A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,
interstitial infiltrates that look like “ground glass.”
Answer the following questions
What is the most likely cause of this patient’s current pulmonary
complaints?
➤ What underlying illness does this patient most likely have?
➤ What testing and treatment should be started now?
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Discussion 19312387
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Discussion 19313635
/in Uncategorized /by developerPost an explanation of how you could apply key interventions supported by the scholarly research evidence to potentially help resolve the issue in measurable ways. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.
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Discussion 19315817
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Discussion 19335201
/in Uncategorized /by developerDiscuss what role you believe that HIM( Health information Management) professionals should have in reducing and eliminating ADE’s ( adverse drug events).
Include in-text citations and references in APA 6th Edition format.
Only 250 words
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Discussion 19337519
/in Uncategorized /by developerBased on your readings from the text, posted materials and the video https://ed.ted.com/on/ovp7iksE(5 mins ), identify and discuss the leadership style of your immediate supervisor by using specific examples that demonstrate that style. Does your supervisor have an effective leadership style or not? Why? Make your recommendations on how the leadership style could be improved. Provide references on which you base your answers. If you are not presently employed, you may use a previous supervisor.
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Discussion 19341699
/in Uncategorized /by developerSubmission Instructions:
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Discussion 19346563
/in Uncategorized /by developerA 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,
interstitial infiltrates that look like “ground glass.”
Answer the following questions
What is the most likely cause of this patient’s current pulmonary
complaints?
➤ What underlying illness does this patient most likely have?
➤ What testing and treatment should be started now?
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Discussion 19359475
/in Uncategorized /by developerDiscussion
Being a DNP includes using evidence-based communication skills, change processes, and interventions. For this week, please use and reference readings from your current and previous courses (or use readings outside of the courses that you believe are relevant) and address from your current field experience:
By tomorrow Wednesday 09/25/19 at 14:00 , write a minimum of 550 words essay in APA format with at least three scholarly references that include the level one headers as numbered below:
1. What evidence-based communication skills, change processes, and interventions are you using to guide your work in the field experience? Please be complete and provide at least 2 examples of how you are using these practices.
2. How does the use of these evidence-based strategies assist you in meeting
a) DNP essentials (be specific as to which essentials); and
b) your objectives (also please be specific) (see attached file for my objectives).
3. If this is not your first field experience, please compare and contrast what you are seeing this term versus last terms.
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Discussion 19366953
/in Uncategorized /by developerYour initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.
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Discussion 19366983
/in Uncategorized /by developerAssignment:
Three-part APA Paper….
Part 1: Reflect on how those experiences from the Discussion Post impact your nursing practice now?
Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.
Part 3: Create a community education plan to address ageing bias.
The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.
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