Examining Endocrine, Metabolic, and Hematologic Disorders
Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient Examining Endocrine, Metabolic, and Hematologic Disorders In the United States, 25.6 million adults age 20 years or older have diabetes (American Diabetes Association, 2011). If not properly treated and managed, these millions of diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. Proper treatment and management is the key for diabetic patients, and as the advanced practice nurse providing care for these patients, it is your responsibility to facilitate this process. Patient education is critical, as is working with patients to establish a regular pattern for daily activities such as eating and taking medications. When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans. In this Discussion, you draw from your Practicum Experience and consider factors that impact the education and treatment of patients with diabetes. For this Discussion, consider the following three case studies of patients presenting with endocrine, metabolic, and hematological disorders. Case Study 1 An 82-year-old female presents to the office complaining of fatigue, dizziness, weakness, and increasing dyspnea on exertion. She has a past medical history of atrial fibrillation, hypertension, and hyperlipidemia. Medications include warfarin 2 milligrams po daily, lisinopril 10 milligrams po daily, and simvastatin 10 milligrams po daily. There are no known drug allergies. The physical exam reveals a 5’2” older female. Her weight is 128 pounds, blood pressure is 144/80, heart rate is 98, temperature is 98 degrees Fahrenheit, and O2 saturation is 98%. Further examination reveals the following: Eyes: + pallor conjunctiva Cardiac: irregular rhythm. No S3 S4 or M. NO JVD Lungs: CTA w/o rales, wheezes, or rhonchi Abdomen: soft, BS +, + epigastric tenderness. No organomegaly, rebound, or guarding Rectal: no stool in rectal vault Case Study 2 A 78-year-old female presents to the emergency room after a fall 3 days ago. She recently had a right above-the-knee amputation and was leaning over to pick something up when she fell. She did not want to come to the hospital, but she is having difficulty managing at home because of the pain in her left leg where she fell. Her patient medical history reveals RAKA, peripheral vascular disease, Type 2 diabetes, and stage 3 chronic kidney disease. Current medications include quinapril 20 milligrams PO daily, Lantus 30 units at bedtime, and Humalog to scale before meals. There are no known drug allergies. The physical exam is negative and x-rays reveal no acute injuries. Laboratory studies reveal a normal white blood cell count: Hgb of 8 and HCT 24. The MCV is normal. Case Study 3 V.G. is a 47 year old African American male with type 2 diabetes diagnosed two years ago. He is for a follow up and complaining of increased tingling to the lower extremities. PMH: obesity, dyslipidemia, HTN. He quit smoking smoking two years ago. Denies any alcohol use. SH: lives with alone in a subsidized housing. He is a veteran and relies on food stamps and welfare. Works occasionally. MEDS: he lost his medications and hasn’t taken any in about a week. His chart indicates his is on Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD, PE: 5’9, BP: 160/100 RBG: 415. To prepare: Review Part 17 and 21 of the Buttaro et al. text in this week’s Resources. Review the patient case study and reflect on the information provided about the patient. Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation. Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study. Reflect on a possible diagnosis for the patient. Think about potential treatment options for the patient. Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study that you selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis Expert Answer and Explanation Examining Endocrine, Metabolic, and Hematologic Disorders Primary Diagnosis Type 2 Diabetes The primary diagnosis for this condition is poorly controlled type 2 diabetes. Type 2 diabetes is a medical condition that happens when a patient’s body produces less insulin as needed or resists produced insulin (American Diabetes Association, 2018). According to the association, some of the clinical symptoms of type two diabetes include blurred vision, unintended weight loss, increased thirst, tingling of the lower body and hands, and increased sores that hardly heal. A person suffering from poorly controlled diabetes is a patient who does not follow clinical instructions to control diabetes. It is highly likely that the patient suffers poorly controlled diabetes because he experiences increased tingling to the lower extremities and is obese. Differential Diagnosis Multiple Sclerosis Multiple sclerosis is a medical condition that can damage a patient’s central nervous system. People with multiple sclerosis can experience the following symptoms. They include fatigue, blurred vision, tingling of one or multiple body parts, sexual problems, lack of coordination, Lhermitte sign, and prolonged double vision (Briggs et al., 2018). This disease has been included in the differential diagnosis because the patient complains of tingling of the lower parts of the body. Latent Autoimmune Diabetes Latent autoimmune diabetes is an illness that happens when a patient’s body does not produce enough insulin as required. Low insulin level, increased thirst, tingling of hands and feet, fatigue, and vision problems are signs of the disease. The patient complains of tingling of the body parts, and that is why the disease has been included in the diagnosis. Brachial Plexus Injury Brachial plexus injury is a medical condition that affects one’s nerves. It occurs when a patient’s nerves are overstretched, ripped, and compressed. Glenn et al. (2016) note that the tingling of the body parts is among the symptoms
L L is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination
