Clinical Case Study Presentation: Gout

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You are to do a power point presentation using the following headings below. Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose and treat. Pictures are encouraged. You will be graded on professionalism and content.

Presentations must include a Slides with the following information.

·       TITLE (slide 1)

·       DESCRIPTION  (Patient information)  (slide 2 etc.. and so on)

·       EPIDEMIOLOGY

·       ETIOLOGY

·       RISK FACTORS

·       ASSOCIATED CONDITIONS

·       HISTORY

·       PHYSICAL EXAM

·       DIFFERENTIAL DIAGNOSIS

·       TESTS

·       TREATMENT

·       PROGNOSIS

·       REFERENCES

A6C12

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See attachments.

Week 7 Case Report

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Tutor MUST have a good command of the English language

These are two discussion questions

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

My project is CLABSI prevention

In this assignment, learners are required to write a case report. The report should demonstrate a depth and breadth of the knowledge and skills gained in the current course and potentially solve an identified real-world practice problem.

General Requirements:

Use the following information to ensure successful completion of the assignment: Use at      least two additional scholarly research sources published within the last 5 years. Provide citations and references      for all sources used. Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center. 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. Please refer to the      directions in the Student Success Center.

Directions:

Identify a particular real-world problem using a PICOT template that you have used in previous courses. Include the particular clinical setting and potential health/disease issue you will examine. Identify and fully describe the research that has taken place within the last 5 years.

Your case report must include the following: Introduction      with a problem statement. Brief      synthesized review. Description      of the case/situation/conditions. Proposed      solutions describing the validity      and reliability of the research you have read. Conclusion.

Worldview and Nursing Theory

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APA

Nursing

7 sources

No plagiarism, copy pasting or previously done work

12 hours from nowlease!

 

 

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.   Draft a 1,000 word paper in which you:
1 Describe an integrative worldview, “which attempts to reconcile rational thought and science with a spiritual sense of awe for the environment”, including the religious, spiritual, and cultural elements that you think most influence personal philosophy of practice and attitude towards patient care.
2 Choose a specific nursing theory (Sister Callista Roy’s View of Adaptation) and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
3 Finally, explain how the worldview and the nursing theory can assist in further developing future practice.You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.

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This job was done; overall it was a great job. However, the instructor wanted me to provide some information I missed. I just need to add some info, nothing is wrong with the piece.

Competence:

Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.

This is the instructor feedback: Criterion: Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue. Non-Performance

Does not recommend ways to expand the scope of interventions to target a critical health issue.

Faculty Comments:“

Your paper does not recommend ways to expand the scope of interventions to target a critical health issue. To earn a distinguished grade, you need to recommend evidence-based ways to expand the scope of interventions to target a critical health issue in terms of cost, efficiency and access, and effectiveness. You also need to classify the interventions as conventional or unconventional interventions.

For this part, refer back to current interventions, and then determine what else needs to be done in Hawaii to expand on these current practices in order to address obesity. Please reach out to the course tutor is you have any questions. 

SBIRT: Screening, Brief Intervention, and Referral to Treatment Presentation

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alcohol

  After you have chosen the addiction/problem, you are to research SBIRT training specific to that problem/addiction. Before starting to work on the presentation, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.

A WRITING BETWEEN 200-250 WORDS

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 POST YOUR PERSONAL GOAL STATEMENT HERE THAT INCLUDES THE CORRECT USAGE OF CONNECTORS SUCH AS:  SEMI-COLONS, COMMAS, COLONS, SUBORDINATING CONJUNCTIONS, CONJUNCTIVE ADVERBS, AND TRANSITIONAL DEVICES (ALSO CALLED CONJUNCTIVE ADVERBS).  YOUR WRITING SHOULD BE BETWEEN 200-250 WORDS IN TOTAL.   

Using health education and groups in the community

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provide a meaningful response to at least two of your peers’ posts by the end of the week. In your responses to your peers, you might offer a perceived roadblock to the individual’s ability to learn.

 

Peer # 1 Tamira Parker                          

1.An individual who has recently been diagnosed with lung cancer has a need for information about the stage of the cancer, treatment options, and odds of survival. This individual could use a lot of support during this rough time.

2. A family caring for an elderly individual with AD needs to learn positive coping mechanisms to deal with the family member, taking a break when they feel exhausted, and support groups. Support groups can help the patient and or family to meet other people that are going through the same exact thing.

3. A community in which adolescent cigarette smoking is on the risk adolescents need to be educated on the risks associated with smoking such as lung cancer and heart disease. If guidelines permit refer the adolescent to counseling to see if there is a possibility that smoking is secondary to another issue. Also refer adolescent to cessation programs if guidelines permit, if not discuss with parent and decide what is in the best interest of the child.

 

Peer #2 Samantha Pearce                           

An individual who has recently been diagnosed with lung cancer. Start off by informing the patient of the different type of treatment. Immunotherapy is a type of cancer treatment that works by boosting or activating your immune system, so it recognizes and kills cancer cells. Also, there are lots of active support groups for patients and family caregivers, so no one has to face a lung cancer diagnosis alone. Furthermore you would teach/inform the patient how to cope with these emotions by communicating with your friends and family members, expressing your thoughts in a journal and quitting smoking, eating right, staying physically active and managing your stress helps your body stay healthy.

