Clinical Scenarios and Diagnoses

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Clinical Scenarios and Diagnoses

(Clinical Scenarios and Diagnoses)

NR 507 Week 3 Discussion (Parts 1, 2, 3) + Quiz Answers

NR 507 Week 3 Discussion

PART No. 1:

A 17-year-old African American from the inner city complains of severe chest and abdominal pain. Upon examination the attending physician performs and EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming, she is drug seeking he sends her home. She comes back to the ER four hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen.  She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings.

· What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least three (3) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why.

· Now, as she is in the ER she begins to exhibit stroke like features. ? Does this change your differential?

· How do you treat this patient now? Are they any preventative actions that could have been taken?

PART No. 2:(Clinical Scenarios and Diagnoses)

Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia (GERD) with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back (Orthopnea). This is relieved by him sitting up. His vitals are 180/110, P = 88, T = 98.0 F, R = 20.

· Write three (3) differential diagnoses in this case and explain how each item in your differential fits and how it might not fit.

· What tests would you order? What immediate treatment would you consider giving this patient and what treatment when he went home? Assume your first differential is definitive.

· Now, he comes back to your clinic 3 months later and both his ankles are slightly swollen. What possible explanations are there for this observation? CHF now involving right side Must order Echo with EKG and Nuc stress test, labs Pro BNP.

PART No. 3:(Clinical Scenarios and Diagnoses)

A new patient is brought into the office for their annual evaluation. The child is a 6-year-old and appears a bit small for their age but not so small that any alarm bells are set off.  The vitals are: P = 116, R = 22, T = 98.6 F, BP = 110/50. (The normal vitals in a 6-year-old are P = 75 – 120, R = 16 – 22, T = 98.6 , BP = (85-115)/(48-64).  Examination of the lungs is normal, HEENT is normal, as is the abdominal exam. The heart however, seems laterally displaced and there appears to be only a continuous murmur which can be described as crescendo/decrescendo systolic murmur that extends into diastole. Because, you were trained at Chamberlain College of Nursing you immediately know that this is probably a patent ductus arteriosus.

· Explain the murmur from a mechanistic view of the hearts physiological functioning?

· What is the epidemiology of a patent ductus arteriosus?

· How is a patent ductus arteriosus treated?

NR 507 Week 3 Quiz Answers:(Clinical Scenarios and Diagnoses)

1. The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.(Points : 2)

2. What is the pathophysiologic process of aplastic anemia? (Points : 2)

3. The body compensates for anemia by (Points : 2)

4. A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia. (Points : 2)

5. In hemolytic anemia, jaundice occurs only when (Points : 2)

6. Symptoms of polycythemia vera are mainly the result of (Points : 2)

7. Which proinflammatory cytokines are responsible for the development and maintenance of DIC? (Points : 2)

8. Which of the following is a description consistent with acute lymphocytic leukemia (ALL)? (Points : 2)

9. Heparin-induced thrombocytopenia (HIT) is described as a(n) (Points : 2)

10. Which of the following is a description consistent with chronic lymphocytic leukemia (CLL)? (Points : 2)

11. Hemolytic disease of the newborn can occur if the mother is (Points : 2)

12. Polycythemia occurs in a fetus because (Points : 2)

13. The type of anemia that occurs as a result of thalassemia is (Points : 2)

14. The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait (Points : 2)

15. Hemophilia B is caused by clotting factor _____ deficiency. (Points : 2)

16. What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?(Points : 2)

17. An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with: (Points : 2)

18. What alteration occurs in injured endothelial cells that contributes to atherosclerosis? (Points : 2)

19. Which of the following is manufactured by the liver and primarily contains cholesterol and protein? (Points : 2)

20. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes? (Points : 2)

21. When does systemic vascular resistance in infants begin to rise? (Points : 2)

22. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect? (Points : 2)

23. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome? (Points : 2)

24. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.(Points : 2)

25. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click? (Points : 2)

 
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Ethical Dilemmas in Practice

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Ethical Dilemmas in Practice

(Ethical Dilemmas in Practice)

All questions need to be in apa format and approximate 300 each and sited

Question 1

Your assigned reading this week explains the importance of distinguishing between the types of ethics (e.g., mandatory, aspirational, principle, virtue). Understanding these differences is the foundation to ethical practice. The more professionals are anchored in an understanding of ethics and relevant applications, the more likely they will effectively apply their understanding to ethical dilemmas.

