Nursing question

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Nursing

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Can you help me with my homework. 

social determinants of health

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What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Evaluate the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic Resources, will assist you in answering this discussion question.

ASSESSING MUSCULOSKELETAL PAIN

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Case: A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved?

 How would you test for each of them? 

What other symptoms need to be explored? 

What are your differential diagnoses for acute low back pain?

 Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected  

Discussion

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Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

maternal m3

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Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).

(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)

  • What additional information should the nurse obtain from the client?
  • What nursing intervention is most appropriate in this situation?
  • What screening tests should be obtained to determine the risk for preterm labor?
  • If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).

Nursing Homework Assignment

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Nursing Opportunities Assignment:  Total Possible Points = 110

Students will select a Contemporary Nursing Career Opportunity to write about.  Careers should focus on the role that requires education at the Bachelor’s level or higher. You must get approval from the instructor for the topic.  Students are expected to discuss all of the following:

  • expectations and responsibilities of the role itself
  • education requirements for the chosen career path,
  • salary ranges and demand for the role
  • pros/cons of the role
  • impact of the role on nursing or healthcare trends/issues

Career chosen: CERTIFIED NURSE MIDWIFE

Reflection 4

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A. Based on what you have found, what is the most important point for your peers?

B. What do you need to communicate to affected patients or other stakeholders?

C. What is the best way to communicate with peers and stakeholders?

Week 6 – Peers replies

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HUM 1050 – Introduction to Literature

Week 6 – Peers replies

 

Return to the forum on a second day this week read your peers’ posts Power Points. Respond to at least two of your peers. These posts should be substantive and add to the discussion. This could include asking a probing question or relating your own experience with whatever they have posted. 

Please see the two peers power point presentations attached to develop the two peers replies.

Different-Speak: Gender and Culture-2

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To discuss your communication plan, you want to hold the most productive meeting possible. You know that, in general, women look for equality among other team members when speaking. Men tend to interrupt and speak more frequently during meetings, taking up more time and space. There are many communication differences between men and women. Because your staff includes 6 men and 6 women, gender communication differences are important. With your colleagues, discuss ways to ensure that everyone at the meeting has the opportunity to fully communicate their ideas. Discuss the following:

  • 1 nonverbal difference between males and females
  • 1 verbal difference between males and females.
  • How and why you can use this knowledge to communicate to the female and male audiences in the organization that you selected

The materials found in the MUSE may help you with this assignment such as the presentation Gender Speak.