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Nursing

Labs from 3-weeks ago was hemoglobin a1c = 8.4%; total cholesterol = 260 mg/dl, triglycerides = 290 mg/dl, hdl = 49 mg/dl, ldl = 170 mg/dl (calculated 10-year ascvd risk = 6.2%).

Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations).
An obese patient, age 45, comes to your office. She recently moved from another state three weeks ago and told you that her FNP diagnosed her with type 2 diabetes mellitus. She is currently not on any medicine for her diabetes, and she wishes to avoid insulin, if possible. She is a non-smoker. Her blood pressure is 138/74 mmHg. Labs from 3-weeks ago was hemoglobin A1C = 8.4%; total cholesterol = 260 mg/dL, triglycerides = 290 mg/dL, HDL = 49 mg/dL, LDL = 170 mg/dL (calculated 10-year ASCVD risk = 6.2%). You discuss current treatment goal recommendations endorsed by the ADA regarding glycemic control, blood pressure control, and lipid management. She agrees to start any medications that you recommend with lifestyle modification and a DASH diet to treat hypertension.
Q1. Which classes of diabetes medications are either weight neutral or cause weight loss? Please give one (1) example of a drug’s generic and trade name in that class.
Q2. Based on the current guidelines of the ADA, it would be appropriate to treat her with monotherapy since the patient is hesitant to take any injections. What agent would you recommend? Please provide the trade name, generic name, the dose you would start the patient with frequency, and route.
Q3. What are the contraindications of your selected diabetic therapy?
The patient returns to your office six months later complaining of fatigue for the past two months, constipation, and heavy, irregular menses. Upon examination, you note that her skin is dry, and her fingernails are brittle. You suspect she has hypothyroidism.
Q4. What lab workup should you obtain? What sort of results will you see in patients who have hypothyroidism and hyperthyroidism?
Q5. What is the treatment of choice for hypothyroidism? What is the mechanism of action? Please provide the initial dose, trade, and generic name of the drug, route, and frequency.
Q6. What are the adverse effects, and what important teaching will you provide this patient on thyroid replacement therapy?

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Nursing

Define these concepts as you conceive of them.

This paper is a personal philosophy paper. My personal philosophy in my nursing practice is quality care. The theorist that relates to this is Joanne Duffy. Therefore some of her books has to be incorporated.
The purpose of this paper is to analyze and synthesize your thoughts, feelings and beliefs about the four concepts of the nursing metaparadigm and their interrelationship to one another as they guide your current nursing practice.
Analyze the assumptions that form the bases for the development of your personal nursing philosophy. Explore which school of thought (e.g. analytical, continental, received view) with which your philosophy most closely aligns
Create a definition for each of the concepts of the nursing metaparadigm based on your personal philosophy:
a. Person/client
b. Environment
c. Health
d. Nursing
Suggest two (2) other concepts essential to your philosophy. Define these concepts as you conceive of them. Synthesize the interrelationship of these 2 concepts and the nursing paradigm according to your philosophical perspective.
Follow APA formatting throughout including Title page, abstract, body (with in-text citation and sub-headings as appropriate) and reference page. 15%
• Organization, no more than 5 pages in length, logical flow of ideas, grammar and
spelling 10%

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Nursing

Write a summary (1-2 typed pages not including title page) of the article, how the research topic informs nursing practice and what you learned from reviewing the article and topic

Choose an adult gastrointestinal disease (each student needs to choose various conditions). Then locate a research article in a peer reviewed nursing journal using the LIRN that has been published in the past 5 years.
Write a summary (1-2 typed pages not including title page) of the article, how the research topic informs nursing practice and what you learned from reviewing the article and topic
This must be completed using APA 7th edition format (including title page, in-text citation, double spaced, references).

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Nursing

-instruments: description, validity, and reliability estimates, which have been performed (on a pre- established measure).

By the due date assigned, write a 2-page paper addressing the sections below of the research
proposal.
Methodology
-Extraneous Variables (and plan for how controlled).
-Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-
established measure). Include plans or testing validity and reliability of generating your own
instrument(s).
-Description of the Intervention
-Data Collection Procedures
Two of the four references need to be a journal article less than 5 years old.

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Nursing

5 slides about referall to a professional and/or community based resource related to the title risk for shaken baby syndrome

5 slides about referall to a professional and/or community based resource related to the title Risk for Shaken Baby Syndrome

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Nursing

Why?

Please use this discussion forum as an opportunity to write a first publish of this section of your presentation. Powerpoint slides are not needed for this discussion.
What are four (4) areas related to the issue that you would like to see people talk about more?
Why?
What specific considerations do you want people to think about related to potential solutions to your issue?
Why?
Please be sure to validate your opinions and ideas with citations and references in APA format.

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Nursing

Nurse educator

Discuss how each role may impact the patient, family, or healthcare in general.
Direct Care Nursing
Nurse Educator
Advance Practice Nursing
Discuss how belonging to American Nursing Association and National Nurse United would benefit the profession and you as a professional.

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Nursing

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.

Case 3: A 38-year-old artist has smoked since she was 18 years old. She has noticed a mild, occasionally productive cough for the past few months. On a recent trip to the mountains, she developed shortness of breath that caused her to be nauseated. She has had no fever or chills. Her medical history includes hypertension for which she is using lisinopril, metoprolol, and hydrochlorothiazide.
For the case you have chosen, post to the discussion:
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 findings that validate your main diagnosis
Pertinent negative findings that make you think of other differential diagnoses
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.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

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Nursing

Read the schultz article (attached) and critique using the research report appra

Read the Schultz article (attached) and critique using the Research Report Appraisal or ANA framework and follow the grading rubric (both attached as well).

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Nursing

The paper is to be written in apa format (title page, reference page, in-line references, etc.)

Health IT is quickly taking over healthcare and is the driving force for the future of the medical field. Some examples of Health IT are Electronic Health Records (EHR), Telehealth , Computerized Physician Order Entry (CPOE), Barcode Medication Administration (BCMA), Healthcare .gov, and the list goes on. For this paper, find something in the Health IT space that interests you and write a 3 page paper (this does not include title page and reference page-total of 5-6 pages) that describes the technology as well as how you feel the technology has changed or could change healthcare delivery.
You are required to have a minimum of 5 total sources, at least 3 journal articles (found as described in week 5 from the University of Michigan Library Website using Cinahl or Medline , or your database of preference) and 2 websites. Use the knowledge you have gained through this course so far to find actual factual websites. Keep in mind, Wikipedia can be a great resource to get some basic information, but Wikipedia is never acceptable as a reference for “authentic” information.
The paper is to be written in APA format (Title Page, Reference Page, in-line references, etc.) If you are new to APA format, do not fear, this assignment is to just get your started with APA. If the APA is not perfect, I am not worried, it is all part of learning how to do it properly. That being said, if you do not even attempt APA format, then you will not receive all of the points for this assignment.