Discuss the differences between mandatory ethics and aspirational ethics.

• What are the differences between principle ethics and virtue ethics?

• Which type or types of ethics are represented in your profession?

You are encouraged to explore any applicable professional codes of conduct, i.e., American Psychological Association (APA) or American Correctional Association (ACA). Explain why you believe this is the case.

Question 2(Ethical Dilemmas in Practice)

Professionals in all areas from business to counseling commonly anticipate possible cultural differences with clients. At the same time, they inevitably encounter cultural differences with clients as well as with other professionals or with the views of organizations in which they work. These differences can compromise the services that clients receive unless effectively resolved.

For this discussion question, provide at least two examples from within your profession of situations in which the policies of real or fictitious organizations seem contrary to the best interests of a client due to cultural differences.

Discuss the implications of this for ethical practice.

Question 3(Ethical Dilemmas in Practice)

Privileged communication is a legal concept that prohibits the disclosure of confidential communications, while referring to confidentiality as the ethical responsibility of professionals to safeguard clients from unauthorized disclosures. This is one example of an important distinction that spans the legalities and ethical nature of professional practice. An understanding of these distinctions is not only characteristic of a responsible professional, but is also vital to the provision of ethically and legally accountable services in clients’ best interests.

Discuss the differences between confidentiality, privacy, and privileged communication, as well as the differences between the duty to warn and duty to protect. What would you think is the most important aspect of confidentiality as it relates to your profession?

Present a scenario in which you discuss some of your ideas in simple and clear language, as though you were having an actual discussion with a colleague who was in training. Then, discuss situations in which it is legally required that you breach confidentiality.

Question 4

A whistleblower, by definition, is someone who brings an unethical, immoral, or illegal business practice to the public’s attention. Whistleblowers have a difficult time in doing this, and they often find their lives changed because of their actions. Sometimes they are shunned and receive death threats. It is common for the family members to feel the effects of a whistleblower’s behavior.

Dr. Jeffrey Wigand became one of the best-known whistleblowers after his experience was turned into a movie, The Insider. He proved that tobacco companies were deliberately boosting the nicotine content of cigarettes, making them more addictive and cancer causing. However, like other whistleblowers, he suffered from tremendous stress and received death threats and other forms of intimidation for doing the right thing.

How did Dr. Wigand show moral intelligence in this situation? Jeffrey Wigand put his economic future as well as coworkers and his family at risk to expose the tobacco companies. Would you have done the same thing?

Question 5(Ethical Dilemmas in Practice)

As the field of psychology and other disciplines has continued to expand, opportunities to engage in multiple professional activities have also increased. At the same time, this abundance of opportunities also presents ongoing challenges requiring an understanding of personal limits. To rise above these challenges, we as professionals need to understand their limits and apply this understanding to professional situations that we encounter.

Discuss the situations in which you believe you may now be or could be less competent, situations that could require you to make a professional referral. Discuss how you would make a referral and what you would say to your client. You can create a scenario of your choice with a client in which you need to make this referral. When discussing this scenario, address (1) the background and presentation of the client, (2) your working relationship with the client to date, and (3) why the referral is essential and ethically significant in this scenario. Using the Internet, research your professional code of ethics for examples related to conflicts and the need to refer your client or case out.

Question 6(Ethical Dilemmas in Practice)

Ethics is a code of thinking and behavior governed by a combination of personal, moral, legal, and social standards of what is right. Although the definition of “right” varies with situations and cultures, its meaning in the context of a community work involves many guiding principles with which most community activists and service providers would probably agree. Above all else, do no harm. Hippocrates put this in words over 2,000 years ago, and it’s still Rule Number One.

