We have covered a wide array of disorders. In order to fully absorb the information, this assignment will help you to get more specific about the different types of personality disorders.
Explain personality disorders Include each of the following points in assignment:
Review the personality disorders we have discussed Select two of the disorders Create a two-column chart Make one column for each disease Side by side, write down the causes, symptoms, signs, and treatments of the two disorders At the end, write a brief summary of how the two are similar and different
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Conduct an analysis of the elements of the research on obesity and eating include the following: Relationship between obesity and overeating
A correctly formatted APA citation of the article you selected, along with a 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 research.
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Autonomous practice is a highly evolved clinical attribute
1)What is your rationale for choosing this point, and an example of how this point has been displayed in nursing practice? This does not need to be a personal experience, rather, it can be an awareness of the value of the point as it pertains to the profession of nursing.
2)Search the nursing literature and select one (recently published between 2015-2021) nursing article that aligns with your selected point, and demonstrates the current state of this topic. Integrate some key findings in the nursing article with your response.
3)Provide an in-text citation as you discuss the article, and provide a Reference (at the bottom of the Discussion Post) for the selected article.
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In what ways can informatics help healthcare providers overcome current or emerging barriers to care and increase access to safe, quality healthcare? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user-centered design) important for efficient clinical information systems such as CPOE and CDSS?
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Homeostasis refers to the ability to live organisms to maintain a stable internal environment, despite fluctuations in the external environment. It involves regulating various parameters within the body, such as temperature, pH, ion concentrations, and hormone levels, which must be maintained within narrow ranges for optimal physiological function. Living organisms rely on various physiological and behavioral mechanisms to achieve and maintain homeostasis, and disruptions in these mechanisms can seriously affect health and survival The feedback mechanism is a process by which the body maintains homeostasis, which is the stable internal environment necessary for the proper functioning of bodily processes.
Feedback mechanisms involve three components; receptors, control center, and effectors. Receptors detect changes in the body’s internal or external environment and send signals to the control center. The control center processes the information and sends signals to effectors, which bring about the appropriate response to the stimulus. 2)The body’s temperature regulation system is an example of a feedback mechanism. When the external temperature increases to 120"F, the thermoreceptors present in the skin and hypothalamus detects that the body temperature is too high. The hypothalamus serves as the control center in this feedback mechanism and initiates a response to counteract the increase in temperature.
The hypothalamus then activates the effector organs, such as the sweat glands and blood vessels in the skin, to respond to the stimulus, In this case, the blood vessels in the skin vasodilate, allowing more blood flow to the skin surface and increasing heat loss through sweating, resulting in a lower body temperature. This feedback mechanism is an example of negative feedback because it opposes the stimulus. When the body temperature rises, the feedback mechanism works to lower it back to the set point. If the body temperature drops below the set point, the feedback mechanism works to increase it. The negative feedback mechanism is critical to maintaining the body’s internal environment in a stable state and ensuring that bodily processes function correctly. 3)
The process of fetal delivery is a coordinated effort between three key components receptors, control center, and effectors. When the head of the fetus pushes against the cervix, receptors in the cervix detect this pressure and transmit nerve impulses to the brain, which serves as the control center. The brain then stimulates the pituitary gland to release oxytocin, which acts as the effector by stimulating uterine contractions. These contractions help push the fetus toward the cervix, which is necessary for delivery. This positive feedback loop ensures that the contractions become stronger and more frequent until the baby is born. This coordinated effort is an amazing example of the body’s ability to regulate itself and ensure successful delivery. 4) Fever is a natural response of the body to infection, inflammation, or injury, where pyrogens are the stimuli that trigger temperature-sensing receptors in the hypothalamus, which acts as the control center for fever. The hypothalamus then sends signals to effectors, such as the muscles and blood vessels, to increase body temperature, which is an example of positive feedback. Once the infection or inflammation is under control, negative feedback is activated to decrease body temperature and restore the body’s normal temperature.
