Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why.

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Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why.

Discussion: Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions
Discussion: Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions

Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this Discussion, consider how you would diagnose, treat, and educate the patients in the following three case studies:

Case Study 1

A 33-year-old Caucasian female presents with concerns about a four-month history of diffuse musculoskeletal pain and stiffness associated with fatigue and dry eyes. The pain varies with the weather and is worse in the morning. Her menstrual periods are irregular and she has frequent dyspareunia. Physical exam is remarkable for pain at different points all over the body, including neck, back, chest, elbows, hips, buttocks, and knees

Case Study 2

A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.

Case Study 3

A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.

To prepare:

Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.

Review and select one of the three provided case studies. Analyze the patient information.

Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

By Day 3

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Read the article, Of disparities and diversity: Where are we? by Gloria Sarto, M.D., PhD.Explain how this article has contributed to your understanding of health disparities experienced by women.

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Read the article, Of disparities and diversity: Where are we? by Gloria Sarto, M.D., PhD.Explain how this article has contributed to your understanding of health disparities experienced by women.
Assignment 3: Dropbox Assignment

Health Disparity

Read the article, Of disparities and diversity: Where are we? by Gloria Sarto, M.D., PhD.

In a 4- to 5-page Microsoft Word document, provide your answers for the questions given below:

Provide a brief summary of the article.
Explain how this article has contributed to your understanding of health disparities experienced by women.
Discuss why it is important to identify disparities between and within different racial and ethnic groups of women.
Explain why African American women have a higher mortality rate from breast cancer although their Caucasian female counterparts have a higher incidence rate. Cite at least two additional articles to support your explanation.
Identify the strategies that are in place to decrease the health disparities of all women.
Support your responses with examples.

C

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Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?

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Question
Week2 quiz
Question 1 When percussing, a dull tone is expected to be heard over:
Question 2 Which technique should be used to stabilize the stethoscope during auscultation?
Question 3 The degree of percussion tone is determined by the density of the medium through which the sound waves travel. Which statement is true regarding the relationship between density of the medium and percussion tone?
Question 4 Which of the following describes a physical, not a cultural, differentiator?
Question 5 Your new patient is a 40-year-old Middle Eastern man with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:
Question 6 Which statement is true regarding the impoverished?
Question 7 To perform a deep tendon reflex measurement, you should:
Question 8 In terms of cultural communication differences, Americans are more likely to _____ than are other groups of patients.
Question 9 Underestimation of blood pressure will occur if the blood pressure cuff s bladder:
Question 10 Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be worn while performing:
Question 11 A patient in the emergency department has a concussion to the head. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Question 12 A nonambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Question 13 For a woman with a small vaginal opening, the examiner should use a _____ speculum.
Question 14 Which statement is true regarding the relationship of physical characteristics and culture?
Question 15 You are performing a vaginal examination for a patient with a history of spina bifida. As you insert the metal speculum, the patient suddenly feels nauseated and is sweating, and her skin turns blotchy. What is your most immediate reaction to this situation?
Question 16 The infant should be placed in which position to have his or her height or length measured?
Question 17 Which question has the most potential for exploring a patient s cultural beliefs related to a health problem?
Question 18 Expected normal percussion tones include:
Question 19 A naturalistic or holistic approach to health care often assumes:
Question 20 Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?

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Honda CBR 500 Assessment

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The foremost thing that you should think about about enhancing is that procedure cannot be carried out quickly. Lastly substantive editing should clearly contain the standard mechanical help you would get from all sorts of proofreading. Every once in awhile, substantive editing is precisely what you have to obtain work to another step. Read more

John is a 64 year old male who has developed a post-operative wound following a total hip replacement. John was well prior to surgery and has a history of high cholesterol which he manages with a good diet.

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John is a 64 year old male who has developed a post-operative wound following a total hip replacement. John was well prior to surgery and has a history of high cholesterol which he manages with a good diet.

His wound is red swollen warm and painful. He also has a fever and feels generally unwell. John is given a broad spectrum antibiotic while waiting for the results on a wound culture. He subsequently experiences an anaphylactic reaction after the second dose of anti-biotics.
1.Discuss 3 factors that influence a pathogens ability to cause infection in relation to johns case specifically (ie. Mechanisms of action virulence infects its toxigenicity immunogenicity. Any 3).
2. Discuss innate immunity and analyse how John was able to develop an infection in the presence of a normal immune system.
3. Create a detailed diagram (can be from our text book if referenced) outlining the patho physiological process of inflammation that led to the manifestations of redness swelling pain and warmth at johns wound site.
4. Considering the adaptive immune response outline why John DID NOT show signs of an allergic reaction when given his FIRST dose of antibiotics.

