Rheumatoid arthritis is a chronic non-suppurative inflammation of synovial joints

Rheumatoid arthritis is a chronic non-suppurative inflammation of synovial joints. A genetic predisposition is strongly suspected (HLA DR1) . This leads to autoimmunity and the formation of immune complexes with LGM antibodies in the serum, the immune complexes are deposited in the synovial membrane and initiate self-perpetuating chronic granulomatous inflammation of the synovial membrane.

b. arthritis is generally characterized by pain swelling and limitation of joint movement. pain and stiffness, particularly in the morning, mark the beginning of the disease .it occurs due to cartilage being worn off and fibrosis of the capsule, etc changes.

c. Rheumatoid factor- It is not specific to rheumatoid arthritis. It is present even in individuals who are not having rheumatoid arthritis. however, it is one of the diagnostic criteria for rheumatoid arthritis. it is a protein by our immune system .it is an autoantibody. IgM is the most common rheumatoid factor.

D.As Rheumatoid arthritis is an autoimmune disorder, it releases pro-inflammatory cytokines, such as TNF, that damage the joint tissue in people with RA and can also lead to weight loss, muscle wasting, and weakness.

There are several vulnerable populations who are susceptible to chronic illnesses

There are several vulnerable populations who are susceptible to chronic illnesses (older; homeless; and lesbian, gay, bisexual, and transgender populations) and who face challenges when it comes to care.

  • Choose one vulnerable population and identify chronic illnesses to which they might be susceptible.
  • Identify challenges they face related to one of the identified chronic illnesses.
  • Discuss what can be done to help alleviate these challenges
  • Please provide a new answer not the established in course hero

What are the causes of action for improper disclosure of health information?

What are the causes of action for improper disclosure of health information?  Of these, which seem the most likely to succeed? The least likely to succeed?

Describe at least two different types of natural fibers and two different types of manufactured fibers

Describe at least two different types of natural fibers and two different types of manufactured fibers, and what challenges present themselves in analyzing them for evidence in criminalistics.

Describe how somatic gene therapy has been successful in combating sickle cell disease but has failed in other applications

Describe how somatic gene therapy has been successful in combating sickle cell disease but has failed in other applications. Does genetic screening help people? Consider both the pros and cons of genetic screening in your answer.

Intellectual & Developmental Disabilities

Intellectual & Developmental Disabilities

Learning Objectives

Upon successful completion of this module, you will be able to:

  1. Describe the different types of Autism Spectrum Disorders (ASD)
  2. List instructional strategies that are helpful in addressing the needs of students with ASD
  3. Explain the potential causes of intellectual disabilities and instructional and assessment practices used with these students
  4. Describe conditions that comprise lower incidence disabilities and instructional strategies used with this population

Module Overview

This week we will cover intellectual disabilities, autism spectrum disorders, and low incidence disabilities (e.g., visual impairment, deafness, TBI).  The special education classification of Intellectual Disability (ID) replaced the Mental Retardation (MD) classification category in March 2011 in New York State.  Mental Retardation, however, is still a DSM diagnosis and is used to describe individuals with sub-average intellectual functioning and concurrent deficits in adaptive behavior (i.e., independent living skills such as communication skills, self-care, health and safety awareness, etc…).

Students with intellectual disabilities are typically educated in Special Class settings where the focus of instruction is on the acquisition of functional life skills.  Opportunities for mainstreaming are made on a case by case basis and, depending on the severity and type of disability, for social integration purposes.  Most students with intellectual disabilities either qualify for the NYSAA (New York State Alternate Assessment) and would graduate with the Skills and Achievement Commencement Credential (SACC) or are working toward their CDOS (Career Development and Occupational Studies) credential.  Neither credential, however, is the equivalent of a high school diploma.  These “commencement credentials” replaced the IEP Diploma in NYS back in 2012.  The CDOS credential is awarded to students with disabilities who have met specific requirements related work-based learning hours and vocational training.  This credential is meant to communicate to potential employers that students have acquired a set of work readiness skills as part of their school experience and may be qualified to perform certain entry-level jobs.  The other commencement credential (notice that the word “diploma” is not included in these credentials) is the Skills and Achievement Commencement Credential (SACC), which is exclusively for students who meet the eligibility requirements for the NYSAA.  No more than 1% of the total school population should be alternately assessed given that it is reserved for those students with the most severe disabilities.  These students are typically (although not always) identified as Multiply Disabled (MD) on their IEPs and often have both intellectual and physical disabilities.  Students who qualify for the NYSAA also typically receive related services (e.g., OT, PT, speech) and use some type of assistive technology (e.g., augmentative communication device) in school.

