Mr X a 42-year-old male presents to your primary care practice today complaining of low back pain

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Mr X a 42-year-old male presents to your primary care practice today complaining of low back pain 
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two
OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance.
He is divorced. PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other
systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
Assignment Directions:
Provide a diagnosis for the patient and your rationale for the diagnosis
Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
Comment on the use of OTC products in relation to Mr  . X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
Provide an education plan for Mr. X
Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,
Due by the last day of Unit 9 at 11:59 p.m.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above); consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and utilize spelling and grammar check to minimize errors.
Submit to and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
utilize APA 7th edition formatting.

Case Study Prescribed Drugs with CAMs

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Case Study Prescribed Drugs with CAMs
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two
OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance.
He is divorced. PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other
systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
Assignment Directions:
Provide a diagnosis for the patient and your rationale for the diagnosis
Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
Comment on the use of OTC products in relation to Mr  . X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
Provide an education plan for Mr. X
Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,
Due by the last day of Unit 9 at 11:59 p.m.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above); consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and utilize spelling and grammar check to minimize errors.
Submit to and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
utilize APA 7th edition formatting.

Dental Hygiene Care Plan Nursing Care Plan

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Dental Hygiene Care Plan Nursing Care Plan

A care plan provides a checklist to guarantee that all interventions are completed. The dental hygiene care plan encompasses the services within the framework of the total treatment plan to be carried out by the dental hygienist, patient, and caregiver.2
The objective of this assignment is to familiarize the student with the components of the care plan and diagnostic statements.
To complete this assignment:

Create 4 slides with the following titles:
Slide #1- Dental Hygiene Care Plan
Slide #2- Components of the Dental Hygiene Care Plan
Slide #3- Example of a Dental Hygiene Diagnostic Statement
Slide #4- Informed Consent

* In addition to including the titles for each slide, you may add images or other text to the slides
In each slide make a video, audio or text comment answering the following:
Slide #1- In your own words, explain what a dental hygiene care plan is.
Slide #2- Identify the components of a dental hygiene care plan.
Slide #3- Provide one (1) example of a dental hygiene diagnostic statement and identify each component of the diagnostic statement for your example.
Slide #4- In your own words, explain what informed consent is and how it is obtained.
Source: 2. Wilkins, EM, Clinical practice of the dental hygienist. 12th ed. Philadelphia: Kolters Kluwer; 2017. 4 p.

Ms J who presents to the office for a routine continuing care appointment is excited about information she has just read on the Internet about a new device for interdental biofilm removal

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Ms J who presents to the office for a routine continuing care appointment is excited about information she has just read on the Internet about a new device for interdental biofilm removal

Ms. J, who presents to the office for a routine continuing care appointment, is excited about information she has just read on the Internet about a new device for interdental biofilm removal. She begins to ask Glenda, the dental hygienist, detailed questions about the product such as whether it really works, where it can be purchased, and how much it costs. Glenda is unfamiliar with the aid but does not want to be embarrassed in front of the patient so she tells Ms. J the product does not work and spends an extra 5 minutes at the end of the appointment reviewing manual flossing techniques.

Which of the dental hygiene core values (Table II-I, Section II Introduction, page 44) have application in this scenario? Consider, also, the ethical duty for lifelong learning.
From the patient’s perspective, what is the role of the dental hygienist in this situation? Consider the roles of dental hygiene in Chapter 1.
Is it unethical to mislead the patient about a product when the value is unknown or the dental hygienist prefers the benefits of another (perhaps rival) product? Why or why not?

Mr Brown a 50 year-old male who comes into your office today complaining of  a constant burning pain in his stomach a couple of hours after he eats

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Mr Brown a 50 year-old male who comes into your office today complaining of  a constant burning pain in his stomach a couple of hours after he eats

Mr. Brown, a 50 year-old male who comes into your office today complaining of  a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut.  A review of his records show that acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test was 6 months ago, which was negative. EKG in the office today is normal.

Past Medical History: Obesity and High Cholesterol.

Surgical History: None.

Family history: Unknown he is adopted

Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends. Denies recreational drugs, does not exercise.

Drug allergies: NKDA

Current medications: None

All vaccines are up to date. 

Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.

Mr. Brown’s physical exam is normal, including the abdominal exam.

  • What are your treatment goals for Mr. Brown today?
  • What is your pharmacological plan and rationale? (cite with appropriate clinical practice guidelines or scholarly peer-reviewed articles and always include medication name, strength, dosage form, route, frequency and duration when making recommendations)
  • Pick one medication from your response above and list 5 patient-centered teaching points for the medication.