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In what ways do patients benefit from the use of EBP? Reply to other students (at least two) and describe your current practice related to their clinical question and evidence-based practice findings/conclusions

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Why is evidence-based practice (EBP) important to the nursing profession? Discuss how evidence-based practice is being integrated into clinical practice. Provide an example from your nursing practice, experiences, or the literature. What are clinical guidelines and why are they important to clinical nursing practice? How do you believe the use of evidence-based practice and clinical guidelines are changing nursing practice? In what ways do patients benefit from the use of EBP? Reply to other students (at least two) and describe your current practice related to their clinical question and evidence-based practice findings/conclusions

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Improve care and population health and reduce health care costs through the use of Health IT. In this part of the course project you will find out what plans your health care facility has for implementing the plans of the ONC.

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Improve care and population health and reduce health care costs through the use of Health IT.
In this part of the course project you will find out what plans your health care facility has for implementing the plans of the ONC.

The strategic goals of the National Health Care IT Plan are to:
Achieve adoption and information exchange through meaningful use of Health IT.
Improve care and population health and reduce health care costs through the use of Health IT.
Inspire confidence and trust in Health IT.
Empower individuals within Health IT to improve the health care system.
Achieve rapid learning and technological advancement.
Write a report in a 3- to 4-page Microsoft Word document that includes the following information:

A brief description of the mission and vision statements of your health care facility

A brief description of the plans that your health care facility has for implementing the National Health
Care IT Plan

Recommendations on ways to achieve the National Health Care IT Plan

A brief description of how the identified technology solution in W2: Assignment 2 relates to the ONC plans

The strategic planning process for the implementation of your chosen solution

For example, if you chose a technology solution that is currently used at your health care facility, make a case for the manner in which the solution is contributing to meet one or more of the strategic goals for the National Health Care IT Plan mentioned above. If the technology that you have chosen is a new one, describe how the solution will potentially contribute to meeting one or more of the strategic goals of the National Health Care IT Plan.

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What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges? Utilization Management

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What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges?
Utilization Management

The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality.

Refer to the readings of this week and the Internet on the above information, answer the following questions:

What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges?
Differentiate between the three main processes of institutional utilization management.
Determine the main purposes of each process of institutional utilization management? Which process do you think is the most important, and why?
Research the role of the utilization management nurse.
Explain the functions of the utilization management nurse, and compare and contrast the information from that organization.
Explain your understanding of disease management and case management. What in your opinion are one major similarity and one major difference between the two types of management?
Now, access information on disease and case management by searching the Internet by using the following keywords:

Care Continuum Alliance
Commission of Case Manager Certification
Based on your research, answer the following questions:

What is the purpose or mission of these professional organizations?
What standards do these organizations set for certification or membership?
How do these organizations define disease or case management and do they differ from the text definitions?

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consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

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In addition, include a 1-page summary of your project.
Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?
Required Readings
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 12, “Sampling in Quantitative Research”
This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes suggestions for implementing a sampling plan.

Chapter 13, “Data Collection in Quantitative Research”
Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures.

Chapter 22, “Sampling in Qualitative Research”
The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted.

Chapter 23, “Data Collection in Qualitative Research”
This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes.
Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research. Journal of Nursing Regulation, 1(4), 37–44. Copyright 2011 by Elsevier Science & Technology Journals. Used with permission of Elsevier Science & Technology Journals via the Copyright Clearance Center.

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Argue for one relevant theory to be applied to the scenario.For this assignment, you will demonstrate your knowledge and understanding of career counseling theory by choosing a career counseling theory addressed in Units 1 or 2 and applying it to the case study provided below.

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Argue for one relevant theory to be applied to the scenario.For this assignment, you will demonstrate your knowledge and understanding of career counseling theory by choosing a career counseling theory addressed in Units 1 or 2 and applying it to the case study provided below.

Approach the case study from the perspective of your individual specialization (for example, mental health counseling, school counseling, et cetera). You can embellish the case scenario as needed to help you complete the assignment.

Scenario
Taneka, a 17-year-old African-American female, is a high school junior. She is the oldest of three siblings living with her single-parent mother. Her mother has worked for the past 15 years at a manufacturing plant. Her father has not been a part of Taneka’s life.

As the oldest child, Taneka has held major responsibilities throughout her life to support her working mother, such as caring for her younger siblings: Derrick, now age 14, and Kenya, age 12. These early duties reinforced development of her natural leadership skills. Taneka has been recognized from an early age for being mature, responsible, and dependable. As her siblings have grown, she has been able to have part-time jobs, most recently as a salesperson at a teen fashion store in the local mall. It was here that she first realized she had a knack for dealing with people, and they responded well to her—employers, co-workers, and customers alike. She was recently approached by her supervisor to consider participating in the company’s employee leadership training program.

This has caused Taneka to start thinking about post-secondary education possibilities. Previously she had thought college was out of her reach, due to the limited financial resources of her family and no history of anyone in her family ever attending college. As such, she had not previously given much importance to her grades. Rather than participating in extracurricular school activities, she focused on working. She is on track for graduating with her class next year and has a current grade point average of 2.05.

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