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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two 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. 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.

The Op-Ed must be your original work.  Develop an Op-Ed to a newspaper of your choice based on the information below.

Topic

For a country of your choice:  (Africa)

1. Select the key nutrition issues faced by the country.

2. Determine who they most affect.

3. List key risk factors.

4. Describe their link with health and economic development.

5. Discuss the impact that globalization has had on these issues.

6. Discuss what might be done to address the nutrition issues in cost-effective ways.

Format

1. Your Op-Ed should be written as you are the expert on the subject.

2. It should be a minimum of 300 words to a maximum of 700 words.

3. Use Times Roman 12-point font.

4. Use a 1-inch margin.

5. No figures or tables.

6. Include resources. Opinions necessitate evidence and support. Whatever your statistics, numbers and data have to say about your issue, work them into the article in an interesting and compelling way. You can’t just be good with words. You need to back up your words.

7. Use professional language.

8. Submit via Turnitin

NO Plagiarism 

Textbook : Global Health 101

4thEdition

Author: Richard Skolnik

Publisher: Jones and Bartlett Learning

Year: 2019

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

Due Date: Tuesday 22

Hormone therapies offer many benefits and risks, but they may sometimes have side effects. Choose one form of therapy (for example; progestin, estrogen, a combined therapy, systemic, or local therapy). Discuss the benefits, risks, and side effects for the therapy you chose. 

Title: cancer screening guidelines

Paper type Coursework

Paper format APA

Course level Master

Subject Area

# pages 1   ( or 300 words Minimum)

Spacing Double Spacing

# sources 3

Paper Details

Find two screening guidelines for testicular cancer or prostate cancer.

Discuss the similarities/differences in the screening guidelines and find available resources to help encourage adherence to screening guidelines in the target population.

Your response should include evidence of review of the course material, websites, and literature through proper citations using APA format.

Most patients with mental health disorders are not aggressive. However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression, and to appropriately apply nursing interventions to assist in treating aggressive patients. Please read the case study below and answer the four questions related to it.

Aggression Case Study

Christopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia. He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him. Christopher has a history of recidivism and noncompliance with his medications. One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath. As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door. The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse. The nurse responds by calling other staff to assist with the situation.

1. What phase of the aggression cycle is Christopher in at the beginning of this scenario? What phase is he in at the end the scenario? (State the evidence that supports your answers).

2. What interventions could have been implemented to prevent Christopher from escalating at the beginning of the scenario?

3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?

4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?

Minimum of 350 words with at least 2 peer review reference in 7th edition apa style

Reflect upon your selected practice problem DIABETES to determine a possible solution and address the following.

• Create an action plan using a translation theory or model to implement the proposed solution. 
• Provide a description of each component in the translation model.
• What are the barriers to implementation? What are the facilitators to overcome these barriers?
• Who are the stakeholders involved? What are their roles?
• What resources are needed for successful implementation of the solution?

  Please reply to this student post by adding something else relate to this post

Please APA style and less than 10 % similarity. 

Discuss interventions to improve/reduce risks of adverse effects. 

The aging process is a continuing natural process and succession of changes that start with birth and ends with death. Even though the natural process of gradual degeneration of the body is unavoidable, there are several interventions for the delay and prevention of the early appearance of them. Physical changes such as loss of muscle tone and the appearance of skin wrinkles appear to be one of the most important natural changes of concern within the population. Some of the intervention that help to reduce this process are a regular practice of sports. In fact, working out every day helps to maintain the tone of the muscles, the correct functioning of the bones and stress release from the brain. In addition, hydration also plays an important role in the delay of wrinkles appearance by delivering nutrients, elasticity and moistness to the skin cells. Also, sleeping a good number of hours and participating in social activities increases the healthiness of the mind and promotes the reduction of stress which also affects the aging of the skin cells. A healthy diet provides nutrients and essential vitamins to preserve a healthy body and skin.  

 References

Berger, K. S. (2017). Developing person through the life span. Worth Publishers. 

Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.

Assessment

His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.

1. What would you prescribe initially?
2. How long would you prescribe these medications?
3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?
4. How would the treatment vary if the patient has GERD instead?

Discussion Question 2

List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.