see below

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see below

Patho week 4 Case study

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 Scenario: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now must sleep on two pillows to get enough air. 

Resources to use:

  • Cance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
    • Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
    • Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
    • Chapter 35: Structure and Function of the Pulmonary System; Summary Review 
    • Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery  hypertension); Summary Review
  • Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilizationLinks to an external site., 5(7). doi:10.3390/jcm507006

Pneumonia

In your Case Study Analysis related to the scenario provided, explain the following:

  1. The cardiovascular and cardiopulmonary pathophysiologic processes result in the patient presenting these symptoms.
  2. Any racial/ethnic variables that may impact physiological functioning.
  3. How these processes interact to affect the patient.

A paragraph or two per question asked in the scenario and at least three current primary references are needed to support your points (peer-reviewed current articles, classroom textbook)

Discussion week 5

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Week 5 Discussion: Gastrointestinal Alterations (USLOs 1, 2, 3, 4)

You are caring for 39-year-old Kali Kim-Collins who arrived for follow-up care at her primary physician's office after being discharged from the emergency department with peptic ulcer disease. Mrs. Collins went to the emergency department after experiencing severe gastric pain for three days. She reported the pain was relieved after eating.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of peptic ulcer disease, respond to the following prompts:

1. Thoroughly explain the pathophysiology of peptic ulcer disease. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client after discharge home.

4. Describe labs and diagnostic testing you would anticipate monitoring for the client upon follow-up with her PCP. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

ethical arguments

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Choose a case from the https://journalofethics.ama-assn.org/cases and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

  • Identify the issue and state your ethical position.
  • How might this scenario play out or impact you in your role as a nurse practitioner? 
  • Defend your position with legal, ethical, and professional evidence.
  • As part of your position, propose strategies and solutions for addressing the issues.
  • What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source.  Be sure to cite the article you choose, use APA format, and include a title page and reference page.

2 page paperv

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 CAM treatment

Self-Assessment Form

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ThePsychiatric-Mental Health Nurse Practitioner (PMHNP) Clinical Skills List and Clinical Skills Self-Assessment Form can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experiences.

Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:   

  • Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.  
  • Based on your ratings, summarize your strengths and opportunities for improvement.   
  • Based on your self-assessment and theory of nursing practice, develop 3–4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.  

Reply to your classmate

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The United States Supreme Court is the highest federal judicial system with ultimate appellate jurisdiction over federal court cases. Once the supreme court makes its final judgment, no other body can overturn it. The number of cases taken to the Supreme Court is limited because it deals with the most sensitive matters (Greenberg et al., 2020). Dobbs v. Jackson Women’s Health Organization is among the recent cases handled by the Supreme Court. Supreme Court rejected the previous court decision and gave states the power to regulate abortion after arguing that there is no federal right to abortion in the American Constitution (Lambert et al., 2023). This case was appealed severally before it reached the Supreme Court. Supreme Court judges revised the decisions made before by lower courts. This law presented national implications since the American states were given the power to enact their regulations regarding the same since abortion rights are not protected by the federal constitution. After the Supreme Court decision, many states have established new laws prohibiting abortion.

As a medical professional, I do not support this decision because I believe it was influenced by the political environment rather than findings from clinical studies and scientific facts. Once a supreme court decides, the likelihood of overturning the decision is minimal. Women can seek medical abortion due to many personal matters, and as we respect the patient’s autonomy, women’s decisions should be respected. Our constitution protects the right to privacy under the 14th Amendment. Thus, any woman's decision to seek an abortion should be treated like a privacy right and not be exposed without consent or permission. Therefore, it would be better if the supreme court revised and reversed this decision.

 

 

 

References

Greenberg, E.S., Page, B.I., Doherty, D. Minkoff, S.L., & Ryan, J. M. (2020). 
The struggle for democracy. (2018 elections and updates ed.). Pearson.

Lambert, S. J., Horvath, S. K., & Casas, R. S. (2023). Impact of the Dobbs decision on medical education and training in abortion care. 
Women's Health Issues.

 

Nursing homework

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During the course, you have done a thorough analysis of a company and the health care subsector in which the company operates now is the time to look at all your findings and insights and frame the situation of the company in terms of cost, access, and quality. Specifically:

  1. Are there any major cost-containment policies or practices from private insurers or the government that affect your company? Are there any internal/ competitive forces that are trying to do the same?
  2. How does your company (and industry) is assessed in terms of its ability to offer access to all populations?
  3. What kind of quality assessment and assurance is done? Are there any positive or negative stories about the quality of health care services of the organization?

Reply to the following (2) Discussions

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Please Read the attachment for the instructions