Choose a Community Agency for the Elderly such as meals on wheels, elderly daycare, assisted living facilities, the Food Bank, any Internet finds, or any that are listed in the additional resources area of the course guidelines section. Do not use Nursing Homes or Psychiatric facilities where you may be doing your clinical. Visit the chosen agency using the check-off criteria for guidelines of what information is to be obtained to write an APA formatted 3-6 page paper or as long as it takes to discuss the facility that you choose to do the paper on excluding in the count of pages the Title and Reference pages. Be sure to include all areas of the check-off criteria in your paper assignment (see the document titled “Check off for Projects NURS 4373” found in the Guidelines for Assignments folder listed under Community Based Project). You need to stay at least four hours in order to evaluate how the service is utilized and to obtain the necessary information for your project assignment.

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 Peripheral Vascular Disease 

Case Studies 

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg. Studies Results Routine laboratory work Within normal limits (WNL) Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery Diagnostic Analysis With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic. Critical Thinking Questions 1. What was the cause of this patient’s pain and cramping? 2. Why was there decreased hair on the patient’s right leg? 3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 4. What would be the treatment of intermittent Claudication for non-occlusion?  

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 Assignment: This assignment is designed to have you think like a nurse leader. These paper should enhance your knowledge and understanding of the given topic.

Content: Complete a short APA paper on team building, communication and how each affects delegation in the workplace

Format: This essay should be written in APA style based on APA expectations. Essays must be structurally intact with appropriate grammar, sentence and paragraph composition, spelling, punctuation, and logical, clear essay development (including introduction and conclusion). Paper length 1.5 pages excluding the cover and reference page. Must have a minimum of three references and references must be within 5 years and fully accessible. 

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Write a 4 paged paper. The topic is Failure to thrive of a pediatric patient. Please include:

-a definition of the disease/disorder

-cause

-treatment

-nursing implication (if you were caring for this patient)

-prognosis

-references APA format

-print font size at least 12

-a picture, for example- asthma a picture of a nebulized, eczema a picture of rash, cystic fibrous chest physiotherapy vest, etc…. My topic is Failure to thrive so find a picture of a child to represent that. 

-No plagiarism and please check for grammatical errors.

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compare and contrast ADN and BSN before and present

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