Client Questions

Explain why there are so many codes related to anemia (D50-64). Your response should be at least 75 words in length Describe resistant infections and the official guidelines for coding and reporting. Why is it important to correctly identify and code all resistant infections? Include at least one example of a resistant-infection code.Your response should be at least 75 words in length 3 Use the Encoder Pro software to assign I-10 code(s) to the following diagnosis: Pneumocystis pneumonia in patient with HIV.  4 Use the Encoder Pro software to assign I-10 code(s) to the following diagnosis: Combined spinal cord degeneration due to pernicious anemia.  5 Use the Encoder Pro software to assign I-10 code(s) to the following diagnosis: Gastroenteritis due to Norwalk virus.  6  Use the Encoder Pro software to assign I-10 code(s) to the following diagnosis: Alzheimer’s disease.  7  Use the Encoder Pro software to assign I-10 code(s) to the following diagnosis: Hypertension with end-stage renal disease.  8.   QUESTION 8 History of Present Illness A 50-year-old disabled male is a resident of a nursing home who has been admitted because of marked congestion and respiratory distress. He is known to have mental retardation and frequent urinary tract and pulmonary infections. He has a recurrent epileptic disorder that is well controlled on Dilantin. Physical Examination On admission, vital signs include a temperature of 101° F, respiratory rate of 32 breaths per minute, heart rate of 82 beats per minute, and blood pressure of 120/70 mm Hg. Examination of the chest reveals bilateral crepitations. There is moderate redness and edema of the scrotal skin. Laboratory Data and Course in Hospital His white blood cell count is 8.5; hemoglobin, 12.9 g/dl; polymorphonuclear leukocytes, 64; bands, 19; lymphocytes, 10; monocytes, 6; and eosinophils, 1. A urinalysis shows moderate bacterial and white blood cell count. A urine culture shows mixed flora. The repeat urine culture shows Providencia stuartii sensitive to Fortaz. A sputum culture reveals the presence of methicillin-resistant Staphylococcus aureus, sensitive to vancomycin. A chest X-ray film shows bilateral pulmonary infiltrates. Arterial blood gases on room air show a PO2 of 48, PCO2 of 30, and pH of 7.50. When repeated with the patient on oxygen, PO2 is 66, PCO2 is 36, and pH is 7.45. The patient is treated with intravenous vancomycin and intravenous Fortaz. His pulmonary infiltrate decreases. His oral intake has been somewhat poor, and he has been given intravenous fluids off and on. The nursing staff at the nursing home note that his intake, in terms of eating and taking fluids, is much better. His medications at the nursing home include Dilantin, 200 mg twice a day; Tegretol, 400 mg at 8 a.m. and 4 p.m. and 200 mg at 8 p.m.; and Cipro, 500 mg twice a day; and his maintenance medications are continued. This patient is being discharged today. Use Encoder Pro software to assign I-10 code(s) for each of the final diagnosis statements below:   Final Diagnosis Acute respiratory insufficiency Bilateral pneumonia due to MRSA Providencia stuartii (gram-negative bacilli) infection Mental retardation Epilepsy UTI

No plagiarism please.     Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.   Topic: Utilizing Evidence Practice Guidelines One of the ways that the Nurse Practitioner (advanced practice nurse) can manage risk of being successfully sued for malpractice or negligence is by utilizing evidence practice guidelines. Explain how these guidelines affect the “standard of care” and discuss with your classmates how utilizing this guideline can be a major strategy to significantly reduce risk to the provider.

Revise paper based on corrections. Corrections from professor listed in Image. Revised part should be less than a page

Please I need for tonight   Reflecting on week 4’s lessons in the syllabus, select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a chronic cardiovascular disease(HTN, Heart failure, Dyslipidemia, Heart murmur etc.…), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. Please post your CS directly in the thread so that your colleagues can see it and be sure to read and respond/comment on one of your

