Assessment Of Respiratory Status 19115213

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  • CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO3 Utilize effective communication when performing a health assessment. (PO 3)
  • CO4 Identify teaching/learning needs from the health history of an individual. (PO 2)

After watching the video, and reflecting on the information presented, address each of the following questions.

  1. What are the common symptoms associated with an exacerbation of COPD?
  2. What assessment techniques will you use to assess Mary?
  3. Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
  4. Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
  5. What will you do to follow-up on Mary’s smoking cessation process?
 
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Assessment Of Painskinhair And Nails

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 Assessment of Pain;Skin,hair and nails.

  • Define pain 
  • Differentiate between acute pain and chronic pain. 
  • Why do people have individualized responses to pain?

a.     Outline the steps involved in investigating pain as a present problem.

b.     List cultural considerations when taking a history and performing a physical examination related to pain.

  • Which personal and social history factors should be explored in a patient in pain?
  • When a patient complains of pain, how should it be assessed?    
  • Describe how to determine cuff size in an adult patient.  
  • Pain is known as which vital sign?  
  • Why is it difficult to assess pain in older adults?  

Mr.  Hannigan is a 48-year-old man who presents to the emergency department  with a complaint of headache that has not been relieved in 3 days. He  now complains of visual disturbance and an inability to concentrate.

1. Describe the key indications when taking the blood pressure.

2. Describe the correct cuff size for a patient.

3. What signs and symptoms beside an elevated blood pressure would you expect the patient to exhibit?

Which  structure and its physiologic properties protect against microbial and  foreign substance invasion and minor physical trauma? 

How is hair formed, and what are its components? 

Which type of cells are nails, and into what will these cells convert?

Contrast differences between basal cell carcinoma, squamous cell carcinoma, malignant melanoma, and Kaposi sarcoma.

Describe the expected clinical manifestations of each condition. :

Primary lesions

a.             Macule

b.             Papule

c.             Nevi

d.             Patch

e.             Plaque

f.              Wheal

g.             Nodule

h.             Tumor

i.              Vesicle

j.              Bulla

k.             Pustule

l.              Cyst

m.            Vitiligo

n.             Rhinophyma

o.             Genital herpes

Secondary lesions

a.             Scale

b.             Lichenification

c.             Keloid

d.             Scar

e.             Excoriation

f.              Fissure

g.             Erosion

h.             Ulcer

i.              Crust

j.              Atrophy

JK  is a 44-year-old white woman with a 2-year history of psoriasis. Her  family history includes her father with allergies and asthma and her  mother with psoriasis. JK returns today for an increase in symptoms, and  she wants to improve the appearance of her skin.

1. What is the underlying cause of psoriasis?

2. What are the common signs and symptoms of this disease?

 
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Assessment Of Hamstring Injury Among Rugby Players Diagnosis And Return To Play Formula For A Low Grade Soft Tissue

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A literature review on the title using template below

 
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Assessment Of Hamstring Injury Among Rugby Players Diagnosis And Return To Play Formula For A Low Grade Soft Tissue 19413241

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Method and Research Method & Design Appropriateness

 
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Assessment Of Cardiac Status

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Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.

Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears. The patient states, “I don’t know what is wrong, I don’t feel right. My back hurts and I’m just so tired. What is wrong with me?” The patient refuses to take her medications at this time stating that she is starting to feel sick to her stomach.

Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity to quickly research the patient’s medication record to determine if she has a medication ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.”

Please address the following questions related to the scenario.

  1. What do you suspect is the cause of the patient’s symptoms?
  2. Describe the course of action that you will take to confirm this suspicion and prevent further decline.
  3. What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
  4. While you are caring for this patient, how will you ensure that the needs of your other patients are being met?
 
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Assessment Of Community Level Barriers

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For the second written assignment of the course, you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community. 

  • Prepare a recap of the model program for your community that you originally shared in the week 2 written assignment.  As stated in the Week Two directions, changes to the potential program can be made as you research and develop the focus of the program.
  • Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and  the third barrier may be one of your choosing.
  • Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.
  • Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program.  Discuss how each will impact the management of the program.

Your assignment should be a minimum of three pages in length (excluding title and reference pages) and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center. Please note: All assignments in this course are progressive; therefore you should use the same population selected in your Week Two assignment. The Week Two assignment’s contents do not need to be re-submitted with this assignment.

 
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Assessment Of The Neurological System 19097687

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CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)

CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)

CO3 Utilize effective communication when performing a health assessment. (PO 3)

Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist.

 Based on the above please discuss the following.

Pathophysiology of concussive injuries and treatment

Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)

Current best practices associated with post-traumatic stress disorder (PTSD)

Nursing interventions you would include in this patient’s plan of care

 
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Assessment Of The Musculoskeletal System And Pain

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  • CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
  • CO3 Utilize effective communication when performing a health assessment. (PO 3)

Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg.

Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease.

Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin.

After reviewing the above scenario please answer the following questions.

  1. Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.
  2. Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?
  3. Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?

STOPPED IN HIS TRACKS

CLASS: I am certain that most of you have encountered a patient like Fred.  They are vibrant and engaged elderly people who suffer a fall and sustain what can be life threatening injuries.  His situation is complicated by his age (the condition of his vital organs and musculoskeletal system), his previous medical history and his current medication regimen.   Be sure to consider each of these complications as you create your plan for his nursing care.  

References:

Chamberlain College of Nursing (2019) NR305 RN Health Assessment.Week 7 lesson Downers Grove, IL Online Publication

 
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Assessment Of The Infant

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Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

 250 words ,  NO PLAGIARISM,  2  REFERENCE ,  APA Style.

 
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Assessment Of The Child Functional Health Patterns

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Children functional health patterns assessment 

 
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