You have volunteered to run a community violence-prevention program, working with kids who are gang members or gang hangers-on. The kids trust you, and sometimes tell you about some of their less-than-savory activities. The police also know you work with gang members and often ask you for information about kids. What are you obligated to tell them or to keep from them?

If you are actively striving to do “good,” how far does that obligation take you? If there are issues affecting the community that have nothing to do directly with the one you’re concerned with, do you nonetheless have an obligation to become involved? What if you don’t really understand the whole situation, and your involvement may do as much harm as good—do you still have an ethical obligation to support or become active on the right side? What if your support or activism endangers or compromises your community intervention?

 
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Promoting Wellness in Childhood Obesity

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Promoting Wellness in Childhood Obesity

(Promoting Wellness in Childhood Obesity)

Question description

Topic: “Childhood Obesity in African American community ( 9 to 11 years old).”

PREPARING THE ASSIGNMENT

1. Writing the Paper:Explore the topic and explain the information in writing a 3‐4 page APA formatted paper.

a. Select a minimum of three (3) scholarly nursing or research article (published within the last 5 years) related to the topic that include health promotion and wellness content (“Childhood Obesity in African American community( 9 to 11 years old)”). Students in a cultural concentration will select at least one article specifically related to the cultural focus for this assignment. Evaluate several articles before to find appropriate selections.

b. Write a 3‐4 page paper (excluding the title and reference pages) using the following guidelines:

Write brief introduction of the topic and describe why it is important to health promotion in the specific cultural population in your area.

Include a description of the topic and the targeted sub culture or population (include statistics).

Explain how the project relates to the Healthy People 2020 topic area you have chosen.

Summarize the articles; include key points or findings from the articles.

Discuss how you used the information from the articles for your Health Promotion Project. Provide specific examples.

Describe the approach/approaches you developed to educate the target population about the topic. Include specific ways to promote lifestyle changes within the specified population relative to your specific culture. The approach should be appropriate for your cultural concentration.

Write a conclusion and summary

c. The paper must follow APA format. Include a title page and a reference page. Use 12‐point Times New Roman font and include in‐text citations (use citations whenever paraphrasing, using statistics, or quoting from the article).

*Ps: This paper should be based on the following topic listed above.

Links

 
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Digital Threats Mitigation Strategies

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Digital Threats Mitigation Strategies

(Digital Threats Mitigation Strategies)
Mitigating digital threats requires a multi-faceted approach to ensure comprehensive protection. First, implementing robust security measures such as firewalls, antivirus software, and intrusion detection systems is essential to detect and prevent unauthorized access. Regularly updating software and systems ensures vulnerabilities are patched, reducing the risk of exploitation.

Second, adopting strong authentication methods, like multi-factor authentication (MFA), adds an extra layer of security by requiring multiple forms of verification. Encryption of sensitive data, both in transit and at rest, protects information from being intercepted or accessed by unauthorized parties.

Third, educating employees and users about cybersecurity best practices, such as recognizing phishing attempts and using strong, unique passwords, is crucial in preventing human error, which is often the weakest link in security.

Fourth, developing and regularly updating an incident response plan ensures that organizations can quickly and effectively respond to breaches, minimizing damage. Conducting regular security audits and vulnerability assessments helps identify and address potential threats proactively.

Finally, leveraging advanced technologies such as artificial intelligence and machine learning can enhance threat detection and response capabilities by identifying patterns and anomalies indicative of cyber threats. By combining these strategies, organizations can create a resilient defense against digital threats.

Assignment: Final Project: Mitigation Plan, Part 1In 2015, the FBI’s Internet Crime Complaint Center (IC3) reported nearly 300,000 complaints of fraud, identity theft, cyber-bullying, harassment, and extortion, among others (Internet Crime Complaint Center, 2015). This is a startling number, especially considering that the IC3 only handles incidents from digital technology. The list of potential topics for mitigation is extensive.

