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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Instruction==>Please read the attachment and talk about the facilities below. You want to write the paper as if you drove around and stopped at each location as a group. The things to included are listed below and also in the attachment. Please include a reference page using APA format (6th edition) with 3 references. And the paper needs to be 4 pages.

Places to talk about:

Jerome Golden Center (Mental Health Services)

West Palm Beach, FL

The Community Health Center

2100 45th St A8/9 West Palm Beach, FL

Walter D. Kelly Center, DATA Inc (Drug Abuse Treatment Center)

West Palm Beach, FL

St. Mary’s Medical Center

West Palm Beach, FL

Foundcare health center
2330 south congress avenue, west Palm

Molina clinic- west palm beach
944 s military release, west palm beach  

Foundcare healthcare center

2330 south congress ave, west palm

Molina clinic

944 s military release

west palm beach

Please include things like:

Are there any shelters or recovery centers in the area offering services for women and their children?

Religion

What churches and church-run schools are in the area (denomination)? How many are there of each denomination?

Health and Morbity

Is there evidence of any health problems such as drug/alcohol abuse, communicable or chronic diseases, and mental illness (etc)?

Daycare Facilities

Are there any day care centers in the area and what do they charge for providing care? Is this cost supplemented by a governmental agency?

Further Information of Interest

List any noteworthy observations or concerns observed in the community.

 

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Nursing Clinical Problem—- 

cical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations? Refe

 

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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 fordecreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibialpulses 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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