Consider a case study related to a patient that demonstrates a gynecological disease process in your practicum experience or professional practice that would be your biggest challenge as a clinician

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Consider a case study related to a patient that demonstrates a gynecological disease process in your practicum experience or professional practice that would be your biggest challenge as a clinician. Note: Possibly use your “FNP or AGPCNP Skills and Procedures Self-Assessment” in your practicum experience to guide your case study selection.

Use Focused SOAP note and critically analyze this and focus your attention on the diagnostic tests

Suzanne, a 25-year-old G1 P1 patient arrives with her husband for her office visit. What is your plan of care for this patient

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Suzanne, a 25-year-old G1 P1 patient arrives with her husband for her office visit. What is your plan of care for this patient?.

She states that she delivered her daughter 3 months ago and since then she, the patient, cries all day, cannot sleep, and has no energy. Her husband has taken over most of the care of the baby, but he must return to work. She stopped nursing. Her physical exam is negative.

  • What treatments, referrals, consults, and patient education will you provide?

Find a current newspaper or scholarly article or an industry newsletter where a health care organization or a provider was found guilty of malpractice, criminal negligence, false credentials, failure to treat, or patient abandonment.

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Find a current newspaper or scholarly article or an industry newsletter where a health care organization or a provider was found guilty of malpractice, criminal negligence, false credentials, failure to treat, or patient abandonment.

  1. Which critical health care error does the article address?
  2. Draw from your readings and experience to date. Assess what factors lead up to the error for both the HCO and the professional. Touch on Duties, Scope of Practice (state boards), and standard of care.
  3. Provide specific details of the case as to which law and whether it was tried in criminal or civil court.
  4. Sort out the legal system violation from the penalty. What penalties did occur and what penalties may have occurred but were not written in the article.
  5. give references

 

Hypertension treated with a thiazide diuretic and calcium-channel blocker

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Hypertension was treated with a thiazide diuretic and calcium-channel blocker. Stable angina pectoris: treated with nitroglycerine sublingual as needed, recent electrocardiogram and stress test results unremarkable

  • Annual influenza vaccine received and COVID-19 vaccines received within the past year
  • No known allergies or intolerances
  • No recent hospitalization or antibiotic use.

 

A 64-year-old man presents to the emergency department. His wife reports that he seemed “out of sorts” yesterday and had slight numbness in the left leg throughout the day, which was attributed to “arthritis”. This morning he woke with left-sided weakness, slurred speech, and was unable to get out of bed without assistance.

Vital signs

  • Heart rate = 74 beats/min, sinus rhythm
  • Respiratory rate = 16 breaths/min, regular and unlabored
  • Blood pressure = 140/85 mm Hg
  • Oral temperature = 98.2 degrees Fahrenheit
  • Oxygen saturation = 92% on room air
  • Pain = 0/10

Physical examination results

  • Neurologic – eyes open spontaneously, speech garbled, moves on command, left extremities with decreased sensation and weak 3/5, left facial droop present, gag reflex diminished, gaze midline, extraocular movements present without deviation
  • Cardiopulmonary = S1 and S2 to auscultation, right carotid artery with bruit, peripheral pulses 3+, and no jugular venous distention. Extremities warm, edema absent, pulses 3+, capillary refill brisk. Lung sounds clear.

Diagnostic test results

  • Computed tomography of the head without contrast = findings unremarkable
  • Chest x-ray = findings unremarkable
  • Swallow study = dysphagia with thin liquids
  • Carotid ultrasound = right carotid artery 30%-40% occlusion
  • Arterial blood gases = results within normal limits

Hospital course

He was diagnosed with an ischemic stroke. The stroke team determined no emergent thrombolytic or invasive intervention was indicated, and the patient was admitted to the stroke unit. The left-sided weakness and expressive aphasia persisted.

On the 4th hospital day, he became febrile with a temperature of 102.8°F with frequent coughing, productive of purulent sputum. He also had slight tachycardia, tachypnea, and a decreased oxygen saturation on room air. Rhonchi and crackles were heard throughout right lung.

