Category: Clinical Nursing & Patient Care

  • [Solved] Reply for discussion of Disease Prevention and Management: Hypertension

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    1. Create a Reply for this discussion also add some references. Plagiarism less than 20 % **Disease Prevention and Management: Hypertension** Hypertension is a major cause of critical conditions such as stroke, myocardial infarction and renal failure. It remains asymptomatic and thus called “silent…

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    1. Create a Reply for this discussion also add some references. Plagiarism less than 20 %

    **Disease Prevention and Management: Hypertension**

    Hypertension is a major cause of critical conditions such as stroke, myocardial infarction and renal failure. It remains asymptomatic and thus called “silent killer”. Besides medications, lifestyle modifications act as necessary adjunctive treatments. These lifestyle modifications include effective stress management and following suitable diet such as DASH (Dietary Approaches to Stop Hypertension) diet.

    **Non-Pharmacological/Lifestyle Modification Approaches**

    **Stress Management**

             Chronic stress is a major contributing factor causing hypertension. Constantly increased stress levels lead to high cortisol and adrenaline levels which cause vasoconstriction of blood vessels. These stress hormones also keep the blood pressure elevated.

             Management of stress positively impacts hypertension management. Stress management techniques such as meditation, deep breathing and yoga help patients cope with stress and also improve cardiovascular health. Research by F. Zhang et al. shows that in hypertensive patients, mindfulness-based stress reduction (MBSR) programs have been shown to reduce systolic blood pressure by an average of 4.8 mmHg F. Zhang et al. (2021).

    **DASH (Dietary Approaches to Stop Hypertension) diet**

             Heart healthy diets have proven to be very effective for the management of cardiac disorders such as hypertension and heart failure. A prolonged study on DASH diet has given positive results in managing hypertension Onwuzo et al. (2023). This diet involves eating more of vegetables, fruits, whole grains, lean proteins and reducing sodium and saturated fats. People are encouraged to replace processed foods with fresh foods to lower their exposure to salt and unhealthy fats. Reducing sodium intake to less than 2,300 mg per day lowers systolic blood pressure by 5-6 mmHg (Onwuzo et al., 2023). In addition to lowering sodium intake, increasing potassium intake and consuming potassium rich foods such as bananas and spinach have relaxing effect of blood vessels. (Onwuzo et al., 2023).

    **Impact on disease pathophysiology**

             The above-mentioned lifestyle measures impact hypertension pathophysiology by:

          1. Reducing stress hormones and thus reducing vascular resistance.

          2. Reducing sodium causing decreased extracellular fluid volume leading to lower blood pressure.

    **Role of Nursing**

             Nurses educate their patients about healthy diets and lifestyles to promote heart health. They are also equipped to provide education on stress management techniques. In addition to that, nurses monitor blood pressures regularly and identify hypertensive patients early in the disease course to prevent further complications. Follow up of medications is also done by nurses to ensure that patients stick to evidence-based treatments.

    **Conclusion**

             In conclusion, lifestyle modifications are as necessary as medications in the management of hypertension. Stress management and heart healthy diets are major components of hypertension management. Nurses are pivotal in empowering patients to adopt these changes through education, support, and individualized care plans.

    **References**

    Onwuzo, C., O Olukorode, J., Omokore, O. A., Odunaike, O. S., Omiko, R., Osaghae, O. W., Sange, W., Orimoloye, D. A., Kristilere, H. O., Addeh, E., Onwuzo, S., & Omoragbon, L. (2023). DASH Diet: A review of its scientifically proven hypertension reduction and health benefits. Cureus. https://doi.org/10.7759/cureus.44692

    Zhang, F., Zhang, Y., Jiang, N., Zhai, Q., Hu, J., & Feng, J. (2021). Influence of mindfulness and relaxation on treatment of essential hypertension: Meta-Analysis. Journal of Healthcare Engineering, 2021, 1–7. https://doi.org/10.1155/2021/2272469

    – 2 years ago

  • [Solved] psychological mindmap

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    a mindmap on psychological disorder – 2 years ago **files (1)** – ## pathophysiology.docx **## pathophysiology.docx** Select one of the possible topics provided and complete the MindMap. In this exercise, you will complete a Mind Map to gauge your understanding of this week’s content. Select one of …

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    a mindmap on psychological disorder

    – 2 years ago

    **files (1)**

    – ## pathophysiology.docx

    **## pathophysiology.docx**

    Select one of the possible topics provided and complete the MindMap.

