APA Format, 250-280 words, At least 3 references use in-text citations.  

Ethnicity ( African Americans ) and colon cancer. 

How does being African American impact colon cancer?

What are potential alterations and symptoms?

Identify the pathophysiology of the associated alterations and symptoms, including the normal and altered cellular function. 

Consider both intra-and extra- cellular changes that occur?  

Must use at least 3 references use in-text citations. 

 

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Assignment: Disorders of the Veins and Arteries

Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.

To Prepare

· Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.

· Consider the patient factor of genetics and how genetics might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on genetics.

To Complete

Write a 2- to 3-page paper that addresses the following:

· Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.

· Explain how the patient factor genetics might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

· Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, treatment, diagnosis, risk factors

References to use for Assignment:

https://books.google.com/books?hl=en&lr=&id=u81BDgAAQBAJ&oi=fnd&pg=PA61&dq=genetics+impact+on+pathophysiology+of+CVI+and+DVT&ots=nDV1wpSOWv&sig=f1R8fYvZaGxp1QEJgGst9HyF7ec#v=onepage&q=genetics%20impact%20on%20pathophysiology%20of%20CVI%20and%20DVT&f=false

http://www.bloodjournal.org/content/bloodjournal/124/8/1242.full.pdf

http://nuife.org/index.php/pnap/article/view/335/315

https://link.springer.com/content/pdf/10.1007%2Fs12325-019-0885-3.pdf

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Discussion: Pain

Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. 

Then, explain how GENDER & AGE might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Include in-text citations and at least 3 references. 

FYI:   The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To Prepare

• Review the neurological system
• Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.
• Reflect on the two patient factors: gender, age. 
• Reflect on how the factors of gender and age might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

 

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the 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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Pathophysiology Disease Paper and Presentation Crushing’s Syndrome

For this assignment you will need to write a 3-page paper (not including title page or bibliography) and give a 5-10 minute presentation to the class on your topic. Make sure to create a concept map to hand out to the class that includes the information stated below. Please add some creativity to your presentation.

In your presentation you will need to include the following and create a concept map as well:

Pathphysiology of the disease process

Etiology of the disease process

Signs and symptoms (manifestations) of the disease process

Treatment of the disease process

Diagnostic test

1-2 nursing diagnosis with interventions

One NCLEX-type question for the class

One interesting piece of information about your disease process found from a reputable source outside of your textbook (this should be included as a citation in your paper. It should also be included on your reference page at the end of your paper).

E

 

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