College Nursing Papers

Please respond to the discussion below with a minimum of two paragraphs with two references, APA Style and no plagiarism.

-Nsaids are a commonly used drug that can be bought over the counter without a prescription. NSAIDS are used for patients that have chronic pain, stroke, atherosclerosis and postoperatively this medication is used very commonly. Like all medications Nsaids have risks and benefits. One major risk is bleeding. It is important for patients who are going for surgery to stop this medication the morning of surgery to prevent the risk of bleeding during surgery.  NSAIDS are also contraindicated when taking lithium. NSAIDs are known to increase the effects of lithium can can lead to lithium toxicity when taken together. NSAIDs when combined with certain medications can be very dangerous. Nsaids are commonly taken by most people not only geriatrics but also younger population take nsaids for migraine and for menstrual cramps.

Some benefits of Nsaids is that it is easily accessible OYTC and that is very affordable for most people. NSAIDS are very effective for mild to moderate pain. Possible negative side effects include liver and kidney damage, nausea, vomiting and neuropathy. NSAIDs have also been used in combination with chemotherapy drugs in treatment of some cancer. This is now being dispelled and scientists are finding that NSAIDs don’t have any ant cancer causing properties and have now been contraindicated for patients on chemotherapy, the benefits don’t outweigh the cons of taking this drug. Stronger opioids are preferred when treating cancer pain.  One benefit of taking an NSAID is that is is not habit forming and there is very low risk of becoming addicted to this medication in comparison to opioids/ narcotics which are extremely addictive and have higher risk of overdose.

Reference

Cosmo, G. D., & Congedo, E. (2015). The Use of NSAIDs in the Postoperative Period: Advantage and Disadvantages. J Anesth Crit Care Open Access, 3(4), 00107.

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Deb Smith, age 56, came to her nurse practitioner (NP) with fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH and MCHC are normal. Her diagnosis is pernicious anemia.
Answer the following questions regarding Deb’s anemia and provide the pathophysiology associated with the body’s response to this disease process.
• Why should Deb’s NP ask her about paresthesia and ataxia?
• Why did her NP prescribe vitamin B12 by intramuscular injection rather than orally?
• What causes pernicious anemia?
• What are the technical terms that describe an anemia with high MCV and normal MCH?

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Using the steps outlined in the decision-making models in your readings, select one ethical decision-making model and use the model to analyze the case provided. Case Scenario: A 6-year-old develops a high fever accompanied by violent vomiting and convulsions while at school. The child is rushed to a nearby hospital. The attending physician makes a diagnosis of meningitis and requests permission to initiate treatment from the parents. The child’s parents are divorced. The mother, who is not the biological parent of the child, has primary custody. She is a Christian Scientist who insists that no medical treatment be offered for religious reasons. The biological father, who resides in another state, is also contacted. He insists that treatment be given and seeks independent consultation from another physician. Assignment: In a formal, written paper of 800-1,200 words, answer the following questions: What is the ethical dilemma here? Describe the decision-making model you selected from your readings. How would you resolve this dilemma using the model? Include, at the end of your paper, a 200-word dialog in which you explain your decision to the family. (Remember to use language that the family would understand). A minimum of three references must be used. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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Assignment: FHEA Exam Follow-up

In Week 3 you completed the Fitzgerald University Exit Comprehensive Exam (FHEA) and you should have received your results. This exam is an example of the certification exam you may be required to take in order to be licensed as a Psychiatric-mental health nurse practitioner (PMHNP) in your state (Texas). Your results from the exam may reflect how you would do in the actual certification exam.

Also, remember this 3-hour exam (FHEA) was your Spring 2018 – Psychiatric Mental Health NP – Exit Exam  that is required this quarter session before you can graduate in May, 2018.

In this Assignment, you will develop a plan of action to address any areas of the exam where you may have scored less than acceptable.

                                                         Learning Objectives

Students will:

· Develop plan of action for certification exam preparation

To prepare for this Assignment:

· Develop plan of action for certification exam preparation

In 1 page:

Based on your results (64%) from the FHEA Exam, develop a plan of action, including an academic study plan, which will help you maintain your areas of strength and address the areas that need improvement, and help you prepare for the Certification Exam. Address each area of the exam including:

· Foundations of Advanced Practice Nursing

· Independent Practice Competencies

· Professional Role and Policy

N:B PLEASE INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES LESS 5 YEARS OLD

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Eduardo, a 46-year-old ecologist, returns from a field research excursion to a forested area in rural Thailand near the Cambodia border. He felt fine on his trip, other than being bothered by the buzzing and biting of mosquitoes and the exhaustion of working long days and nights. Approximately 4 weeks after his return, he seeks medical attention for flu-like symptoms: fever, chills, sweating, nausea and vomiting, and abdominal pain. His laboratory blood test reveals he has increased numbers of white blood cells. His hematocrit is low. His skin color and the white parts of his eyes are yellow. He has a low platelet count.
Questions
6. What characteristics of RBCs would make them a good host for a parasite to grow and multiply before they burst out of the cell? Simply think about the things an organism would need to grow. RBC anatomy; RBC physiology

