Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges.

Select any three (3) questions from Case Study # 1 or from Case Study # 2, and discuss the rationale by posting/ responding in the online learning activity/ discussion forum. Please identify the case study selected and copy the three questions chosen directly into the post. Include and properly reference information taken from the course readings to support your ideas.

CASE STUDY #2

(must be 3 pages with at least 5 references no older than 5 years)

Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications. His BP is 156/ 94; pulse, 100 and regular; respirations, 20; and temperature, 99.6 F (37.6 C).

What is the next step in investigating his problem?
Mr. Phelps’ pain began last evening and is associated with nausea, but he hasn’t vomited. Eating doesn’t seem to affect the pain, and he hasn’t had any bowel or bladder changes.

In assessing Mr. Phelps’s pain, what information should you obtain?
Mr. Phelps describes his pain as constant, deep and achy, and worse with movement. On a pain scale of 0- to 10, with 10 being the worst pain he has ever experienced, he rates the pain at a 7. He doesn’t want to lie supine and is guarding his right lower quadrant.

When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?
Abdominal assessment shows a normal inspection, normoactive bowel sounds, and no masses, enlargement, or tenderness of the liver or spleen. However, Mr. Phelps did display rebound tenderness and positive obturator and iliopsoas signs. Based on his history and physical assessment, the healthcare provider orders a complete blood cell count and urinalysis. The results indicate a total white blood cell (WBC) count elevation with 96% neutrophils. The urinalysis is normal.

Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.
Abdominal aortic dissection.
Acute appendicitis.
Renal calculi.
Acute Cholecystitis.

ONE PAGE OF SELF REFLECTION on
What is my knowledge concerning providing care for and with clients experiencing digestive and gastrointestinal challenges? (i am a community rpn)

ONE PAGE OF REFLECTION ON MY PEER WORK ( TWO REFERENCES)
Case Study #2
1) In assessing Mr. Phelps’s pain, what information should you obtain?The information that should be obtained about Mr. Phelps’s pain include:
Character of the pain: deep and achy
Duration: States it’s constant
Frequency
What makes the pain worse or better: movement makes it worse, lying supine
Location: right lower quadrant
Distribution of referred pain
Time pain started: last evening

2) When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?

Start with inspecting the abdomen noting colour, contour, symmetry, the umbilicus is midline etc.
Next we would auscultate because “percussion and palpation can increase peristalsis which would give a false interpretation of bowel sounds” (Jarvis, 2014). During auscultation we listen for bowel sounds(character and frequency) and vascular sounds.
Percussion comes next “to assess the relative density of abdominal contents, to locate organs, and to screen for abdominal fluid or masses”(Jarvis, 2014).
Palpation is last. You note whether their is tenderness, masses, involuntary rigidity, guarding etc.

3) Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.

Mr. Phelps’s assessments suggest acute appendicitis based on the following findings:positive obturator and iliopsoas sign, pain in RLQ. “when the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix) pain is felt in the RLQ” (Jarvis, 2014)
Rebound tenderness
Pain aggravated by movement
Nausea
Fever
Total white blood cell count elevation with 96% neutrophils

References

Jarvis, C. (2014). The Abdomen, Physical Examination and Health Assessment (2nd CanadIan ed., pp 557-569). Toronto, ON: Elsevier Canada.

ALSO SEND ME A COPY OF THE REFERENCES THAT YOU WILL USE


 

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In this Assignment, you design a health information document on a topic that is of interest to you. To prepare: Select a health issue of interest to you. Identify the audience or population that you seek to educate about this issue.

In this Assignment, you design a health information document on a topic that is of interest to you. To prepare: Select a health issue of interest to you. Identify the audience or population that you seek to educate about this issue.

One of the pivotal goals of consumer health literacy efforts is to design educational materials that attract as well as educate users. In this Assignment, you design a health information document on a topic that is of interest to you. To prepare: Select a health issue of interest to you. Identify the audience or population that you seek to educate about this issue. Search the Internet to find credible sites containing information about your selected topic. Review the two health literacy websites listed in this week’s Learning Resources. Focus on strategies for presenting information. To complete: Design an educational handout on the health issue you selected. Include a cover page. Include an introduction that provides: An explanation of your issue and why you selected it A desсrіption of the audience you are addressing In the handout itself: Develop your handout in such a way that it attracts the attention of the intended audience. Include a desсrіption of the health issue and additional content that will enhance your message (i.e., key terms and definitions, graphics, illustrations, etc.).


 

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Evaluate how each codependent characteristic is detrimental to this person’s ability to establish and maintain healthy relationships.

Evaluate how each codependent characteristic is detrimental to this person’s ability to establish and maintain healthy relationships.

In a Relationship with a Substance Abuser

Directions:

Nearly everyone probably knows someone who places other people’s health, welfare, and safety before their own. When they do this, they can lose contact with their own needs, desires, and sense of self-worth.