    In this exercise, you will complete a Mind Map to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap assignment.

    · Generalized anxiety disorder

    · Depression

    · Bipolar disorders

    · Schizophrenia

    · Delirium and dementia

    · Obsessive compulsive disease

    Describe the Pathophysiology and Etiology of the primary diagnosis. List risk factors related to the primary diagnosis.

    · A thoroughly completed MindMap with a selected topic was submitted. The response accurately and thoroughly describes in detail the pathophysiology at the cellular level and shows understanding of the primary diagnosis. The response accurately and thoroughly identifies etiology for the diagnosis and lists appropriate risk factors.

    What are the patient’s signs and symptoms for this diagnosis? How does the diagnosis impact other body systems and what are the possible complications?

    · The response accurately and thoroughly describes in detail the patient's signs and symptoms for this diagnosis. The response accurately and thoroughly describes in detail how this diagnosis might impact other body systems and their possible complications.

    What diagnostic tests or labs would you order to confirm the primary diagnosis?

    · The response accurately and thoroughly describes in detail the diagnostic tests and labs to order for primary diagnosis and are appropriately linked within the Mind map.

    What treatment options would you consider? Include possible referrals and medications.

    · The response accurately and thoroughly describes in detail the treatment options they would consider. The response accurately and thoroughly describes potential referrals and medications.

    This criterion is linked to a Learning OutcomeResources and Mind map formatting/writing

    · The response is articulate with demonstration of advanced terms and knowledge in writing style with no grammatical or spelling errors. Appropriate electronic mind mapping format. Reference list included with at least two research articles that are within last 5 years. Research articles are also cited and linked within mind map.

    **## pathophysiology.docx**

    Select one of the possible topics provided and complete the MindMap.

    In this exercise, you will complete a Mind Map to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap assignment.

    · Generalized anxiety disorder

    · Depression

    · Bipolar disorders

    · Schizophrenia

    · Delirium and dementia

    · Obsessive compulsive disease

    Describe the Pathophysiology and Etiology of the primary diagnosis. List risk factors related to the primary diagnosis.

    · A thoroughly completed MindMap with a selected topic was submitted. The response accurately and thoroughly describes in detail the pathophysiology at the cellular level and shows understanding of the primary diagnosis. The response accurately and thoroughly identifies etiology for the diagnosis and lists appropriate risk factors.

    What are the patient’s signs and symptoms for this diagnosis? How does the diagnosis impact other body systems and what are the possible complications?

    · The response accurately and thoroughly describes in detail the patient's signs and symptoms for this diagnosis. The response accurately and thoroughly describes in detail how this diagnosis might impact other body systems and their possible complications.

    What diagnostic tests or labs would you order to confirm the primary diagnosis?

    · The response accurately and thoroughly describes in detail the diagnostic tests and labs to order for primary diagnosis and are appropriately linked within the Mind map.

    What treatment options would you consider? Include possible referrals and medications.

    · The response accurately and thoroughly describes in detail the treatment options they would consider. The response accurately and thoroughly describes potential referrals and medications.

    This criterion is linked to a Learning OutcomeResources and Mind map formatting/writing

    · The response is articulate with demonstration of advanced terms and knowledge in writing style with no grammatical or spelling errors. Appropriate electronic mind mapping format. Reference list included with at least two research articles that are within last 5 years. Research articles are also cited and linked within mind map.

  • [Solved] Population Health – Subsystems

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    – [\ \ Screenshot17.png](https://www.sweetstudy.com/files/screenshot17-png-10161529 "Screenshot17.png") – 2 years ago

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    – 2 years ago

  • [Solved] Population Health – Community Level Interventions

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    – 2 years ago

  • [Solved] Pharmacological case study Women’s and Men’s Health, and Ear, Eyes, and Skin

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    **Women’s and Men’s Health, and Ear, Eyes, and Skin** – 2 years ago **files (1)** – ## casestudypharmacology.docx **## casestudypharmacology.docx** Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases …

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    **Women’s and Men’s Health, and Ear, Eyes, and Skin**

    – 2 years ago

    **files (1)**

    – ## casestudypharmacology.docx

    **## casestudypharmacology.docx**

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    Please use the following
    **Case Studies** to complete your Assignment for this week.

