Chronic illness or cancer program

Evaluate an existing chronic illness or cancer program. Identify the program, provide some background information about the program, and discuss the program’s effectiveness. What would you recommend the program change and why? Be sure to add the program (i.e., website, promotional materials, pamphlet, etc.) to your Portfolio.

From the perspective of the future of healthcare and the professional nurse, discuss future trends in Healthcare

From the perspective of the future of healthcare and the professional nurse, discuss future trends in Healthcare. What are your thoughts about the Millennium Development goals? What are your thoughts about health and Healthcare in 2032?

From the perspective of the future of healthcare and the professional nurse, discuss future trends in Healthcare

From the perspective of the future of healthcare and the professional nurse, discuss future trends in Healthcare. What are your thoughts about the Millennium Development goals? What are your thoughts about health and Healthcare in 2032?

Deoxyribonucleic acid(DNA) evidence

The Innocence Project seeks to free people wrongly convicted of crimes. Using  deoxyribonucleic acid(DNA) evidence, there have been over 1600 exonerations nationwide since 1989 that have affected 329 wrongly convicted people. The true perpetrator has been identified in 148  deoxyribonucleic acid(DNA ) cases.

The Innocence Project is especially concerned about prisoners on death row that were convicted before the days of  deoxyribonucleic acid(DNA) testing. Some states have halted executions due to concern over potential bias and errors in the death penalty aspect of the criminal justice system.

1. Considering what you have learned in this assignment; do you think classic fingerprinting is an adequate standard of evidence in criminal cases? What about serious felony cases?

2. Do you think  deoxyribonucleic acid(DNA) fingerprinting should be the standard of evidence in all criminal cases or just in more serious felony cases?

3. Do you think death penalty inmates should have the right to  deoxyribonucleic acid(DNA) testing of evidence if they were convicted before  deoxyribonucleic acid(DNA) profiling technology was developed? In retroactive cases like this, who should be liable for the costs associated with  deoxyribonucleic acid(DNA) testing?

 

 

 

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Watch the below youtube videos and explain what is professionalism in your view

Watch the below youtube videos and explain what is professionalism in your view. What is your reaction to Helen Haskell’s view that nurses need policy-level help to be empowered with respect to communications with physicians?

 

Develop a personal nursing philosophy narrative as to how your life moved towards meeting that goal of becoming a nurse

Develop a personal nursing philosophy narrative as to how your life moved towards meeting that goal of becoming a nurse.

In a 3-4 page, double-spaced, typewritten document, please respond to the following:

• Begin your paper with why you wanted to become a nurse

• Develop a narrative as to how your life moved along towards meeting that goal of becoming a nurse.

Include any work experiences (volunteer work, hospital, MD office, healthcare facility) that reinforced your desire to become a nurse and why.

What educational preparation has already taken place in your life prior to entering a formal nursing program? Were there any particular people or nurses who influenced your decision to become a nurse and what was the nature of that influence?

What plans did you make to become a nurse that either were delayed or actually occurred as planned? What keeps you focused on completing the program especially when obstacles present themselves? What has been the greatest sacrifice you have made to become a nurse?

• In the time you have been involved in nursing activities, what has given you the greatest satisfaction and why?

• How has the current health care arena affected your feelings about being a nurse?

• Look at the QCC statement of philosophy of nursing.

• Write a statement of your philosophy of nursing that should include the four (4) metaparadigms of: client, health, environment, and nursing. What are your beliefs about the client? How do you define health? In your opinion, what makes up the environment? How does nursing impact all of these? NB. Philosophy of Nursing can be found in your STUDENT HANDBOOK located under “Course Information.”

• How is your philosophy the same as or different than the QCC philosophy of nursing? • What nursing theory/theorist has influenced your personal philosophy the most and why?

• What will finally becoming a professional registered nurse mean to you?

• Where do you see yourself five years after graduation?

 

Here is the nursings school’s Philosophy: Philosophy of the Department of Nursing The philosophy of the Department of Nursing is based upon the relationships among the concepts of the individual/ patient, environment, health, and nursing. The Individual is a biopsychosocial and spiritual being who functions within the context of the family, culture, and community.

Individuals have basic physiological, psychosocial and developmental needs across their lifespan. These needs must be fulfilled in order for a state of health to exist. An individual or group of individuals becomes a Patient upon entry into a healthcare system for assistance in achieving maximum self-care potential.

The Environment is the aggregate of biological, physical, spiritual, social and cultural conditions that influence the life of the patient. The health of the patient is affected by the local and global environment. Health is living within one’s environment while achieving the greatest level of functioning.

Therapeutic support of the patient leads to a state of health, wholeness, well-being and integrity of the individual. The ability to maintain optimum wellness varies among individuals based on developmental stage, life experiences, health alterations, level of knowledge, values, culture and environment.

Alterations emerge when the individual cannot meet their needs as a result of disease, injury or life cycle events. When individuals cannot meet their own needs, they have the right to receive patient-centred assistance in moving towards their highest level of functioning and health.

