Category: Health Care and Life Sciences : Nursing

send me a copy of this article that you cited in your recent medication worksheet?
Saeedi, M., & Mehranfar, F. (2022). Challenges and approaches of drugs such as Memantine, Donepezil, Rivastigmine and Aducanumab in the
treatment, control and management of Alzheimer’s disease. Recent Patents on Biotechnology, 16.
https://doi.org/10.2174/1872208316666220302115901
Saeedi, M., & Mehranfar, F. (2022). Challenges and approaches of drugs such as Memantine, Donepezil, Rivastigmine and Aducanumab in the
treatment, control and management of Alzheimer’s disease. Recent Patents on Biotechnology, 16.
https://doi.org/10.2174/1872208316666220302115901

The purpose of this assignment is to apply a nursing theory to practice. Using the poster template provided, you will use one of the clinical scenarios provided and choose a middle range theory that might be useful to describe or explain the situation.  Identify at least two different middle range theories that might apply to the case and select one to use.  Provide a brief description of the theory. The concepts of the theory should be matched to the situation and evident in the real world.  Relationships between concepts and theories should be explained as these are depicted in the scenario. In addition, you should describe possible outcomes of the situation, using the selected theory to make these predictions.
Case Study:
Mr. Sorensen is a 48 year old widow. His second wife of 15 years, Martha, recently died of lymphoma. Martha had been ill for about fourteen months and the treatments for her lymphoma had been unsuccessful.  Mrs. Sorenson’s last few days of her life had been spent in the hospital with her husband by her side constantly.  Mrs. Sorenson died in her sleep and it appeared to everyone involved that her last several days were comfortable.
    Mr. Sorenson has three children from his first marriage, but none from his second marriage.  His children came to the memorial service, but then departed to their homes shortly after the service.  When Mr. Sorenson’s son, William, returned to visit two months after the memorial service, he noticed Mr. Sorenson very withdrawn. William also discovered that Mr. Sorenson rarely ventured out of the house, and had markedly diminished his contact with previously close friends and neighbors.

Read the case study thoroughly and answer all the questions and fill in all the boxes. Straight forward and short answers preferred.  Please list all the references in APA format.

. Which has been more significant in shaping American history: race or class? [Note: It is acceptable to argue that the significance of race or class has varied in different eras, but make sure you give concrete evidence.

You are part of a surgical team and your role is postoperative management of thoracic surgery. In your role, you are required to determine the course of action for the patient before you call the surgeon. A right lower-lobe resection occurred due to adenocarcinoma. The nurse has called at the 12-hour interval from surgery concerned with the amount of drainage within the chest tube. Respond to the following and support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Describe the role of an AGACNP at each of the steps in postoperative care for a surgical patient.
Describe the assessment steps you would take.
Explain the drainage and decompression devices and how you manage these as an AGACNP.
Discuss potential differential diagnoses you could expect from the assessment.
Discuss the hemodynamic findings one might see with your provided diagnosis.
Propose potential treatment plans that would be appropriate.

You have been called to the medical-surgical floor to assist in rapid intubation of a patient with a combination of exacerbated heart failure and advanced COPD. Initial oxygen saturation was 75% according to the nursing staff. After intubation, you continue the care of the patient in the ICU. What would be the difference between respiratory acidosis and alkalosis? Provide an example of each arterial blood gas reading. Differentiate the initial treatment plan for respiratory acidosis and alkalosis using the ventilator as well as pharmacotherapeutic agents. What environmental and nutritional interventions would you recommend for this patient?
Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

Mrs. P. has been in the ICU for several days, has made gradual progression, and appears to be doing well with laboratory findings and arterial blood gases indicating normal readings. The enteral feeds were held overnight for anticipation of extubation. Describe the process for weaning the patient from the ventilator and discuss when it is appropriate to remove ventilator support as the patient has improved. What are the risks to monitor for as this process is implemented for the patient?
Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

You are the NP on the neurosurgical team. You are rounding on a 58-year-old patient who has undergone a TPH (trans sphenoidal hypophysectomy) for pituitary removal.
you have concerns for diabetes insipidus (DI). Discuss DI in relation to a postoperative neurosurgical patient. What are the signs and symptoms leading to your concerns? How would you manage the patient? What further complications could be caused from DI?  cite two APA reference within the text.

Please explain how this leadership portfolio has assisted you in examining your strengths and opportunities as a leader?  Did anything surprise you? Did you find this activity helpful? Submit this document this week for an extra 5 points on your leadership portfolio presentation grade. 
It helped by identifying my weaknesses and building  on them, learning my biggest assets , and how to over come challenges when taking the lead.

Read the follow case studies and answer the questions.
Case #1:
History: A 65 year old housewife complains of progressive weight gain of 40 pounds in 1 year, fatigue, dizziness, sluggish memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance.
Physical examination: Vital signs: temperature 96.4oF, pulse 68/minute and regular, BP 108/60, weight 170 lbs, height 5 feet, puffy face, pale, cool, dry skin. The thyroid gland is not palpable, deep tendon reflex time is delayed.
Laboratory studies: CBC and differential WBC are normal. The serum T4 concentration is 3.4 ug/dl (N=4.5-12.5), the serum TSH is 0.9 uU/ml (N=0.2-3.5), and the serum cholesterol is 275 mg/dl (N<200). 1.)What is the likely diagnosis and what symptoms made you consider that diagnosis? 2.)Which lab data supported the diagnosis? 3.)Explain-Hypothalamic-Pituitary-Thyroid axis and interrelationship. Case #2: J.R. is a 58-year old man who presented with a 6-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed on day of his visit and was 359 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission non-fasting serum glucose 268 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 190 pounds, height 5'6.5" . The rest of the examination was unremarkable, i.e., no signs of retinopathy or neuropathy. 1.)What are the mechanisms of blurred vision which was part of his initial symptoms? 2.)Are there correlations between his abnormal blood chemistries and his other symptoms? 3.)Identify the cardiovascular and microvascular risk factors in the history, physical examination, and laboratory data in this patient. Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position. Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position. Please be sure to validate your opinions and ideas with citations and references in APA format.