Category: Health Care

Part 1 Case 3 A 45-year-old Hispanic female, Ms. Rodriguez, presents to the clinic complaining of sudden onset headache. She states this headache is different from her previous migraine headaches. The headache pain is described as a 10 on a scale of 0–10 with 10 being the worst pain. The pain is nonradiating, and she has mild photophobia. She did not get relief with sumatriptan (Imitrex), which previously provided relief for her migraines. She feels nauseous and states she vomited twice. Physical examination findings are as follows: Vital signs: temperature 98.8°F; pulse 88 beats per minute; respirations 20 per minute; blood pressure 150/95 mmHg; pulse oximeter 100% on room air. General appearance: alert, in mild discomfort due to pain. Head, Eyes, Ears, Nose, and Throat: normocephalic, atraumatic; pupils equal, round, reactive to light and accommodation; sclera nonicteric; extraocular movements intact; no nystagmus; optic disc margins are sharp with no evidence of papilledema or hemorrhaging noted. Lungs: clear to auscultation bilaterally. Cardiac: regular rate and rhythm; S1, S2 with no murmur. Abdomen: soft, depressible, nontender, no organomegaly. Neuro: cranial nerves II–XII intact; muscle strength 5/5; deep tendon reflexes 2+ and symmetrical throughout; no pronator drift; negative Romberg sign; coordination intact; gait steady. Answer the following questions or provide responses based on Part 3. 1. What is your differential diagnosis? 2. What are your risk factors for meningitis? Subarachnoid hemorrhage (SAH)? 3. What imaging would you like to do? 4. Discuss the difference between a headache that presents gradually as compared to a headache that presents suddenly. 5. What other history to you want to obtain from this patient? 6. What clinical findings would you anticipate with meningitis? 7. What clinical findings would you anticipate with SAH? Part 2 case 1 Case 1 A 35-year-old, healthy White male is complaining of right-sided, low back pain for 1 day. The pain began suddenly after lifting a box weighting 35 lbs. at work. The pain radiates down the back of his leg to his right ankle. He has tried ibuprofen and ice without relief. His pain is an 8 out of 10 (with 0 being no pain and 10 being the worst pain). He denies bowel or bladder dysfunction, paresthesia, motor weakness, or fever. Past medical/surgical history: no major medical illnesses; no surgical history; no previous hospitalizations. Social history: has smoked 1 pack of cigarettes a day for 15 years. Medications: none. Allergies: no known drug allergies. Vital signs: temperature 98.7°F; pulse 90 beats per minute; respirations 18 per minute; blood pressure 126/78 mmHg; pulse oximeter 100%. Physical examination revealed a well-nourished adult male without any acute distress. Significant right paraspinal tenderness at L4–L5 was present with no midline tenderness. Straight leg raise was positive at 30° to the right lower extremity. Straight leg raise was negative to the left lower extremity. The remainder of musculoskeletal examination was unremarkable (e.g., deep tendon reflexes, strength, and sensation). Other systems examinations were unremarkable (e.g., heart, lungs, etc.). Answer the following questions based on the Case 1. 1. What are your differential diagnoses? What are subjective and objective findings consistent with the various differentials for low back pain? 2. Would you consider imaging for this patient? If so, what imaging would be recommended and why? 3. What are the red flags of low back pain? 4. What are treatment strategies for this patient? What education would be provided to the patient? 5. When should you refer this patient to a specialist? Part 3 Post your major takeaway from this week’s content (3sentences) by the due date. Using reference below (Chapter 11 or 12) Dlugasch, L. & Story, L. (2019). Applied pathophysiology for the advanced practice nurse (1st ed.). Jones & Bartlett. ISBN: 9781284150452