Lumps on the breasts

A 31 years old African American female presents to the primary care provider and reports “I have lumps in both my breasts and they are very, very tender. “She reports having had lumpy breast tissue bilaterally for years; however, for the past 2 months, she has noticed that the lumps are increasing in size and breasts have become more tender. States increased breast tenderness begins 2–3 days before menses, rating pain as 5–6 on a scale of 1–10, and continues for 2–3 days into menses. Takes acetaminophen with no relief, and ibuprofen with slight relief. She reports no personal history of breast cancer, breast surgeries, or breast trauma. Menarche age 12. Gravida 3 Para 3. Birth of first child at age 21. The last menstrual cycle began 2 weeks ago, with a duration of 5 days. Denies taking any hormones, contraceptives, or antipsychotic medications. Denies exposure to radiation, benzene, or asbestos. The last clinical breast examination was performed 1 year ago. Denies ever having had a mammogram.

She reports no history of breast cancer in her sisters, mother, or maternal grandmother. Her maternal aunt died from breast cancer. She has smoked 1 pack of cigarettes per day for the past 10 years. Drinks approximately 50–60 oz. of caffeinated beverages per day. Denies a regular exercise program but tries to walk as much as she can.

Reports performing BSEs every month but that sometimes it is difficult to do because of bilateral breast tenderness. States that she is happy with the size of her breasts but does not like how they have sagged since the birth of her children.

Please Answer the Following Questions:

  1. Identify a minimum of three subjective cues (risk factors) that are clinically significant and provide a brief rationale for each cue.
  2. Based on the clinically significant data, what health condition is the client experiencing.
  3. Using your words, describe the pathophysiology consistent with this condition.
  4. Describe a minimum of three objective signs you will anticipate on inspection and palpation.
  5. Discuss one health promotion teaching topic- relevant to the identified health condition.
  6. Discuss one older adult teaching topic relevant to the identified health condition.

You are caring for a 53-year-old obese woman in the telemetry unit with chest pain with exertion

You are caring for a 53-year-old obese woman in the telemetry unit with chest pain with exertion.  She is doing well on Isosorbide and will be placed on it orally to go home.  Her blood pressure has been the problem.  She is taking a thiazide diuretic.

  • What is other blood pressure medicine good for angina and blood pressure? Describe its mechanism of action in this situation.

She has also had high cholesterol for a long time.  This has been managed well with atorvastatin 80 mg every day.  However, she now has triglycerides of 340 mg/dl.

  • What medication can be added to her atorvastatin to lower triglycerides? Describe the mechanism of action in this situation.

She takes metformin and canagliflozin for her diabetes.  She is controlled with an A1C of 7.2.  However, her weight is uncontrolled and she gains 10-15 pounds a year, despite “eating all of the right things.”

  • What is an injectable medication that the patient can be started on that will lower her A1c further and is known to help with weight reduction? Describe the mechanism of action in this situation

 

Now take all of her drugs that she will be on and put them into a drug interaction checker

  • identify any serious interactions (“monitor closely”). Based on these interactions what symptoms will you tell the patient to report immediately to her prescriber?

 

Summarize the bleeding and thrombotic disorders

Summarize the bleeding and thrombotic disorders: platelet and coagulation disorders in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow up tests whenever applicable)
5.Pathophysiologic rationale of treatment

 

Platelet Disorders: Talk about TWO DISORDERS: Low platelet count (Thrombocytopenia), increased platelet count (Thrombocytosis)

  • Thrombocytopenia:
  1. Etiology& Pathogenesis: different types of thrombocytopenia and what cause them, also talk about causes of defective platelet function including antiplatelet medication effects
  2. Clinical Picture: manifestations of low-platelet bleeding disorders. (in contrast to clotting factor deficiency bleeding disorder)
  3. Diagnosis: bleeding time, platelet count, Thromboelastography with platelet mapping.
  4. Pathophysiologic rationale of treatment: indications of platelet transfusion.
  • Thrombocytosis:
  1. Etiology& Pathogenesis: as a part of myeloproliferative disorder (essential thrombocytosis)
  2. Clinical Picture: Signs& Symptoms of thrombocytosis and complications
  3. Diagnosis:
  4. Pathophysiologic rational of treatment:

 

 

Coagulation Disorders: Talk about TWO DISORDERS: Hypocoagulability (Coagulopathy) and Hypercoagulability.

  • Hypocoagulability:
  1. Etiology& Pathogenesis: Acquired causes of bleeding tendency (other than genetic causes): including liver failure, uremia, vit K deficiency & warfarin overdose.
  2. Clinical Picture: manifestations of coagulopathy (in contrast to platelet disorder types of bleeding)
  3. Diagnosis: PT & PTT (how each can help diagnose extrinsic vs intrinsic pathway disorders)
  4. Pathophysiologic rationale of treatment:
  • Hypercoagulabilty:
  1. Etiology& pathogenesis: Factor V Leiden, Protein C deficiency, Protein S deficiency, antiphospholipid syndrome.
  2. Clinical Picture: Complications of hypercoagulability
  3. Diagnosis:
  4. The pathophysiologic rationale of treatment.

 

This is the textbook for information:

McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

Bone health issues from Amenorrhea

Amenorrhea from under-eating won’t cause bone health issues so long as an athlete consumes enough calcium and vitamin D. Explain the validity of the statement.