Write a reflection about the introduction to NURSING RESEARCH.

Your reflections should include (1) your opinion, (2) personal experience, and (3) evidence to back up your thoughts and/or opinion (APA citation).

Cost management is a significant part of managing a clinical unit. As a nursing student, propose two strategies where cost can be contained on a unit that is consistently over their allowed budget. Basic patient care supplies such as linen, wound care supplies, and overtime cost are ongoing discussions at the staff meetings.

D.V., a 32-year-old man, is being admitted to the medical floor from the neurology clinic for evaluation of his symptoms. D.V. has experienced increasing urinary frequency and urgency over the past 2 months. Because his female partner was treated for a sexually transmitted infection, D.V. underwent treatment, but the symptoms did not resolve. D.V. has also recently had two brief episodes of eye “fuzziness” associated with diplopia and flashes of brightness. He has noticed ascending numbness and weakness of the right arm with the inability to hold objects over the past few days. Now he reports rapidly progressing weakness in his legs along with blurred, patchy vision. D.V denies any allergies to medications, as well as any significant past medical history. However, he does report the occasional cold during the winter months.

Determine what possible diagnosis D.V.will have from the evaluation of his symptoms and what do each of the symptoms mean and how do they relate to his diagnosis?

You work for a 575 bed Acute Center level 1 Research Trauma Center. The hospital is also a teaching hospital connected to a university. The medical center brings in many millions of dollars in grants each year. The facilities maternity ward delivers the most babies in the city. They have an active heart surgery center. There are six months of data in the new EHR. There are two years worth of paper on the shelf. The two years of records includes the contents of the EHR, since the administration does not trust that EHR administration yet. All older records are maintained on microfilm. You have just ran out of storage space. Because of this you have been asked to evaluate the current retention policy, which is to retain records forever.

1. Identify the factors that the minimum retention policy should be based on.

2. Determine the statute of limitations for your state.

3. Recommend the length of time that the health records should be kept. Justify your recommendation.

4. Specify the method of destruction that you recommend for the paper and electronic data.

5. Recommend whether you would perform the destruction in-house or outsource it. Justify your recommendation.

6.Explain Certificate of Destruction.

Application or removal of a cast or splint can be billed separately in some situations but not in others. In which situations is separate billing appropriate? Why do some situations dictate separate billing but others treat cast application as an included procedure? Must be at least 250 words

Create a newsletter outline.

What is the topic?

Who is your targeted audience?

In warning against the 'vice of abstraction' Blackburn suggests that the large existential problem of "the meaning of life" perhaps ought to be resolved by specifying "meaning to whom?" Is that a satisfactory response to the existential problem people pose?

1. Identify and explain how certain water-soluble vitamins regulate proteins through post-translational modifications (altering the function of an existing protein by forming a covalent bond without changing its abundance).

2. Explain how vitamin C interacts with fat metabolism.

3. For carbohydrates (glycolysis/TCA), identify and discuss how vitamins are involved in procuring energy.

4. For lipids (lipolysis/β-oxidation), identify and discuss how vitamins are involved in procuring energy.

Now that you have reviewed Ch. 07 Safety( it is about fire safety and escape plane)  and 08 Inventory procedures( it is about medical office equipment: computers, fax machine, etc.. ), describe how the chapter has influenced changes within your home and/or current place of employment, to be 'more organized and implement safety strategies' for all members of the household. Describe how COVID has had an impact on your household inventory and safety practices. Will those altered COVID inventory and safety practices be the new norm into 2021?

A 64-year-old retired postal worker with a medical history of extensive facial reconstruction for squamous cell carcinoma of the head and neck and a 10 year history of smoking, presented with progressive shortness of breath, productive cough, purulent sputum, and a fever of 39 C 2 days prior to admission to the hospital   On physical examination at the hospital, he had a temperature of 37.3 C, respiratory rate of 18/min, pulse rate of 103 beats/min, blood pressure of 154/107 mm Hg, and pO2 of bibasilar fine crackles. He was seen to have a left lower lobe infiltrate on chest radiograph. His admission white blood count (WBC) was 10,600 with 70% neutrophils, and his hemoglobin was 9.4. Sputum gram stain at admission revealed > 25 polymorphonuclear cell. Two blood cultures obtained at admission revealed the organism grew on blood agar and showed α-hemolysis with optichin (Taxo-P) sensitivity. The gram stain demonstrated gram positive cocci in chain arrangement.   It should be noted that this is the patient’s third episode of this illness in the past month.  Bacterial isolates from all three episodes belonged to the same serotype (type 23). He had been treated with a 10 day dose of Clarithromycin.

case study

1. A 27-year old woman complains of multiple small tender lumps in her right and left axillae. She explains that she has noticed that they seem to make "tunnels" and sometimes open and smell bad.

2. For the case you have chosen, post to the discussion:

3. 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.
4. 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.

Case Scenario: “lapay”
Mr. Lopez, a 60 y/o teacher, presents with a history of a sudden onset of acute upper central abdominal pain radiating to his back. The nurse attending Mr. Lopez asked about how it started. He stated that “this morning after breakfast, I had sudden, severe pain in my abdomen and I vomited a couple of times, but the pain still persists. It hurts here, above my belly button, and feels like it goes
straight through to my back.”

On the client’s past medical history, he had an appendectomy at age 25 and tonsillectomy at 7. He was also diagnosed with hypertension 5 years ago and pre-diabetes 6 months ago. When asked about pertinent family history, he willingly disclosed that he had a sister, 45 yo, was diagnosed with cholelitihiasis 2 years ago, a brother who is 54 yo had a cholecysytectomy 5 years ago for acute
cholecystitis and cholelithiasis and mother who is 80 yo had also underwent cholecystectomy for acute cholecystitis and cholelithiasis 13 years ago.

Mr. Lopez admits to drinking whiskey most evenings but denied that he was never a smoker. The client also stated that he has no known allergies and currently taking Aspirin 325mg every day, Propranolol 30 mg every day and Hydrochlorthiazide 25 mg every day.

Upon PE, vital signs reveals a blood pressure of 110/60 mmHg, HR of 110 bpm, RR of 24 cpm, body temperature of 38.4 OC and a pain scale of 8 out of 10. Upon auscultation, no murmurs or extra cardiac sounds were noted, both lungs are clear and palpation of the abdomen, tender in the mid-epigastrium with guarding and rebound tenderness.

1. Develop a Nursing care plan (ADPIRE, Assessment, Diagnosis, Planning-short term and long term goal, Intervention-Rationale, Evaluation) for Mr. Lopez according to your identified priority plan of care.

A 49-year old man reports feeling fullness in his right armpit and nipple discharge at his right areola. He denies other symptoms, significant medical history, or allergies.

• 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.

what is quality child care? write 4-5 lines.