Overweight and health-related risks

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A 5-year-old girl of normal weight with obese parents. How would you manage the child’s overweight and health-related risks by assessing her obese parents?

Include the following:

An explanation of the health issues and risks that are relevant to the child you were assigned

Describe additional information you would need in order to further assess his or her parents weight-related health

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health.

Think about how you could gather this information in a sensitive fashion. Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

The molecular mechanisms

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Obstructive Uropathy & APSGN

 

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

 

This summary should cover TWO TOPICS: Acute Post-Streptococcal Glomerulonephritis (APSGN)& Obstructive Uropathy.

 

Acute Post-Streptococcal Glomerulonephritis (APSGN):  IN PEDIATRIC PATIENTS

  1. Etiology:

Group A beta-hemolytic streptococcal infection followed by an autoimmune reaction.

  1. Pathogenesis:

The molecular mechanisms of the steps that follow the strept. Infection and leads to the development of glomerulonephritis as an autoimmune disorder.

  1. Clinical Picture:

Signs and symptoms of the condition and possible complications.

  1. Diagnosis:

Lab and other tests used to diagnose the condition.

 

Obstructive Uropathy:

  1. Etiology:

Talk about all the different causes that obstruct the urinary tract (stones, strictures, tumors, BPH)

Then focus on STONES & BPH

  1. Pathogenesis:

Talk about types of stones and the risk factors of developing these different types of stones.

Talk about BPH and the cellular/molecular mechanisms involved in the development of this condition

  1. Clinical Picture:

Signs & symptoms of urinary tract stones and BPH as well as their complications

  1. Diagnosis:

Labs & other tests to diagnose these two obstructive uropathy disorders

  1. The pathophysiologic rationale of treatment:

Especially for meds used for BPH

Please see the instructions attached. This is the textbook 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

Global Burden of Disease

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Review the Summary WHO: Global Health Estimates (GHE) (portion at the end of this lesson’s readings. This summary has 15 key results listed from the Global Burden of Disease Study of 2010. Choose one of these findings that is of particular interest to you or you find applicable to your literature review topic. After you have chosen a specific finding, address the current status of this condition utilizing this website:

https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates )

Indicate the changes we have seen with this health concern. Have rates increased or decreased? Are the changes positive or negative? Provide reasoning for these changes and or differences from not only referencing the World Health Organization website provided, but other valid and reliable resources that support/address the current status of this health topic. Pay attention as to how these additional resources could be utilized towards your literature review topic as well. List all additional resources at the end of your post for others to review upon reading your post.

I don’t have a list of findings I only have this link to use. Please help me

Nursing protocol regarding patient care

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Assignment:

For this assignment, you are given a real-world scenario as follows:

The Medical Director has assigned the Director of Nursing (DON) for the local health department to develop a plan to handle an emergency plan with the local long-term care facility (LTCF). She will serve on a team with the health department emergency preparedness coordinator and the epidemiologist. Neither the DON nor the medical director has been in their current positions for more than six months.

  • The DON has resided in the area for several years, had worked at the local hospital for three years before obtaining her current position.
  • The medical director came from another health department in another state. He had been involved in a hurricane that impacted the local nursing home where two patients died due to a foodborne outbreak.
  • The emergency preparedness coordinator is experienced and works with the state-level emergency preparedness team.
  • The epidemiologist has lived in the area for 20 years and has been the epidemiologist for over 15 years at this health department.
  • The nurse is assigned to develop a nursing protocol regarding patient care to be included in the disaster plan coordinating agreement between the LTCF and the health department.

 

The health department team will work with representatives from the LTCF nursing department.

 

Use the following template to develop this policy/protocol:

  • Designated authority.
  • Describe the problem. List the proposed nursing diagnosis.
  • Background: Introduce the business case for why developing this protocol is necessary. Provide the data and information to support the protocol.
  • Identify other persons needed to serve on this team from both the LTCF and the health department.
  • Generate a list of what information about the nursing care facility is needed to develop this plan and delineate assignments to the appropriate persons.
  • Objectives: Delineate one to three objectives for this plan. Make sure the objectives are in behavioral terms, are measurable, and realistic. Include timeframes.
  • Proposed Interventions: Develop a comprehensive list of action steps for both the LTCF and the health department to be included in this plan.
  • Expected Benefits: Describe the expected benefits and outcomes of the interventions taken.
  • Audit and evaluation: Describe how the outcomes will be evaluated. Propose what and how pertinent audit findings will be used to evaluate the success of the plan. Describe how ongoing monitoring and review of the strategies will be done.
  • Keep statements succinct, clear, and without opinions.

