Today’s consumers are concerned about taking medications that could hurt their children. Vaccinations are one of the concerns. After research, provide pros and cons of-of vaccination of children supported by your research.

• formulate a thesis regarding learning assistance and how learning assistance can foster independent life-long learning.

Research premenstrual dysphoric disorder

What local anesthesia and pain management is given to a 32-years-old man with compound fractured hand?

Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

Practice Focused Assessment Scenarios: can you describe each type of focused assessment for me please. thanks

1). 87yoF with new altered mental status. She has a history of HTN, HLD and DMII.

2.) 67yoM who fell down a flight of stairs and has a laceration on the posterior side of head. The laceration has stopped bleeding but did require four sutures.

3.) 56yoM with new onset 10/10 CP and LUE throbbing pain. He has a history of HTN, OSA, HLD, CVA four years ago

4.) 68yoF with Hemoptysis, cough, SOB and Dyspnea. She has no PMH. Her cough started two days ago however over the last few hours her sputum has changed from yellow and thick to pink-tinged.

5.) 35yo F with N/V and persistent LUQ abd pain. She has history of hypothyroidism, and lupus. She last had emesis two hours ago and it had a coffee ground consistency.

6.) 21yoM who fell off of a chairlift while skiing. He struck his RLE on rock and has a compound fx. It was immobilized in the field. He has no PMH and did not sustain a head strike during is fall.

The topic is Jehovah’s Witness RELATE THE TOPIC TO THE FOLLOWING . If a question is not clear to u dont answer and let someone else who understands answer. . CLEAR HAND WRITTING ONLY.

•Wellness and disease prevention AND Illness and medications.

A minimum of one nursing intervention must be included for each of the above

A potential nursing intervention for each of the practices listed above.

PLEASE DO NOT COPY AND PASTE FROM THE NET THANK U

1) What are the types of child abuse? Give short descriptions, kinds of behaviors (performed by the abusers) belonging to each type (2 for each) and signs (2 for each) for these types of child abuse.

2) What is domestic violence? What are the types of domestic abuse? What is the most common and constant aspect of domestic abuse?

3) What is a stereotype? Give three examples to stereotypes and explain what is wrong with stereotyping in general.

4) Give hypothetical examples (1 for each) to prejudice without discrimination and discrimination without prejudice.

5) Why were the gender relations transformed especially in the second half of the 20th century?

6) Why do the victims of domestic abuse stay with their abusive partners? Give 5 reasons.

7) What’s the relation between needs and rights?

8) What are the types of elder abuse? What might be the personal reasons for caregivers (the family or the nurses in nursing homes) to abuse the elderly (2 reasons)? What are the cultural reasons for the general increase in the rates of elder abuse (2 reasons)?

9) How is Body Mass Index (BMI) calculated and what are the ranges of values that correspond to normal, overweight and obese for adults? What is the most fundamental cause of obesity according to the hormonal obesity theory and how does it differ from the traditional explanation? 10) What will you choose as a project topic? Why? Here I expect you to justify your choice by explaining why the topic is important for the community and the country.

SUBJECT-Community Awareness

A vasectomy is a minor surgical procedure to prevent unplanned pregnancies. Even though it is a minor procedure, not many men elect to have it performed. Why is this surgery so little utilized?

1. Explain how "The Field of Dreams" is related to healthcare.

2. Detroit has many hospitals such as DMC, Henry Ford, Beaumont, UM, etc. Do you think Detroit is experiencing "The Field of Dreams"?

3. If answered yes to #2, then why are there still disparities in health care in Detroit. is there a reason why you think the "Field of Dreams" left this part of the region out?

If answered no to #2 and knowing that our area has disparities in health care, what do you think could be done to close these gaps? Is there a way to attract more health care professionals in Detroit?

Patient Profile

R.B. is a 55-year-old woman who presented to the emergency department (ED) via ambulance for acute shortness of breath. Her daughter called an ambulance after finding her mother with an increased respiratory rate and shortness of breath. Upon arrival to the ED, R.B.’s respirations were 40 and shallow with wheezing in the lower lobes and rhonchi in the upper lobes bilaterally. She had positive jugular vein distention and a heart rate of 128. After treatment with albuterol nebulizer via mask, her vital signs were temperature 96.8°F, pulse 98, respirations 28, blood pressure 148/84, and O₂ saturation 94% with 15 LPM via mask. Arterial blood gasses showed her pH 7.19, pCO₂ 90, PO₂ 92%, HCO₃ 38. R.B. was intubated for hypercapnia. After an echocardiogram showed an ejection fraction less than 50%, she had an emergency left heart catheterization done with two stent placements into the left anterior descending artery. A pulmonary artery catheter was placed, and the initial hemodynamic readings show elevated left ventricular preload. R.B. is now being transferred to the intensive care unit (ICU).

Subjective Data

• Lives with her single daughter, who cares for D.B. full time
• Daughter is not present at bedside
• Smokes 1 pack of cigarettes per day
• No longer active outside of the home because of her chronic illness
• Does not drink alcohol

Objective Data

Physical Examination

• Orally intubated #8 endotracheal (ET) tube taped at 26 cm to lip
• Ventilator settings: FIO₂ 60%, tidal volume 700, assist control (A/C), rate 16, PEEP of 5
• Height 5'5", weight 117 kg
• Alert and oriented to person, place, and time
• Fine crackles and wheezes bilateral lower lobes
• 2+ pitting edema bilateral lower extremities

Diagnostic Studies

• Chest x-ray postintubation: ET tube 4 cm from carina. Infiltrates in both bases; left base is worse than right
• 12-lead ECG: ST elevation
• Troponin: 41.94
• Lung V/Q scan negative for pulmonary embolism
• Urinalysis: dark yellow and cloudy, protein 28 mg/dL, positive for casts, positive for red blood cells and white blood cells, positive for glucose and ketones

Question 1

On arrival to the ICU, R.B. begins to thrash, kick her legs, and wave her arms. The portable transport ventilator alarms are ringing. What is the priority nursing assessment?

Question 2

During the assessment, it was noted that R.B. partially extubated herself and now must be reintubated. What equipment is needed?

Question 3

After reinserting R.B.’s endotracheal tube, how is placement verified?

Question 4

After R.B. is reintubated and sedated, you notice there is no waveform on the monitor for the pulmonary artery catheter. List the initial nursing trouble shooting interventions.

Question 5

You obtain a set of hemodynamic monitoring values. Interpret these results.

Question 6

Describe each of R.B.’s ventilator settings and the rationale for the selection of each.

Question 7

How does PEEP lower CO?

Question 8

R.B. is started on intravenous dobutamine and sodium nitroprusside. How will these medications affect her hemodynamic status?

CRITICAL THINKING

2) What are some problems that medical assistants may encounter when attempting to draw blood from patients – and particularly from elderly patients?

How would you define the role of primary care from the perspectives of health promotion and health protection? Why are these facets of primary care important, and how do they influence the business of healthcare?