Confidentiality in the Care Setting

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Discuss the legislation/charters relating to confidentiality e.g data protection act(the 6 points), nurses midwife council code of conduct (the 5 points), collision principles (the 7 points), code of practice. What they are about and what they do.

Analyze issues relating to confidentiality in the care setting e.g client choice, right or need to know ( confidentially and disclosure: professionals need to know for example patients’ choice to withheld information and whats the issue is with that.)

Explain the major legal rights relating to discrimination and their associated legislation/documents (equality acts, the 9 protected characteristics of human rights)

Analyze the possible effects of stereotyping, prejudice, and institutionalization on the client/patient.

ACHONDROPLASIA 

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TOPIC: ACHONDROPLASIA

Etiology

  1. Description:

Characteristics of ACHONDROPLASIA :

  • small stature (may not be present in infants due to them already being small),
  • short limbs and rhizomatic disproportion (present in arms, variable in severity
  • macrocephaly (large head at birth and remains that way for entire life),
  • midfacial retrusion, (underdevelopment of cartilaginous bones of face, results in flattening of entire midface)
  • small chest, (overly compliant ribs, resulting in paradoxical movement with inspiration)
  • thoracolumbar kyphosis, (not present at birth, nearly all infants develop this)
  • lumbar hypertoroids, (exaggerated lordosis, “swayback”, starts when walking begins)
  • limited elbow extension, (stiff elbows, gets worse with age)
  • short fingers and trident configuration of the hands
  • hypermobile hips and knees
  • bowing of the mesial segment of the legs (arises during early childhood)
  • hypotonia (most infants with this are hypotonic, described as “floppy”

Anatomy involved: long bones of arms and legs (bone tissue does not develop properly)

 

Effects on the normal structure and function: results in shortened bones, short stature, results in swayback, bowed legs

  1. Incident Rate/Statistics (What are the national statistics, Does the pathology affect a particular demographic group?)
  • Most common form of disproportionate short stature, occurs in every 15,000 to one in 40,000 live births
  • Affects males and females equally
  • Affects all demographic groups equally

 

  1. Method of ACHONDROPLASIA diagnosis:
  • Requires radiographic assessment (of entire body, hemi-survey, or pelvis and femora)
  • Molecular testing (as needed, very rare this happens, this testing occurs if uncertainty remains after clinical and radiologic assessment)
  • Genetic testing (for individuals who may be too young to make a diagnosis, or people with atypical symptoms)
  1. Treatment/Medication (What is the success rate of drugs?)
  • No treatment that will make it go away but these things can help the problem
  • children born with it need to have weight, height, and head circumference monitored
  • support for social adjustment
  • problems with lower limbs (clonus, hyperreflexia, central hypopnea)
  • surgery (called suboccipital decompression) performed to decrease pressure on brain

 

  1. Prognosis of ACHONDROPLASIA

-What happens if patient receives treatment?

-What happens if patient goes untreated?

Websites:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318916/

https://www.genome.gov/Genetic-Disorders/Achondroplasia

Altered Physiology

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Altered Physiology

 

Week 2 Scenario: A 42-year-old man comes to clinic with chief complaint of pain, redness, and swelling of his right calf. He states that he had been working in his yard using a string trimmer when the trimmer slipped and cut his leg. He cleaned the wound with water from the garden hose and covered the wound with a large Band-Aid. Several days later, he developed fever to 100.6˚ F and chills and noticed that his leg was swollen and red. He comes to the emergency department for definitive care.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described.
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.

 

 Alterations in the Cardiovascular and Respiratory Systems

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Alterations in the Cardiovascular and Respiratory Systems

 Week 4 Scenario: A 65-year-old patient is 8 days post op after a total knee replacement. Patient suddenly complains of shortness of breath, pleuritic chest pain, and palpitations. On arrival to the emergency department, an EKG revealed new onset atrial fibrillation and right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, AVF).

 

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

  • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.