    **Directions:** For each of the scenarios below, answer the questions below using your required learning resources, clinical practice guidelines, and medscape. Explain the problem and explain how you would address the problem. When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications. Use at least 3 sources for each scenario and cite sources using APA format.

    SCENARIO 1

    RT is a 34-year-old pregnant female at 20 weeks gestation. She presents to the clinic with painful urination, increased urge to urinate, and fatigue. A urine dipstick test is positive for a UTI and she is started on doxycycline 100 mg po BID x 7 days. Current medications include labetalol 100 mg po BID, fluoxetine 20 mg po daily, and valacyclovir 500 mg po daily. She has no drug allergies. Labs include Hgb 12.5, HCT 37%, K 3.9, glucose 78, BUN 9, Cr 0.7 Her blood pressure is 130/75 mmHg. What treatment plan would you implement for RT (include complete medication order)? What patient education would you provide and how would you monitor drug therapy? Do pregnant patients have increased or decreased blood plasma volume?

    SCENARIO 2

    GP is a 21-year-old female presenting with thick white, odorless vaginal discharge and itching for 3 days. She is sexually active and has had unprotected sex with a new male partner for the last month. Current medications include ethinyl estradiol/norgestrel 30 mcg/0.3 mg po daily and alprazolam 2 mg po TID prn. This patient is allergic to sulfa drugs. What medication would you prescribe for this patient (include complete medication order)? How long should GP abstain from sexual activity? What patient education would you provide? What possible drug interactions exist?

    SCENARIO 3

    LW is a 66-year-old male seen in the clinic today. He presents with extreme fatigue, brain fog, minor sore throat and temperature of 100.8. He reports that symptoms began two days ago with a sore throat and have progressively worsened. He also mentions loss of appetite. Oxygen sat 96%, respiratory rate 18, bp 130/80. His rapid COVID-19 antigen test is positive. Chest x-ray is clear, no signs of pneumonia. What treatment plan would you implement for LW (include complete medication order)? What education would you provide? Discuss one potential drug interaction and how you would manage it.

    SCENARIO 4

    FS is a 35-year-old female trying to conceive with a medical history of PCOS. Her labs today show a MCV 77, MCHC 26, Ferritin 9, TIBC 415, BG 90 mg/dL, A1C 5% Current medications include metformin 500 mg po BID and a B vitamin complex. What treatment plan would you implement for FS? Why is this patient on metformin? How would you monitor this patient’s response to the medication? What patient education would you provide?

    To Prepare:

    Review the case study posted in “Announcements” by your Instructor for this Assignment

    Review the information provided and answer questions posed in the case study

    When recommending a medication, write out a complete prescription for the medication

    Whenever possible, use clinical practice guidelines in developing your answers when possible

    Include at least three references to support your answer and cite them in APA format.

    Scenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    · Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    · Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    · References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    **## casestudypharmacology.docx**

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    Please use the following
    **Case Studies** to complete your Assignment for this week.

    **Directions:** For each of the scenarios below, answer the questions below using your required learning resources, clinical practice guidelines, and medscape. Explain the problem and explain how you would address the problem. When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications. Use at least 3 sources for each scenario and cite sources using APA format.

    SCENARIO 1

    RT is a 34-year-old pregnant female at 20 weeks gestation. She presents to the clinic with painful urination, increased urge to urinate, and fatigue. A urine dipstick test is positive for a UTI and she is started on doxycycline 100 mg po BID x 7 days. Current medications include labetalol 100 mg po BID, fluoxetine 20 mg po daily, and valacyclovir 500 mg po daily. She has no drug allergies. Labs include Hgb 12.5, HCT 37%, K 3.9, glucose 78, BUN 9, Cr 0.7 Her blood pressure is 130/75 mmHg. What treatment plan would you implement for RT (include complete medication order)? What patient education would you provide and how would you monitor drug therapy? Do pregnant patients have increased or decreased blood plasma volume?

    SCENARIO 2

    GP is a 21-year-old female presenting with thick white, odorless vaginal discharge and itching for 3 days. She is sexually active and has had unprotected sex with a new male partner for the last month. Current medications include ethinyl estradiol/norgestrel 30 mcg/0.3 mg po daily and alprazolam 2 mg po TID prn. This patient is allergic to sulfa drugs. What medication would you prescribe for this patient (include complete medication order)? How long should GP abstain from sexual activity? What patient education would you provide? What possible drug interactions exist?

