A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history and examination rules out worsening heart failure, acute illness, and worsening kidney disease. The CBC results indicate hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition.
Answer the following:
Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron deficiency, and what would those results show?
Should the practitioner consider a blood transfusion for this patient? Explain your answer.
Which medication(s) should be considered for this patient?
What considerations should the practitioner include in the care of the patient if erythropoietic agents are used for treatment?
What follow-up should the practitioner recommend for the patient?
REQUIREMENTS:
The paper should be formatted per current APA and 2 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
*WILL BE SUBMITTED AGAINST TURNITIN, NEEDS LESS THAN 20% SIMILARITY SCORE*
Category: Nursing
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Title: Anemia in a Patient with Chronic Kidney Disease: Diagnosis and Treatment Considerations
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“Exploring the Value of Professional Nursing Organizations: A Look at the American Nurses Association (ANA)”
Select one professional nursing
organization and access
their Web site. Provide a summary of the mission, purpose, membership
requirements, and benefits of membership. Explain whether or not you believe
this organization has value for nursing and health care.
If you have not received a copy of your textbook in time to complete this discussion board, please feel free to select a professional nursing organization of your choice. You will then provide a summary of the mission, purpose, membership requirements, and benefits of membership. Please also explain whether or not you believe this organization has value for nursing and health care.
You can select American Nurses Association (ANA) organization. I believe that the have value for nursing and Healthcare -
Title: “Nutritional Considerations for Managing [Disorder]: A Patient Education Brochure”
Nursing’s primary focus is on the promotion of wellness and disease prevention. In this assignment you will develop and implement a patient educational brochure to educate your patient on the nutritional considerations of a specific disease process. Use any type of publisher software you choose to create your brochure. Information must be in the form of a patient educational brochure.
Need help? Here’s a YouTube video on creating a trifold brochure: https://youtu.be/2-wuhi2W-YcLinks to an external site.
Develop a trifold instructional brochure on the nutritional aspects of one of the disorders below:
Type 2 Diabetes
Hypertension
Coronary Artery Disease
Chronic Kidney Disease
Cancer
HIV/AIDS
Include in your brochure all points below:
Explanation of the pathophysiology of the disorder. Provide 4 risk factors OR 4 symptoms of the disorder.
Two common, specific medications (not classifications of medications) used for the disorder. Explain how medications work to treat the disorder. Include 3 nutritional considerations for each medication. (Example: food interactions, foods to avoid, foods to take with medication).
Identify an evidence-based diet to prevent or reduce the incidence of the disorder.
Include at least 3 specific foods that should be included in the diet, provide rational for why foods should be included in the diet for this disease process.
Include at least 3 specific foods that should be avoided in the diet, provide rational for why the foods should be excluded from the diet for disease process.
Examples of Evidence-based diets:
Dash diet
Mediterranean diet
Low carb diet
Low sodium diet
Low fat diet
Modified fiber and bland diet
Protein restricted
High protein diet
Include the information for at least 2 patient resources. One resource on the evidence-based diet and 1 resource on the disorder. Include name of organization and URL for the citation.
Include images or clipart to support your information. Trifold brochure should look professional.
Include at least 2 evidence-based references (less than 5 years old) included in your brochure to support your information. Proper use of in-text citations and references in APA Style.
References must be on brochure.
Only PDF or Word files will be accepted.
rubric is attached for reference. -
Title: Addressing the Rising Rates of Obesity in the United States: A Call for Sustainable Solutions Introduction: Obesity is a growing health concern in the United States, with rates steadily increasing over the past few decades. According to the Centers for
PLEASE FOLLOW ALL INSTRUCTIONS EVERYTHING IS IN THE RUBRIC
Choosing health concern, sustainable goal, and answering the question Why is this important? -
“Understanding Breast Cancer: A Clinical Case Study Analysis and Research Review”
Assignment style: Power Point
In this project, you will complete a clinical case study analysis, research review, and oral presentation about the pathophysiology of your chosen topic.
The information includes general basic information about the pathology, epidemiology, etiology, and pathophysiology of the disease and treatment.
CHOSEN TOPIC: Breast Cancer
Your presentations should follow a case study SBAR format (situation, background, assessment, and recommendations). Include four (4) different medical-based evidence and/or research recommendations. You must include at least five (5) scholarly sources in your overall presentation.
Your presentation should include:
* Introduction to the case or situation
* Background detail
* Clinical assessment
* Recommendations
* Application to future practice
* At least five (5) scholarly references supporting your ideas
* The use of audiovisual aids such as PowerPoint, DVD clips, sound effects, posters, radiology films, medical reports, etc.