A family caring for an elderly individual with Alzheimer’s disease. Teach the caregiver that they must understand how AD changes a person, learn how to cope with these changes. Make the home safe for the person with AD. Caregivers could also find out about helpful resources, such as websites.

A community in which adolescent cigarette smoking is on the rise. It is well known that tobacco use increases the risk for contracting a variety of diseases and health conditions, including lung, bladder, colorectal, esophageal, kidney, larynx, mouth, throat and other cancers, respiratory infections, diabetes, and coronary heart disease. A Campaign for an adolescent young girl is good to inform the public of these risks, combined with smoking legislation regulating the age of access and smoking in public places have led to a general decrease in smoking prevalence among all age groups.

• Appendicitis

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Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose and treat. Pictures are encouraged. You will be graded on professionalism and content. Slides need to have Voice Over (Your voice giving the presentation on each slide) Max 20 slides and Max 10 Minutes. Upload to Moodle.

This may be done in groups of 2 students or individually, both students must have their own voice included in the presentation. The voice of students should be 50/50 divided among the slides. Each student must submit final presentation individually and if done in group, the second person submitting please disregard the Turn it in score as it will say 100% and just add note with submission though Moodle of your partners name. (Group members must have same professor)

COMMENT JENNIFER

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i NEED A POSITIVE COMMENT BASED IN THIS ARGUENT..BETWEEN 120-150 WORDS   Aug 21, 2017 04:48 PM 0 Like This Post is hidden    | Reply  |  Quote & Reply |  Report Abuse DQ Points [removed] [removed] [removed] [removed] {dqCommentIdValue} [removed]  |  Edit  |  Delete Abuse Reports

[removed] [removed]       Previous  |  Next                     [removed]                                                       Re:Topic 4 Mandatory Discussion Question Mucor is a fungus. It can be found in the house on bread and bread like products. It can also be in the heating and air ducts and soiled carpets. Outside it can be found in soil, hay and manure. Especially in leaves, compost and rotten wood piles. It can sometimes be in stored seeds. It can be inhaled or ingested. It affects the respiratory system. It can lead to a brain infection, paralysis, pneumonia, seizures, even death. It can also affect the digestive tract as well. The colonies if the fungus is fast growing and spread quickly. Because we are all probably exposed at times to these conditions, it is most likely for patients with weakened immune systems have a high chance to become affected. There is a lot of complications from fungal pneumonia.

The disease dissemination to other areas, like the brain, heart, eyes, adrenals, meninges, kidneys, spleen, liver and skin is one complication. Another is that the blood vessel invasion, leading to hemoptysis, pulmonary infraction, myocardial infarction, cerebral septic emboli, cerebral infarction, or even blindness. People can experience bronchopleural fistulas, chronic pulmonary symptoms, histoplasmosis, and pericarditis (Web MD, 2017). As a nurse, it is important to watch for effective airways clearance and breathing pattern, Provide oxygen if necessary. It is important to watch for fluid deficit and encourage fluids, watching for fluid overload. As a nurse always be aware of any pain and treat as needed. Give ordered antibiotics as prescribed by the doctor. It is always important to help maintain adequate nutrition.

The laboratory tests are all within normal limits except the following. The glucose fasting was 138 which is higher than the normal range. This may indicate that the patient may have diabetes. The WBC are elevated suggesting infection or inflammation. The ph is elevated meaning the blood is alkaline, low levels of concentrated carbon dioxide. The lymphocytes are low, meaning the body’s ability to fight infection is low. The PaO2 is low and this means low oxygen saturation in the blood. The PaCO2 is also low, this means low carbon dioxide in the blood.  The HCO3 is high, meaning the bicarbonate which helps determine body’s ph. These all point to respiratory alkalosis. The numbers represent an infection or inflammation. The patient has a disturbance in the acid and base exchange from alveolar hyperventilation. This decreases carbon dioxide and increases the bicarbonate which increases the ph which is the bases for respiratory alkalosis.

Treatment would include antibiotics to get rid of infection. Cough medication to give your lungs a rest and allow them to clear. Pain relief because you need to have pain under control so that you can rest. Possible steroids to reduce inflammation. The doctor would order intravenous antifungal medications and consider having surgical debridement. This involves cutting away all infected tissue. By doing the surgery it prevents infection from spreading. These antibiotics of choice are:amphotericin B (given through an IV)- Concerns of nephrotoxity. Must monitor renal functions closely, as well as electrolytesPosaconazole- (given through an IV or orally)- triazole antibiotic and can be used as the step down antibotic from amphotericin B.isavuconazole (given through an IV or orally)- wide spectrum triazole fungal antibiotic

 

 

 

 

Centers for Disease Control and Prevention .( 2015). Fungal Diseases. Retrieved August 19, 2017, from https://www.cdc.gov/fungal/diseases/mucormycosis/treatment.html

 

Medscape. (2017). Mucormycosis (Zygomycosis). Retrieved August 19, 2017, from