nstructions Good public health program planners are able to clearly describe, descriptively and/or analytically, the priority population and use that information to guide them when developing an intervention (activity) to address the specific problem. In your final deliverable consisting of both an 8–10-page report and a 15–20-slide PowerPoint presentation, you will use the information from the pre-intervention elementary school asthma study to create an education plan for asthma prevention among school children in four schools, based on the social ecological model. See the model illustration below. The findings and recommendations in your paper and PowerPoint presentation must be supported by your primary data results and peer-reviewed literature. Give reasons and examples in support of your positions. Cite all sources using APA format. Click here to install Minitab Software. You may review the following resources: CDC. (2013). Colorectal cancer control program (CRCCP): Social ecological model. Retrieved from http://www.cdc.gov/cancer/crccp/sem.htm CDC. (2012). Program Performance and Evaluation Office (PPEO)—Program evaluation: A framework for program evaluation. Retrieved from http://www.cdc.gov/eval/framework/index.htm Report Your plan should be delivered in an 8–10-page report and include: Clear explanations of each level of the ecological model and how it addresses the problem. Positions supported by the asthma data and statistics from this course, which support the need for the education program. Calculations indicating if there is a significant difference in asthma prevalence between four schools (A, B, C, and D) using Statistical Inference and t-Tests. Refer to the help files in the Minitab application specifically for Statistical Inference and t-Tests. A well-supported answer to the question: Is there one school that has a greater need than others for priority in asthma education and why? PowerPoint Presentation Your 15–20-slide PowerPoint presentation should summarize your informatics research completed in Weeks 1–4, and your final needs assessment findings and recommendations. The PowerPoint presentation must include: Relevant information from your asthma study, and be visually stimulating with graphics and pictures as appropriate References both within the PowerPoint slides and a full citation on the last slide Speaker notes on each slide plus an audio file of your narration of the presentation using the “record narration” feature Submission Details: Submit your 15–20-slide presentation in MS PowerPoint format and your 8–10-page report in a MS Word format to the Submissions Area by the due date assigned. Name your document SU_PHE6203_W5_A2_A_LastName_FirstInitial.doc and your PowerPoint presentation SU_PHE6203_W5_A2_B_LastName_FirstInitial.ppt. Attachments Submissions No submissions yet. Drag and drop to upload your assignment below.Upload SubmissionDrop files here, or click below!UploadRecordChoose ExistingYou can upload files up to a maximum of 40 MB.Reflect in ePortfolioPrevious Next  Activity Details Task: Submit to complete this assignment Due January 9 at 11:59 PM Assessment Rubrics PHE62

Transcultural diversity and healthcare are the provision of health care services and the sensitivity of the cultural variances as the healthcare worker focuses on discrete patients, their wants, and their preferences. Through transcultural diversity and healthcare, you demonstrate respect to your patients over their culture through seeking information from them about their beliefs and how they relate to healthcare practices. When handling a patient from a different culture than your cultural background, it is important to ensure that you are aware, and you respect his or her cultural needs and opinions. If not, the client may contemplate it insensitive, uncaring, and possibly incompetent. The health care provider should not assume that an individual from specific culture acts and similarly conducts the same way as him or her. It is unhealthy for a healthcare provider to stereotype patients (Purnell & Fenkl, 2019). To avoid stereotyping, healthcare workers should treat each client as discrete and access his cultural grounds and preferences through a cultural assessment tool or questionnaire. A part of each cultural background influences the behaviour of each patient. On the other hand, there are some attributes and attitudes that are associated with a given cultural group. However, in healthcare, the healthcare providers need to avoid stereotyping the clients, considering each of the patients as a different individual. Not all the people that come from a common cultural background share the same behaviours and views. Collecting personal preference from the patients helps the healthcare provider in the provision of medical services with ease. Transcultural diversity in health care enables healthcare providers to communicate with foreign patients easily. Also, the health care provider can be able to determine if the patient’s health beliefs have any relations to the illness and the status of the family as well as the influence. A culture has various characteristics involved. Some of the characteristics describe culture as learned, dynamic, shared, and integrated. Culture is learned and cannot be inherited as a biological aspect. Most of the learning that takes place in a culture is unconscious. Culture is learned from families, peers, learning institution, organizations, as well as from the media. Culture is a process that is learned through a method called enculturation (Mesoudi, 2016). Humans fulfil their biological needs based on the cultures they belong to. The way people fulfil them varies depending on the culture of the individual. In addition, culture is also characterised as dynamic. This means that the culture interacts and changes from time to time. A culture is in contact with other cultures, thus enabling borrowing and selling of ideas from one culture to the other. Cultures change and due to flexibility, they can adapt to the changing environment. Every culture has its own unique way that the members use to fulfil necessities such as nourishment, sleep, and sex. The changing of the cultures also leads to the interrogation of cultures. During an integration of a culture, one aspect is changed, and it is likely that the aspect will change the entire culture, thus adapting to the changing environments. The integration of cultures is identified as holism, as several fragments of a culture are being connected.  The integration explains how the aspects of cultures are interconnected and for one to understand the culture, he or she must learn about all of its parts. Also, culture is shared amidst the members of the cultural group. The members of the cultural groups can act in a socially appropriate way and they can also be able to predict how others will act (Buskell, 2017).  However, having the shared nature of culture is not considered homogenous. There are several cultural domains that are in any given civilization. I need to make an answer based on this essay on Transcultural Diversity and Health Care. Must be a minimum of 200 words. References supporting the answer should be included.

