Describe and discuss the nurses role in health promotion and disease prevention in older adults.
Describe and discuss the nurses role in health promotion and disease prevention in older adults. Share an example from your personal experience as a RN.Name and elaborate on at least three screening/preventive procedure that must be done in older adults.Define and discuss three common End-of-life documents that you as nurse must be familiar with to be able to educate older adults.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.?
Urinary Function:Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patients chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel very bad and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 56 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.Create a list of risk factors the patient might have and explain why.Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.Reproductive Function:Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex every once in a while. She noted an abnormal vaginal discharge yesterday and she describes it as thick, greenish-yellow in color, and very smelly. She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, because he has been away on business for five days.Microscopic Examination of Vaginal Discharge(-) yeast or hyphae(-) flagellated microbes(+) white blood cells(+) gram-negative intracellular diplococciCase Study QuestionsAccording to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?Name the criteria you would use to recommend hospitalization for this patientSubmission Instructions:You must complete both case studies. DO NOT INCLUDE THE WHOLE QUESTION AS HEADING BC PLAGIARISM COMES VERY HIGH, JUST MAIN TERMS.Your initial post should be at least500 words per case study, formatted and cited in current APA 7 edition style with support from at least 3 academic sources (books or journal articles from 2017 up to now). No websites as references allowed. Include doi, page numbers, etc. Plagiarism must be less than 10%
Do you think that gender role is important in todays society
1.For me growing up, gender identity was determined by your genitalia, and will still be determined by those genitals as long God lends me breath no matter what society says because whether or not they wish to call x or y they were either born a girl or a boy, and they both have different roles and these different roles are confused in their given roles by whom they choose to be and not whom they were born to be.According to ( Britannica .com ) gender identity, an individuals self-conception as a man or woman or as a boy or a girl or as some combination of man/boy and woman/girl or as someone fluctuating between man/boy and woman/girl or someone outside those categories altogether. It is distinguished from actual biological sex- i-e., male or female. For most persons, gender identity and biological sex correspond conventionally. Some individuals, however, experience little or no connection between sex and gender; among transgender persons.And because many of us are from the old school, we will definitely have a problem with current social institutions because each gender is supposed to have its facilities and different roles.question to the class, Do you think that gender role is important in todays societyReference:This weeks video on gender roles x and yGender identity/Definition, Theories, & Facts- Encyclopedia Britannicahttps://www.britannica,com/topic/gender-identity
Describe the relevant facts of the case.
IntroductionRead the following case study and respond to the question below.In April 2010, the BP Deepwater Horizon oil rig exploded, killing 11 workers and spewing four million barrels of light crude oil into the Gulf of Mexico. It was the largest oil spill in U.S. history and ranked among the top 10 worlds worst human-caused environmental disasters. Approximately 47,000 square miles, or one-fifth of the total area of the Gulf, was affected, as well as beaches and coastal marshes. Before it was finally contained three months later, the spill killed hundreds of sea turtles, sea birds, and marine mammals, in addition to countless fish. BP worked with the U.S. Coast Guard and other government agencies to contain the damage. BP ended active clean-up operation in November 2011 and is now focusing on restoring areas damaged by the spill.Effects of the spill on the ecosphere and animal life will not be known for years, although recovery has been faster than expected. Hundreds of people, including fishers, shrimpers, and workers in the tourism industry, were out of work as a result of the spill. BP set up a $20 billion fund to compensate victims of the spill. Disputes overcompensation are still ongoing (1).The explosion causing the spill occurred on April 20, 2010. On April 30, the U.S. Justice Department banned new drilling in the Gulf of Mexico. U.S. President Barack Obama used the authority granted to the president by the 1953 Outer Continental Shelf Land Act, to withdraw all the Chukchi Sea and the majority of the Beaufort Sea in the Arctic from future oil and gas drilling. (2)The Trump administration has opened up the Atlantic, Pacific, and Arctic U.S. coastal areas to oil and gas drilling. Environmentalists argue that it would be difficult or almost impossible to contain an oil spill in the Arctic because of the areas remoteness, the ice cover, and the lack of daylight during the winter months. Question:Should we be drilling for oil in the Arctic offshore?Sources1. Judith Boss. 2020. Analyzing Moral Issues. p. 452. McGraw-Hill Higher Education 7th edition textbook available at https://www.strayerbookstore.com.2. The Guardian. 2010. Deepwater Horizon: US Bans New Drilling in Gulf of Mexico. https://www.theguardian.com/environment/2010/apr/30/oil-spill-reaches-us-coastlineInstructionsUse the Case Study Assignment Template to do the following:Describethe relevant facts of the case.Clarify concepts relevant to the case.Apply a moral standard to the case.Articulate a conclusion to the stated question.Include at least two references, such as the textbook and other readings, to support your arguments.