 

Concepts of Neurological and Musculoskeletal Disorders

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Concepts of Neurological and Musculoskeletal Disorders

 Case Study for Week 8: The patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache. She states that this is the sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days and have impacted her ability to concentrate at work. She complains of nausea and has vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but do not totally relieve them. No other current complaints.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

  • Both the neurological and musculoskeletal pathophysiologic processes would account for the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.

 

How New Technologies Are Transforming Health Care

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HEALTH POLICY TOPIC
Telehealth
How New Technologies Are Transforming Health Care
https://theforum.sph.harvard.edu/events/telehealth/

PLEASE REFER TO SUMMARY AND TRANSCRIPT FOR SHORTER VERSION
PLEASE ELABORATE ON THE ANALYSIS PART. IT SHOUD BE VERY DETAILED AND RELATED TO THE TOPIC OF THE WEEK – Innovations and the Future of Health Care
THE FORMAT SHOULD BE THE SAME PROVIDED- REFER TO ATTACHMENT

• Each event log should be 2–3 double-spaced pages of text.
• Provide only a brief summary of the topic being discussed (3–5 sentences).
• Your analysis section should be 500 to 750 words and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered. This should primarily be your analysis, and if you refer to an analysis made by an event participant, make that clear in your log. Your analysis should include new information that goes beyond what was discussed in the event.
• Your analysis should integrate course content and readings. Reference at least two sources from the learning materials in this course or other sources which may include scholarly sources, health policy reports or recent media articles.
• Use APA format for citations and references.
Use these Headings in your Policy Logs!
• Name, sponsor, link to the event
• Place, date, length of the event
• Names of participants and their titles
• Brief summary of the topic discussed
• My analysis of the health policy issue and its implications for health care

Describe a patient who is age 65 or older and takes at least 12 prescription medications

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The purpose of this assignment is to increase the nurse practitioner’s awareness and sensitivity to pharmacokinetic and pharmacodynamics changes and prescribing implications occurring in the frail elderly related to these changes and potential adverse effects of polypharmacy in the frail elderly patient.

Instructions

Describe a patient who is age 65 or older and takes at least 12 prescription medications, over-the-counter (OTC) medications, and herbal supplements.
Describe your patient, including age, gender, ethnicity, medical diagnoses, medication allergies, and list of prescriptions/OTC medications/herbal supplements, including dosage, route, and frequency.
Describe three age-related changes that can affect pharmacokinetics and pharmacodynamics.
Using Beer’s criteria, review the patient’s medication list to identify medications that are potentially inappropriate. What medications should be continued? What medications should you consider stopping? What are potential alternative medications that could be used in place of the medications you would consider stopping?
What are two challenges you as an NP face with regard to regulation of complementary and alternative medications (CAM) in care of the frail elderly?
As an NP, what is one specific strategy you will use to assess medication reconciliation, including CAM and over-the-counter medications, in the frail elderly population?

The purpose of the assignment is to increase the nurse practitioner’s awareness and sensitivity to pharmacokinetic and pharmacodynamics changes and prescribing implications occurring in the frail elderly related to these changes and potential adverse effects of polypharmacy in the frail elderly patient.

Neurological and Musculoskeletal Disorders

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Week 8: Concepts of Neurological and Musculoskeletal Disorders –

 Case Study for Week 8: Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache. She states that this is the sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days and have impacted her ability to concentrate at work. She complains of nausea and has vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but do not totally relieve them. No other current complaints.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

  • Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.

Nursing care interventions for clients during pregnancy, labor, and birth.

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Instructions
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Competency
Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:
( ) tobacco, “occasional” per client (pt), 1 year; (-) alcohol use
Abusive partner with first pregnancy, states she has a new partner x 4 years
Depression, currently not taking meds for treatment (tx)Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions
Write a two to three-page analysis of this scenario that answers the following questions:

What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

A correct answer with thorough development of the topic
Gives clinical examples
Include evidence from scholarly sources
Appropriate use of medical terminology

Format
Standard American English (correct grammar, punctuation, etc.)
Logical, original and insightful
Professional organization, style, and mechanics in APA format
Submit document through Grammarly to correct errors before submission

family history of breast cancer.

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Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

This assignment should include an introduction and conclusion

scenario

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

 

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.