EPIDEMIOLOGY ASSIGNMENT INSTRUCTIONS: 1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals, and indicators. 2. Using your city or county public health department or the CDC, choose 3 population or community based problems such as disease, disaster, crimes, accidents, falls etc… from the topics outlined in the website and prepare an analysis discussing how these 3 conditions, affect your community and how they were identified and a plan of action to contained them base on healthy people 2020. 3. You can also use the following CDC link https://www.cdc.gov/outbreaks/index.html and identify 3 community infectious outbreaks such as measles and develop the assignment. The presentation must be in APA format with a minimum of 1500 words (excluding first and references page) with a minimum of 4 evidence-based references using the required APA font. You must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC. The assignment will be post it in the discussion tab of the blackboard for grading and in the SafeAssign exercise in the assignment to verify originality. FNU only accept 35% of plagiarism. I will not accept any assignment that exceeds the percentage of plagiarism establish by the university.

4-Evidence based practice research has changed the field of nursing in many ways. It is one of the key principles in medicine today adhering to standards for high quality and safety, all while focusing on patients’ needs. Old practices may not work and need to change, evidence-based practice provides the latest research in improving these practices. In emergency nursing, evidence-based practice is used daily. One very common practice is infection control. “This includes keeping the healthcare environment clean, wearing personal protective clothing, using barrier precautions and practicing correct handwashing” (Arkansas State University, 2016). Even though the emergency is very fast paced, nurses in my facility are very aware of infection control and make efforts to improve their infection control practices daily. Another evidence-based practice used frequently in the ED, is oxygen use in patients with COPD. “Despite the belief by some that providing oxygen to these patients can create serious issues such as hypercarbia, acidosis or even death, the evidence-based protocol is to provide oxygen to COPD patients. This practice can help prevent hypoxia and organ failure. Giving oxygen, which is the correct treatment based on the evidence, can enhance COPD patients’ quality of life and help them live longer” (Arkansas State University, 2016). It is very important that nurses know that giving to much oxygen can increase their respiratory drive, causing more distress, but some oxygen is key to helping improve the patients’ status. Reference: Arkansas State University (2016, December 20). 4 Examples of Evidence-Based Practice in Nursing. Retrieved from https://degree.astate.edu/articles/nursing/examples-of-evidence-based-practice-in-nursing.aspx   5-Evidence-based practice is something that is embedded into our minds. During my first quarter of nursing school we were required to write down interventions for all nursing diagnoses and were required to cite evidence as to why we do the nursing interventions that we do. As nurses it is important to know the WHY as to why we do what we do. Evidence-based practice changes everyday because science and studies are frequently changing. As nurses, we practice numerous nursing interventions daily. For bedridden patients who cannot move on their own, we are required to turn them at least every 2 hours because research shows that by turning these patients, the chances of developing bed sores are greatly decreased. We had a patient on our unit for about 6 months who was not able to move on his own and he did not develop a single bed sore because frequent turning was practiced. Other common evidence-based practice interventions include scrubbing the IV and central line hubs with alcohol for 10-15 seconds to prevent CLABSI. Washing your hands with soap and water before and after entering a patient’s room is the number one method of preventing the transmission of disease. We practice evidence-based interventions numerous times a day and we probably do not even realize that we are doing it because it becomes second nature to us such as something as simple as raising the head of the bed, picking out the correct blood pressure cuff, or grabbing some ice to apply to our patient’s knee, etc. Arkansas State University states that nurses have room for improvement when it comes to EBP. They state the follo wing are some areas where nurses could better adhere to EBP: Communication      involving changes in a patient’s status. Soft      skills that improve patient interaction. Training      and onboarding new nurses. Shift      scheduling and the effect on care. References: Arkansas States University. 2018. Evidence-Based Practice in Nursing. Retrieved from https://degree.astate.edu/articles/nursing/examples-of-evidence-based-practice-in-nursing.aspx     6-From the perspective of a nurse, research or evidence based practices are of vital importance when it comes to determining the best course of action to take with clients, and determining which route to take with an intervention plan. For instance, when examining an individual’s symptoms or ailment, using evidence based practices can show the best steps to take in order to provide the patient with the most in depth and intensive treatment options which can be afforded to them (Melnyk & Fineout-Overholt, 2011).            When treating a patient with a number of symptoms which do not have an immediately known cause, using evidence based practices can assist in determining which specific ailment the patient is suffering from. By using research that highlights similar symptoms the specific condition can be examined in more detail which could lead to new treatment methods being devised (Koehn & Lehman, 2008).            The benefits of evidence based practice are not limited only to the treatment of patients, but can also be utilized in how to properly communicate and interact with patients, and can prove vital in establishing connections with them as well (Melnyk & Fineout-Overholt, 2011). For instance, when handling a patient who is being difficult in their treatment methods, using the best evidence based practices can give insight into ways to interact with the client that can lead to more positive breakthroughs in their recovery (Koehn & Lehman, 2008).            Overall, evidence and research based practices give nurses the ability to utilize a wide range of resources to determine which course of action is the correct step to take in ensuring that their patients receive the best cares possible (Koehn & Lehman, 2008). ‘ References Koehn, M. L., & Lehman, K. (2008). Nurses’ perceptions of evidence-based nursing practice. Journal of Advanced Nursing, 62(2). Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.2007.04589.x Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing &        healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams             & Wilkins.