This week, you will develop Part 1 of your Final Project: Mitigation Plan by selecting a topic for mitigation and find at least two scholarly articles related to your topic. You will determine a developmental age group and any relevant diversity factors.

To Prepare for this Final Project Part 1 Assignment:

  • Select a topic for mitigation. Possible topics include (but are not limited to):
    • Cyberbullying
    • Obesity
    • Identify theft/Phishing
    • Digital divide
    • Trolling/Baiting/Flaming
    • Cyber victimization
    • Physical or developmental disability limitations
  • Identify the developmental age group that can be affected by the topic you chose
  • Identify any diversity factors (e.g., gender, socioeconomic status, race/ethnicity, sexual orientation) relevant to the topic and developmental age you will be discussing
  • Search the Internet and the Walden Library for at least two scholarly articles related to the topic you chose for mitigation

For this Final Project: Mitigation Plan, Part 1 Assignment:

Write a 1-page paper (not including references) in which you:

  • Describe the topic you selected for mitigation and explain why you selected this topic
  • Define the problem relative to a particular developmental age group, culture, and/or gender and explain why you selected this this group and how the digital technology you chose relates to the problem
  • Explain briefly the developmental and psychological risks associated with failure to address the prob
 
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Ethics in Christian Healthcare

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Ethics in Christian Healthcare

(Ethics in Christian Healthcare)

Christian healthcare ethics are rooted in biblical principles, emphasizing the sanctity of life, compassion, and the intrinsic worth of every individual. These ethics guide healthcare professionals in making decisions that align with Christian values, ensuring that care is provided with dignity, respect, and love. The principle of sanctity of life underscores the belief that life is a sacred gift from God, deserving of protection and reverence from conception to natural death. This perspective often influences positions on issues such as abortion, euthanasia, and end-of-life care, advocating for the preservation of life whenever possible.

Compassion and love, central tenets of Christian ethics, compel healthcare providers to treat patients with kindness, empathy, and understanding, reflecting the love of Christ in their care. This involves not only addressing physical ailments but also providing emotional and spiritual support, recognizing the holistic nature of human beings. Additionally, Christian healthcare ethics emphasize justice, advocating for equitable access to medical care and resources, especially for the marginalized and vulnerable.

In practice, these ethical principles challenge healthcare professionals to balance medical interventions with moral considerations, ensuring that their actions align with their faith while respecting the diverse beliefs and values of their patients. This ethical framework promotes a compassionate, holistic approach to healthcare, deeply rooted in Christian values.

Case Study On Biomedical Ethics In The Christian Narrative

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 Turnitin. Please refer to the directions in the Student Success Center.

 
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State Professional Boards

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State Professional Boards, law homework help

(State Professional Boards)

Question description

Please note all of the information you need to do this assignment is in this post. It must be in APA 6th Edition Format, as well as a conclusion and reference section. Each reference must be a scholarly journal article with a DOI NUMBER and formatted correct. The references will be verified. Each reference listed must be used throughout the paper and formatted correct. This assignment will be submitted via turnitin. No spelling, syntax, or grammatical errors. A firm due date of Sunday for submission. This must be substansive and quality work.

Details:

In the health care industry, professional boards are established to protect the safety of the public. They do this through setting standards of care and other means. In this assignment, you will write about the functions and standards of these organizations with regard to how they protect the public.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Instructors will be using a grading rubric to grade the assignments. It is recommended that learners review the rubric prior to beginning the assignment in order to become familiar with the assignment criteria and expectations for successful completion of the assignment.
  • 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 requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Directions:

Write a paper (1,250-1,500 words) in which you contrast two state professional boards that regulate health care. Include the following in your paper:

  1. A clear identification of the two state professional boards being contrasted.
  2. A summary of the functions of each of these boards. What is the primary focus? What do they do?
  3. A discussion of the key professional standards established by the identified boards. How are the professional standards set by each of these boards similar and different? What happens if the standards are in conflict with one another?
  4. A summary and evaluation of the methods used by each of the identified boards for protecting the public. How and how well does each of these groups assure that professional standards are carried out and that the safety of the public is adequately protected?
 