The patient is a 9-year-old male who has been diagnosed with ADHD with symptoms of hyperactivity and inattention. I will be discussing the cons of using non-stimulant medications in the treatment of this patient. Currently, only two non-stimulant medications have been approved by the FDA for the treatment of ADHD including Strattera (atomotexine) and Qelbree (Viloxazine) (Cojucaru et al., 2021). Other classes of medications have also been used in the treatment of ADHD including tricyclic antidepressants, non-tricyclic antidepressants, specific norepinephrine reuptake inhibitors, and alpha-2 noradrenergic agonists among others (Idrees et al., 2022). Mechanism of Action of Non-stimulants Non-stimulants work by increasing the levels of norepinephrine and dopamine in the CNS. Strattera for example, inhibits the reuptake of norepinephrine in the presynaptic norepinephrine transporter and also inhibits the reuptake of dopamine in different regions of the brain for example, the prefrontal cortex (Idrees et al., 2022). This leads to an increase in norepinephrine and dopamine levels in the brain. Advantages or Disadvantages of Non-stimulants Non-stimulants are selected as a treatment for ADHD for patients who may have other conditions such as tic disorders, are taking other medications, have experienced side effects from stimulants that they could not tolerate, or whose symptoms have not improved with stimulants (Cojocaru et al., 2021). Their advantages is that they can be effective in controlling the symptoms of ADHD, they have lower risk of dependency and abuse, they are longer acting, they have less stringent regulations, and they ca be prescribed for children with different conditions (Cojocaru et al., 2021; Idrees et al., 2022). On the other hand, their disadvantage is that they take longer, up to 3-4 weeks of continuing use to feel the effects, their side effects may be intolerable such as upset stomach, reduced appetite, nausea, vomiting, and cardiovascular problems (Cojocaru et al., 2021; Idrees et al., 2022). In children, these medications also increase the risk of suicidal ideation necessitating constant monitoring once prescribed (Siffel et al., 2020). They also need to be used consistently for effects to be felt, they may also not be as effective as stimulants in addressing stimulants. Advantages and Disadvantages to Other Classes The greatest advantage of non-stimulants to other classes is that they do not have a high potential for abuse and dependency, and they do not aggravate tics which are a side effect of stimulant medications (Cojocaru et al., 2021). Because of this they have less strict regulations and patients can be prescribed a supply of longer than 30 days. In comparison, stimulants such as Adderall have a high abuse potential and therefore are regulated (Nanda et al., 2023). On the other hand, when compared to stimulants, these medications require to be used consistently for approximately 3 to 4 weeks for results to be seen which can be particularly difficult for patients with severe symptoms (Cojocaru et al., 2021). In comparison, some stimulants have an immediate effect and have been approved as the first line of treatment for ADHD (Nanda et al., 2023). Possible Side Effects When prescribed Strattera or Qelbree for the patient, there are specific side-effects that must be monitored including: reduced appetite, nausea and vomiting, indigestion, fatigue, mood swings, dizziness, and irritability (Chang et al., 2020). Other non-stimulants can present with the following side-effects including trouble sleeping, slow heart rate, low blood pressure, cough, runny nose, sore throat, sneezing, changes in mood, high body temperature, nightmares, ear pain, and constipation (Chang et al., 2020). It is also important to note that non-stimulants such as Qelbree have been associated with an increase in suicidal thoughts and behaviors and therefore, the patient must be closely monitored (Chang et al., 2020). Legal, Ethical, and Social Implications Legal: A legal issue is the question of informed consent to the use of non-stimulant medication as the patient is a minor and will therefore require that a guardian is present to make decisions for him. Another is the provision of adequate information about the medication, particularly, the side effects of the medications and the alternative medications such as stimulants that can be used in the treatment of ADHD. Ethical: Ethical issues that arise first is that non-stimulants do not produce effects immediately and their side-effects may be intolerable for the patient. The nurse must consider whether it is ethical to allow the patient to experience these side effects. Another issue is that there is a risk for suicidal ideation in children and therefore, the nurse must consider whether the risk of suicidal behavior is worth the benefits of using non-stimulants for this patient (Chang et al., 2020; Siffel et al., 2020). Social implication: A social issue that arises is the stigma associated with ADHD behaviors that can result in isolation and rejection from peers. Particularly, taking medications can result in this rejection from peers and demotivate the patient from adhering to his prescription (Schoeman & Voges, 2022). References Chang, Z., Quinn, P. D., O’Reilly, L., Sjölander, A., Hur, K., Gibbons, R., Larsson, H., & D’Onofrio, B. M. (2020). Medication for Attention-Deficit/Hyperactivity Disorder and Risk for Suicide Attempts. Biological psychiatry, 88(6), 452–458. https://doi.org/10.1016/j.biopsych.2019.12.003Links to an external site. Cojocaru, A., Hogea, L. M., Poroch, V., Simu, M. A., Enatescu, V. R., Jeleriu, R., Andreescu, N. I., Puiu, M., Hogea, B. G., & Grigoras, M. (2021). Effectiveness of Psychostimulant and Non-Psychostimulant Drug Therapy in the Attention Deficit Hyperactivity Disorder. Applied Sciences, 11(2):502. https://doi.org/10.3390/app11020502 Idrees, I., Bellato, A., Cortese, S., & Groom, M. (2022). The effects of stimulant and non-stimulant medications on the autonomic nervous system ANS functioning in people with ADHD: a systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 144(1). https://doi.org/10.1016/j.neubiorev.2022.104968Links to an external site. Nanda, A., Janga, L. S. N., Sambe, H. G., Yasir, M., Man, R. K., Gogikar, A., & Mohammed, L. (2023). Adverse Effects of Stimulant Interventions for Attention Deficit Hyperactivity Disorder (ADHD): A Comprehensive Systematic Review. Cureus, 15(9), e45995. https://doi.org/10.7759/cureus.45995 Schoeman, R., & Voges, T. (2022). Attention-deficit hyperactivity disorder stigma: The silent barrier to care. The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa, 28, 1865. https://doi.org/10.4102/sajpsychiatry.v28i0.1865 Siffel, C., DerSarkissian, M., Shovein, K., Spalding, W., Gu, Q., Cheng, M., & Duh, M. (2020). Suicidal ideation and attempts in the united states of America among stimulant-treated, non-stimulant-treated, and untreated patients with a diagnosis of attention deficit/hyperactivity disorder. Journal of Affective Disorders 266(1). https://doi.org/10.1016/j.jad.2020.01.075

800-1000 word MAX. Apa format and paper must have 3 scholarly articles published with the last 5 years. Please review attached screenshots. Thank you.

