What are four indicators that you can use to determine when strategies are not having the desired result?

Please describe an example of both a primary and secondary spinal cord injury.

Our discussion this week pertains to Spinal Cord Injuries. Primary spinal cord injury involves damage to vertebral or neural tissues from compression, traction, or shearing forces. Secondary spinal cord injury is related to ischemia, excitotoxicity, inflammation, edema, oxidative damage, and activation of necrotic and apoptotic cell death; it begins within minutes after injury and continues for weeks.

Assignment Instructions:

Some learners will use the same injury, such as a fall off of a horse. Describe how the patient experienced both primary and secondary injuries. Be sure to describe symptoms, implications, and testing that helped clinicians to classify the injury into these categories

MAKE SURE YOU CITE THIS APA

1. How does Petrolatum, U.S.P. differ from White Petrolatum, U.S.P.?

2. How does Paraffin, U.S.P. differ from Petrolatum, U.S.P.?

3. Name two (2) disadvantages of hydrocarbon ointment bases?

Chapter 49 Endocrine Problems

Adrenal Insufficiency or Adrenocortical Insufficiency

Patient Profile

J.S. is a 58-year-old woman brought to the emergency department (ED) at 7:00 am by her husband because when she got up this morning, she was light-headed, confused, and so weak that she could not dress herself. J.S.’s husband immediately drove her to the ED in her pajamas. She has a history of rheumatoid arthritis and had been taking prednisone 10 mg daily.

Subjective Data

• Husband states that J.S. has not been feeling good, has been tired, and has had very little appetite
• Husband states he lost his job a couple of months ago, and J.S. stopped taking her medication a couple of weeks ago because they could not afford it because they no longer had health insurance
• J.S. denies a headache or blurred vision

Objective Data

Physical Examination

• Temperature 98.7°F, pulse 94, respirations 20, blood pressure 100/60
• No difficulty speaking
• Oriented to name only
• Poor skin turgor
• Dry mucous membranes
• Weakness in bilateral upper and lower extremities

Diagnostic Studies

• Lab values

Case Study Questions

                                Name: __________________________                 Date: ________________

1. What are four characteristics associated with Adrenal Insufficiency?

a.

b.

c.

d.

2. What other symptoms is J.S experiencing that is not included in the list above, but yet linked to the disease process? Student must list four:

3. What is one major complication associated with adrenal insufficiency or adrenocortical insufficiency and describe it? Additionally, what might trigger this complication in a patient?

a.

4. What diagnostics will be used in diagnosing J.S.?

• 5. What is your critical thinking significance of J.S.’s labs; relate all her labs to the disease process of adrenal insufficiency?
•   
•   
•   

6. What major factor do you believe triggered J.S.’s symptoms?

a.

7. What would you do as the nurse in providing prioritized care to J.S.? Student must list four:

Reference(s):

Harding, M. M., Kwong, J., Roberts, D., Hagler, D., and Reinisch, C. (2020). Lewis’s

     Medical-Surgical Nursing: Assessment and Management of Clinical Problems (11^th Edition),

     St. Louis Missouri: Elsevier.

Proteins and Peptides must be purified prior to analysis. Why?

why is the medical assistant's role in educating a cardiology patient about diet and exercise important?

This is 668 words and NEED to summarize to 475 words! This is 4,186 characters with spaces. I NEED it to be 3000 characters with spaces for nursing application. Please summarize in own words. This helps a lot and greatly appreciated!

Education is a stepping stone for the inception of personal development which acts as a sign for promising career growth. At these unprecedented times, I extend my heartfelt gratitude to my brother and sister who worked as nurses expressing their determination in the fight against the pandemic. No words will justify their dedication to helping the poor at these times. Doctor Martin Luther King once conveyed the importance of education in which, “Intelligence plus character, is the true goal of education”. As I embark on my journey of pursuing a Master’s Degree in Nursing I believe these golden words embedded with wisdom helped me in a great way to discover what my natural calling is. Nurses' contribution to society is immense and compels my interest in studying medicine.
         Ten years ago, my family faced the challenge of persevering after my cousin was involved in a devastating car wreck. I witnessed the nurses, doctors, and medical staff sprung into swift action working together in perfect harmony as they ensured an aura of positivity and hope amidst these tough times. The nurse’s work entailed providing personal insight, building relationships with family, and treating my cousin who was so positive and exhibited no signs of stress even at those moments of panic. The nurses in the surgical subspecialty displayed attributes of dedication and integrity while treating my cousin and ensuring effective communication with my family. This went a long way in ensuring the speedy recovery of my cousin. The guidance provided by nurses caters to both physical well-being and the emotional needs of the patients.
         My incentives to improve in academics required classes in pathophysiology and seminars discovering more about diseases relating to challenges of our health crisis. The principle values during class discussions on ideal topics of the fundamental issues of society, science, and education was a positive learning experience. It brings me much gratitude having a family with strong Guyanese heritage work in the delivery of quality health care devoting themselves to servicing patients with empathy and compassion. This provides the encouragement I need pertaining to my nursing studies. My passion to provide care for others has opened opportunities for me in childhood centers, administrative offices, and daycares. This is crucial understanding my role as a student and contributing to the future of our society. Growing up in a third world country where people struggle to provide for their families and afford hospital visits fuels my drive to be a nurse. Understanding my ability to outweigh these options in school life and persevere encourages me to become a caring nurse.