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Question 1
Top of Form
Reflect upon the diagnostic exercise you participated in this week. Select one of the individuals you interacted with, and based on his or her health assessment, develop a health plan to help them prevent the disease and improve their quality of life. Your plan should include health care recommendations, educational materials, support systems for making lifestyle changes, and tools and resources for managing and monitoring symptoms.
As part of your plan, include the following:
• Provide a brief summary of the individual’s health assessment, the physiologic signs and symptoms of the individual’s highest disease risk, and the impact of that disease on his/her functional health status.
• Provide a health plan for risk prevention addressing diet, exercise, health monitoring recommendations, pharmacological aids, diagnostic testing recommendations, and additional lifestyle changes. Clearly explain the interrelationships between pathophysiology, pharmacology, diagnostic testing, and management on the individual’s health and the disease.
• Identify and summarize at least one current pharmacological advancement or a key piece of substantiated research in the treatment or prevention of the disease. Cite your source(s).
• Identify two or more websites to aid in the physical and mental well-being of the individual. Include the web links and a summary of the features and benefits of each site in a brief paragraph. Explain how specific components/features of the site can benefit your individual’s health care.
Question 2
What are the components of a successful diabetes care team? Is this something that is practiced where you currently work? Of the best practices shared in this week’s video clips, which do you think is most important? How would you incorporate this into your practice?

Question 3
It is important to determine the validity and reliability of the research instruments when reading a research study. How does the validity and reliability of an instrument influence the credibility of the study and the value of the evidence?

Question 4
What characteristics should be appraised when evaluating qualitative and quantitative research design? Which characteristics are the most important and why?

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DQ 1 Read the case study below and answer questions 1-6. Ethics Case Study: To Rescue Others at What Risk? ACME Medical Center has been damaged seriously by a recent hurricane. A helicopter that is trying to rescue people stranded by the hurricane has crashed, hitting the wing of the building where the pediatric unit was located. In the midst of the explosion, fire, and confusion, five people make their way to the roof and wait for rescue. They are Mary, a mother carrying her ill infant who was a patient on the unit; Joseph, her husband and the baby’s father; John, a pediatric resident who had been caring for the baby; Margaret, the RN who was on duty in the pediatric unit; and Peter, a transport employee who was helping to prepare patients for rescue and evacuation. Mary says to the group, “I think I hear someone crying. Yes, I can hear cries for help. We’ve got to go back down the stairs and help those people!” Dr. John says, “You women stay here. Joseph and I will go back down and see what we can do.” Joseph looks first at his own ill infant and then down the smoke-filled stairs and replies, “I’m not going back down. It’s too risky. The smoke is too thick. We’d never make it through and survive.” Margaret, the RN, says, “We’ve got to do something. We can’t just let people die. I’d never be able to live with myself. Those are my patients and I need to help them.” Margaret runs down the stairs and disappears. Peter says, “You’re all crazy! In a situation like this it’s every man for himself!” Questions: 1. What is the ethical dilemma? 2. What is your value and ethical position related to the case? Include discussion of theory and principles on which your position is based. 3. What are some other alternatives for resolving the problem? 4. What are the possible consequences for those acceptable alternatives? 5. How would you prioritize the acceptable alternatives? 6. What is your plan of action? DQ 2 Health care providers are obligated to provide for those entrusted in their care. To what extent do they meet this obligation? How might their obligation to others conflict with their obligation to themselves?

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What recommendations would you make to ensure that the electronic health record could successfully provide data capable of meeting public health’s requirements and  needs?

500 words with ABA style references

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Many Americans believe that they are overweight, by a few pounds to a few hundred pounds. Because of this, weight loss systems are big business. For this assignment, you are to select a weight loss system and evaluate it in terms of the information about the physiology of ingestive behavior covered this module.
• Find a website, a brochure, a popular article, or an advertisement about weight control that proposes a mechanism for loss of excess weight.
• Document the key proposals in terms of the main claims for success of the program (e.g., restriction of fat and small portions).
• Describe the reasons provided for the effectiveness of the program (e.g., a full stomach reduces hunger).
• Discuss the physiological components involved in the weight loss program. Clearly express an understanding of the physiology of the process of hunger, satiation, eating, and drinking as relevant for the weight loss method being described (e.g., long periods between meals would be likely to reduce blood sugar levels).
• Present a critique of the materials based on the module information on eating and weight regulation.
• Evaluate the proposal and suggest whether you would try this weight loss system or recommend it to someone else. Explain why or why not.

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