My Blog

Tag: Care Plans

  • [Solved] ihuman Reflection

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    ## Case: Problem Statement This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physi…

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    ## Case: Problem Statement

    This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

    ## Case: Management Plan

    **Pharmacologic Care:**

    – Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias
    – Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs; maximum dose 6 doses daily pr cough

    **Supportive Care:**

    – Increase fluid intake
    – Rest – no class attendance – school note provided for 48 hours
    – Marvin Webster Jr i-Human Patients Case Study

    **Patient Education:**

    – Offered education on the diagnosis and treatments provided
    – Educated patient that oseltamivir is not indicated given timeline since symptom onset

    **Follow-Up/Disposition:**

    – Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops
    – At future visit, address vaccination status – encourage flu vaccine and COVID booster
    – Marvin Webster Jr i-Human Patients Case Study

    – [\
    \
    ihumanReflection1.docx](https://www.sweetstudy.com/files/ihumanreflection1-docx "ihumanReflection1.docx")
    – [\
    \
    report.pdf](https://www.sweetstudy.com/files/report-pdf-10156655 "report.pdf")
    – [\
    \
    Week2Rubric.docx](https://www.sweetstudy.com/files/week2rubric-docx-10156657 "Week2Rubric.docx")

    – 2 years ago

  • [Solved] HEALTH D2

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    In-depth study guidance and analytical solution covering HEALTH D2.

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  • [Solved] HEALTH D1 REPLIES

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    In-depth study guidance and analytical solution covering HEALTH D1 REPLIES.

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  • [Solved] HA D2R Case 3

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  • [Solved] Nursing ESTEF-ASSIGNMENT

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    SEE ATTACHED DOCUMENT FOR INSTRUCTIONS DUE DATE JANUARY 17, 2025 NO MORE THAN 10% PLAGIO ALLOWED – 2 years ago **files (1)** – ## INSTRUCTIONS.pdf **## INSTRUCTIONS.pdf** CASE: A 75-year-old man with a history of hypertension, diabetes, and environmental allergies, presents to the office with a comp…

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    Assignment Prompt & Instructions

    SEE ATTACHED DOCUMENT FOR INSTRUCTIONS

    DUE DATE JANUARY 17, 2025

    NO MORE THAN 10% PLAGIO ALLOWED

    – 2 years ago

    **files (1)**

    – ## INSTRUCTIONS.pdf

    **## INSTRUCTIONS.pdf**

    CASE:
    A 75-year-old man with a history of hypertension, diabetes, and
    environmental allergies, presents to the office with a complaint of
    persistent dry hacking cough that does not improve with over-the-
    counter treatment with antitussives and allergy medications. The
    man reports that he has had the cough for 3 months and is tired
    of the coughing spells he experiences. His medical history reveals
    that he started taking lisinopril 6 months before this appointment,
    has taken an over-the-counter allergy medication for several
    years, and his blood pressure today is 150/92. Other medications
    include metformin XR 500 mg daily, aspirin 81 mg once daily, and
    loratadine 10 mg daily. The physical exam is negative for any
    issues other than his mild neuropathy from long-term diabetes.
    The cough is noted to be dry and hacking as the patient has
    described. The man is not in acute distress.

    • What questions would have been asked as part of the
    medical history?

    • What physical aspects would have been completed as
    part of the physical exam?

    • Based on the medical history and physical exam, what
    is the most likely cause of his cough?

    • What other possible diagnoses should be considered?
    • Are there any other tests that should be completed

    before producing a diagnosis? Why or why not?
    • What is the treatment for this patient, including

    education?
    • Research: (APA Assignment), Title Page, Introduction,

    Headings. Citations and references page is required.
    • Length: A minimum of 3 pages, not including references
    • Citations: At least two high-level scholarly references in

    APA from within the last 5 years.
    • No PLAGIARISM more than 10% can be accepted
    • DUE DATE JANUARY 17, 2025

