Category: Nursing

Integumentary Function:
K.B. is a 40-year-old white female with a 5-year history

Integumentary Function:
K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.
Case Study Questions
Name the most common triggers for psoriasis and explain the different clinical types.
There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.
Included in question 2
A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?
What others manifestation could present a patient with Psoriasis?
Sensory Function:
C.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.
Case Study Questions
Based on the clinical manifestations presented on the case above, which would be your eyes diagnosis for C.J. Please name why you get to this diagnosis and document your rational.
With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not.
Based on your answer to the previous question regarding the etiology of the eye affection, which would be the best therapeutic approach to C.J problem.
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts and at least 1 academic sources for each response. I WILL SEND YOU THE 2 CLSSMATE RESPONSE AFTER I SUBMIT MY CASE STUDY FOR YOU TO ELABORATE THE RESPONSES. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible 150 WORDS MINIMUM PER REPLIY.

Do a 5-10-minute discussion reviewing the following information-
Rubric
1 Medica

Do a 5-10-minute discussion reviewing the following information-
Rubric
1 Medication to do- ibuprofen(Analgesic Drugs)
Side effects
Adverse effects
Contraindications
Indications
Nursing implications (5 Components of Nursing Process)
Student will identify one scenario based question for the 1 medication (total of 1 questions) or one (1) case study with a minimum of 1 question with answers and rationales (from evidence-based sources)
Include useful tips to remember medications in drug class and applying knowledge

Article: https://journals.sagepub.com/doi/10.1177/193229682…
Provide a descrip

Article: https://journals.sagepub.com/doi/10.1177/193229682…
Provide a description of how the treatment tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion. Reflect how the treatment tool or intervention will affect nursing practice and the disease process.
Explain why psychological, cultural, and spiritual aspects are important to consider for the patient population which your article reviews. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.

Module 5: Discussion — Health Care Legislation: Patient Protection and Affordab

Module 5: Discussion — Health Care Legislation: Patient Protection and Affordable Care Act & Medicare – Section 019 — Professor Lisa Miller
Online Discussion
This week’s discussions will focus on health care delivery and financing, specifically on the ACA and Medicare. Be sure to include a resource in each response including the book, a peer reviewed journal article and appropriate websites.
Discussion Board Items—Refer to Discussion Board Guidelines and Grading Rubric as you complete these items. (The expectations are outlined in the syllabus and Module 0)
There are several websites and resources to read/review this week that will assist you in identifying the following information:
Prepare the following information as if you were going to provide education in your community at a health fair. The information can be in bullet point format. Under each of the items (A-E), outline bullet points with the information that are key points to discuss when providing education on the topics. APA format format for intext citations and reference list should be included. Identify and summarize the three categories of state Marketplace/Exchanges.
Discuss the five metal categories (Bronze, Silver, Gold, Platinum, and Catastrophic) plans that individuals can access through Marketplace including services provided by each plan.
Outline the Health Insurance Marketplace® efficiency, effectiveness, cost, and access to diverse and vulnerable populations.
Discuss the benefits and consequences of the ACA Medicaid expansion.
Describe the basic components and requirements of the Medicare Program, including the differences between Medicare Part A, Part B, Part C, and Part D
Example template for the outline:
Identify and summarize the three categories of state Marketplace/Exchanges.State-based Market place (SBM)State level
Responsible for market functions
Individual consumers
Maintained through the state
Enrollment
Continue with bullet points to outline the 3 categories.
Discuss the five metal categories (Bronze, Silver, Gold, Platinum, and Catastrophic) plans that individuals can access through Marketplace including services provided by each plan.briefly outline the topic to discuss.
put as many bullet points as needed.
Outline the Health Insurance Marketplace® efficiency, effectiveness, cost, and access to diverse and vulnerable populations.briefly outline the topic to discuss.
put as many bullet points as needed.
Discuss the benefits and consequences of the ACA Medicaid expansion.briefly outline the topic to discuss.
put as many bullet points as needed.
Describe the basic components and requirements of the Medicare Program, including the differences between Medicare Part A, Part B, Part C, and Part Dbriefly outline the topic to discuss.
put as many bullet points as needed.

