Category: Health Care and Life Sciences : Nursing

A 31-year-old single woman with three young children presents to her doctor’s office for an exam. She tells the nurse that she has recently lost weight and she has been losing her hair. She complains of frequent diarrhea. When asked about her symptoms, she states her symptoms resulted because she recently started working full time and has been feeling really stressed.
Case Study Prompts
Describe the disease process the patient is most likely experiencing and explain the significance and regulation of the hormone(s) involved in this disease process.
Describe the significance of hormone-receptor interaction.
Discuss the signs and symptoms related to an excess of this hormone and a deficiency of this hormone as it relates to this disease process.
Use at least three peer-reviewed sources from the literature to support your claims.

Conduct research about one hematologic malignancy from the list below and summarize the typical presentation (especially laboratory findings such as WBC, RBC, platelets), etiology, common differential diagnosis, typical diagnostic work-up, treatment plan, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales tools (if any), and additional information that would be important to the geriatric population. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
CLL
ALL
AML
CML
Hodgkin’s Lymphoma
Non-Hodgkin’s Lymphoma
Myelodysplastic Syndrome
Polycythemia Vera
Essential Thrombocythemia
Primary Myelofibrosis
Mantle Cell Lymphoma
Diffuse Large B-cell Lymphoma
Burkitt Lymphoma
T-Cell Lymphomas
Multiple Myeloma
Aplastic Anemia

You are an AGACNP practicing as a hospitalist in a tertiary care center. You are tasked with admitting a patient with a chief complaint of an acute neurological disease state. Please choose from one of the following and try to avoid duplicating posts.
Transient Ischemic Attack (TIA)
Ischemic and Hemorrhagic Stroke
Seizures
Intracranial Hypertension
Encephalitis
Meningitis
Encephalopathy
Space-Occupying Lesions
Peripheral Neuropathy
Parkinson’s Disease
Alzheimer’s Disease
Closed Head Injuries With and Without Chronic Anticoagulation
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Outline a typical presentation for the disease state you have chosen. List appropriate diagnostic testing, admission orders, and referrals and consultations. Include appropriate screening tools, identify potential risks, and list appropriate interventions to minimize risk and provide preventative care, including tertiary prevention. Highlight differences in presentation of adult versus geriatric patients with neurological emergencies. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

You are working in a 15-bed rural hospital with an emergency department. You are the only adult-geriatric provider on this shift, and you are presented with the following case.
A distraught older female brings by personal vehicle her husband of 60 years. This is an 81-year-old male farmer/rancher who was out branding cattle when he experienced new onset headache and difficulty using his right hand. He tried to call his wife on his cellphone but was unable to speak. Instead he blew into the phone and tried to make noises with his mouth. She went to the branding site and transported him to the emergency department.
He is somnolent but will awaken with stimulation. When awake, he is frustrated and tearful. His right hand is flaccid, and he is aphasic. Your facility has a full lab, full x-ray, and CT machine, but no MRI and no neurology consultation service. You are contractually connected with a tertiary care center that is also a stroke center.
Choose one of the options below and outline your initial assessment and diagnostic orders, including pharmacological and nonpharmacological interventions, anticipated clinical manifestations, exam findings, and your plan. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
CT (noncontrast), no acute findings. It has been 4 hours since onset of symptoms.
CT (noncontrast), no acute findings. It has been 1 hour since onset of symptoms.
CT (noncontrast), a small intracerebral bleed, no mass effect.
CT (noncontrast), a moderate intracerebral bleed, 3mm of shift, and mass effect.

Choose from the following hematologic diagnoses and outline a typical presentation, etiology, including risk factors, common differential diagnosis, typical diagnostic work-up, treatment plan, tertiary prevention measures and any nutritional needs, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales tools (if any), and additional information that would be important to the geriatric population. Highlight differences in presentation of adult versus geriatric patients with this diagnosis. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Anemia (iron deficiency, pernicious, B12, folic acid, anemia of chronic disease)
Thalassemia
Sickle-Cell Disease
Idiopathic Thrombocytopenic Purpura (ITP)
Heparin Induced Thrombocytopenia (HIT)
Disseminated Intravascular Coagulation (DIC).