Please watch the movie When a Man Loves a Woman. It is available from Amazon On-Demand rental for streaming or download and Netflix DVD rental. You may also be able to find the movie at your local public library or video rental store.

Refer to the characteristics of codependent people as discussed in the assigned weekly readings. Choose three of the characteristics to examine.

Search the AUO library and include at least one peer-reviewed journal article on treatment for codependence to use for research.

Based on the character of the husband in the movie When a Man Loves a Woman, your weekly readings and the research article you reviewed, write a 4-5 page paper that addresses the following for each of the three characteristics you picked:

Explain three codependent characteristics. Explain why you have chosen each particular characteristic. Provide three examples, one for each characteristic, of how those codependent characteristics specifically apply to the husband’s character in the film.

Evaluate how each codependent characteristic is detrimental to this person’s ability to establish and maintain healthy relationships.

Analyze how the codependent behavior has evolved within the substance abuse environment.

Apply what you have learned from the assigned readings and the peer-reviewed article to recommend at least two strategies for breaking codependent behaviors within a substance abuse environment.


 

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Differentiate between malpractice and negligence.

Differentiate between malpractice and negligence.

Define negligence and liability as they apply to healthcare

Define negligence and liability as they apply to healthcare 2. Differentiate between malpractice and negligence 3. Discuss Disciplinary Action Directives Purpose: Explain to students why you are asking them to complete this task Assignment Description: You are a chief nursing officer for a 250 bed hospital and you were notified that one of your nursing staff administered an injection to a patient without a physician order. In a 1,500 – 1, 750 word paper explain the actions that you would take immediately and then later in a corrective action plan. Parameters: Include certain requirements for the satisfactory completion of an assignment like proper incorporation of APA 6th edition, page length (APA formatting pages do not count in this total), number of citations, etc. This can also be a grading rubric. Possible points: 120


 

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Why do I want to be a Family Nurse Practitioner?

Why do I want to be a Family Nurse Practitioner?

***The essay must be 1,000 words long, doubled spaced and APA format.
1) The essay must state my nursing beliefs and philosophy.

2) The essay must state why I am interested in pursuing a master’s degree in Family Nurse Practitioner.

3) The essay must state what I expect the achievements of the Family Nurse Practitioner degree to provide for me and for nursing.


 

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Are these unusual motivation techniques more closely matched to McGregor’s Theory X, or his Theory Y?

Are these unusual motivation techniques more closely matched to McGregor’s Theory X, or his Theory Y?

 

Are these unusual motivation techniques more closely matched to McGregor’s Theory X, or his Theory Y? In the background materials you read about some very…

Are these unusual motivation techniques more closely matched to McGregor’s Theory X, or his Theory Y?

In the background materials you read about some very traditional theories of motivation such as Theory X and Theory Y, and the hierarchy of needs. But one trend that has received a lot of attention in the media is that of weird or offbeat methods to motivate employees. The recent movie The Internship is set in the odd (or “googly”) workplace culture of Google. Zappos Shoes even mentions “weirdness” in the list of corporate values.
CashLinq , a financial services firm, is famous for their Nerf gun battles in the office. Eric Ryan, found of the highly successful soap company Method, was known to go to extremes to motivate employees such as dressing up as a chipmunk or holding impromptu office dance parties. Other examples of unorthodox motivation techniques may include unusual perks such as health insurance for your pets, or allowing employees to ride scooters in the office.
But is this just a passing fad for trendy new companies, or there actually a method to their madness? For this assignment, you will be doing some research on these offbeat new motivation techniques and investigating whether or not these techniques actually fit in with standard textbook theories of motivation. Review the background materials, and then read the following articles and also see if you can find any other examples of bizarre or unusual workplace motivation techniques:
Alsop, R. J. (2010). The last word. Workforce Management, 89(10), 50. [Proquest]
Petrecca, L. (Dec. 30, 2011). Quirky perks for workers: Pet insurance, massages. USA Today [Proquest]


 

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Explain current and future approaches to quality improvement management. ● What are some continuous quality improvement strategies used in the United States?

Explain current and future approaches to quality improvement management. ● What are some continuous quality improvement strategies used in the United States?

Using the Kaplan University Library, find and review a recent journal article regarding quality issues in healthcare. You may want to browse through the journals available by using the search tool, Journals A-Z.

Use the articles you read to respond to the following questions:

● Based on the articles that you read how extensive are quality problems in the past in health care? ● Explain current and future approaches to quality improvement management. ● What are some continuous quality improvement strategies used in the United States? Requirements:

● Essay should be 2 pages in length. ● Refer to the Kaplan University Writing Center for APA requirements and utilize the Writing Center Resources found in Doc Sharing. Course


 

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Argue for or against Direct-to-Consumer (DTC) marketing by drug companies. Provide support for your response.

Argue for or against Direct-to-Consumer (DTC) marketing by drug companies. Provide support for your response.