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Explain how healthcare reform has helped shift the focus from a disease-oriented healthcare system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. with reference
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You are the leader of a project to transition to a new laboratory management software system and to complete integration with the current electronic health record. Meetings and planning involved administration, nursing, and information technology.
The administration pressured the team to finish the project quickly. Consequently, there was a minimal collaboration between departments to meet deadlines, conduct testing, and deliver training.
After the system was implemented, the lab manager contacted the chief nursing informatics officer to say the orders are not matching between the systems.
The staff is avoiding using the new system, reverting to paper. Some of the hardware is not compatible with the new system.
Identify two strategies based on project management methodologies that you will apply to communicate the value of project management methodology in this plan.
Identify three key performance indicators (KPIs) that can be defined for the beginning of this project and explain your rationale.
Explain how communicating KPIs as SMART goals in SMART format may affect the perception of the change.
In the remainder of the presentation (after the introduction), complete the following for your change management plan:
Identify the issues in the scenario.
Identify the stakeholders of the change management plan.
Assess the current state and future state in the scenario.
Define success through the defined KPIs.
Propose a change management method to address each issue in the scenario.
Describe the anticipated outcome for each method you propose to use and explain why you predict each outcome.
Describe a communication plan to articulate the change and the change management plan successfully.
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Z.K. will begin therapy for human immunodeficiency virus (HIV) infection. What drugs may be prescribed and why? What would you teach the patient about these drugs and what would be some adverse effects of these drugs? Scenario #4 Eric is admitted for acute confusion and has a history of alcohol abuse. Lactulose is listed on the patient’s MAR. However, Eric is having regular bowel movements. As a nurse, you ask yourself, “Why is lactulose ordered for this patient?”
How would you address this concern?
What will you assess for? Explain your answer.
Scenario #5
Lynn takes sucralfate for gastric ulcers. She states that she takes her medication with food; however, she still experiences severe abdominal pain after her meals.
What is causing her abdominal pain?
How could this issue be resolved?
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Renal GU Progressive case study The nurse is admitting a 74-year-old female, KB, to the emergency department. She has a 4-day-long history of non-localized abdominal pain, incontinence, new-onset mental confusion, and lethargy.
Her most current vital signs are BP 82/38, HR 118 and irregular, RR 28, Temp 100.9 degrees, room air oxygen saturation 89%.
PMH:
Renal calculi
CHF with an EF of 28%
s/p MI with stent in 5/2020
Afib
HTN
DM 2
Height: 5’8″
Weight: 220 lbs
Allergies: Sulfa drugs, Codeine
Serum Lab review:
Bun 38 mg/dL
Creat 4.2 mg/dL
GFR: 25 ml/min/1.73m2
Sodium: 114 mEq/L
Potassium: 7.1 mEq/L
Glucose: 320 mg/dL
White Blood Cells: 15,000/mm3
Hct: 48%
Hgb: 18g/dL
Platelet: 180,000/mm3
Urinalysis:
Appearance: dark amber, cloudy with sediment
Ph 6.9
Specific Gravity: 1.026
Protein: Moderate
Nitrates: Positive
WBC’s: many
RBC’s: many
Current Medications:
Aspirin, 81mg PO, QD
Plavix, 75mg PO QD
Eliquis, 5mg, PO, QD
Digoxin, 0.25mg PO, QD
Atenolol, 100mg PO, BID
Lisinopril, 20mg PO, QD
Aldactone, 100mg PO, QD
Metformin, 500mg PO, BID
Sliding scale Regular Insulin AC
What are some medical problems that could be going on with KB, and what is the rationale?
What is your interpretation of the serum lab values, and why?
What is your interpretation of the urinalysis, and why?
Why do you think she is taking her current medication and why? Are there any medication you would expect to be changed at this time, on admission, why?
The health care provider (HCP) orders are as follows:
The health care provider (HCP) orders are as follows:
What is the rationale for this order and is it appropriate/safe?
