Gastrointestinal Disorder

Gastrointestinal Disorders.  T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a “sedentary job with lots of emotional moments,” he has smoked a pack of cigarettes a day for 30 years, and he had “two or three mixed drinks in the evening” until 2 months ago. He states, “I haven’t had anything to drink in 2 months.” He denies having regular exercise: “just no time.” His diet consists mostly of “white bread, meat, potatoes, and ice cream with fruit and nuts over it.” He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products. 1. Identify four general health risk problems that T.H. exhibits. Identify a key factor in his family history that might have profound implications for his health and present state of mind. 3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him.What is diverticulitis? What are the consequences of untreated diverticulitis? 4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable? 5. What is the rationale for ordering bed rest? T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg  4 tomes per day for 5 days. 6.For each medication, state the drug class and the purpose for T.H.  7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale 8. What is a disulfiram reaction? 9. What are the signs and symptoms of an allergic reaction For more information on Gastrointestinal Disorder read this: https://en.wikipedia.org/wiki/Gastrointestinal_disease

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Mental Health Treatment

As the lesson materials show, the state of mental health treatment and servicing is in a dire state, particularly when you look at rural areas. In this final activity, you will create a 2-page brief depicting the state of mental health in your local community, capacity to respond, and a list of recommendations to improve local capacity. To complete the list of recommendations, you will need to complete an inventory of the mental health services provided within your local community. In creating this inventory, supply the name, methods of contact, hours of operation, and indicate the range of mental and behavioral health services offered.  The specific steps are as follows: Conduct independent research on mental health services provided within your local community. Create an inventory of the mental health services provided within your local community. In creating this inventory, include the following information: Name of the provider Methods of contact Hours of operation Specific mental and behavioral health services offered Create a 2-page brief depicting the state of mental health in your local community, capacity to respond, and a list of recommendations to improve local capacity. Use no fewer than 4 resources. For more information on Mental Health Treatment read this: https://en.wikipedia.org/wiki/Mental_health?wprov=srpw1_1

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Puberty

Describe the changes involved in puberty, as well as the changes in the adolescent brain. Pls, include 2 references. Post should be at least 250 words. APA FORMAT.  For more information on Puberty read this: https://en.wikipedia.org/wiki/Puberty

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Psychosis

Sally, a nurse for community mental health is caring for 3 clients today. First, she meets Sam. Sam has been admitted to a psychiatric unit with a diagnosis of psychosis and schizophrenia. Sally provides Sam with appropriate interventions to help stabilize his condition, monitors his compliance with medication, and conducts therapy sessions. Explain in 200 words.  1. Sally is using what level of prevention according to the Neuman Systems Model? 2. Give a few examples of nursing actions using Tertiary preventions as interventions.  For more information on Psychosis  read this: https://en.wikipedia.org/wiki/Psychosis

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Disorders

To successfully complete this discussion, Choose two of the following disorders to discuss with your peers: Tourette’s disorder/syndrome Attention-deficit/hyperactivity disorder (ADHD) Dementia Conduct disorder Separation anxiety disorder Autism spectrum disorder Amnestic disorders Discuss the following as related to the disorders you chose: Discuss the symptoms and the available demographic and historical data. Analyze the differences and similarities between your chosen disorders to other similar illness/diagnosis. Discuss the ethical implications of why it is important to understand the symptoms of disorders in general and to not diagnose without having a plethora of knowledge about the patient and a license to practice. Describe the role of the environment on managing behaviors to the disorder you have chosen. Evaluate the impact of the family in managing a loved one suffering from the disorder you choose. Post your initial response of 300 words or more For more information on Disorders read this: https://en.wikipedia.org/wiki/Disorder

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Personality Disorder

It is important to cite properly. If this sentence was taken from me it would be cited like this (Jones, 2020). In the previous sentence, you can see my last name in addition to the year in which it was stated. If you are having difficulty citing, please review the example posted on Canvas here: ResearchPaperExample.pdf actions Citations are very important to include because they add value to what you are discussing in your paper. I can’t express this enough but if you use any sort of numbers such as 1 out of every 10 Americans will suffer depression in their lifetime. That information must be cited because that is not common. If you wrote Depression was founded by William James (which is was not) in 1955. That information would need to be cited because that is common knowledge. If you wrote about a specific drug that is provided for individuals who are diagnosed with depression, that also must be cited. As I mentioned in class on numerous occasions, there are some things you will not have to cite but you should not be copying text verbatim (word for word) and putting it into your paper without a citation. In addition to citations, there are different ways to cite (in text) which can be found here: APAFormat.PNG Before you submit your paper please review the example of what your Research Paper should look like on Canvas: ResearchPaperExample.pdf actions You must choose a disorder and not an entirety of disorders. For instance, if you want to talk about Neurodevelopmental disorders, you must select a specific one from that section. In that case, I would select ADHD. You cannot just select Neurodevelopmental because it is quite broad of a topic. Please make sure you have a focus area. I have provided guidelines (since the beginning of the semester) for the paper which can be found here: ResearchPaperHandout.pdf actions If you have any questions on the above as you are working on your papers, please let me know.  For more information on Personality Disorder read this: https://en.wikipedia.org/wiki/Personality_disorder

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Psychotropic Medication

Week 7 Discussion Question: Chapter 29, Mental Health Disorders Part two: Many older adults are prescribed psychotropic medications. What are the side effects of these medications and how do they impact the normal aging older adult? For more information on Psychotropic Medication read this: https://en.wikipedia.org/wiki/Psychoactive_drug

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Personality

Explain how culture affects both the development and expression of one’s personality For more information on Personality read this: https://en.wikipedia.org/wiki/Personality

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Illicit Drugs

There have been many legislative attempts at controlling the use of illicit drugs (whether prescription-type or otherwise). Why, or why not, have these attempts been effective? In your response, consider the root causes of illicit drug use. 150 words Identify a national societal drug or alcohol issue. What are some of the social problems you have observed due to substance use-related issues? How do these issues impact society and what problems are manifesting as a result? What programs or resources are available? 150 words For more information on Illicit Drugs read this: https://en.wikipedia.org/wiki/Illicit_drugs

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Caffeine

Caffeine is currently a legal stimulant. Do you feel that there should be regulation and legislative actions concerning caffeine use? 150 words Provide a description of the difference between crack cocaine and powder cocaine?  Do you think they should be treated differently regarding the law? 150 words For more information on Caffeine read this: https://en.wikipedia.org/wiki/Caffeine

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