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Critical Psychology’s Qualitative Approaches

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Critical Psychology’s Qualitative Approaches

(Critical Psychology’s Qualitative Approaches)

The Importance Of These Qualitative Approaches Of Inquiry In Building And Sustaining A "Critical Psychology".

Instructions for the second essay

Read the instructions carefully so that you can properly write the second assigned essay of the second unit. The due date for this essay is May /12/ 2016.

The text should be following a Microsoft Word format, a letter size twelve (12) and a spacing of one and a half (1.5) between sentences (or line spacing in the paragraph options). The extension of the work should not be less than three (3) pages or greater than five (5) pages of content (not title page or cover of any kind is required).

At the end of your essay you will list the References used (for more information see the text I sent regarding the instructions for writing an essay for this class). Plagiarism will not be tolerated.

The written essay should be a product that reflects your understanding and interpretation (substantiated with arguments, evidence and reasoning, expressed in a clear, consistent, and accurate matter) of the assigned readings and discussions in class. Do not use Internet sources and limit yourself to the assigned texts, the discussion in class and your own argumentative capabilities.

Instructions(Critical Psychology’s Qualitative Approaches)

In this second unit we have discussed some of the main qualitative methods of research in Psychology, focusing on how these methods open new and critical possibilities regarding a more in-depth inquiry that pays attention to constructivist, anthropological, phenomenological, discursive and other “alternative” elements (different from mainstream psychology and strict quantitative methods) in specific situations of daily life. Bearing this in mind:

Discuss the importance of these qualitative approaches of inquiry in building and sustaining a “critical psychology” that is interested in understanding how:

1) knowledge is produced, used and appropriated (depending on the different functions of knowledge and its contexts, including psychology) from a constructivist view that questions the fallacy of objectivity (or the “world as given”)

2) experience is framed and signified (depending on the social, cultural and particular context of the group or individual), which critically questions the fallacy of the centrality of the individual.

3) the underlying ideologies, discourses and relations of power oppress, stigmatize or alienate certain sections of society, which assumes the importance of studying the uses of language and knowledge (which are not neutral or “objective”).

Take into account the following when elaborating the essay:

1. You will notice that there are three (3) interests in these approaches of inquiry. I am interested in that you at least elaborate one of them. In essence, the three of them are

inter-related, so elaborating any of them in-depth will be enough for the purposes of this essay.

2. There’s several theoretical frameworks (from constructivist and feminist theories to colonial and ethnological theories) and methods (ranging from ground theory to analysis of discourse and narrative analysis) that you can choose from in your elaboration of qualitative approaches of inquiry. Although it would be recommendable that you mention them, I am more interested in that you pick only one (a theoretical framework, paradigm or method), even if briefly as an example on how such qualitative methods are a form of critical knowledge. Pick the one that fits more with your interests or the way you make your approach to answer this essay.

3. Remember that the logic here is to discuss how this approaches of inquiry and particular interests are related to a more “critical” psychology (at least as Ian Parker and Erica Burman define it) and the criticisms brought forward in Kenneth Gergen’s view of Psychological Science. Bear in mind that you should at least use one of these author’s texts (which are the two first texts that appear in the references below). Use at least two (2) of the assigned texts of the conference portion of the class. You are also welcomed to use the texts assigned to the laboratory sections, as long as they apply to your discussion.

Assigned texts (in the order they were assigned):(Critical Psychology’s Qualitative Approaches)

Gergen, K. (2001). Psychological Science in Postmodern Context. American Psychologist 56 (10), 803-815.

Parker, I & Burman, E. (2008). Critical Psychology: Four Theses and Seven Misconceptions. Hellenic Journal of Psychology 5, 99-115.

Featherson, J. (2008). Qualitative Research. In Stephen F. David & William Buskist (Eds.), 21st Century Psychology. A Reference Handbook I (93-102). Los Angeles: Sage Publications.