Impact of psychiatric-mental health problems

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I need suggestions for a treatment plan for a 10-year-old boy with Autism spectrum disorder. Since age 5 he has been on three medications: Vyvanse 80mg PO Qam, Adderall 10mg PO Q afternoon, and Trazodone 50mg PO Qhs. Now he has new complaints of generalized anxiety, insomnia, and fears that he will die. He is also critical of himself and gets upset when he gets less than 100in exams. He is obsessed with perfection. What are the Impact of psychiatric-mental health problems from a family and social perspective

Eating disorders

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After viewing the video: https://www.youtube.com/watch?v=0SRmccgFIs8, Share your initial impressions

    • Describe what information in the video surprised you.
    • Detail any eating disorders you were not aware of prior to viewing this video.
  • Share a personal story about someone you know that has an eating disorder.
    • What is the eating disorder?
    • What were the symptoms and treatment?
    • How does the individual manage the disorder?
  • Share your thoughts on what may have caused the eating disorder. Be sure to justify your thoughts using at least one external source.
  • Describe how you would discuss this with someone you suspected had the disorder.

please provide a reference

Plyometric training for performance enhancement

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Provide an explanation of plyometric training for performance enhancement, including the goal of plyometrics, the mechanisms involved, and training variables to consider. Identify and properly explain how to perform one (1) upper-body and one (1) lower-body plyometric exercise.

Approaches of nursing leaders and managers to issues in practice

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Instructions
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Respiratory tract infections

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A 32-year-old white female presents to Urgent Care with complaints of blurry vision and “fuzzy thinking” which has been present for the last several weeks. She works as an executive for an insurance company and puts her symptoms down to the stress of preparing the quarterly report.

Today, she noticed that her symptoms were worse and were accompanied by some fine tremors in her hands. She has been having difficulty concentrating and has difficulty voiding. She remembers her eyes were bothering her a few months ago and she went to the optometrist, who recommended reading glasses with a small prism to correct double vision. She admits to some weaknesses as well.

No other complaints of fevers, chills, upper respiratory tract infections, or urinary tract infections. Past medical and social history is non-contributory. The physical exam is significant for the 4th cranial nerve palsy. The fundoscopic exam reveals oedema of the right optic nerve causing optic neuritis. Positive nystagmus on positional maneuvers.

There are left visual field deficits. There was short-term memory loss with the listing of familiar objects. The APRN tells the patient that she will be referred to a neurologist due to the high index of suspicion for multiple sclerosis (MS).

Question:

What is multiple sclerosis and how did it cause the above patient’s symptoms? 

The coup-contrecoup mechanism of injury

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A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. EMS on the scene noted a stellate fracture of the windshield on the passenger side.

The patient was non-responsive at the scene when the paramedics arrived, and his pupils were unequal with the left pupil larger and sluggish to react to light. He was placed in a hard-cervical collar per the protocol and log rolled onto a long backboard.

He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 78% on room air. He was intubated at the scene for airway protection and transported to a Level 1 trauma center. Glasgow Coma Scale=3

After a full trauma workup, the patient was diagnosed with an isolated traumatic brain injury with acute subdural hematoma secondary to the coup-contrecoup mechanism of injury.

He was emergently taken to the operating room for craniotomy after which he was taken to the Intensive Care Unit (ICU) for close monitoring. He had an intracranial bolt for measurements of his intracranial pressure (ICP).

Question:

Explain the differences between primary and secondary traumatic brain injuries (TBIs)? 

The APRN is called by the ICU staff because the patient’s ICP has risen to 22 mmHg. The APRN recognizes the urgent need to lower the ICP. The APRN institutes measures to decrease the ICP and increase the cerebral perfusion pressure (CPP). What are the factors that determine CPP?