There is no doubt the nurses have to endure immense hardship while interacting with the patients making them prone every single second to the vicious virus. But, they have answered efficiently to their call of duty and keep converting hardships and struggles into the foundation stones of success. I am also a witness of a similar instance when my two-year-old nephew swallowed a magnet. The situation demanded a surgery, and I am more than happy to say that their remarkable work ethics saved my nephew as they once again played the guardian angel. I am more excited and looking forward to seeing myself as a Pediatric Nurse. There may come several challenges and difficulties but success comes to those who rise to the occasion. Since my childhood days helping the needy has always fascinated me. With this positive mindset and required vision, I strongly believe that it is imperative to possess the necessary knowledge and expertise in patient-centered care. Moreover, I have mentioned my GPA in academia and recently completed my Bachelor’s degree in Biology from Medgar Evers College. My aspiration, knowledge, workmanship, effective communication skill along with a positive vision to bring a change in the society is what I think makes myself worthy for consideration into this Nursing program. I look forward to serving the needy with the same passion and dedication as I accomplish my dream of becoming a nurse at the patient-centered care and pediatrics.

This is 668 words and NEED to summarize to 475 words! This is 4,186 characters with spaces. I NEED it to be 3000 characters with spaces for nursing application. Please summarize in own words. This helps a lot and greatly appreciated!

1. A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list Pertinent positive and negative information, Differential and working diagnosis, treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

• Discuss why it is important for the APRN to explore the individual stage of development of each family member when analyzing a family’s response to an illness event. Consider your population of interest or study. Please add references APA citation style. Thanks

You are the nurse caring for Mr. Jones, a 61-year-old male, in the Neurological Intensive Care Unit. Mr. Jones was found to have a benign brain tumor and is scheduled to go in for surgery to resect (remove) the tumor in a few days. Over the next few days you develop a therapeutic relationship with Mr. Jones. He tells you that he lives a very active life, engaged in multiple organizations, sports groups, and works as a coach for young children. Before going into surgery, you discuss his advanced directive and living will wishes. He states that he lives such an active lifestyle that he can’t imagine being in a debilitated state. He becomes emotional but confides in you and says “I would rather die if I would not be able to live the kind of lifestyle I have today. I would never want to be on a ventilator.” He tells you that he loves his family, but they would not understand so he has never had this conversation with them. He fears it would make them sad. Before going into surgery Mr. Jones completes an advanced directive form that states, “Do Not Resuscitate” and “Do not Intubate.” Upon returning from surgery, Mr. Jones seems to be stable. However, just before change of shift, Mr. Jones has a change in mental status. The physician believes he may have suffered from brain damage, likely permanent, during tumor resection. Mr. Jones is continuing to decline, with unstable respiratory and cardiovascular status and the physician is preparing to intubate this patient using mechanical ventilation. The family has been notified and states they want every heroic measure in order to keep Mr. Jones alive. You remember, however, the conversation you previously had with Mr. Jones and the advanced directive that he signed. What would you do as the nurse in this situation? How would you respond?

Discuss the effects of loneliness and isolation in the older adult according to the NIH.GOV publication.

The text must be no shorter than 6 sentences and no longer than 10.

JJ is a 50 y.o. woman who works as an accountant. She presents to her family physician with elevated blood pressure and obesity. JJ has struggled with her weight since childhood and indicates that her weight problems worsened 5 years ago when she returned to work as an accountant.

Nutrition Assessment

Client History:

Age- 50 years old

Gender- Female

Married with three children-ages 20, 15, and 10

Medical/Health History- elevated blood pressure (145/90 mm Hg)

Family History: Mother history of hypertension and T2DM at age of 60

Medical Diagnosis: Metabolic Syndrome

Food/Nutrition-Related History:

Total energy intake- Diet history indicated estimated energy intake of 2800-3000 kcal/day from a usual meal pattern of three meals and two snacks

Physical Activity History- sedentary lifestyle

Biochemical Data, Medical Tests, and Procedures:

Glucose, fasting- 122 mg/dL

Cholesterol, serum- 236 mg/dL

Triglycerides, serum- 179 mg/dL

Cholesterol, HDL- 39 mg/dL

Cholesterol, LDL- 153 mg/dL

Anthropometric Measurements:

Height- 5' 5"

Weight- 220#

Body Mass Index- 36.6

Waist Circumference- 40

Weight History- Lowest weight of 150 pounds (age of 25). Highest weight is current weight of 220 pounds. Gained approximately 50 pounds since returning to work as an accountant.

Comparative Standards

MyPlate recommendations of 1800-2200 kcal/day

BMI 36.6- Obese Class II

case study about medical nutrition

case study about medical nutrition

Coding the hospital’s Emergency Department (ED) visits was Melissa’s favorite type of coding. She was the department expert whenever a fellow coder had ED coding questions for her. She felt very sure of her level of expertise and knowledge until Jamie started to work in her department.

Jamie was a new graduate with her RHIT credential. Melissa was excited to have Jamie join the team,but after two weeks of working with Jamie, Melissa's excitement quickly waned. In fact, Melissa felt defensive whenever Jamie asked her questions about basic coding rules. She never had this problem with other staff before. Melissa decided to talk with her manager, Maria, to see what could be done.

1. What is the best way for Melissa to address her concerns?

2. How might you solve this apparent conflict?

3. How might such conflicts be avoided with new staff?