Creswell, J. W. (2007). Five Qualitative Approaches to Inquiry. In John W. Creswell, Qualitative, Inquiry & Research Design: Choosing Among Five Approaches (53- 84). London: Sage Publications.

Wertz, F. (2014). Qualitative Inquiry in the History of Psychology. Qualitative Psychology 1(1): 4-16.

Van Dijk, T.A. (1995). Aims of Critical Discourse Analysis. Japanese Discourse I, 17-27.

Langridge, D. (2007). Hermeneutic turn. In Darren Langdridge, Phenomenological Psychology Theory, Research and Method (41-53). New York: Pearson Prentice Hall.

Suggested texts Teo. T. (1999). Functions of knowledge in psychology. New Ideas in Psychology 17, 1-15.

Goodwin, C.J. & Godwin, K.A. (2013). Observational and Survey Research Methods. In C.

James Goodwin & Kerri A. Goodwin, Research in Psychology. Methods and Research (403-439). New Baskerville: Wiley Smith, J. (1995). Semi-structured Interviewing and Qualitative Analysis. In Jonathan A. Smith, Rom Harré & Luk Van Langenlove (Eds.), Rethinking Methods in Psychology (9-26). London: Sage Publications.

Murray, H.A., Skinner, B.F., Maslow, A.H., Rogers, C.R., et al (1961). Cultural evolution as viewed by psychologists. Daedalus 90 (3), 570-586

 
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Pediatric Case Study Analysis

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Pediatric Case Study Analysis

(Pediatric Case Study Analysis)

CASE STUDIES

I- Case Study: Care of the Child in Inpatient and Outpatient Settings

Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.

Subjective Data

  • Nausea and vomiting for 24 hours
  • Has not voided today
  • Unable to tolerate oral fluids

Objective Data

  • Vital signs: T 37.8° C, P 120, R24, BP 110/60
  • Weight: 34 kg
  • Hyperactive bowel sounds to auscultation

1. Question 1

When should the discharge teaching begin for Jordan and his family?

2. Question 2

What is the best way to approach Jordan regarding the IV that has been ordered.

3. Question 3

What would be good distractions for a child of Jordan’s age?

II- Case Study: Pediatric Cancer(Pediatric Case Study Analysis)

Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.

Subjective Data

  • Complains of hurting all over
  • States he feels very tired
  • States he feels dizzy when he stands up

Objective Data

  • Weight 26.1 kg
  • Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%
  • Purpural rash on extremities
  • WBC 0.7
  • HGB 3.1
  • Hct 8.5
  • Plt .08
  • ANC 0.1

4. Question 1

Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?

5. Question 2

What testing is required for a definitive diagnosis of meningitis?

6. Question 3

What should the nurse do in this clinical situation? Prioritize actions.

III-  Case Study: Pediatric Respiratory System

Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.

Subjective Data

  • Mother complains that infant has had cough for 3 days
  • Mother states that infant is having trouble sleeping
  • Not voided in past 6 hours

Objective Data(Pediatric Case Study Analysis)

  • Birth Weight: 1.9 kg
  • Today’s Weight: 5.5 kg
  • Vital Signs: T 38° C, P 186, R 60, BP 90/52, Pulse Oximetry 93%
  • Thick yellow nasal secretions
  • Nasal flaring with moderate intercostal retractions
  • Breath sounds decreased with crackles bilaterally to auscultation

7. Question 1

What risk factors does Will have for contracting bronchiolitis?

8. Question 2

What is the first priority for Will’s treatment?

9. Question 3

What should the nurse do in this clinical situation? Prioritize actions.

IV-  Case Study: Pediatric Gastrointestinal System

Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.

