Medicine

As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend helping address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.To Prepare• Review the Resources for this module and reflect on the different health needs and body systems presented.• Your Instructor will assign you a complex case study to focus on for this Discussion.• Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.Post:• Select a complex case study to focus on for this discussion (below)• Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selectedCASE STUDYA 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of :ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal.Home medications: Norvasc 10mg qd HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

Full sentence speech outline speech should be: 5 – 7 minutes For this assignment you will submit a full-sentence outline (20 points) in true outline format, not a paragraph/manuscript, etc. Use outline template I have attached The outline should be word for word, when the speech is presented. Overview Persuasive speeches attempt to change or reinforce an audience’s attitudes, beliefs, or actions. The three major types of persuasive speeches address questions of fact, questions of value, and questions of policy. This specific type of speech has the overall goal of convincing the audience to accept her or his point of view. A good persuasive speech has an arrangement of ideas intended to cause the audience to accept all or part of the expressed view. A successful persuasive presentation can completely change the trajectory of someone’s view on a topic – the viewer should take the author’s side by the end of the speech. References in Speech and Outline You need to have a properly formatted APA reference list that matches your speech oral citations and any other in-text citations you may have. Though you only need three oral citations, you may have many more in-text citations and references–as many as you need for the content you’re using. Remember that in-text citations and your reference list are a two way street. If you have an in-text citation, you need a corresponding reference at the end. If you have a reference at the end, you need at least one in-text citation for that source. You MUST have in-text citations. Without them your online TAs do not know what content comes from which source. It is imperative that you properly cite any and all information you looked up. If you had to look something up, cite it. When it doubt, cite it. Citations are like a safety net. You can never be accused of plagiarism if you have a citation for your information. Always error on the side of citing too many things than not enough. You’re better to be safe and have a citation than risk an academic honor violation. This goes for paraphrasing and quotes; both always need in-text citations. Your oral citations are worked into the content of your speech, not said at the end like you would type them. You may use them with quoted information or you may paraphrase the info you get from that source and still have an oral citation. It’s up to you. Oral citation examples: According to the American Heart Association… Dr. Smith, CEO of the American Heart Association states that… The American Heart Association asserts that…

Respiratory Therapy School. will need to be scholarly peer reviewed source journals to back up information. Will need to inform and have research about Reye Syndrome. including anatomical alterations of the lungs and disease process of Reye Syndrome

The purpose of this assignment is to help you to memorize and organize the skeletal system. There are so many bones and the systems are all interconnected, that learning tools will help you to better understand the bone structure and the various components. Step 1: Organize the bones three different ways. Think about the organization of the bones in the human body and outline three different ways in which the skeletal system is organized. Use a visual diagram or chart to present your three organizational schemes. Be detailed and very clear in the presentation of your ideas. Step 2: Create learning tools for ten bones. Select ten bones of the body. Create a learning tool or strategy for each bone that would help you or another student to learn the name and location of each bone. Step 3: Write a paragraph. Write a brief paragraph that explains how the skeletal system is involved in homeostasis of the entire body. Provide one example of what can happen to homeostasis when a component of the skeletal system malfunctions.

choose a type of cancer, complete research, and write a short paper on new approaches or advancements in diagnostic procedure and treatment options that are now available or are in the research phase and may be available in the future. Provide the name of cancer chosen and describe it. What body system(s) does this cancer affect? What are some new approaches, advancements, or items in the research phase that are currently available or will be available to assist in diagnostic procedures/tests and/or treatment options? What was the most surprising or informative thing that you learned/discovered while completing this assignment? Why?

Medicine (Black Death) Below are excerpts which describe society during and as a result of the plague. Your thesis statement should answer the following question. As you consider the people’s attitudes and reactions, how do these responses correlate with a Biblical view of caring for the sick? Giovanni Boccaccio: On Avoiding the Black Death (c. 1349-1351) Giovanni Boccaccio: On Black Death Victims in Florence (c. 1349-1351) Old and New Testament Scripture – Biblegateway.com *May also consult Strong’s Exhaustive Concordance or other Bible Concordance.

You are caring for Mrs. Bailey, a 56 year-old female, who was admitted two days ago due to vomiting blood which was diagnosed as bleeding esophageal varices. Her medical history reveals she was diagnosed with metabolic syndrome four years ago which progressed to Type 2 diabetes three years ago. Mrs. Bailey had previously been obese with a BMI of 30. However, over the last year she has lost 36 pounds without dieting. She explains she is not hungry because she feels full all the time, so she does not eat. She tells you she is also very tired all the time and she is often too tired to cook and eat. Mrs. Bailey’s physician informed her this morning she has cirrhosis of the liver. Mrs. Bailey is upset and asks you how she can have cirrhosis of the liver when she has never been “a drinker” and does not drink alcohol now. You determine from her medical history and previous lab test results she had nonalcoholic fatty liver disease (NAFLD) that progressed to cirrhosis. Discuss the etiology, pathogenesis, and clinical manifestations of nonalcoholic fatty liver disease (NAFLD). Compare and contrast the etiology and pathogenesis of NAFLD to alcohol-induced liver disease. Discuss the clinical manifestations of cirrhosis of the liver. Explain why patients with cirrhosis of the liver develop esophageal varices from portal hypertension and why the varices bleed in liver disease. Include the etiology and pathogenesis.