Which are the top 3 priorities
Titrate O2 via NC to maintain O2 saturation greater than 92%
Morphine, 2mg IV push x1
NS @ 200ml/hr x 8 hours
Heparin IV drip: 850 units/hour
EKG
Regular insulin, 12 units, SC
KB had all orders implemented. She is admitted to the ICU. A KUB and CT scan were performed and a 4.5mm stone was located in the left kidney, a ECSL was performed. An indwelling Foley catheter was placed. Her BP continued to decline, and she was placed on blood pressure support medicine, intravenously.
Her BUN/Creat continued to increase (BUN 48, Creat 4.9) and GFR continued to decrease (GFR 12). A decision was made to place temporary dialysis catheters in the subclavian.
What do you think is happening?
How do you know?
What other nursing interventions would be implemented, and why?
Forty-eight hours later, KB’s status is unchanged. She continues to feel lethargic and has been receiving hemodialysis daily. Below is the current report from the night shift, items in red are new results.
PMH:
Renal calculi
CHF with an EF of 28%
s/p MI with stent in 5/2020
Afib
HTN
DM 2
Height: 5’8″
AdmissionWeight: 220 lbs
Current weight: 250lbs
Allergies: Sulfa drugs, Codeine
Serum Lab review:
Bun 52 mg/dL
Creat 5.2 mg/dL
GFR: 18 ml/min/1.73m2
Sodium: 114 mEq/L
Potassium: 6.1 mEq/L
Glucose: 120 mg/dL
White Blood Cells: 8,000/mm3
Hct: 28%
Hgb: 8 g/dL
Platelet: 180,000/mm3
Urinalysis:
Appearance: yellow with slight sediment
Ph 5.9
Specific Gravity: 1.013
Protein: Moderate
Nitrates: negative
WBC’s: none
RBC’s: none
Current Medications:
Aspirin, 81mg PO, QD
Plavix, 75mg PO QD
Eliquis, 5mg, PO, QD
Digoxin, 0.25mg PO, QD
Atenolol, 100mg PO, BID
Lisinopril, 20mg PO, QD
Aldactone, 100mg PO, QD
Metformin, 500mg PO, BID
Sliding scale Regular Insulin AC
Heparin, IV drip, titrate per PTT sliding scale
Procrit 3,000 units/ml three times/week
Lasix, 40mg PO, BID
Aluminum hydroxide (Amphojel), 25mg PO, AC
NS @ 75ml/hr
Vancomycin, 1g, IV QD
Coumadin, 5mg, PO QD
Why are the lab values and current weight important?
Why do you think changes were made in the client’s medications?
KB remained in the hospital and slowly her status improved. Unfortunately, her kidneys will not recover. You are providing discharge teaching with the client and her daughter. You prepared a discharge teaching packet, knowing renal failure is a new diagnosis for her.
What do you include, and why?
Below are the discharge medications. Provide brief patient education on the 4 new medications.
Dischage Medications:
Aspirin, 81mg PO, QD
Plavix, 75mg PO QD
Digoxin, 0.25mg PO, QD
Atenolol, 100mg PO, BID
Metformin, 500mg PO, BID
Sliding scale Regular Insulin AC
Procrit 3,000 units/ml three times/week during dialysis
Lasix, 40mg PO, BID
Aluminum hydroxide (Amphojel), 25mg PO, AC
Coumadin, 5mg, PO QD
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A 38-year-old female with a past medical history of significant lupus erythematosus (SLE) and hypertension, presents to her Primary Care Physician (PCP) for a wellness visit. On physical exam, she is in no distress, VS BP 160/80mmHg (normally takes metoprolol and lisinopril but forgets from time to time) HR 80bpm RR 20/min.
Laboratory results show Hgb 14g/dl, WBC 5.0k, Platelets 160K, Cr. 1.80, eGFR 48ml/min. She denies fevers and chills. Denies diarrhea. The patient is concerned about her elevated Cr and asks the PCP a few questions.
Q1: Compare the etiology of Acute and Chronic Kidney Disease.
Q2: Describe the mechanism for Acute Kidney Injury in Acute Tubular Necrosis.