L L is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination Case Study L L is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication. Would you recommend a herbal supplement in L.L’s case? If so, what herbal supplement would he take? What is the recommended dosage? What are possible side effects of the herbal supplement? What warnings should you give L.L. before he starts the herbal supplement. Expert Answer and Explanation BPH Case Study Benign Prostatic Hyperplasia (BPH) is a condition common for men above 50 years, in which the prostate enlarges and causes problems in urinating. When L.L., a 67-y.o pt. discovers that he has BPH, his doctor advises him to take the recommended medication but he feels that he should probably first try some herbal medication. Recommending Herbal Supplement I would not recommend LL to take some herbal supplements before the prescription medication as their safety and efficiency is not comparable. It is clear that he may be having prior information about the success of some of the supplements in solving some medical conditions without many implications on the body, but it is important for him to realize that his condition is not as serious, and a simple medication could help him restore his health. Since herbal supplements are not as regulated as prescription medicine, the safety and the effects of the herbal supplements may vary depending on the individual (Thomas et al., 2017). If he has to take it, he should talk to the doctor to advise him on the best way forward. Herbal Supplements that He Should Take Among some of the most common herbal supplements for BPH include Pygeum, Rye grass, Saw Palmetto, and Beta-sitosterol. Beta sitosterol, for instance, helps to empty the bladder as well as create strong urine flow (Nabavizadeh et al., 2018). Pygeum also helps to create a stronger stream of urine. All these other supplements improve the health of the kidney as well as that of the prostate (Nabavizadeh et al., 2018). He should, however, note that most of these supplements are not capable of solving already-caused damage. Recommended Dosage There is no specific dosage for these supplements. Each of them is relative on the extent of the condition. Hence, the patient should be careful not to take too much or too little. Most importantly, he should consult the doctor to learn about the effective dose (ED50) of each. Side Effects Some of the side effects of the supplements include dizziness and vomiting. Like any other drug taken orally, constipation is also a common side effect (Ückert et al., 2019). The management of side effects should go in line with the management of the specific doses. If the effects seem to be too much to bear, the patient should be flexible enough to switch to conventional drugs. Warnings before Taking the Herbal Drugs The most important warning that should be given to the patient is the fact that most of the herbal drugs have no specific mode of action, and their healing process is unsure. That is, unlike regular drugs, it is hard to estimate that a certain drug helps one to reach healing up to a given extent. Other warnings I would give would be about the side effects such as the dizziness. Also, the patient should be aware that these drugs are not regulated, and some of their effects are lethal. Conclusion Taking herbal supplements to control the condition of L.L. could not be an advisable decision for him, since there are many uncertainties behind these supplements. Nevertheless, some of the most recommended herbal supplements for BPH include Pygeum, Rye grass, Saw Palmetto, and Beta-sitosterol. All of them work to improve the passage of the urine by acting on the smooth muscles of the duct. He should be sure to consult an expert before using the drugs as they have different side effects as well as lethal doses. References Nabavizadeh, R., Zangi, M., Kim, M. M., Bejestani, M. Y., & Tabatabaei, S. (2018). Herbal supplements for prostate enlargement: current state of the evidence. Urology, 112, 145-150. Thomas, D., Chughtai, B., Kini, M., & Te, A. (2017). Emerging drugs for the treatment of benign prostatic hyperplasia. Expert opinion on emerging drugs, 22(3), 201-212. Ückert, S., Kedia, G. T., Tsikas, D., Simon, A., Bannowsky, A., & Kuczyk, M. A. (2019). Emerging drugs to target lower urinary tract symptomatology (LUTS)/benign prostatic hyperplasia (BPH): focus on the prostate. World journal of urology, 1-13. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order FAQs What is the first-line treatment for hypertension and a male with BPH? The first-line treatment for hypertension in a male with benign prostatic hyperplasia (BPH) is typically a class of medications known as alpha-blockers. These medications help relax the muscles in the prostate and bladder neck, improving urine flow and reducing symptoms of BPH, while also helping to lower blood pressure. Examples of alpha-blockers commonly used for this purpose include tamsulosin and terazosin. However, it’s important for individuals to consult with their healthcare provider for personalized treatment recommendations and monitoring. Which drug is used to treat BPH as well as to treat HTN? The drug used to treat both benign prostatic hyperplasia (BPH) and hypertension (HTN) is often an alpha-blocker. Alpha-blockers such as doxazosin, terazosin, and tamsulosin are commonly prescribed for BPH to relax the muscles in the prostate and bladder neck, improving urine flow. They can also help lower blood pressure by dilating blood vessels, making it easier for blood to flow. However, treatment should always be based on individual medical history and should
Choose one organization from your research that has recently responded to major change
Choose one organization from your research that has recently responded to major change, or is currently In today’s fast-paced and global community, most organizations are faced with constant change. Research contemporary organizations that are currently responding to a significant change within the industry, (preferably an organization in healthcare)such as disruptive technology; state, government, or industry regulations; environmental constraints; judicial or legislative rulings; etc. Choose one organization from your research that has recently responded to major change, or is currently responding to change. Write a paper (1,250-1,500 words) discussing how well the organization is responding to the change dynamics. Include the following: Describe the organization and the change to which it is responding. Discuss the degree to which the change has been disruptive and how the organization has responded to the dynamics created by this change. Evaluate the strategies the organization used in its change plan and determine the level of success the organization experienced with the strategies. Determine the effect the change had on stakeholders, and to what degree stakeholders have resisted. Assess how well stakeholder resistance was addressed. Evaluate the overall implications the change had on interdepartmental collaboration. In your opinion, how well did the leaders of the organization respond and prepare for the change? What worked and what did not work with the strategies they implemented? What modifications would you suggest the leaders of the organization make in order to better address the change dynamics? What additional strategies would you recommend to assist the organization through this change? Expert Answer and Explanation GM’s Response to Change Organizations focus on performing, and even when change occurs, these organizations have to adapt to