    SCENARIO 3

    LW is a 66-year-old male seen in the clinic today. He presents with extreme fatigue, brain fog, minor sore throat and temperature of 100.8. He reports that symptoms began two days ago with a sore throat and have progressively worsened. He also mentions loss of appetite. Oxygen sat 96%, respiratory rate 18, bp 130/80. His rapid COVID-19 antigen test is positive. Chest x-ray is clear, no signs of pneumonia. What treatment plan would you implement for LW (include complete medication order)? What education would you provide? Discuss one potential drug interaction and how you would manage it.

    SCENARIO 4

    FS is a 35-year-old female trying to conceive with a medical history of PCOS. Her labs today show a MCV 77, MCHC 26, Ferritin 9, TIBC 415, BG 90 mg/dL, A1C 5% Current medications include metformin 500 mg po BID and a B vitamin complex. What treatment plan would you implement for FS? Why is this patient on metformin? How would you monitor this patient’s response to the medication? What patient education would you provide?

    To Prepare:

    Review the case study posted in “Announcements” by your Instructor for this Assignment

    Review the information provided and answer questions posed in the case study

    When recommending a medication, write out a complete prescription for the medication

    Whenever possible, use clinical practice guidelines in developing your answers when possible

    Include at least three references to support your answer and cite them in APA format.

    Scenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    · Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    Scenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    · Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    Scenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    · References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

  • [Solved] nus 514 discussion 2

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    – 2 years ago **files (1)** – ## nurs514discussion2.docx **## nurs514discussion2.docx** After studying [Module 2: Lecture Materials & Resources](https://stu.instructure.com/courses/43379/pages/module-2-lecture-materials-and-resources), discuss the following: · Focusing on women's health: · Name and …

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    – 2 years ago

    **files (1)**

    – ## nurs514discussion2.docx

    **## nurs514discussion2.docx**

    After studying
    [Module 2: Lecture Materials & Resources](https://stu.instructure.com/courses/43379/pages/module-2-lecture-materials-and-resources), discuss the following:

    · Focusing on women's health:

    · Name and describe the components and rationale of the gynecological health history.

    · Define and describe each component of the GTPAL system used to document pregnancy history.

    · Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what screening recommendations would you do to G.R. a 66-year-old female patient who visits you at the office for the first time (last visit to her PCP 5 years ago) with only positive health history of hysterectomy 10 years ago due to fibroids.

    · A 35-year-old women with a BMI of 40 comes in asking about combined hormonal contraception’s. You explain the contraindications for hormonal contraception include (name more than 4 contraindications).

    **Submission Instructions:**

    · Include at least two references in your post.

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## nurs514discussion2.docx**

    After studying
    [Module 2: Lecture Materials & Resources](https://stu.instructure.com/courses/43379/pages/module-2-lecture-materials-and-resources), discuss the following:

    · Focusing on women's health:

    · Name and describe the components and rationale of the gynecological health history.

    · Define and describe each component of the GTPAL system used to document pregnancy history.

    · Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what screening recommendations would you do to G.R. a 66-year-old female patient who visits you at the office for the first time (last visit to her PCP 5 years ago) with only positive health history of hysterectomy 10 years ago due to fibroids.

    · A 35-year-old women with a BMI of 40 comes in asking about combined hormonal contraception’s. You explain the contraindications for hormonal contraception include (name more than 4 contraindications).

    **Submission Instructions:**

    · Include at least two references in your post.

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • [Solved] Nursing see below Ro week 3 assignment

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    see below Ro week 3 assignment – 2 years ago

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    see below Ro week 3 assignment

    – 2 years ago

  • [Solved] help with discussion

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    Professional nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current, quantitative scholarly article related to your PICOT question. Appraise the article using the General Appraisal Overview for All Studies Tool (Melnyk & Fineout…

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    Professional nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current, quantitative scholarly article related to your PICOT question. Appraise the article using the General Appraisal Overview for All Studies Tool (Melnyk & Fineout-Overholt, 2023, Appendix C; see also Box 6.1 in Chapter 6). Summarize your appraisal of the article in your own words.

    – [\
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    – 2 years ago

  • [Solved] slide discussion

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    In-depth study guidance and analytical solution covering slide discussion.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] week 3

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    read the outline and attached pdf's – 2 years ago

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    read the outline and attached pdf's

    – 2 years ago