Students with Autism Spectrum Disorder can present with varying levels of skills and abilities.  Students with the most severe type of autism are typically nonverbal and meet the criteria for intellectual disability.  They often engage in repetitive, self-stimulating behaviors such as hand flapping and head banging and can present with physically aggressive behaviors as well.  In contrast, students on the higher end of the autism spectrum (sometimes referred to as high-functioning autism or Asperger’s) typically have intact communication skills (although struggle sometimes with the pragmatics of language) and average to above average intelligence.  Individuals with Asperger’s Disorder struggle with social interaction, which is a defining characteristic of the disorder, but can be very bright and sometimes “scholarly” in the way in which they speak.  Note that the latest edition of the Diagnostic and Statistical Manual of Mental Disorders – DSM5 – no longer recognizes Asperger’s Disorder and instead replaced it with the diagnosis of Autism Spectrum Disorder with varying levels of severity).  These individuals formerly diagnosed with Asperger’s Disorder will often have “secondary” diagnoses such as depression, anxiety, and ADHD.  Anxiety in particular seems to be quite common in this population especially when you look at the prevalence of OCD (obsessive-compulsive) tendencies, which can take the form of special, restricted interests that these individuals possess.  For example, I once had a student with Asperger’s who was obsessed with the state of Maryland and would talk about it incessantly and new every little detail about it.  While the student often found a receptive audience among the adults in school, the same wasn’t necessarily true for his peers whose tolerance for the often one-sided conversation (i.e., lack of reciprocity in conversations) would typically be much lower thereby limiting the number of friendships children with ASD have with their same-aged peers.

You will encounter many students in your teaching careers (either directly or indirectly) who exhibit these types of disabilities.  While it’s important to be aware of their challenges so as to offer support, remediation, and flexibility, it is also critically important to recognize their unique abilities and personal strengths.

 

 

Assigned Textbook Chapters and other Media:

  • Read Vaughn et al. Chapters 9, 10, & 11
  • Watch a video of an Asperger’s Syndrome student at Trinity College: (Note – need to watch Youtube): http://www.youtube.com/watch?v=WAfWfsop1e0
  • ASPERGER SYNDROME: A GUIDE FOR PARENTS AND EDUCATORS By Gena P. Barnhill, PhD, NCSP North Kansas City (MO) School District
  • Discussion #2: Teaching Diverse Populations (Due 03/06/22)

Teaching and learning about diverse populations is one of the hallmarks of working with students who struggle or are at-risk in the classroom.  A newer concept in the field of special education is the concept of UDL – Universal Design for Learning.  Taken from several fields including architecture and building design, it attempts to remove learning barriers in the classroom – just like you would with removing barriers to buildings for people with vision or mobility issues.  Read below to participate in the discussion on UDL.

 

Discussion 2:

For this discussion, you will be spending some time talking with your fellow students on the concept of ‘leveling’ the classroom, so to speak.  Universal design for learning is a concept that takes the curriculum and removes the barriers so that all learners can benefit from the instruction.  This includes students with physical, emotional, cognitive, and behavioral learning barriers.

For this post, initially consider a quote some may remember from the summer program: ‘If a student has failed to learn it, the teacher has failed to teach it’.  Based upon your knowledge of strategies, literacy, and differentiated instruction as evidenced in your observations or in a residency, respond now to this quote, using your experiences to serve as examples of your ideas/points.  Reference students (first name only) who may help you describe your ideas and thoughts on the quote, student’s ability, and your teaching.

Second, please discuss (and reference) some of the ideas/strategies identified here in the module and if you have either seen them in action or have used them with some of your students.

Last, please remember to pose a question to the group, and please respond to at least 2 other questions posed by group members.

Discussion #2: Teaching Diverse Populations (Due 03/06/22)

Teaching and learning about diverse populations is one of the hallmarks of working with students who struggle or are at-risk in the classroom.  A newer concept in the field of special education is the concept of UDL – Universal Design for Learning.  Taken from several fields including architecture and building design, it attempts to remove learning barriers in the classroom – just like you would with removing barriers to buildings for people with vision or mobility issues.  Read below to participate in the discussion on UDL.