Select one of the following discussion prompts to address:
How do alterations i

Select one of the following discussion prompts to address:
How do alterations in the clotting cascade contribute to the development of hemorrhagic disorders, and how can nurse practitioners use their understanding of the underlying pathophysiology to develop targeted interventions that address the various aspects of care for patients with these conditions?
What strategies can nurse practitioners employ to promote the early detection and management of hematologic disorders in children, particularly those with inherited conditions or other risk factors, and how can they effectively communicate with families about the need for ongoing monitoring and follow-up care?
Based on your experience, what are the key factors in ensuring a successful interdisciplinary team approach to managing various aspects of cardiovascular disease, including prevention, diagnosis, and treatment, while also considering the impact of these conditions on patients’ quality of life?
What are some of the most common disorders of the heart wall that you have encountered in your nursing practice, and how have you integrated your knowledge of the underlying pathophysiology to develop targeted interventions that address the various aspects of care for patients with these conditions?
This Assignment consist of answering only one of these prompts, the response should be a minimum of 300 works in APA 7 format and with one scholarly source

General Instructions
Access the County Health Rankings & Roadmaps websiteLinks t

General Instructions
Access the County Health Rankings & Roadmaps websiteLinks to an external site. and search for health outcomes data for your state. Use the Rankings feature on the Data by County page to determine the county with the best and worst health outcomes rankings. Identify the ranking of your home county or the county where you practice.
Next, use the Search by County feature to find your home county. Review the available data.
Finally, use the Compare Counties feature to compare your home county to those identified with the best and worst health outcomes ranking in your state. Reflect on findings.
Include the following sections:
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
Provide an overview of the health outcomes and factors in your country. Which health factors are strengths in your county? Which are areas for improvement?
Consider the communities within your county. What influencing factors might be at the root of health factors needing improvement?
How does your home county or county of practice compare to the counties with the highest and lowest health outcomes rankings?
How will the information you found impact your role as an advanced practice nurse?
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:
Cite a scholarly source in the initial post.
Cite a scholarly source in one faculty response post.
Cite a scholarly source in one peer post.
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.
Peer Response: Respond to at least one peer.
Faculty Response: Respond to at least one faculty post.
Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
Reference Citation: Use current APA format to format citations and references free of errors.
Requirements: 1 page

please write a wring sample not more than 500 words of why you want to do DNP fa

please write a wring sample not more than 500 words of why you want to do DNP family nurse practitioner. Why choosing liberty university for it. Incorporate faith related words too as a Christian one of the reasons for choosing this Christian university. I have no Master degree but my entry is BSN.

Dear writer please follow instructions for assignment below. I have included Adr

Dear writer please follow instructions for assignment below. I have included Adria response to use for this assignment.
Peer Response
Instructions:
Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least three of these prompts:
Do you agree with your peers’ diagnosis?
Take an opposing view to a peer and present an alternative approach.
Share your thoughts on how you support their opinion and explain why.
Present new references that support your opinions.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Adria Respone
What is the likely diagnosis and what symptoms made you consider that diagnosis?
Based on the symptoms described, it seems likely that this patient is suffering from a condition called hypothyroidism. This is the most common disorder of the thyroid gland and is seen more in woman than men (McCance & Huether, 2019, p. 676). The primary symptoms of rapid weight gain, puffy face and cold intolerance were what led me to this conclusion of hypothyroidism as those are tell-tale signs. Further, slow speech is a neurological symptom associated with this disease as well that is due to poor cerebral blood flow (McCance & Huether, 2019, p. 679). Bradycardia can be associated with hypothyroidism; however, this patient does not display that feature.
Which lab data supported the diagnosis?
In order to formally diagnosis hypothyroidism, the provider will order labs to evaluate. With hypothyroidism, there are different forms that can arise. In primary hypothyroidism, thyroid stimulating hormone, or TSH, will typically be increased while TH (T3 and T4) will show decreased levels (McCance & Huether, 2019, p. 679). For this patient, TH shown through T4 is 3.4 which is less than the expected range. However, the TSH level in this patient is 0.9 which is within the range. These labs do not support the diagnosis of primary hypothyroidism which leads the differential to other forms. This patient has lab levels consistent with hypothyroidism caused by pituitary gland deficiencies. A normal TSH and decreased TH, exemplified through the T4 level, support this diagnosis. The thyroid also regulates cholesterol through the hormone called thyroxine (Kotwal et al., 2020). When hypothyroidism is present, such as this case, there is not enough of the thyroxine available to control cholesterol levels, which can lead to the elevated cholesterol level of 275.
Explain Hypothalamic-Pituitary-Thyroid axis and interrelationship.
The Hypothalamic-Pituitary-Thyroid axis, or HPT, helps regulate thyroid function and hormones. The ability for the thyroid to work properly can depend on the pituitary glycoprotein TSH. When the pituitary is not secreting or functioning well, this can lead to hypothyroidism due to the absence of hormones (Mariotti & Beck-Peccoz, 2021). With a lack of thyroid hormone regulation from the pituitary gland, the T3 and T4 that are secreted from the thyroid will decrease in turn.
Case Study #2
What are the mechanisms of blurred vision which was part of his initial symptoms?
Blurred vision is a complication that occurs with diabetes. Water levels in the eye can change depending on glucose levels (McCance & Huether, 2019, p. 689). Hyperglycemia leads to osmotic change causing the lenses of the eye to fill with fluid. This leads to blurry vision and eventually can cause diabetic retinopathy, which can be a factor in permanent blindness.
Are there correlations between his abnormal blood chemistries and his other symptoms?
The lab values listed such as a random glucose of 359 and an elevated HbA1C at 9.1 correlate with the symptoms of diabetes. Polyuria, polydipsia, and polyphagia are the classic signs of diabetes. HbA1C measures the frequency of hyperglycemia occurring over the past 2-3 months. With the elevation in this lab, it points to uncontrolled glucose levels, once again supporting the diagnosis of diabetes.
Identify the cardiovascular and microvascular risk factors in the history, physical examination, and laboratory data in this patient.
This patient is at risk for complications associated with diabetes from numerous factors. Diabetes itself can cause microvascular changes to the kidneys, eyes, and nerves from glucose toxicity, or chronic hyperglycemia (McCance & Huether, 2019, p. 692). Luckily, this patient denied any neuropathy, or tingling, in the limbs which is a sign of worsening disease. In order to prevent these complications, along with cardiovascular complications, the patient needs to have strict glucose maintenance. Kidney disease is common in over 50% of diabetes patients due to chronic hyperglycemia causing hyperperfusion (McCance & Huether, 2019, p. 697). These changes can lead to glomerular changes and thickening of kidney membranes, causing hypertension and renal failure. As discussed in previous units, hypertension plays a role in cardiovascular risk and puts the patient at a higher chance of having a myocardial infarction and congestive heart failure.
References
Kotwal, A., Cortes, T., Genere, N., Hamidi, O., Jasim, S., Newman, C. B., Prokop, L. J., Murad, M. H., & Alahdab, F. (2020). Treatment of Thyroid Dysfunction and Serum Lipids: A Systematic Review and Meta-analysis. The Journal of clinical endocrinology and metabolism, 105(12), dgaa672. https://doi.org/10.1210/clinem/dgaa672 Links to an external site.
Mariotti S, Beck-Peccoz P. (2021). Physiology of the Hypothalamic-Pituitary-Thyroid Axis. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278958/
McCance, K. & Huether, S. (2019). Pathophysiology: The biologic basis for disease in adults and children. 7th Edition. Elsevier Mosby: St. Louis, MO. ISBN: 978-0323088541.

