chronic cardiovascular disease

 CASE STUDY 3 – Reflecting on week 4’s lessons in the syllabus,select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a chronic cardiovascular disease (HTN, Heart failure, Dyslipidemia, Heart murmur etc.…), that may affect this population. 

-Tell how it impacts the patient’s quality of life.

– analyze the current research evidence on this topic and gold standard of care for your chosen population (CDC guidelines) . (You may use an example from your clinical rotation (past or present) that you have encountered). 

-Describe how you as Family Nurse Practitioner, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. Use apa format and References scholarch article no older than 5 years.  (Due 02/12/19.  

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COMMENT ELSY DQ2

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

The health care sector is experiencing major changes due to extensive research and development activities. As nurses play a crucial role in the delivery of health care, they need to embrace new and innovative techniques to provide effective and best possible treatment to their patients. Several institutional and personal barriers can hinder nurses from adopting EBP (Wood, 2013).

The two potential barriers that can prevent continuation of my evidence based practice change proposal in the future is poor coordination among the clinical team and staff turnover. My project focuses on Coronary Artery Bypass Graft patients and working with these high-risk patients need the best coordination and team work from the whole clinical team including devising appropriate discharge planning. Poor communication between the clinical team members can affect the outcome. My strategy is to recommend three interventions: staff appreciation events, monthly review of the continued adherence to the changes made, and monitoring the staff compliance by the administration. These interventions can motivate the clinical team to continue to pursue the change proposal. The second barrier I assume is staff turnover. There is lot of staff turnover in our hospital. Floating nurses and agency nurses on contract can affect the continuation of my change project. My strategy is to promote ongoing training which is absolutely necessary. These training needs to be scheduled and to be listed in the calendar every week.

Hospital management can help to overcome these barriers. The nurses preferred to consult their supervisors and colleagues to obtain needed information. Hospital management can create a conducive environment and provide socializing opportunities for nurses to promote peer-to-peer information and knowledge sharing (Melnyk & Overholt, 2011).

References,

Melnyk, B., & Overholt, E., (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Wood., R., (2013). Progress and Barriers Toward Innovation in Clinical Nursing Education. https://www.rwjf.org/en/library/articles-and-news/2014/10/progress-and-barriers-toward-innovation-in-clinical-nursing-educ.html

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Need response to below post

APA format 1 and half pages long 4 peer review references 2 from walden university library

 

Prostate Cancer

            Prostate cancer is one of the most common forms of cancer diagnosed in men, second to skin cancer. Although causative factors are still being studied and explored, prostate cancer is thought to be dependent upon hormones, with links found between advanced age and androgens. It has been found that increased estrogen and decreased dihydrotestosterone (DHT) related to age have strong correlations with prostate cancer. It is the increase in estrogen that creates the problem, as testosterone is known to cause prostate hypertrophy but not malignancy. Other theories describe repeated injury to the prostate’s epithelium by means of carcinogens, toxins, autoimmune diseases, and inflammation. This repeated injury causes a hyper prolific state that can translate to cancer (Huether & McCance, 2017).

            Early screening is preferred because symptoms usually do not occur until advanced disease. Screening is performed by digital rectal exam and serum PSA levels. Prostate cancer will metastasize to the pelvis, bowel, lymph, rectum, and spine (Arcangelo, Peterson, Wilbur, & Reinhold, 2017).

Treatment

            Treatment can include surgical prostatectomy, pharmacotherapy, chemotherapy, radiation, or a combination, dependent upon stage and type (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). Since prostate cancer needs androgens to grow, androgen deprivation therapy (ADT) is the first line of treatment. These medications can prevent the cancer cells from receiving testosterone or reduce the amount of testosterone made altogether and ultimately slow down and/or reduce the size of the tumor. It is not a cure and many side effects can be unpleasant, including hot flashes, erectile dysfunction, osteopenia, increase in adipose tissue and weight gain (Drugs.com, 2012). Eventually, the cancer will become “castration resistant” and treatment options will need to change, mostly including novel androgen receptor targeting

agents and chemotherapy (Shiota & Eto, 2016). Patients should be educated on the need for long term treatment, medication side effects, and medication importance in order to increase compliance.

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V. &  Reinhold, J. A.  (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA:  Lippincott Williams & Wilkins

Drugs.com. (2012). Prostate Cancer. Retrieved from https://www.drugs.com/mcd/prostate-cancer.

Huether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, MO: Mosby.

Shiota, M., & Eto, M. (2016). Current status of primary pharmacotherapy and future perspectives toward upfront therapy for metastatic hormone-sensitive prostate cancer. International Journal of Urology, 23(5), 360-369. doi:10.1111/iju.13091

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An Ethical Dilemma and Case Study

Review the Ethical Dilemma beginning on page 309 and answer the questions at the end of the case. Each question should be answered with one to two paragraphs. Each paragraph should contain three to five complex sentences.              A.  Describe the difficulties in ethical leadership at Stacy’s farm.What type of conflict management style does Doug have?  B. Are there more constructive ways for him to handle conflicts with employees? C. Describe the alternatives Stacy has answering that candidates question and the advantages and disadvantages of each.

2. Write your answers to the following questions about Case 16, “Ethical Leadership at Cardinal IG: The Foundation of a Culture of Diversity,” Your answers should total one to two paragraphs for each question. Each paragraph should contain three to five complex sentences.
a.  Describe David Pinder’s background. What influence did his background have on his leadership style? b. How has David Pinder embraced ethical leadership to create an ethical culture at Cardinal? c. How has Cardinal’s principles and values shaped the ethical behavior of employees? d. How has Cardinal empowered its employees to practice responsible and accountable leadership? e.  What lessons can be learned from Cardinal? 

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Based on the scientific management theory,

 Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale. 

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Microbiology day 12 discussion

  How does commercial sterilization differ from sterilization procedures used in hospital or laboratory?

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Developmental States

The Tuckman Model for team formation is listed as Forming, Storming, Norming, Performing, and Adjourning. Describe why it is important for teams to represent the Tuckman Model?

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Nutrition week four discussion 2

 

Why are nutritional recommendations required for patients with ulcer disease on top of pharmaceutical interventions?

15 words 

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Pediatric week one discussion one

 

Discuss the concept of accountability as it relates to the delivery of nursing care to pediatric patients.

17 words 

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Essay Questions

I will Upload a paper that have 8 questions I want you please to answer the first 2 questions as an essay answer, that means they have an introduction, body, and conclusion, I want them not to short and not to long but they have to show the main idea of the questions.

For the other 6 questions I want them to be a short answer.

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