these changes so that that they can manage to realize performance objectives. Change may occur in response to various triggers including the advancement of the technology, increased government control on business activities, and environmental issues. The internet has brought with it several opportunities, and currently, people can remotely sale their products, and while some businesses feel the benefits of these technologies, others seem to see them as threats to their operations (Yeoh, 2017). The organization chosen for the purpose of this paper is the General Motors. The Motor vehicle industry is feeling the effect of technological disruptions, and this explains the reason why some of the major players in the industry are shifting to the digitization of the motor vehicles. General Motors (GM) is among the firms feeling this disruption, and it is imperative to examine degree and implications of this change, and further explore the change response measures the organization’s leadership took. The Organization’s Description GM ranks as one of the major players in the motor vehicle manufacturing sector, and is among the best performing firms in the United States (U.S.). The firm began operating in 1908 in Miami, does not only make automobiles, but it designs and sales vehicles and vehicles’ spare parts. Besides, the organization runs a program dubbed GM Financial Company, Inc. in which it offers financial services, and this is one of the different ways in which the firm diversifies its operations. Currently, the company produces green energy, and this is part of the GM’s goal to fully rely on the clean energy for its electricity. However, the fourth industrial revolution is putting pressure on the company to produce digitized cars as part of the shift towards driverless and interconnected cars (CNN Business, 2020). Recently, the company committed to investing $3 billion in the production of the driverless electric-powered trucks, and this is part of the strategy the company responds to the changing technological space. The Degree of Disruption of the Change The fourth industrial revolution is increasing the digitization of the production processes and the service delivery systems, and currently, the world is shifting towards the interconnection of the devices. The cloud computing technology is contributing to this revolution given that it provides the platform for remote connectivity of the devices so that these devices and computer systems communicate over a single platform. The use of the artificial intelligence to drive industrial operations is becoming the new norm, and the emphasis on the shift towards smart cities is growing. Driving and communicating in these cities will require the change in the type of transport systems (Alessandra, Scarpato, & Brilli, 2018). GM will need to scale up the production of the autonomous vehicles so that it would compete effectively within the changing global care market. This means that the degree of disruption of the GM activities by the emerging digital technologies is considerably high, and the firm will need to adapt to this change for it to retain its position as a global player in the motor vehicle manufacturing business. GM is making efforts to adapt to the disruption stemming from the advanced digitization space. The firm is working on the production of the autonomous vehicles as part of the measures of moving towards the production of the self-driven cars. Already, the GM has a prototypes of trucks which it recently tested, and are working well. The Chevy’s Electric Pickup is one of these prototypes, and the firm expects to unveil it by the team it within a span of five years. The GM’s response to the contemporary industrial revolution is also noticeable in the design of the vehicles which one can remotely lock and unlock, and which come with advanced and biometric-enabled security capabilities. The Change Plan Strategies The GM, while responding to the change, used a strategic plan. Based on this plan, the organization recruited experts in Information and Technology (IT) systems to come up with the design, and participate in developing the prototypes of the new autonomous vehicles which embed systems that support cloud computing. GM also allocated resources for this purpose, and it set aside $3 billion investment to help with the production of the autonomous trucks. The GM has a culture of involving employees in making decisions on matters pertaining to the design and development of the new products. Consequently, the firm used these employees
Explain the concept of a knowledge worker
Explain the concept of a knowledge worker. Assignment: The Nurse Leader as Knowledge Worker The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar? Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways. In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker. Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers. To Prepare: Review the concepts of informatics as presented in the Resources. Reflect on the role of a nurse leader as a knowledge worker. Consider how knowledge may be informed by data that is collected/accessed. The Assignment: Explain the concept of a knowledge worker. Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker. Include one slide that visually represents the role of a nurse leader as knowledge worker. Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses. Below is the scenario I shared Shift handover is a key tool in ensuring continuity of care The patient handover process in my facility is manual, and much of the data has to be written down in the patient reports. Some nurses in charge of chronic patients, however, feel that the paper work has become too much, yet the patients’ condition are the same (Smith et al., 2018). Ms. Winnie, one of the nurses refuses to write a full patient report for a diabetes patient who has been in the facility for the last three months, claiming that we all know her needs, and we should attend to her without the written continuation instructions. She also claims that she will do the paper work once she finds free time. Before reporting Ms. Winnie to the nurse manager, I happen to realize that what she did was a grave mistake, as it would be a risk to the patient life (Anastasi, 2019). If, for instance, the patient turnover in the facility increases during the night, and the facility hires another group of nurses to help on locum basis, it is likely that the patient whose data was not reported will not be attended to. This can lead to delay in treatment. The involvement of clinicians is essential to developing a sustainable electronic handover system. One of the ways that a physician would use clinical judgement to form knowledge from this experience is examining possibilities. It should be understood that no one ever anticipates or prepares for medical errors (Mosadeghrad & Woldemichael, 2017). However, occurrence of experiences of negligence such as that of Ms. Winnie would increase the chances of medical error. Also, this experience is enough reason to justify the implementation of an automated system. References Anastasi, E. (2019). How to become a locum. Dental Nursing, 15(6), 278-280. Mosadeghrad, A. M., & Woldemichael, A. (2017). Application of quality management in promoting patient safety and preventing medical errors. In Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety (pp. 91-112). IGI Global. Smith, J. G., Morin, K. H., Wallace, L. E., & Lake, E. T. (2018). Association of the nurse work environment, collective efficacy, and missed care. Western journal of nursing research, 40(6), 779-798. By Day 7 of Week 2 Submit your completed Presentation. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name. Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. Expert Answer and Explanation A knowledge worker is a person who collects, analyzes, and applies the analyzed information to improve processes or the organization as a whole, and in the case of nursing, to improve patient outcomes. Nurses are considered to be knowledge workers by default. In the nursing setup, nurses are required to collect information from their patients, use the collected information to assess the needs of the patient, evaluate the best possible evidence-based intervention (data) and apply that intervention to better patient outcomes (Bergren & Maughan, 2020). Regardless of the adoption of technology in the collection and analysis of data, it is the nurse leaders and the nursing staff who choose which data to collect from patients, and which information is useful and relevant to influence the intervention given to the patient. Using the words of Peter Drucker, the inventor of the term, a nurse is supposed to apply both “theoretical and analytical knowledge acquired through formal training,” The application of nursing research and appreciation of evidence-based practices further emphasizes the role of nurses, as knowledge workers. It can therefore be said that the current nursing practice cannot be isolated from concepts of collecting, applying,
Develop in detail a situation in which
Develop in detail a situation in which a health care worker might be confronted with Develop in detail a situation in which a health care worker might be confronted with ethical problems related to patients and prescription drug use OR patients in a state of poverty. Each scenario must be original to you and this assignment. It cannot be from the discussion boards in this class or any other previous forum. Articulate (and then assess) the ethical solutions that can found using “care” (care-based ethics) and “rights” ethics to those problems. Assessment must ask if the solutions are flawed, practicable, persuasive, etc. What health care technology is involved in the situation? What moral guidelines for using that kind of healthcare technology should be used there? Explore such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics. Say how social technologies such as blogs, crowdfunding, online encyclopedias can be used in either case. What moral guidelines for using that kind of healthcare technology should be used there? Develop such guidelines also using utilitarianism, Kantian deontology, ethical egoism, or social contract ethics. You should not be using any text you used in a discussion board or assignment for this class or any previous class. Cite the textbook and incorporate outside sources, including citations. Writing Requirements (APA format) Length: 3-4 pages (not including title page or references page) 1-inch margins Double spaced 12-point Times New Roman font Title page References page (minimum of 2 scholarly sources) Expert Answer and Explanation Ethical Problems in Healthcare Issues of ethics are common in healthcare settings, mostly confronted by healthcare providers in care delivery. These challenges make healthcare delivery a challenge, especially when a nurse is caught between meeting the needs of the patient and the needs of the healthcare organization (Peter, 2018). In this paper, I will develop a situation in which a healthcare worker is confronted with a problem that is ethical in the course of healthcare delivery, articulate and assess the ethical solutions that can be established, identify the healthcare technology that is involved in the situation and the moral guidelines for using such technology, and establish how social technologies like blogs, online encyclopedias, and crowdfunding can get used in either case and the healthcare technology that can get used in such case. Scenario The situation in which a healthcare worker got confronted with an ethical problem that I identified is an emergency whereby the healthcare provider discovers that the patent needs an urgent organ transplant, but he does not have medical insurance. In this situation, the patient in critical care is a low-income earner and cannot pay for the necessary medical procedures. The hospital rules in this situation are that such procedures for treatment cannot be carried out on patients that do not have medical insurance or a way to guarantee that they can afford the payment required for such procedure. In this case, the healthcare worker is caught in a dilemma between saving the life of the patient or following the guidelines provided by the hospital concerning the provision of certain care procedures to patients with medical insurance only. The healthcare worker is caught between fulfilling their duty to their patients, which is to provide care to the best of their ability and the organization’s rules. Articulation and Assessment of Ethical solutions Ethics of care in healthcare entail actions that show the patient that you care about their well-being. In the situation discussed above, an ethical solution based on care-based ethics would be to be emotionally supportive of the patient and help them find a solution to their problem (Moriggi et al., 2020). For instance, the caregiver can share the information about his condition with their family and support them in working towards finding a solution to the problem by providing suggestions to the family on the options they can use like well-wishers or organizations that offer healthcare services to individuals that do not have medical insurance. Another way to show care would be to give hope to the patient to be optimistic about their situation, which would aid their healing process. Rights-based ethics provide that a particular action would be considered to be ethically correct if it respects the rights of individuals (Lasalvia et al., 