Describe the 5 Ps (product, place, promotion, price, people) at a high level.
Select a topic for the marketing plan you will develop throughout the term. It must be a single product or service, not a system or process. Research your concept before you finalize your choice; be sure you can find adequate data to inform a marketing plan. Look for data about customers, markets, competitors, and distribution channels. the annotated bibliography to the end of your paper. See the rubric for more information.When you write your paper, address the following questions, in detail:1. What is the problem/need the product/service solves or addresses?2. Who is the customer, in demographic terms? Be specific.3. What is the customers psychographic? Be specific.4. Where is the customer located what is the geography? Pick a place, be very specific, by zip code so that you can easily pull data. If you go wide, like a region, a state, a county, a country, you must pull data for this entire area. Drilling down into zip code, or even a neighborhood within that zip code is preferable.5. Describe the 5 Ps (product, place, promotion, price, people) at a high level. You will further develop the marketing mix later in the term, but you need a sense of how this will look before you proceed.6. Did you find adequate data to inform your annotated bibliography? If not, rethink your topic. You must have at least ten examples of solid data that proves your topic is viable for market planning in your annotated bibliography.7. How is your product or service innovative? What does it do that makes it innovative? Note: your product or service must be an innovation or a major improvement of something that already exists.
Should we, as a society, be drinking more or less milk?
The Department of Health and Human Services (2021), estimates that 53 million Americans are at increased risk for bone fractures. Calcium and Vitamin D are vital components for osteoporosis prevention. Dairy products, especially milk products, are common in the American diet and even have a familiar marketing campaign (Got Milk?) to help educate the public on the benefits of milk. Most Americans have the perception that drinking milk will give us strong bones, but is this true? Initial post: Are dairy products, specifically milk, an effective dietary source to help prevent osteoporosis or could they cause more harm than good? Should we, as a society, be drinking more or less milk? Are there better dietary choices for calcium or should we all be taking calcium supplements? Please elaborate on your reasoning with your research. Support your opinion with valid research and cite your sources
What is the most powerful and persuasive response to the reasons and rationalizations Sarah needs to address?
Read the case. Write 5-7 page executive summary on the case, including answers to the following questions:What are the main arguments that Sarah is trying to counter? That is what are the reasons and rationalizations she needs to address in deciding how to handle the meeting with Paul Henley?What is at stake for the key parties in this case? What are Sarahs ethical obligations to them?Should Sarahs decision on revenue recognition in 2017 influence how she handles the DSS transaction?Should Sarah follow Shannons advice? What if she does and Paul Henley does not back off? What else can she do to strengthen her position?What is the most powerful and persuasive response to the reasons and rationalizations Sarah needs to address? To whom should the argument be made? When and in what context?What should Sarah do next if all parties at Solutions Network support Pauls position and flat out tell Sarah to be a team player?
Identify and discuss a health-related case in which virtues and values played a part. Discuss application/and interpretation of these virtues and values in your selected case.
How do they affect ones character? How are they acquired? How can they be helpful in resolving health care ethical dilemmas? (content criteria #2)Identify and discuss a health-related case in which virtues and values played a part. Discuss application/and interpretation of these virtues and values in your selected case. (content criteria #3)Make sure you have an Introduction and Conclusion (content criteria #1).A synopsis of United States Code, Federal Register, Code of Federal Regulations, and state regulations that are applicable to patients, providers, third-party payers, and administrators involved in health care industry.The United States CodeAs stated by the GPO (2008), the United States Code is the codification by subject matter of the general and permanent laws of the United States. It is divided by broad subjects into 50 titles and published by the Office of the Law Revision Counsel of the U.S. House of Representatives. Since 1926, the United States Code has been published every six years. In between editions, annual cumulative supplements are published in order to present the most current information (p.2). The relevance of the United States Code for patients, provides, third-party payers, and administrators centers on applicable rights regarding access to health care, laws governing pre-existing conditions, and liabilities. A prime example would be title 42, public health and welfare act, Chapter 7 health insurance for aged and disabled. The GPO cites (2008), an organization which provides medical and other health services (or arranges for their availability) on a prepayment basis (and either is sponsored by a union or employer, or does not provide, or arrange for the provision of, any inpatient hospital services) may elect to be paid 80 percent of the reasonable cost of services for which payment may be made under this part on behalf of individuals enrolled in such organization in lieu of 80 percent of the reasonable charges for such services if the organization undertakes to charge such individuals no more than 20 percent of such reasonable cost (p.4). Medicare and Medicaid regulations are very stringent and fall under proper coding via the MDS coordinator (Minimum Data Set) for Long-Term care facilities. This to insure that proper billing is applied to each patient receiving skilled