“Vertigo is defined as a hallucination of motion of the body or the environment and may be rotatory or linear… it is a cardinal symptom of vestibular system disease” (Smouha, 2013, pp. 456). The most common causes of vertigo include benign paroxysmal positional vertigo (BPPV), Meniere’s disease, inner ear infections and/or vestibular neuritis. When treating vertigo, the provider will focus on the cause rather than the symptoms. For example, if a patient has Meniere’s disease, then the provider may prescribe them a diuretic or recommend a low sodium diet to help reduce the amount of fluid pressure on the inner ear. If the patient is experiencing BPPV, then they are usually treated with exercises, physical therapy and slow-positioning maneuvers. Lightheadedness “Lightheadedness (syncope or near-syncope) is cardiovascular or cerebrovascular in origin, or occasionally metabolic (e.g., hypoglycemia), but almost never vestibular” (Smouha, 2013, pp. 456). The most common causes of lightheadedness include orthostatic hypotension (sudden drop in blood pressure when a patient stands up), illnesses (cold, flu, allergies, etc.), certain medications, arrhythmia, anxiety stroke, anemia and/or neurological conditions. Treating lightheadedness is like treating vertigo even though it is not the same causes – you would treat a patient that is lightheaded with potential medications, head position maneuvers, balance therapy or psychotherapy for something caused by an anxiety disorder. Referral With treating an individual with either vertigo or lightheadedness, a referral to Ear, Nose and Throat (ENT) should be recommended when the patient is experiencing reoccurring episodes – regardless of the cause because there may be an underlying condition that should be further evaluated by a specialist. Reference Smouha, E. (2013). Inner ear disorders. NeuroRehabilitation, 32(3), 455–462. https://doi.org/10.3233/NRE-130868 (Links to an external site.)Links to an external site. Levo, H., Kentala, E., Rasku, J., Pyykko, I. (2013). Fatigue in Meniere’s Disease. Hearing, Balance, and Communication, 11, 191-197. DOI: 10.3109/21695717.2013.835090   Amanda DavisAmanda Davis 10:28am

Unit 4 Class Participation: Polit and Beck (2018), Chapter 3 or 7 1. The highest potential points for in-class participation are 5-points. Please use these guidelines for online  participation. To earn points for weekly class participation, you must submit a one paragraph (100-125 words) summary of one of the required Polit and Beck (2018):  Polit, D. E & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer    readings from each unit. APA format is not required, but the material must be paraphrased, cited, and referenced. The citation and reference will always be Polit and Beck (2018). Include the page number(s) you found the material on in your citation. Put your name, date, and unit number at the top of the paper, immediately followed by the summary and then the reference. All of the above should be submitted on one page.