2019). In the situation above, the care provider will have to identify a solution that respects the rights of the patient. In this case, the patient has a right to access to care and a universal right to life. As such, the care provider has to protect his right to care to the best of their ability by ensuring that they get the best attainable standard of health. In this situation, the ethical solution would be to treat the patient and ensure that they get basic treatment while trying to find a solution to their financial challenges, as the principles of nursing practice require that the patient’s rights are protected at all costs, as it is also the duty of the care provider to the patient. It may be challenging to conduct the organ transplant without the approval of the other healthcare providers in charge of the organization because the healthcare provider will have to obtain consent from the organization to perform such procedures. However, when it is a matter of life and death, the healthcare provider is under an obligation to protect the life of the patient. Technology The healthcare technology that will be involved in the situation discussed above, which entails a patient that needs a liver transplant for survival, will be the electronic health records which will be used in keeping a record of all the procedures of treatment that the patient gets provided by the healthcare provider (Curtis et al., 2018). It also keeps the health history and the records of the medications that have been administered to the patient while receiving care. The moral guidelines that should be applied in the use of this technology include nonmaleficence in which the healthcare worker is required to remain competitive in using this technology and provide the best possible care. Another guideline is fidelity in which the healthcare worker is required to keep their commitment to the health of
Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs
Discuss how elimination complexities can affect the lives of patients and their families Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example. Discuss how functional patterns help a nurse understand the current and past state of health for a patient. Using a condition or disease associated with an elimination complexity, provide an example. Expert Answer and Explanation DQ1: Elimination Complexities Elimination complexities are health conditions that prevent a patient from excreting waste properly. Uremia is one of the elimination complexities. This disease can affect normal urine excretion. Elimination complexities can profoundly affect patients and their families socially, financially, and psychologically. Tan et al. (2017) argue that complications can affect the finances of the patients and their families in that the patient will use a lot of money to treat the conditions. Also, the diseases can prevent the patient from going to work, and this can affect him or her economically. In terms of psychology, the patient may have stress due to financial constraints. Also, the pain brought by the diseases can cause anxiety and depression. The family might suffer stress because their loved one is under distress. Socially, the conditions can prevent the patient from going to social events because of hygiene (Sherwood et al., 2017). They can fear that they will be isolated and laughed at because of their condition. Nurses play a vital role in supporting patients emotionally and psychologically. First, nurses can help patients psychologically by providing them with all the data needed for them to get better. For instance, they should give patients all the information about prescriptions. Also, nurses can emotionally and psychologically support patients by calling them often to ask them about their health and remaining them to regularly visit the hospital as advised by the doctor (Nakanishi et al., 2016). Nurses should give patients hope by telling them powerful words that can raise their spirits. Nurses can also help patients by assessing their psychological conditions and recommend a psychiatrist if they see fit. However, they can also provide counseling when they evaluate and see that the patient is not worse. References Nakanishi, H., Kurosaki, M., Hosokawa, T., Takahashi, Y., Itakura, J., Suzuki, S., … & Higuchi, M. (2016). Urinary excretion of the water channel aquaporin 2 correlated with the pharmacological effect of tolvaptan in cirrhotic patients with ascites. Journal of gastroenterology, 51(6), 620-627. Sherwood, A., Blumenthal, J. A., Koch, G. G., Hoffman, B. M., Watkins, L. L., Smith, P. J., … & Chang, P. P. (2017). Effects of coping skills training on quality of life, disease biomarkers, and clinical outcomes in patients with heart failure: a randomized clinical trial. Circulation: Heart Failure, 10(1), e003410. Tan, R. B., Chakravarti, S., Busovsky-McNeal, M., Walsh, A., & Cecchin, F. (2017). Complexity of ranolazine and phenytoin use in an infant with long QT syndrome type 3. HeartRhythm case reports, 3(1), 104. DQ2: Functional Health Patterns A functional health pattern is a framework developed by Marjory Gordon to be applied by nurses and other healthcare professionals to provide conduct a comprehensive and better health assessment of the patient (Temel & Kutlu, 2019). In other words, the model can be used by nurses in assessing the patient during the diagnosis process. The pattern can be used to diagnose any elimination complexity in a patient. Through the design, the nurse will understand the general health of the patient. If the patient experience any abnormality in the past, he or she will reveal it during a health-perception-health-management pattern (Badawy et al., 2019). The nurse can also grasp the eating habits of the patient. The information can help the nurse determine if the individual’s eating pattern promoted to the excretory disorder. Elimination information is always asked in this pattern. The information about elimination can help the nurse rule about the possibility of any excretory condition. People with excretory diseases, such as kidney failure, cannot exercise for long compared to healthy individuals. During functional health patterns, nurses collect information about exercises that can further improve their diagnosis of any elimination complexity. Information about the reset and relaxation period can help understand whether the patient has an elimination problem or any other disease (Karaca, 2016). For instance, if the patient is urinating excessively during the night, he or she might be suffering from either heart-related conditions or elimination complexities. The nurse can also understand the social health of the patient by collecting information about his or her social life and relationships. In conclusion, the functional pattern can give nurses a lot of information about the patient’s past and current medical history. References Badawy, P. J., Schafer, M. H., & Sun, H. (2019). Relocation and network turnover in later life: How distance moved and functional health are linked to a changing social convoy. Research on aging, 41(1), 54-84. Karaca, T. (2016). Functional Health Patterns Model–A Case Study. Case Studies Journal ISSN (2305-509X) Volume, 5. Temel, M., & Kutlu, F. Y. (2019). Functional Health Pattern Model Based Care Plan for a Depression Diagnosed Patient. Florence Nightingale Hemşirelik Dergisi, 27(1), 91-103. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order What are Elimination Complexities? Understanding the Key Concepts Introduction When it comes to understanding complex topics within various fields, the realm of computer science presents us with the concept of elimination complexities. This intriguing subject, while often misunderstood, plays a crucial role in the optimization of algorithms and problem-solving. In this article, we’ll delve into the intricacies of elimination complexities, breaking down the core ideas and exploring their significance. The Fundamentals of Complexity Analysis Before diving into elimination complexities, it’s important to grasp the basics of complexity analysis. This involves evaluating the efficiency and performance of algorithms as they deal with increasing amounts of data. Complexity is typically classified into time complexity and space
4 Key Components of Claude Debussy’s “Clair de Lune”
Components of Claude Debussy’s “Clair de Lune” Claude Debussy’s “Clair de Lune,” a cornerstone of his Suite Bergamasque, stands as a quintessential piece of the Impressionist movement in music. Composed in 1890 and later revised in 1905, “Clair de Lune” (French for “Light of the Moon”) is renowned for its ethereal beauty and evocative, dreamlike qualities. This analysis delves into its historical context, musical structure, harmonic language, and interpretative nuances. 1. Historical Context Debussy composed “Clair de Lune” during a period of significant evolution in music. The late 19th and early 20th centuries witnessed the decline of Romanticism and the emergence of new musical idioms. Debussy, influenced by the Symbolist poets and painters of his time, sought to break away from traditional forms and harmonic practices. His work embodies a shift towards a more fluid, atmospheric approach to composition. The Suite Bergamasque, in which “Clair de Lune” is the third movement, reflects Debussy’s early style but also hints at his mature, impressionistic techniques. The suite’s title references the Bergamask dance, a rustic dance from Bergamo, Italy, popular in the Renaissance. However, “Clair de Lune” itself transcends this rusticity, offering instead a serene, nocturnal reverie. 2. Musical Structure “Clair de Lune” is structured in ternary form (A-B-A), a common format that allows for thematic development and contrast. The piece opens with a delicate, arpeggiated figure in the right hand, establishing a tranquil, moonlit ambiance. This figure recurs throughout the piece, providing a unifying element. Section A The opening section (A) introduces the main theme, a gently flowing melody characterized by its subtle, lilting rhythm and tender expressiveness. The harmonic language here is rich and complex, with Debussy employing extended chords and modal inflections to create a sense of mystery and fluidity. Section B The middle section (B) provides a contrast, featuring a more animated and rhythmically dynamic passage. Here, the melody becomes more assertive, and the harmonic progressions more adventurous. This section builds in intensity, reaching a climactic point before gradually subsiding. Return of Section A The final section returns to the opening theme (A), now imbued with a sense of resolution and quiet reflection. The piece concludes with a gentle, descending figure, evoking the image of moonlight fading into the night. 3. Harmonic Language Debussy’s harmonic language in “Clair de Lune” is one of its most distinctive features. He eschews traditional tonal relationships in favor of more ambiguous, modal harmonies. The use of parallel chords, unresolved dissonances, and whole-tone scales contributes to the piece’s dreamlike quality. Debussy frequently employs seventh, ninth, and eleventh chords, often in non-functional progressions. These chords, rather than driving towards a resolution, create a sense of suspended time, enhancing the piece’s meditative character. 4. Interpretative Nuances Performing “Clair de Lune” requires a delicate balance of technical precision and emotional sensitivity. Pianists must pay careful attention to touch and pedaling to achieve the piece’s characteristic shimmering sound. The dynamic range is wide, but transitions are often subtle, necessitating careful control and nuanced phrasing. The tempo should be flexible, allowing for natural ebb and flow, much like the movement of moonlight on water. Articulation should be clear yet gentle, with a focus on the melodic line’s lyrical qualities. Conclusion “Clair de Lune” remains one of Debussy’s most beloved works, a testament to his genius in capturing the ephemeral beauty of a moment. Its innovative harmonic language, exquisite melodic lines, and evocative imagery continue to inspire and enchant listeners. Through “Clair de Lune,” Debussy invites us to enter a world of serene contemplation, where music and poetry converge in a luminous dance of light and shadow. Key Takeaways Historical Significance: “Clair de Lune” exemplifies the transition from Romanticism to Impressionism in music, influenced by Symbolist art and poetry. Musical Structure: The piece is in ternary form (A-B-A), with contrasting sections that enhance its expressive depth. Harmonic Innovation: Debussy’s use of extended chords, modal harmonies, and non-functional progressions creates a unique, dreamlike soundscape. Interpretative Challenges: Performers must balance technical precision with emotional sensitivity to capture the piece’s nuanced dynamics and lyrical qualities. Enduring Appeal: “Clair de Lune” remains a timeless masterpiece, celebrated for its ability to evoke a tranquil, reflective mood and its profound musical beauty. FAQ How many parts does Clair de Lune have? “Clair de Lune” by Claude Debussy is a single-movement piece, but it has three main sections that vary in mood and tempo: Opening section – Soft, reflective, and slow. Middle section – Louder, more flowing and expressive. Final section – Returns to a calm, delicate mood similar to the beginning. Though it’s not formally divided into movements, these contrasting sections give the piece a sense of structure and emotional progression.
Discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice
Discuss the four spheres of political action in nursing. In addition, please develop a brief Discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice. What are some ethical considerations here? Expert Answer and Explanation Four Spheres of Political Action in Nursing The very act of being a nurse makes one politically involved even though most nurses view themselves as politically powerless. (Cameron, Ceci, & Salas 2011). The four spheres of political action are areas where nurses have an opportunity for political involvement. Even though each sphere has its own independent function, they all work together to create change. The four spheres of political action in nursing include the workplace, government, professional organizations and the community. (Mason, Leavitt, & Chaffee, 2013). Workplace It addresses affecting jobs and patient care. Nurses should advocate for the issues that require a change in the workplace and also those that affect patient care. They should be politically informed to ensure that policies that regard their workplace are adequately addressed. (Cameron, Ceci, & Salas 2011). Government It addresses rules, laws and regulations governing nursing practice. (Mason, Leavitt, & Chaffee, 2013). The government is the main influencer in the health care-related changes due to their role in political action. We as nurses ought to work closely with the government to create change. Professional Organizations They address issues that shape nursing practice. They influence policy changes in health care as contributors and also implementers. They also lobby for the political backing of the health care policies they deem beneficial to them and the community they serve. Community It addresses issues that affect community health. Since they have a good understanding of the specific health needs of the population, they should work closely with nurses to address them. For a political action in nursing to be realized, it requires input from all spheres hence they are interconnected. In an area I was attached to, there were many incidents of domestic violence with a large number of patients being victims. Through nursing political action, we formulated policies to protect victims and stop the violence. Professional organizations were able to influence change and involve the government in implementing the changes. The hospitals served as the center for members of the community to be sensitized about the issue and also for treatment of victims. Through collaborative action from all the spheres we were able to reduce the number of cases of domestic violence reported. Reference Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (2013). Policy and politics in nursing and healthcare. Philadelphia: Saunders. Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. FAQs Importance of politics in nursing Politics plays a significant role in nursing, influencing various aspects of the profession and the healthcare system. Here are several ways in which politics is important in nursing: Healthcare Policy Advocacy: Nurses can play a crucial role in advocating for policies that promote public health, patient safety, and the well-being of communities. Involvement in political processes allows nurses to influence healthcare policies at local, state, and national levels. Patient Advocacy: Political engagement empowers nurses to advocate for the rights and interests of their patients. This may involve addressing issues such as access to healthcare, health equity, and the delivery of high-quality and patient-centered care. Regulatory Environment: Nurses work within a regulatory framework that is often shaped by political decisions. Understanding and participating in the political process can help nurses contribute to the development of regulations that ensure professional standards, ethical practice, and patient safety. Resource Allocation: Political decisions impact the allocation of resources within the healthcare system. Nurses, as frontline healthcare providers, can advocate for fair distribution of resources, adequate staffing levels, and appropriate funding for nursing education and training. Workplace Conditions: Political decisions influence workplace conditions for nurses, including issues such as staffing ratios, working hours, and workplace safety. Active involvement in political processes allows nurses to address these issues and contribute to creating optimal working environments. Educational Policy: Policies related to nursing education and professional development are shaped by political decisions. Nurses can engage in advocacy to influence policies that support continuous education, training, and career advancement opportunities. Public Health Initiatives: Nurses can contribute to the development and implementation of public health initiatives through political engagement. This includes involvement in vaccination campaigns, disease prevention programs, and community health promotion efforts. Ethical Decision-Making: Political decisions can sometimes raise ethical concerns in healthcare. Nurses may need to navigate ethical dilemmas related to resource allocation, access to care, and the rights of vulnerable populations. Political awareness is crucial in addressing these ethical challenges. Global Health Advocacy: Nurses can participate in global health advocacy by engaging in political discussions related to international healthcare issues, such as infectious disease control, humanitarian assistance, and global health equity. Professional Autonomy: Political engagement helps nurses advocate for their professional autonomy and the recognition of nursing as an essential and autonomous healthcare profession. How can nurses get involved in politics Nurses can get involved in politics in various ways to advocate for their profession, influence healthcare policies, and contribute to positive changes in the healthcare system. Here are several ways nurses can engage in politics: Educate Yourself: Stay informed about current healthcare policies, legislative issues, and political developments at the local, state, and national levels. Understand how these issues impact nursing practice, patient care, and the healthcare system. Join Professional Organizations: Join nursing organizations and associations that actively engage in political advocacy. These organizations often provide resources, updates on policy issues, and opportunities for nurses to participate in advocacy efforts. Attend Legislative Sessions: Attend local or state legislative sessions to observe the political process and gain firsthand knowledge of how healthcare policies are discussed and developed. Some nursing organizations may organize visits to legislative sessions for their members. Network with Policymakers: Build
Describe the national healthcare issue/stressor you selected and its impact on your organization
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. To Prepare: Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for the study. Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. The Assignment (3-4 Pages): Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. APA citation 3 to 4 references within 5 years Expert Answer and Explanation Analysis of a Pertinent Healthcare Issue When it comes to the delivery of care, healthcare organizations play a vital role, delivering clinical care, and providing pertinent information to patients as part of the patient empowerment initiative. For organizations, however, meeting the needs of patients can be a challenge considering that they grapple with a wide range of issues. If an organization wants to effectively provide care that is adequate and optimal, it must have adequate clinical staff because the staff members’ input is necessary for the organization to assess and screen patients, and administer meaningful clinical interventions (Baker, 2022). Unfortunately, organizations struggle with addressing patients’ needs due to the shortage of nurses. Description of the National Healthcare Issue its Impact on the Organization (use Data) As a national healthcare issue, nurse shortage is characterized by the limited supply of nursing professionals resulting to understaffing of the hospitals. In the United States (U.S.), the nurse to patient ratio is subject to regulatory policies