Complete an academic clinical history and physical note based on a patient seen during clinical/practicum. In your assessment, provide the following:
History and Physical Note
Chief complaint/reason for admission/visit/consult.
HPI for the H&P or consult notes.
Medical, surgical, family, social, and allergy history.
Home medications, including dosages, route, frequency, and current medications, if a consultation note.
Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).
Vital signs and weight.
Physical exam with a complete head-to-toe evaluation. Include pertinent positives and negatives based on findings from head-to-toe exam.
Lab/Imaging/Diagnostic test results (including date).
Assessment and Clinical Impressions
Identify at least three differential diagnoses based upon the chief complaint, ROS, assessment, or abnormal diagnostic tools with rationale.
Include a complete list of all diagnoses that are both acute and chronic.
List the differential diagnoses and chronic conditions in order of priority.
Plan Component Management and Plan Criteria Incorporation
Select appropriate diagnostic and therapeutic interventions based on efficacy, safety, cost, and acceptability. Provide rationale.
Discuss disposition and expected outcomes.
Identify and address health education, health promotion, and disease prevention.
Provide a case summary with ethical, legal, and geriatric considerations. Compare treatment options specific to the geriatric population to nongeriatric adult populations. Consider potential issues, even if they are not evident.
General Requirements
This assignment uses a template. Please refer to the “History and Physical Note Template,” located on the college page of the Student Success Center under the AGACNP tab.
Incorporate at least three peer-reviewed articles in the assessment or plan.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Describe a situation in which you personally experienced workplace or lateral violence or in which you witnessed someone else experiencing it. Describe strategies that were used or that could have been used to effectively stop it. What were the eventual consequences of this interaction? What does the literature say about this topic?

TOPIC: Medication Errror
Select a tool to visually display your data or select a diagram that visually identifies the root cause of a problem and generates possible solutions. Your choice will depend on the topic of your project; select a tool or a diagram, not both.
Your project should either (1) include a quality improvement visual tool, such as a cause-and-effect (or “fishbone”) diagram or a process flowchart, or (2) display how the data will be visually represented, such as in a histogram or a scatter diagram. The following provides some information and documents that provide detailed instructions for each tool:
Cause-and-effect/fishbone diagram (Word)Links to an external site.: This organizational tool helps display and then explore causes contributing to certain effects or outcomes. It graphically displays the relationship of the causes to the effects, as well as to each other, which then helps identify areas for improvement.
Flowchart (Word)Links to an external site.: A flowchart represents the steps in a process. It also identifies points in the process where decisions need to be made. Understanding the process helps identify problems, focus discussions, and identify resources.
Histogram (Word)Links to an external site.: A histogram can display the variation in continuous data such as time, weight, size, or temperature. It can help with recognizing and analyzing data that are not apparent when looking at a table of data and with calculating the average or median.
Scatter diagram (Word)Links to an external site.: This graph represents the relationship between two variables. Scatter diagrams can help identify cause-and-effect relationships. If two variables are related, the data points will fall along a diagonal line or curve in a positive or negative correlation.
After you have identified which you want to use for your project, because you have no data, create either a fishbone diagram or a flowchart for your QI project.
What to Submit
Your fishbone diagram or flowchart
You cn choose which one to submit with the 4 I provided.

Think about your current organization and practice setting as you complete the organizational self-assessment. Review each question and indicate a rating of 1 (low) to 5 (high) or “Do not know.”
Write a paper in Microsoft Word no more than five pages long (not counting the cover page, references, and appendix), double-spaced, using APA format, including at least two references. Include the completed self-assessment as an appendix.
Answer the following questions based on your self-assessment:
What does being a “5” on the questions mean to you (or the organization)?
How would your organization know it is at a “5”?
What would it take for your organization to rate itself at a “5” consistently?
For questions answered with “Do not know,” address the following:
Why don’t organizations know this?
How can they find out?
Why is it important to find out?
Summarize your findings and discuss the next steps:
What is most important for your organization to address?
How can you and/or your organization gain more patient and family input on what to focus on next?
What to Submit
Your paper including at least two references and the completed self-assessment as an appendix, in Microsoft Word
If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.

this is just a concept map to create, I have attached the rubrics as well as an example of concept map. The topic for this concept map would be “Substance abuse among Indigenous youth in Alberta”