Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. Citations must be followed.

CASE STUDY: Active Labor: Susan Wong

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

Reflective Questions 

1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?

Adeyanju Bello

11/10/23, 2:49 PM NEW

The nurse and the patient must be aware of the interactions between medications and nutrients. The nurse must be able to ensure that the correct dose is given and that no negative interactions occur when showing the drug or explaining how to take it. The patient must comprehend and follow instructions correctly.

Fentanyl is a drug that interacts with nutrition. Fentanyl is used to treat “breakthrough” pain by altering the brain's and nervous system's response to pain. Grapefruit and grapefruit juice should be avoided because they increase the amount of medicine in the body, which can lead to an overabundance of fentanyl.

Warfarin is a blood thinner that prevents blood clots from forming or developing in the blood or blood arteries. Warfarin interacts with foods when you eat a constant amount of vitamin K. Broccoli, spinach, and kale are green, leafy vegetables that can make the drug less effective.

Linezolid is another medication that interacts with nutrition. This drug treats infections (such as pneumonia) and prevents bacteria from growing. If the patient is taking linezolid, tyramine-containing meals should be avoided. Cheese, excessive chocolate, caffeine, yogurt, raisins, bananas, sour cream, and sausage are all examples. The interaction can cause blood pressure to rise dangerously.

The interactions should be explained during client education so that the patient understands the importance of following the medication directions. An important point to remember about fentanyl medication is that increasing the dosage can increase the risk of overdosing and severe side effects (respiratory failure). The takeaway for warfarin is that the vitamin K level must be monitored and consistent for the medication to work correctly—finally, the importance of avoiding tyramine-containing foods while on linezolid should be thoroughly explained.

Amy Sanchez

11/9/23, 11:18 PM 

NEW

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 1: Warfarin and Vitamin K

Interaction: Warfarin is a blood thinner that works by blocking the action of vitamin K, which is needed for blood clotting. Consuming foods high in vitamin K can interfere with the effectiveness of warfarin.

Foods to avoid: Foods high in vitamin K include leafy green vegetables (kale, spinach, cabbage), broccoli, Brussels sprouts, and liver.

Client education: Patients taking warfarin should be advised to maintain a consistent intake of vitamin K-rich foods. They should not completely avoid these foods but rather consume them in moderation to have a consistent balance of vitamin K intake. Regular monitoring of the blood clotting time is crucial in preventing complications.

Interaction 2: Monoamine oxidase inhibitors (MAOIs) and Tyramine

Interaction: MAOIs are used to treat depression, but they can interact with tyramine, a compound found in certain foods. MAOIs block the action of the enzyme that breaks down tyramine, leading to its accumulation, which can cause a sudden increase in blood pressure.

Foods to avoid: Foods high in tyramine include aged cheeses, cured meats (sausages, pepperoni), fermented foods (sauerkraut, soy sauce), and some alcoholic beverages.

Client education: Patients taking MAOIs must be informed about the potential risks of consuming foods high in tyramine, as it can lead to hypertensive crisis. They should be educated on the importance of avoiding these foods, especially during the early stages of MAOI treatment. Awareness of alternative food choices is crucial to ensure a safe diet.

Interaction 3: Calcium and Tetracycline antibiotics

Interaction: Calcium can bind to tetracycline antibiotics in the gastrointestinal tract, forming insoluble complexes that reduce the absorption of the medication.

Foods to avoid: Dairy products (milk, cheese, yogurt), calcium-fortified orange juice, and high-calcium foods like spinach and kale.

Client education: Clients on tetracycline antibiotics should be advised to avoid calcium-rich foods or supplements for several hours before and after taking the medication. It is important to emphasize the significance of adhering to the recommended dosing schedule to ensure optimal absorption and effectiveness of the antibiotics.

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rt 2 Writing Assignment Week 7

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Health Promotion Proposal, Part 2 Content

1.

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Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

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Kimberly Moken

Option 1:

Contemporary presidential campaigns are using social media as a campaign tool by posting on media outlets such as Twitter and Facebook. Social media could be a successful tool to use for a presidential campaign because you can reach more people and you can reach people who do not follow politics. “Social media and its highly visible environment provides presidential candidates the ideal platform to promote themselves, articulate their policy goals, and interact with voters – directly and without the filter of the mainstream media.” (Hwang, 2016) It’s also a way for them to get their message out there without spending a significant amount of money. Messages are posted on a feed or recorded and posted to their social media account for voters to go back and read or watch the videos at a time that is convenient for them. “Some have argued that Donald Trump’s success in the 2016 Republican primaries and caucuses was, in part, a product of his ability to take advantage of media outlets’ insatiable desire to attract viewers, listeners, and readers.” (Greenberg, 2018, p.143) Before social media, voters had to catch it live on television or read about it in the newspaper. Social media has made it easier for Americans to access information about the political candidates.

 

Hwang, A. S. (2016).
Social Media and the Future of U.S. Presidential Campaigning. Google Scholar. Retrieved September 25, 2023, from

https://scholarship.claremont.edu/cgi/viewcontent.cgi?article=2328&context=cmc_theses

Greenberg, E. S., & Page, B. I. (2018). 
The Struggle for Democracy, 2018 Elections and Updates Edition (12th ed.). Pearson Education (US). 

https://ambassadored.vitalsource.com/books/9780135246849

Links to an external site.

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