with states like Massachutes requiring a single nurse for every patient admitted in intensive care unit. For these states, imposing the staffing requirements is crucial because it helps protect the welfare of the patient by ensuring that they receive adequate care. Unfortunately, the shortage of nurses is an issue that is prevalent in various organizations across the country, undermining patients’ access to care. Cases of employee absenteeism and turnover are widespread in poorly staffed organizations considering that employees in such organizations tend to have high workload. For the clinical staff, the emotional and physical exhaustion that comes with working longer hours, may compromise the quality of the services they provide, resulting to prolonged stay in hospitals. Summary of the Article reviewed on the Healthcare Issue The shortage of nursing professionals is a major public health concern because of its ramifications, and to better understand it in terms of causes and interventions that can help mitigate it, one should evaluate existing studies. One of these studies is a study that Tamata and Mohammadnezhad (2023) conducted, employing a systematic review to investigate the contributors to the limited supply of nursing professionals including their implications on nurses. They found that impediments such as the lack of nurse training coupled by low enrolment in nursing schools contributed to decline in population of nurses. According to Udod (2023), nurses leave their profession or the organization they work for because of reasons such as lack of infrastructure. The author highlights the interventions that can help retain nurses, emphasizing the importance of establishing infrastructure to spur innovation. In addition, he recommends investing in programs meant to improve employees’ leadership skills. How the Healthcare Issue is being addressed in other Organizations Organizations are tackling the nursing shortage issue by adopting various strategies including providing incentives to the nursing staff as a retention strategy. Part of these incentives includes educational opportunities to allow nurses to advance their education, and acquire new skills. Still, some organizations are boosting benefits for their nursing workforce in a bid to prevent them from seeking jobs elsewhere, or transitioning to other careers. An organization such as Vanguard leverages this strategy as part of its efforts to attract and retain nurses. The Strategies used to address the Organizational Impact of
Briefly describe humanistic-existential psychotherapy and the second approach you selected
Briefly describe humanistic-existential psychotherapy and the second approach you selected Assignment Comparing Humanistic-Existential Psychotherapy with Other Approaches Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each patient is an essential skill of the psychiatric-mental health nurse practitioner. In this Assignment, you will compare humanistic-existential therapy to another psychotherapeutic approach. You will identify the strengths and challenges of each approach and describe expected potential outcomes. To prepare: Review the humanistic-existential psychotherapy videos in this week’s Learning Resources. Reflect on humanistic-existential psychotherapeutic approaches. Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in. The Assignment In a 2- to 3-page paper, address the following: Briefly describe humanistic-existential psychotherapy and the second approach you selected. Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP. Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Expert Answer and Explanation Comparing Humanistic-Existential Psychotherapy Healthcare is constantly facing different changes as it progresses from one form of care to the other. Mental health is one of the entities in nursing that require the use of multiple interventions in order to prevent multiple issues (Heidenreich et al., 2021). Therapists make use of the DSM-5 to identify the different diagnoses that can be used in relation to the issues affecting the patient. This article will compare humanistic-existential psychotherapy with cognitive-behavioral therapy. Treatment Approaches Also abbreviated as HEP, humanistic existential psychotherapy is among the most common types of psychotherapy used to intervene for patients dealing with mental illness. The use of humanistic-existential psychotherapy is aimed at enabling the patient to know their characteristics and the aspects that differentiate them from the rest of the world (Heidenreich et al., 2021). Therapists have the capacity to use the approach to offer motivation to the patient. Additionally, the approach can also be used in the identification of the different areas of concern that might be affecting the patient. The therapist is able to ensure that the client has discovered their unique traits and what makes them stand out from the crowd. The use of humanistic-existential psychotherapy is important as it makes the patient become aware of their traits and how they can improve the areas that are affected or causing harm (Heidenreich et al., 2021). The basic premise of human existential therapy is that it can be used to ensure the patients overcome their imposed fears or limitations. With great ability to be aware of personal convictions, the patient can be guided to acquire an in-depth understanding of their innate life goals. The second approach that can be used to provide psychotherapy to a patient is cognitive-behavioural therapy (CBT). This approach is also one of the most common modes of interventions used in providing medical attention to patients with mental disorders (David et al., 2021). The CBT approach focuses on the thought processes of a person as well as the physical behaviors. These methods are critical as they work together to reduce the severity of the patient’s symptoms. In this regard, CBT addresses how a person’s cognitive abilities or thought process can positively or negatively affect their external behaviors. In this regard, the method can be used to offer treatment or identify the various issues that might be affecting the patient. A patient being treated with CBT is able to identify their behavior, thought process, and how one leads to the other (David et al., 2021). The role of the therapist is to help the patient in the identification of their cognitions and behaviors and later link how one is related to the other. Correlation Between CBT and HEP While the two approaches are used to help patients deal with their mental issues, they have different similarities and differences. The main difference between the two treatment approaches is that HEP analyzes the uniqueness of a patient, while CBT measures the behaviors and thought processes (David et al., 2021). These two interventions help the patient deal with different issues that might affect their mental state. For instance, HEP can be used to offer medical aid to patients with self-esteem issues, while CBT can best be used to help patients dealing with substance abuse or addiction. The other difference that the two approaches have is that CBT what the patient can alter or change while HEP helps the patient to understand their personal beliefs and convictions. These differences are from the premise within which the therapists can help the patients meet the different requirements of care. Additionally, HEP is focused on the abilities of the patients, while CBT focuses on the actions or how the patient responds to different issues within society. The PMHNP can best benefit from this approach as they help deal with the different issues that might affect the quality of patient care (Yılmaz et al., 2019). A PMHNP can decide on the best approach to use and how to ensure the patient receives the best available care. Overview of the Video The video addresses a patient suffering from anger, constrictions, and having challenges with understanding their personal feelings. These symptoms depict the challenges that the patient has with regards to self-awareness and correlating with the environment around them (PsychotherapyNet, 2009). In this regard, the best available approach that the PMHNP can use on the patient is to apply the HEP treatment. The approach would be essential in ensuring that the patient is informed of their uniqueness and how it makes them stand out