Subjective Data

  1. Mother states infant has been vomiting undigested formula after feedings
  2. Mother states that infant has not had fever or diarrhea
  3. Mother states that infant has had 8 wet diapers in the past 24 hours

Objective Data(Pediatric Case Study Analysis)

  1. Weight 4.8 kg (birth weight 3.5 kg)
  2. Vital signs: T 37.1° C (rectal), P 130, R 30, BP 92/52
  3. Mucous membranes moist, anterior fontanel flat and soft
  4. Awake and alert, lusty cry
  5. Good muscle tone
  6. Olive-sized mass palpated at epigastrium

10. Question 1

What test will be used to diagnose pyloric stenosis?

11. Question 2

What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.

12. Question 3

The second prioritization step the nurse would take is ____.

13. Question 4

The third prioritization step the nurse would take is ____.

14. Question 5

The fourth prioritization step the nurse would take is ____.

15. Question 6

The fifth prioritization step the nurse would take is ____.

16. Question 7

The sixth prioritization step the nurse would take is ____.

17. Question 8

The seventh prioritization step the nurse would take is ____.

18. Question 9

The eighth prioritization step the nurse would take is ____.

V- Case Study: Pediatric Cardiovascular System

Michael is a 7-week-old breastfed infant who presents with a 2-day history of irritability and poor feeding.

Subjective Data

  • Mom states patient has been “fussy” for past 2 days
  • Only feeds for a “few” minutes at a time
  • Breathing heavily and fast for 2 days

Objective Data(Pediatric Case Study Analysis)

  • Weight: 4.8 kg
  • Vital Signs: T 36.8° C, P 250, R 65, BP 84/58
  • Breath sounds clear to auscultation
  • Oxygen Saturation 95%
  • Central capillary refill 4 sec

19. Question 1

What is the treatment for an unstable patient with SVT?

20. Question 2

Decreased cardiac output from prolonged SVT will produce what complication?

21. Question 3

In this clinical situation what should the nurse do? Prioritize actions.

VI-  Case Study: Hematologic System

Liam is an 8-year-old male with a history of hemophilia. Liam presents today with a 1-day history of right elbow pain.

Subjective Data

  • Right elbow pain for 1 day
  • Patient states he hit his right elbow on desk yesterday
  • Patient complains that he cannot move his elbow

Objective Data

  • Weight 31.6 kg
  • Vital sighs: T 37.4° C, P 82, R 20, BP 108/68
  • Rates pain 6 on scale of 10

22. Question 1

How should the nurse respond when Liam’s father explains that they watched and waited to see if Liam needed treatment after his injury?

23. Question 2

Why are neuro checks an important part of Liam’s physical exam?

24. Question 3

What should the nurse do in this clinical situation? Prioritize actions.

VII- Case Study: Common Disorders of the Red Blood Cells(Pediatric Case Study Analysis)

Susan is a 26-year-old G1P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glyburide 10 mg PO daily. The physician has switched her to insulin at this time.

1. Question 1

What is the nursing priority at this time?

2. Question 2

What should Susan be taught about insulin needs during pregnancy?

3. Question 3

What additional risk factor does Susan have?

4. Question 4

How should Susan be counseled regarding weight gain in pregnancy?

5. Question 5

What advice can be given to Susan regarding exercise?

VIII-  Case Study: Pediatric Genitourinary System

Lilly is a 3-year-old female who presents with complaints of abdominal pain and fever since yesterday.

Subjective Data

  • Complains of lower abdominal pain
  • Fever for 24 hours
  • Lilly has ‘wet her pants’ despite being recently potty trained

Objective Data

  • Vital signs: T38.5° C, P 114, R 32, BP 104/62
  • Urine positive for WBCs, nitrites, blood

6. Question 1

What risk factors does Lilly have for UTI?

7. Question 2

What might prevent Lilly from a recurring UTI?

8. Question 3

What should the nurse do in this situation? Prioritize actions.

IX-  Case Study: Pediatric Neurologic System

Abby is a 1-year-old female who presents after a reported seizure at day care.

Subjective Data

  • Fever for 1 hour
  • Eating and drinking normally per mother

Objective Data

  • Vital signs: T 40° C, HR 160, R 44, BP 104/68
  • Awake and alert
  • Skin hot to touch, otherwise normal physical examination

9. Question 1

How should the nurse respond to Abby’s mother when she asks if Abby has epilepsy?

