragraphs, and a conclusion.
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 1 scholarly source)
  • No abstract is required
  • In-text citations that correspond with your end references

reference: from https://cnx.org/contents/[email protected]:[email protected]/Introduction

 
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Case Study 19339845

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reference: OpenStax. (2019). U.S. history. OpenStax CNX. Retrieved from https://cnx.org/contents/[email protected]:[email protected]/IntroductionLinks to an external site.

Required Resources
Read/review the following resources for this activity:

Textbook: Chapter 5, 6

Lesson

Minimum of 1 scholarly source (in addition to the textbook)

Initial Post Instructions
For the initial post, pick two (2) of the leading causes of the American Revolution.

Then, address the following for your selections:

 
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Case Study 19341143

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Case study 

 
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