care and long term care, thus reducing the possibility of fraudulent billing practices.Federal RegisterAs stated by the United States Department of Education (2008), the Federal Register is the official daily publication for rules, proposed rules, and notices of Federal agencies and organizations, as well as executive orders and other presidential documents (p.1). Thus applicable and pertinent rulings are maintained according to subheadings and deemed public notices, rules, and proposed rulings. A specific and primary example centers on HIPPA rules and implementations within health care settings: The GPO states (2008), The Department of Justice (Department) is issuing this notice of proposed rulemaking (NPRM) in order to: Adopt enforceable accessibility standards under the Americans with Disabilities Act of 1990 (ADA) that are consistent with the minimum guidelines and requirements issued by the Architectural and Transportation Barriers Compliance Board (Access Board); and perform periodic reviews of any rule judged to have a significant economic impact on a substantial number of small entities, and a regulatory assessment of the costs and benefits of any significant regulatory action as required by the Regulatory Flexibility Act, as amended by the Small Business Regulatory Enforcement Fairness Act of 1996 (SBREFA) (p.1). This information would benefit patients regarding their rights to privacy and it would also benefit providers, third-party payers, and administrators regarding proper compliance with the individual HIPAA requirements, thus possibly avoiding legal liability ramifications.Code of Federal RegulationsThe Library of Congress cites (2008), the Code of Federal Regulations (CFR) is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. It is divided into 50 titles that represent broad areas subject to Federal regulation. Each volume of the CFR is updated once each calendar year and is issued on a quarterly basis (p.1). The federal regulations range from general provisions, to federal elections, banking, and labor laws. However, an applicable regulation regarding health care corresponds to title 42 public health, primarily pertaining to three aspects: public health service, centers for Medicare and Medicaid services, and office of inspector general-health care, department of health and human services. The code of federal rules is maintained and adherence is maintained through federal and state regulations. Interestingly, the general public has a right to participate and amend specific rulings. The Federal Register cites (2007), citizens have a right to express their views before an agency adopts final rules; furthermore, citizens have the right to voice concerns applicable in accordance to federal rules (p.2). The relevance of this for patients centers on participation in their own positive health care outcomes. For providers and administrators, proper compliance regarding federal rulings can be maintained and established via ongoing education.State of Tennessee, Department of Health and Human Services:The Tennessee Department of Health and Human Services (TDHS) is set up to accommodate variants of care for the citizens of Tennessee. Thus they provide services ranging from adult protection, child protection, food stamps, and Medicaid. According to the Tennessee DHS office (2007), the Department of Human Services employees receive statewide training on Title VI compliance each year. As a result of this training, everyone has been made aware that Title VI prohibits discrimination on the basis of race, color, or national origin in any program or activity that receives federal funds or other federal financial assistance. In order to ensure compliance with all aspects of Title VI, the department must take steps to make certain that our growing ethnically diverse population is served equitably and that they have meaningful access to all programs (p.1). This is an important aspect in the sense of compliance and funding, without proper compliance, patients, providers, and administrators run the risk of decreased funding and coverage for specific disease progressions.ReferencesGovernment Printing Office (2008). The United States Code: Main page(Links to an external site.). Retrieved September 1, 2015 from http://www.gpo.gov/Tennessee Department of Human Services (2007). Guidance for family assistance staff: citizenship, immigration status, and social security numbers.(Links to an external site.) Retrieved September 1, 2015 from http://www.tennessee.gov/humanservicesThe Federal Register (2007). The Federal Register: what it is and how to use it(Links to an external site.). RetrievedJune 2, 2015 from http://www.archives.gov/federal-register/tutorial/online-html.html#publicThe Library of Congress (2008). The legislative process(Links to an external site.). Retrieved June 2, 2015 http://thomas.loc.gov/.United States Department of Education (2008). Federal register documents U.S. Department of Education(Links to an external site.). Retrieved June 2, 2105 from http://www.ed.gov/news/fedregister/index.html
Consider and explain how animation creates meaning in this piece.
Link to video to react to: https://www.nfb.ca/film/ryan/Consider and explain how animation creates meaning in this piece. The use of 3-D animation expresses a specific aspect of this narrative that isnt told through words. Also consider color and texture in this contextMost of the animation takes place in a mirrored space (you will notice this if you pay attention to the backgrounds). Why do you think this is? How does this formal choice create meaning?3 pages please double spaced
Do you think it is ethical to use animals in research?
The use of animals in research is controversial. Investigate this controversy using at least five resources from the Online Library. Do you think it is ethical to use animals in research? Explain your reasoning and support your answer with at least three sources from the Online Library (these sources must be different from the ones you already used in this assignment).Please provide your answers in a 3- to 4-page Microsoft Word document.Support your responses with examples.Cite any sources in APA format.