Assignment is to be on how implementing turn teams or turn buddies (they mean the same thing) can decrease pressure injuries in hospitalized patients. Project is to be in APA format with a 8 PAGE REQUIREMENT. I have included journals to help personalize this assignment. Preferred Resources will be attached but any other resources used must be published within the last five (5) years. Must pass turn it in program. Please see attached resources. Thank you.

Medication assisted treatment:
– to persuade community leaders that expanding access to MAT services, emphasizing that more treatment options can save lives and improve public health outcomes
-to persuade healthcare providers to adopt MAT as standard practice, that evidence shows significant increase recovery rates compared to traditional treatment
-to persuade the community that MAT is a proven solution for opioid addiction, reducing stigma and increasing support of those in recovery.

Discussion should be within a range of 150-200 words and answer the following questions:
– Choose one of the research studies in the Matrix table (Please See form attached to this request, references are included for your choice.)
– Provide a brief overview of what the article was trying to do (i.e., the problem).
– What is the type of the study( experimental, cohort, case-study)?
– What was the purpose of the study?
– Describe the sample (who are the participants, how they were selected). Setting (where it happen).
– What is the source of the data? (was a survey, intervention, observation, interviews).
– What were the results? (major findings) (look at the discussion, what was learned).
-Limitations (who funded the research, was the sample too small).
(APA 7th Edition.)

Attached is the document that needs to be filled out accordingly with the references I’ve included on page 5 & 6 of the document.
Please & thank you!

Health Care Model Infographic
Assessment Traits
Requires Lopeswrite
Assessment Descriiption
The purpose of this assignment is to compare two models of health care. Compare the medical model of health care to another health care model of your choosing. Refer to the “Images, Infographics and Graphics Resources Guide,” located in the topic Resources for information on available infographic tools.
Create an infographic to compare the two models, including the following criteria:
A descriiption of the medical model, including access of care, satisfaction with care, and the cost of care.
A descriiption of the model of health care that you have chosen, including access of care, satisfaction with care, and the cost of care.
The similarities between the two models.
The differences between the two models.
In addition to your infographic, choose a patient population that would benefit from your selected model. In 300 to 500 words, explain how this model would best serve that patient population. How would it be more beneficial than other models of care?
Submit your infographic and explanation as one deliverable.
Support your writing with three to five scholarly peer-reviewed resources.
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.

Must Use APA formatting. Paper must have a cover page to include name, date, course and Title of paper. In addition, include an introduction, body, conclusion, and separate Reference page with a minimum of 4 work cited/references that do not exceed 5 years old.
(Paper must be typed, double spaced, 12 font, pages numbered starting with the Introduction page and must be a minimum of 3 -5 pages for the content this does not include Cover or Reference pages).
Also, please discuss how or what kind of Physical Therapy treatment/interventions are used with the pathology/disease Diabetes Mellitus.
A paragraph must contain a minimum of three complete sentences. Do NOT begin or end paragraph with a citation. Citations should be used to enforce original thoughts.
Also, multiple citations in a paragraph with little original thought is not acceptable. Paraphrasing thoughts into a sentence is okay but using 4-5 consecutive words copied exactly from a citation is plagiarism.

Overview
While many factors determine policy and decision-making in federal agencies, one that is significant and often shared among them, is how they are organized and managed. Next week’s assignment asks you to evaluate a federal healthcare agency’s initial response to the Covid 19 pandemic. In this activity, you build a foundation to make that evaluation by researching the management structure of a federal healthcare agency of your choosing (CDC: Center for Disease Control and Prevention).
Preparation
Choose a federal healthcare agency (CDC: Center for Disease Control and Prevention) that has had direct involvement in the Covid-19 pandemic response. Research the organization’s pandemic-related responsibilities and management structure. During your research, you may want to explore early public messaging disseminated by the agency.
In this activity, you will draw an organization chart using MS Word, Visio, or another graphics program to create an infographic to paste into a Word document. If you are using Word:
Open Microsoft Word.
Click on the Insert tab located on the top-left side.
Click on SmartArt and choose and modify a graphic of your choosing.
Scenario
Think back to January 2020 when the United States reported its first Covid-19 infection. Federal (as well as local) public healthcare agencies scrambled to understand the virus and its possible impact on the population. The government’s response and information releases were at best uneven during the ensuing months. Each agency needed to provide messaging to inform and direct the public. Many were frustrated by the uneven messaging among these agencies. An initial step to a better understanding of policies and decision-making is to understand the organization making them.
Instructions
Identify a federal healthcare agency that had a direct and significant role in the nation’s pandemic response and do the following:
Describe 3 roles that the organization played in the pandemic response that capture its main responsibilities or contributions (1 page). Examples include areas such as:
Information sharing or outreach.
Research.
Response efforts.
Medical assistance.
Vaccine distribution.
Draw a diagram that accurately depicts agency personnel/positions or departments that are directly related to pandemic policy and public outreach. Paste the diagram into your submission Word document with your answer from bullet point 1. Include a brief descriiption of responsibilities for key areas or personnel in your chart.