* Opportunities for engagement with the audience such as a question-and-answer session -
“Cardiac Arrest Protocol and Epinephrine Differentiation: Ensuring Effectiveness and Safety”
Please access the below link:
Watch the video then complete the following:
1. Create a protocol for cardiac arrest using the most updated guidelines from the American Heart Association
2. Differentiate between epinephrine 1:1000 vs epinephrine 1:10,000
3. Create a poster to be placed in the medication room to help prevent epinephrine medication errors.
Rubric for Cardiac Arrest Protocol, Epinephrine Differentiation, and Poster Creation:
Criteria 1: Cardiac Arrest Protocol (40 points)
Description
10 Accurate assessment protocol based on AHA guidelines
1o Detailed CPR guidelines including chest compressions and rescue breathing
10 Correct use of AED where applicable
1 Proper documentation and reevaluation steps
Criteria 2: Differentiation between Epinephrine 1:1000 vs 1:10,000 (30 points)
Description
1t Clear explanation of differences in concentration (1:1000 vs 1:10,000)
10 Accurate indications and contexts for the usage of each concentration
5 Concise and understandable information
Criteria 3: Creation of Epinephrine Medication Error Prevention Poster (30 points)
Description
10 Clearly labeled poster title and purpose
10 Accurate depiction of dosage and concentrations for both forms of epinephrine
5 Clarity in step-by-step administration guidelines
5 Visual appeal and effectiveness in conveying prevention methods
Scoring Ranges:
90-100: Exceptional understanding and execution across all tasks
80-89: Very good, meets requirements with minor improvements possible
70-79: Adequate understanding but with noticeable areas for enhancement
Below 70: Needs significant improvement, several aspects are inaccurate or incomplete -
“Developing a Clinical Question for Evidence-Based Practice in Long-Term Care: Using the PICOT Method”
In a document of between 700 and 1100 words (3
to 4 pages), identify an evidence-based problem from a clinical setting (such
as long-term care, home care, or community agency). Develop a well-written
clinical question using the PICOT, PICO, or PIO method (P = Population, I =
Implementation, C= Comparison, O = Outcome, T = Time). This question will help
to guide your search for the evidence involved in your EBP or QI project
proposal.
Requirements attached -
“Course Availability Inquiry and Assignment Information Request”
Good day professor, i just need want to know your availability, because this course is for 14weeks.
Please feel free to contact me if you need more informations regarding the assignment below. Thank you -
Title: Improving Organizational Structure and Communication in Healthcare Organizations
Assignment Directions:
Your original response should address the following:
Describe your organization’s structure, culture, and where you fit in.
Discuss any concerns you might have about communication and how the structure is a barrier to or expediter of solutions.
Make suggestions about how it can be reorganized to improve the culture and the delivery of care.
Include scholarly sources within 5 years as citations and references for this question. -
Standardized Procedure for Treatment of Lithium Toxicity
Select one of the conditions or disorders below and create a standardized procedure for treatment of a psychiatric emergency.
serotonin syndrome
neuroleptic malignant syndrome
agranulocytosis
lithium toxicity
Follow the guidelines below to complete the standardized procedure templateLinks to an external site..
Include the following sections:
Application of Course Knowledge
Diagnosis
Identify the selected diagnosis.
Provide a basic description of the pathophysiology of the selected diagnosis.
Provide a summary of the incidence and prevalence of the selected diagnosis in the United States.
Assessment
Identify common subjective findings (symptoms) consistent with the selected diagnosis.
Identify pertinent physical examination components and the expected exam findings consistent with the selected diagnosis.
Identify your intended state of practice and whether physician collaboration/supervision is required, as it is in California. If collaboration is required, describe the circumstances that would require physician consultation.
Diagnostic tests
List diagnostic tests appropriate for the selected diagnosis.
List expected abnormal results consistent with the selected diagnosis.
Management: Present an evidence-based management plan for the selected diagnosis. * If a section is not applicable to your chosen diagnosis, you need to list the section and state that the section is not applicable.
Describe in detail recommended treatments for the selected diagnosis, including medical and psychiatric management strategies.
Identify first-line prescribed medications recommended for the selected disorder, if any.
Discuss expected changes to treatment after the client is stabilized.
Describe expected client follow-up. If the client called in with persistent or recurrent symptoms after initial treatment, describe the appropriate next action.
Describe indications for referral.
Use current clinical practice guidelines or relevant scholarly resources appropriate for advanced practice as defined by program expectationsLinks to an external site. to support the management plan.