 

Discussion 2:

For this discussion, you will be spending some time talking with your fellow students on the concept of ‘leveling’ the classroom, so to speak.  Universal design for learning is a concept that takes the curriculum and removes the barriers so that all learners can benefit from the instruction.  This includes students with physical, emotional, cognitive, and behavioral learning barriers.

For this post, initially consider a quote some may remember from the summer program: ‘If a student has failed to learn it, the teacher has failed to teach it’.  Based upon your knowledge of strategies, literacy, and differentiated instruction as evidenced in your observations or in a residency, respond now to this quote, using your experiences to serve as examples of your ideas/points.  Reference students (first name only) who may help you describe your ideas and thoughts on the quote, student’s ability, and your teaching.

Second, please discuss (and reference) some of the ideas/strategies identified here in the module and if you have either seen them in action or have used them with some of your students.

Last, please remember to pose a question to the group, and please respond to at least 2 other questions posed by group members.

A nurse is collecting data from a client who received diphenhydramine for insomnia

A nurse is collecting data from a client who received diphenhydramine for insomnia. Which of the following findings should the nurse identify as an idiosyncratic reaction? pick one answer.

 

Agitation

Nausea

Dizziness

Dry mouth

What are the concerns about the effects of epinephrine when it enters the bloodstream?

Local anesthesia. Lidocaine is the prototype. How does it work?
What is it used for?
What are the major adverse effects—remember, it is usually injected into the skin around the area for stitches, etc, but will eventually enter the bloodstream, so how can it affect the body once it moves to the bloodstream?
Why and when would epinephrine be added to the use of lidocaine?

What are the concerns about the effects of epinephrine when it enters the bloodstream?
Topical lidocaine—patient teaching.  Just a general reminder—topical is meant to stay “topical” (versus transdermal, which is applied to the skin to intentionally enter the body)

What teaching should be done about using topical lidocaine to reduce systemic effects?

Lidocaine is also often applied in the mouth for dental work and to the throat topically for invasive procedures like endoscopy and bronchoscopy…If part of the mouth is numb or the back of the throat is numb, what are the safety concerns?

Local anesthetics are what are used in spinal and epidural anesthesia.  Review concerns for patients receiving the medications via this route.

What are the biggest challenges with communication in different healthcare organizations?

What are the biggest challenges with communication in different healthcare organizations? Consider a range of different organizations: large hospital systems, small rural hospitals, community clinics, pharmacy chains, and so on.

Levels of provision of health services

Levels of provision of health services.  Read, study, and analyze the following study material:

Edelman, C. (2022). Health promotion throughout the life span (10th ed.). Elsevier.
Available in the ClinicalKey Student Nursing database of the Virtual Library.
o Chapter 1: Health Defined: Health Promotion, Protection, and Prevention (Section: Levels of prevention)

College of Nursing Professionals in Puerto Rico. (2018). Nursing practice standards in Puerto Rico.

B. Make a concept map in which you will:
1. Classify each of the levels of service provision (primary, secondary and tertiary)
2. Describe how each of the health levels works
3. Examine a standard for each level of nursing care

II. Problems in the levels of provision of services (Value: 26 points)

A. List one (1) health problem at each of the service delivery levels and discuss an appropriate solution for each that can be applied nationally and globally.

Level: Health problem: Solution at national and global level:

Level Health problem Solution at national and global level:

B. Reflects, according to the literature, about the importance of providing effective nursing care that complies with national and global health policies.

III. The role of the nursing professional (Value: 40 points)

A. Read, study, and analyze the following study material:

Potter, P.A., Stockert, P.A., Perry, A.G., Hall, A.M., & Ostendorf, W. (2017). Fundamentals of Nursing (9th ed.). Elsevier.
Available in the ClinicalKey Student Nursing database of the Virtual Library.
o Chapter 6: Health and Wellness (Section: Levels of Preventive Care)

 

B. Hypothetical situation:

As a community nurse, you have been assigned to carry out two (2) health clinics in different communities:
• Vega Baja, Puerto Rico
• Port au Prince, Haiti

1. Briefly describe your role as a nursing professional in each of these communities.
2. List several prevention activities that you would carry out in both communities.
3. Identifies some physical, social, cultural and religious needs of each of the communities to be able to exercise the role of nursing as an advocate for the patient, the family and the community.