FOCUSED REVIEW/REMEDIATION AND REQUIRED REMEDIATION DOCUMENT MUST MEET THE FOLLO

FOCUSED REVIEW/REMEDIATION AND REQUIRED REMEDIATION DOCUMENT MUST MEET THE FOLLOWING CRITERIA:Focused review topics that are assigned must be included in the 3 critical concepts remediation document to correlate with the ATI Individual Performance Profile report.
The 3 critical concepts must be typed with complete and thoughtful answers.
Must be original work for each assignment. Assignments are not to be re-used.
In one submission, attach both documents – (1) the ATI Individual Performance Profile report and (2) the Completed 3 Critical Concepts Remediation Document.
You may submit your work PRIOR to the due date but not ahead of week 5 or 6.
***i provided a sample document and a regular document to input the info***please use the sample as reference**** please discuss all topics that were mentioned in the assessment practice starting from the highlighted part (physiological adaptation) the topics before that are completed already
PLEASE START THE REMEDIATION FROM THE HIGHLIGHTED TOPIC IN THE PHOTO ATTACHED (physiological adaptation)

FOCUSED REVIEW/REMEDIATION AND REQUIRED REMEDIATION DOCUMENT MUST MEET THE FOLLO

FOCUSED REVIEW/REMEDIATION AND REQUIRED REMEDIATION DOCUMENT MUST MEET THE FOLLOWING CRITERIA:Focused review topics that are assigned must be included in the 3 critical concepts remediation document to correlate with the ATI Individual Performance Profile report.
The 3 critical concepts must be typed with complete and thoughtful answers.
Must be original work for each assignment. Assignments are not to be re-used.
In one submission, attach both documents – (1) the ATI Individual Performance Profile report and (2) the Completed 3 Critical Concepts Remediation Document.
You may submit your work PRIOR to the due date but not ahead of week 5 or 6.
***i provided a sample document and a regular document to input the info***please use the sample as reference**** please discuss all topics that were mentioned in the assessment practice starting from the highlighted part (physiological adaptation) the topics before that are completed already
PLEASE START THE REMEDIATION FROM THE HIGHLIGHTED TOPIC IN THE PHOTO ATTACHED (physiological adaptation)