**To see view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.

DISCUSSION CONTENT
Category Points % Description
Application of Course Knowledge 35 35% 1.  Decisions are well supported with EBM arguments that are in-line with the scenario; AND

2.  Proper rationale and reasoning skills are demonstrated; AND

3.  Information is taken from source(s) with appropriate interpretation/evaluation to develop a comprehensive analysis or synthesis of the topic at hand; AND

4.  Applies concepts to personal experience in the professional setting and/or information has relevant application to real life; AND

5.  All of the post makes direct reference to concepts discussed in the lesson; AND

6.  Posts are on topic and answer all presented questions which demonstrates a solid understanding of the topic.

(6 critical elements)
Support from Evidence-Based Practice (EBP) 35 35% 1.  Discussion post is supported with appropriate, scholarly sources; uses valid, relevant, and reliable outside sources to contribute to the threaded discussion; AND

2.  Sources are published within the last 5 years (unless it is the most current CPG); AND

3.  Reference list is provided and in-text citations match; AND

4.  Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions

(4 critical elements)
Interactive Dialogue 15 15%  

(*) A substantive post adds new content or insights to the discussion thread and information from student’s original post is not reused in peer or faculty response

(4 critical elements)
      Total CONTENT Points= 85 pts
DISCUSSION FORMAT
Category Points % Description
Grammar, Syntax, Spelling & Punctuation 15 15% Discussion post has minimal grammar, syntax, spelling, punctuation, or APA format errors*

(*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

 
      Total FORMAT Points= 15 pts
      DISCUSSION TOTAL= 100 pts

 

 

You are caring for an 8-year old Hispanic girl in the emergency room She was positive for Type A Influenza in her primary care

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You are caring for an 8-year old Hispanic girl in the emergency room She was positive for Type A Influenza in her primary care

You are caring for an 8-year old, Hispanic girl in the emergency room. She was positive for Type A Influenza in her primary care provider’s office earlier in the day. She now presents with shortness of breath. Grandma is at the bedside. Neither patient nor care provider speaks English. Based on your knowledge of the pathophysiology of influenza address the following:

Thoroughly explain the epidemiology of the disease process. Examine each of the following three elements:) The cultural; 2.) The financial; and 3.) The environmental implications related to this disease process. Support all three with a scholarly source!
What would 3-5 priority nursing interventions be for the client with this disease process? This can include labs and diagnostics. What are critical indicators? Support with a scholarly source.
Provide three areas of patient education you feel are critical to teach the client with a diagnosis of this disease. Consider medical product safety and the length of time the client has had the disease. Support with a scholarly source.
What members of the interdisciplinary team need to be included for holistic patient-centered care? Provide a rationale and Support with a scholarly source.

Wrong site wrong patient wrong procedures WSPE

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Wrong site wrong patient wrong procedures WSPE

First question: The link gives us some insight into why these “wrong site, wrong patient, wrong procedures (WSPE)” still occur despite making great efforts to implement checklists and protocols to avoid such errors. The article reports a high number of errors happening in surgical settings but fully half of such errors occur outside of the operating room.
What did the article say about the main contributing factors that continue to allow these “never events” to occur and what do you plan to do as a nurse to make sure you are part of a safety culture wherever you work? Write your response thoroughly
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

Describe the effect of adding glucose carriers to the Sodium Potassium transport

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Describe the effect of adding glucose carriers to the Sodium Potassium transport

Question 1: Activity 1: Simulating Dialysis. Of those you tested, which solutes were able to diffuse into the right beaker from the left with the
-20 MWCO membrane?
-200 MWCO membrane?
Explain how the experiment variables (solute size & concentration, membrane pore size) affected diffusion rate and whether it occurred.

Question2: Activity 2: Facilitated diffusion: What happened to the rate of facilitated diffusion as the number of protein carriers increased? Explain why.

Question 3: What do you think would happen to the transport rate if you put the same concentration of glucose into both beakers instead of deionized water in the right beaker? Why?

Question 4: Activity 3: Simulating Osmosis. Does NaCl appear in the right beaker? If so, which membrane(s), of those you tested, allowed it to pass?

Question 5:Explain the relationship you observe between solute concentration and osmotic pressure.

Question 6: Will osmotic pressure be generated if solutes are able to diffuse? Explain.

Question 7: What would happen (related to osmotic pressure) if you increased the albumin concentration in the left beaker using any membrane?

Question 8: Activity 5: Simulating Active transport. Watch the solute concentration windows at the side of each beaker for any changes in Na+ and K+ concentrations (for RUN 1). The Na+ transport rate stops before transport has completed. Why?

Question 9: What do you think would happen if you did not dispense any ATP? Why?

Question 10: RUN 2 (ATP concentration at 3 mM): Has the amount of Na+ transported changed? If so, how has it changed and why?

Question 11: What would happen if you decreased the number of sodium-potassium pumps during RUN 2?

Question 12: Describe the effect of adding glucose carriers to the Sodium Potassium transport. Explain why.

 

Case Study on Biomedical Ethics in the Christian Narrative

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Case Study on Biomedical Ethics in the Christian Narrative

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Medication Errors Reconciliation

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Medication Errors Reconciliation

Each group will explore their selected topic, focusing on:

  • Prevalence of topic
  • Relevance of topic to nursing
  • Impact of topic on patient care, safety, and outcomes
  • Future trends, and/or opportunities for improvement.
  • At least 3 evidence-based scholarly sources must be utilized
    the 3 evidence-based scholarly article sources should not be over 5 years old.