10. Question 2

How should the nurse respond to Abby’s mothers question about brain damage?

11. Question 3

In this clinical situation what should the nurse do?

 
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Nurse Leadership and Management

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Nurse Leadership and Management

(Nurse Leadership and Management)

Question description

1.Discuss the differences between a leader and a manager.

2. Which is more important, working for an effective leader or an effective manager? Explain your answer.

3. Observe the nurse manager in a unit to which students have been assigned. What management style is displayed? How does the staff respond to this style

4. What qualities do you think are most important to be a good nurse manager?

1. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and informational activities does he or she complete on a daily basis?

2. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff are working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank the staff?

3. PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)

PART 2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?

1. Find your own state’s requirements for informed consent. Do elective procedures and emergency situations use the same standard?

2. Obtain a copy of your state’s Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?

3. As a new nurse, how can you ensure confidentiality in clinical settings?

4. How can nurses safeguard the confidentiality of medical information when sending it by fax or e-mail?

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.

6. Should nurses carry malpractice insurance? Explain your answer.

7. Should all patients have advance directives? Explain your answer.

8. Should employers be permitted to require nurses to work overtime if there is a shortage of registered nursing staff on a unit? Support your answer with evidence from the literature.

 
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Applying Organizational Behavior Theory

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Applying Organizational Behavior Theory

(Applying Organizational Behavior Theory)

Week 5: Week 5 – W5 Assignment 2

Dropbox Assignment

Assignment 2: Final Course Project—Applying Organizational Behavior Theory to Solutions

The Week 5 assignment is considered a major assignment that might take more than one week to complete.

“‘Using the same organization you identified in Week 1, critically analyze interventions for addressing organizational problems using individual OB themes. Now that you have diagnosed a set of organizational problems (in your Week 1 and Week 3 papers), consider what action steps or interventions are required; who needs to participate in those interventions; when those interventions need to occur; and how you will evaluate the effectiveness of those interventions. You should include new insights about problems and root causes that have emerged since you completed your earlier work in the class.”

In preparation for your Week 5 paper, design an intervention and evaluation plan that addresses the what, who, when, and how questions noted in the previous paragraph. Consult your instructor for guidance, as needed. Focus on individual OB themes.

Imagine that you are presenting the plan to the CEO. Although actual consulting work might use a consulting report or even a presentation, for this assignment, prepare your presentation as a rigorous academic paper so that you can continue building those academic writing skills early in your doctoral program.

Tasks:

“In your paper, address the following:”

  • Summarize the key details about your organization (who it is and what it does).
  • Summarize your diagnosis of organizational problems, being sure to differentiate between symptoms and root causes. Focus on individual OB themes.
  • Assess the consequences to the organization if interventions (solutions) to the problems are not implemented.
  • Assess the potential benefits to the organization if interventions are successful.
  • Justify an intervention plan (i.e., what, who, and when).
  • Justify an evaluation plan (i.e., how you will know your interventions were successful).

Use appropriate academic, peer-reviewed literature to support your arguments. You may also use documentation and interviews from the organization to support your perspective.

Submission Details:

  • Complete your analysis in an 8- to 10-page Microsoft Word document.
  • Name your document SU_MGT7100_W5_A2_LastName_FirstInitial.doc.
  • Submit your document to the W5 Assignment 2 Dropbox by Wednesday, November 8, 2017.
  • Use APA format and style for your paper.

Assignment 2 Grading Criteria                                    Maximum  Points

Summarized the case study organization. 20

Summarized the diagnosis of the organization’s problems. 20

Assessed the consequences to the organization if interventions are not implemented.     40

Assessed the potential benefits to the organization if interventions are successful. 40

Justified an intervention plan.    50

Justified an evaluation plan. 40

Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources (i.e., APA); and displayed accurate spelling, grammar, and punctuation.      40

Total:     250

 
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