    **## INSTRUCTIONS.pdf**

    CASE:
    A 75-year-old man with a history of hypertension, diabetes, and
    environmental allergies, presents to the office with a complaint of
    persistent dry hacking cough that does not improve with over-the-
    counter treatment with antitussives and allergy medications. The
    man reports that he has had the cough for 3 months and is tired
    of the coughing spells he experiences. His medical history reveals
    that he started taking lisinopril 6 months before this appointment,
    has taken an over-the-counter allergy medication for several
    years, and his blood pressure today is 150/92. Other medications
    include metformin XR 500 mg daily, aspirin 81 mg once daily, and
    loratadine 10 mg daily. The physical exam is negative for any
    issues other than his mild neuropathy from long-term diabetes.
    The cough is noted to be dry and hacking as the patient has
    described. The man is not in acute distress.

    • What questions would have been asked as part of the
    medical history?

    • What physical aspects would have been completed as
    part of the physical exam?

    • Based on the medical history and physical exam, what
    is the most likely cause of his cough?

    • What other possible diagnoses should be considered?
    • Are there any other tests that should be completed

    before producing a diagnosis? Why or why not?
    • What is the treatment for this patient, including

    education?
    • Research: (APA Assignment), Title Page, Introduction,

    Headings. Citations and references page is required.
    • Length: A minimum of 3 pages, not including references
    • Citations: At least two high-level scholarly references in

    APA from within the last 5 years.
    • No PLAGIARISM more than 10% can be accepted
    • DUE DATE JANUARY 17, 2025

  • [Solved] Wk 8 pap ay

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    – _Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?_ – _Who is your target population?_ – _What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?_ – _What is your role a…

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    Assignment Prompt & Instructions

    – _Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?_
    – _Who is your target population?_
    – _What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?_
    – _What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?_
    – _What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?_
    – _Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?_

    – 2 years ago

  • [Solved] Pediatric Primary Care Foundation

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    You see a child whose family believes in natural therapy for illnesses (e.g., diet therapy, massage, heat treatments). How will you incorporate the family’s beliefs into the treatment of a child with an acute upper respiratory infection? With leukemia? – Your initial post should be at least 500 word…

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    You see a child whose family believes in natural therapy for illnesses (e.g., diet therapy, massage, heat treatments).

    How will you incorporate the family’s beliefs into the treatment of a child with an acute upper respiratory infection? With leukemia?

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

    – 2 years ago

  • [Solved] public health

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    Discover which agencies, in your state, are responsible for the public health of citizens? – 2 years ago

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    Discover which agencies, in your state, are responsible for the public health of citizens?

    – 2 years ago

  • [Solved] Create a discussion using APA 7 format, and scholarly references no older than 5 years

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    Create a discussion of a minimum of 300 words with the following **Question: Does my patient have significant aortic stenosis?** A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several bloc…

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    Create a discussion of a minimum of 300 words with the following

    **Question: Does my patient have significant aortic stenosis?**

    A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.

    **Meds**

    aspirin

    digoxin 0.125 qd

    lisinopril 20 mg qd

    furosemide 20 mg qd

    KCl 10 mEq qd

    **PE**

    HR 90, regular

    PB 134/70

    **Labs**

    **chem 7:**

    Na 132

    K 5

    Cl 94

    HCO3 30

    BUN 18

    Cr 1.3

    CBC: notable for Hgb 14 g/dL (Hct 43%)

    **CV**

    RRR, normal S1 and S2

    No S3 but has S4

    2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.

    PMI is mildly enlarged and sustained

    **Neck**

    Carotid pulse is brisk.

    JVP flat

    Positive abdominojugular reflux

    **CXR**

    Xray shows cardiomegaly and mild vascular redistribution

    **ECG**

    Unchanged with an incomplete LBBB pattern

    **Clinical Diagnosis**

    Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).

    **Clinical Questions**

    Is this patient's worsening CHF due to significant aortic stenosis?

    Please elaborate why you think it may be aortic stenosis according to the patient's symptoms and how do you assess each symptom.

    – 2 years ago

  • [Solved] Dr R Judy Mark 310

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