New diagnostic results revealed

  • Chest x-ray = right lobe infiltrate without an associated pleural effusion
  • White blood cell count = 20,000 cells/mcL (normal = 4.0-10.0 1000 cells/mcL), with a predominance of neutrophils
  • Arterial blood gases on room air: pH = 7.45 (normal 7.35-7.45), partial pressure of oxygen in arterial blood = 70 mmHg (normal 75-110 mmHg), partial pressure of carbon dioxide in the blood = 38 mmHg (normal = 35-45 mmHg)
  • Sputum culture – early results positive for Pseudomonas aeruginosa

Questions:

  1. Read the scenario below and identify the likely acute pulmonary complication the patient is experiencing.
  2. Explain the underlying pathophysiology (aka. cellular/tissue changes) and relate it to abnormal examination and diagnostic findings.
  3. Identify bundled prevention care strategies that should have been initiated upon admission to prevent this specific healthcare-associated pulmonary complication. Hint: See supplemental materials in weekly module.
  4. Explain additional diagnostic testing, medical treatment, and nursing care to treat the patient and/or prevent future complications.

Which of the following is incorrect about the proper use of parentheses?

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Which of the following is incorrect about the proper use of parentheses? Parentheses are used to set off structurally independent elements.

b.

Parentheses are used to enclose text within other parentheses.

c.

Parentheses are used introduce an abbreviation in the text.

d.

Parentheses are used to set off in-text citations

 

Post a brief description of your results from the StrengthsFinder assessment

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Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific.

Clifton Strengths results:

Relator

People exceptionally talented in the Relator theme enjoy close

relationships with others. They find deep satisfaction in working

hard with friends to achieve a goal.

Strategic

People exceptionally talented in the Strategic theme create

alternative ways to proceed. Faced with any given scenario,

they can quickly spot the relevant patterns and issues.

Responsibility

People exceptionally talented in the Responsibility theme take

psychological ownership of what they say they will do. They are

committed to stable values such as honesty and loyalty.

Command

People exceptionally talented in the Command theme have

presence. They can take control of a situation and make

decisions.

Arranger

People exceptionally talented in the Arranger theme can

organize, but they also have a flexibility that complements this

ability. They like to determine how all of the pieces and resources can be arranged for

maximum productivity.

 

Gracie is an active member of her community and contributes to a range of social and cultural activities

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Gracie is an active member of her community and contributes to a range of social and cultural activities. Gracie is a valued team member, a Yuwallari woman, and an Elder within her community.

She enjoys sharing her culture with her colleagues and feels proud that she has contributed to a better understanding of her people.  She has been granted a week of special leave to assist in planning activities for Sorry Day.

You overhear two otherteam members discussing how unfair it is that Gracie has been given special leave saying, "I don’t know why Sorry Day is such a big deal anyway. That stuff happened ages agol"

Later that day, you call the staff members into a meeting room to address the comments. Task 43 How would you address the potential information needs of these people and the impacts of the discrimination

Using the “Module 3 | Part 3” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

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Using the “Module 3 | Part 3” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

  • Your topic of interest.
  • A correctly formatted APA citation of the article you selected, along with link or search details.
  • Identify a professional practice use of the theories/concepts presented in the article.
  • Analysis of the article using the “Research Analysis Matrix” section of the template
  • Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.
  • Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
    • Describe your approach to identifying and analyzing peer-reviewed research.
    • Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.

Identify at least one resource you intend to use in the future to find peer-reviewed r

Post a comparison of at least two APRN board of nursing regulations in California with those of Florida

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Post a comparison of at least two APRN boards of nursing regulations in California with those of Florida. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice

Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

Compare and contrast major or mild neurocognitive disorders with Lewy Bodies versus major or mild frontotemporal neurocognitive disorder

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Compare and contrast major or mild neurocognitive disorders with Lewy Bodies versus major or mild frontotemporal neurocognitive disorder. Place particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis.

2- provide reference from 2018 to 2022