Interdisciplinary Paper/Care PlanAssignment Patient Gender/Race Medical condition Situation 1- 69-year old Female Diabetes and heart disease Patient has fallen 3 times in Nursing Home 2- 95-year old Male Depression and anorexia Patient is forgetful and lives alone 3- 73-year old Transgender BPH with hematuria Patient has stage 4 Cancer 4- 102-year old Stage 3 Decubitus ulcer and HOH Patient is widowed and lives in ALF 5- 87-year old Non-Hispanic White Alzheimer’s disease with new dentures Patient is currently employed supporting a family 6- 61-year old 7- Hispanic Arthritis and new colostomy Patient is homeless 8- African American History of Tuberculosis and is legally blind Patient just arrived to the United States and has no health insurance 9- Asian Bipolar and is a smoker of 2 packs of cigarettes a day Patient lives his son and 3 grandchildren 10- White Deaf and mute newly diagnosed with Hyperlipidemia Patient lives in acute care facility 11- Pacific Islander Left BKA and PTSD Patient is wheelchair bound living at home alone Research and organize literature for the Interdisciplinary paper due in week 14. Incorporate health outcomes of the health promotion, detection of disease and disease prevention. Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client. Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018). Paper should be 3 pages not including title and reference page. Paper should follow APA guidelines with a minimum of 5 references within 5 year span.

The Case of the Sweaty Salesman – Michael is a 30-year old salesman who spends approximately 4 days each week traveling to visit with customers in his region. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too “hot”. He thought that it was simply due to the change in seasons and companies being slow to turn down the thermostats from the winter temperatures, however this problem seems to persist even when he is at home. A room that his wife and children find to be comfortable causes him to sweat profusely. Michael also reports that he seems to be loosing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, Michael claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician checks Michael’s medical history and finds that indeed he has lost 15 pounds since his last physical. Wanting to rule out the possibility of infection with the human immunodeficiency virus (HIV), the physician asks Michael questions about his sexual history and practices and finds that he is not at risk for HIV infection. Also in checking his chart, the physician finds that Michael has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus. Results of Michael’s physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmias accompanied by slight hypertension. These arrhythmias were confirmed by electrocardiogram to be supraventricular in origin. Michael’s eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. Michael was also observed to have palmar erythema. Palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine), hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, Michael’s physician suspected that Michael was suffering from some form of hyper-thyroidism and sent him to an endocrinologist to confirm the initial diagnosis. Following the initial consultation and examination, the endocrinologist ordered tests to determine whether Michael was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that Michael had Grave’s disease, a form of hyperthyroidism believed to be autoimmune in nature. Michael was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radioisotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, Michael chose surgery. Following successful surgery, Michael was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake. 1 Define the bold terms in the text. autoimmune diseases: thrombocytopenia: rheumatoid arthritis: alopecia: erythema: hypercalcemia: hyperthyroidism: 2 Thyroid hormones exert their effects on cells in a manner similar to steroid hormones; describe the mechanism of action of thyroid hormones. 3 Evaluate why an imbalance in thyroid hormones have such widespread effects on the body? 4 Propose two ways that allow diagnosis of Michael’s symptoms as goiter. 5 Analyze why calcium homeostasis would be impaired in response to removal of the thyroid gland? 6 Explain why 131I could be used to specifically destroy the thyroid gland and have minimal effects on other cells and tissues in the body? 7 Knowing that Michael and his wife may want to have more children infer/ explain why it was ruled out to use highly radioactive isotope for the destruction of the thyroid gland ? 8 Define the terms ‘Graves Disease’ and ‘goiter’ and explain what causes ‘each. [Goiter has more than one cause.]

Develop an Ayurvedic nutrition program for weight loss. Give details of the 8 factors affecting food, and general dietary guidelines and design an Ayurvedic food program for weight loss which includes all the Ayurvedic food groups. Design some of the Ayurvedic lifestyle changes which you would suggest for the condition of overweight (page length for this paper can be 5-6 pages long). Style format for all written assignments Submit the documents as Word (.doc or .docx) files. The document should be double-spaced, 12 point Times Roman or Courier Fonts. Use APA 6th or 7th edition to format the paper and cite references. References: Frawley, D., & Lad, V. (1992). The yoga of herbs: An ayurvedic guide to herbal medicine. Lotus Press. Ninnivaggi F. (2010). Ayurveda: A comprehensive guide to traditional Indian medicine for the west. Praeger.