Please answer the discussion questions. I have attached the description

Concepts of Neurological and Musculoskeletal Disorders – Part 1

Anatomists often use the analogy of a house to explain the human body, with skeletal systems, respiratory systems, and circulatory systems represented as a home’s framing structure, ventilation, and piping, respectively. Such analogies further emphasize the point that relationships between systems can result in complications when issues arise in one system.

With hundreds of diseases that can impact the brain, spine, and nerves, neurological disorders represent a complicated array of issues that present significant health concerns. Disorders such as strokes and Parkinson’s disease not only affect the nervous system, however; they can have secondary impacts in other areas, especially the musculoskeletal system.

This week, you examine fundamental concepts of neurological disorders. You explore common disorders that impact these systems and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients. 

Required Readings

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

• Chapter 15: Structure and      Function of the Neurologic System
• Chapter 16: Pain, Temperature      Regulation, Sleep, and Sensory Function (stop at Sleep); Summary Review
• Chapter 17: Alterations in      Cognitive Systems, Cerebral Hemodynamics, and Motor Function (start at      Acute confusional states and delirium) (stop at Alterations in neuromotor      functions); (Parkinson’s Disease); Summary Review
• Chapter 18: Disorders of the      Central and Peripheral Nervous Systems and the Neuromuscular Junction      (stop at Degenerative disorders of the spine); (start at Cerebrovascular      disorders) (stop at Tumors of the central nervous system); Summary Review
• Chapter 44: Structure and      Function of the Musculoskeletal System (stop at Components of muscle      function); Summary Review
• Chapter 45: Alterations of      Musculoskeletal Function (stop at Bone tumors); (start at Disorders of      joints); Summary Review
• Chapter 47: Structure,      Function, and Disorders of the Integument (section on Lyme Disease)

Chin, L. S. (2018). Spinal cord injuries. Retrieved from https://emedicine.medscape.com/article/793582-overview#a4

Discussion Post: 3 citations is required. 

The case scenario is given below:

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.

Think about your own life. Do you act to prevent a disease or accident when you perceive that you are not susceptible to the disease or at risk for the accident?

INSTRUCTIONS

Follow the 3 x 3 rule: minimum three paragraphs, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1.  Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

2.  Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

3.  Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

4.  Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Due Date: Friday 4 

1.  Discuss the process implemented in the investigation of the outbreak of a communicable disease.

2.  Discuss the difference between infectious and communicable diseases. Give one example of each one. 

3.  Identify the factors that influence the emerging and reemerging of infectious diseases

4.  Identify and describe a recent emerging and reemerging infectious diseases from the global perspective.  (I know every is going to describe COVID 19 for the emerging).

As stated in the syllabus present your assignment in an APA format word document. A minimum of 3 evidence-based references no older than 5 years must be used.  A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.  

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. 

Scenario:  A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response.

*Must use 3 references with an in-text citation for each. 

 Discuss whether you believe that a person who needs medical care would consider the religious type of hospital before being admitted and why. Include in your discussion how the way in which a health care facility addresses religion may affect the outcomes of patient care. Provide a supporting reference for your response. PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 5, 6, and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

               Part 5 : minimum 1 page 

              Part 6: minimum 1 page 

              Part 7: minimum 1 page 

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

1. Jeff is 11 years old and slightly overweight. His father is a truck driver who was recently diagnosed with type 2 diabetes. His mother is a licensed practical nurse at the local hospital. At a recent health science fair at his school, a student-led screening clinic documented Jeff’s blood pressure at 140/92 mm Hg.

a. Is Jeff at risk? If so, for what?

b. Utilizing the Guidelines for High Blood Pressure in Adults (American College of Cardiology, 2017), what is Jeff’s future risk from adolescence through adulthood?

c. How does epidemiologic data define hypertension in a child of Jeff’s age?

d. Are there health promotion activities that you would recommend?

Part 2:   Cognitive Behavioral Therapy (CBT)

There are different treatments used for the diagnosis of PTSD. 

Please, select one of them (Cognitive Behavioral Therapy (CBT) 

1. Discuss it. 

2. Explain why you selected that particular treatment.

Part 3:   

The gerontological nurse is responsible to conduct a complete “head-to-toe” physical assessment. There are several considerations of common changes in late life during physical assessment discussed in your textbook. 

1. Mention at least 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment.

2. Explain each one of them.

Part 4:   

Case Study, Chapter 8, Unlicensed Assistive Personnel and the Registered Nurse 

The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.

1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?

Part 5:   

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Part 6:   

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Part 7:   

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Week 4 Project

In a Microsoft Word document of 4-5 pages formatted in APA style, complete the following assessments (as they pertain to your aggregate) by interviewing 2-3 members of your aggregate:

• Environment (Comprehensive Occupational and Environmental Health History)
•  Home (from lecture in class)
• Family (Friedman Family Assessment)
• Risk assessment (from lecture in class describe risks for your aggregate based on local statistics and services available)

Please note that the title and reference pages should not be included in the total page count of your paper.

Describe the results of the assessments, including examples and support from journal articles, following the guidelines below:

Risk Assessment

• How Environment was Assesse
• How the Home was Assesse
• How the Family was Assesse
• Risk Assessment

Strengths and Weaknesses

• Strengths of Community
• Weaknesses of Community
• Strengths of Aggregat
• Weaknesses of Aggregate
• Health Risks of Aggregate Identified

On a separate reference page, cite all sources using APA format.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

Please use this reference. 

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack. 

1. Harold is seen in the office. He has a history of congestive heart failure and is concerned that he is gaining a lot of weight. You determine that he weighs 185 lb. When he asks you how much weight he has gained since his last checkup the previous month, you check the chart and find that he weighed 79 kg. What will you tell him?

2. Sally brings her 3-month-old baby to the clinic because of a fever and possible ear infection. You find that the infant weighs 13 lb, 4 oz. The physician writes an order for you to give a dose of antibiotics based on the infant’s weight in kilograms. Before you give the medication, you must convert the child’s weight to kilograms. How will you do this, and what is her weight in kilograms?

3.  Please discuss the importance of measurement systems as it relates to the management of the patient. Should it be a required course for all healthcare providers of for physicians and nurses only. Please explain why.