CompCARE benefited from PharmaCARE’s reputation, databases, networks, and sales and marketing expertise, and within six (6) months had the medical community buzzing about AD23. Demand soared, particularly among Medicare, Medicaid, and Veterans Affairs patients. Seeing the opportunity to realize even more profit, CompCARE began advertising AD23 directly to consumers and marketing the drug directly to hospitals, clinics, and physician offices, even though compounding pharmacies are not permitted to sell drugs in bulk for general use. To circumvent this technicality, CompCARE encouraged doctors to fax lists of fictitious patient names to CompCARE. PharmaCARE sold CompCARE to WellCo, a large drugstore chain, just weeks before AD23 was publicly linked to over 200 cardiac deaths.

As CompCARE and its new parent company enjoyed record profits and PharmaCARE’s stock price approached $300 per share, reports started surfacing that people who received AD23 seemed to be suffering heart attacks at an alarming rate. The company ignored this data and continued filling large orders and paying huge bonuses to all the executives and managers, including John, whose wife recently died from a heart attack after using AD23.

John has come to you with an internal company memo describing the potential problems with AD23, and information describing the company’s willingness “roll the dice” and continue to market the drug.

Your senior partner has asked you to write a memo outlining the following issues for review by the senior partners.

In preparation for this assignment, use the Internet or Strayer Library to research examples of intellectual property theft that occurred within the past two (2) years.

Write an eight to ten (8) page paper in which you:

Research three to five (3-5) ethical issues relating to marketing and advertising, intellectual property, and regulation of product safety and examine whether PharmaCARE violated any of the issues in question.
Argue for or against Direct-to-Consumer (DTC) marketing by drug companies. Provide support for your response.
Determine the parties responsible for regulating compounding pharmacies under the current regulatory scheme, the actions that either these parties or the FDA could / should have taken in this scenario, and whether PharmaCARE could face legal exposure surrounding its practices. Support your response.
Analyze the manner in which PharmaCARE used U.S. law to protect its own intellectual property and if John has any claim to being the true “inventor” of AD23. Suggest at least three (3) ways the company could compensate John for the use of his intellectual property.
Summarize at least one (1) current example (within the past two [2] years) of intellectual property theft, and examine the effect on that company’s brand.
Analyze the potential issue surrounding the death of John’s wife and other potential litigants against PharmaCARE as a result of AD23.
Specify both the major arguments that John can make to claim that he is a whistleblower and the type of protections that he should be afforded. Justify your response.
Use at least three (3) quality resources in this assignment. Note: Wikipedia is not an acceptable reference and proprietary Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:


 

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This is my research topic it should be plagiarism free will be turned into Turnitin. In this Assignment you will conduct a literature review and evaluate the research associated with your identified nursing problem.

This is my research topic it should be plagiarism free will be turned into Turnitin. In this Assignment you will conduct a literature review and evaluate the research associated with your identified nursing problem.

In this Assignment you will conduct a literature review and evaluate the research associated with your identified nursing problem.
The literature review will provide you with a solid foundation for the nursing problem you have identified or the simulated scenario you chose. The literature review involves the following:
Reviewing scholarly references related to your selected nursing problem
Summarizing the information
Synthesizing the information
Synthesizing the information can include reorganizing the information combining new and old information and discussing how the information impacts your selected nursing problem.
Your literature review should be organized around your selected nursing problem. Summarize the literature and include the following:
What trends were identified
What was missing from the literature
What theories were covered
What solutions were identified
You should review at least 810 current (within the last 5 years) actual research studies on the topic.
Assignment Requirements
The finished Assignment should be a 68 page paper excluding the title page and references. The nursing problem and purpose of this Assignment should be clearly established and sustained.
Before you finalize your work you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;
utilize spelling and grammar check to minimize errors; and
access information regarding APA citation information such as in the KU Writing Center.
Your writing Assignment should:
follow the conventions of Standard American English (correct grammar punctuation etc.);
be well ordered logical and unified as well as original and insightful;
display superior content organization style and mechanics; and
use APA 6th edition format for organization style and crediting sources including:
12-point double-spaced Times New Roman font
use of in-text citations
title page
use of headings (if applicable)
reference page


 

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Describe an ethical issue, such as in vitro fertilization, surrogate motherhood, sterilization, abortion, genetic counseling, euthanasia, or medical marijuana.

Describe an ethical issue, such as in vitro fertilization, surrogate motherhood, sterilization, abortion, genetic counseling, euthanasia, or medical marijuana.

Your team has been assigned to give a presentation to your organization’s board of ethics. The team will discuss an ethical issue that faces your organization and its social responsibility toward the issue.

Prepare a 10- to 12-slide Microsoft® PowerPoint® presentation that discusses the ethical issue. Include the following:

Describe an ethical issue, such as in vitro fertilization, surrogate motherhood, sterilization, abortion, genetic counseling, euthanasia, or medical marijuana.
What is the historical and current impact of the issue?
What is the team’s position on this issue? Do you support it? Oppose it? Explain why.
Include at least 3 sources in your presentation.

Format your presentation according to APA guidelines.

Click the Assignment Files tab to submit your assignment


 

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