Healthcare

Acute Respiratory Distress SyndromePatient ProfileZ.Q., 84-year-old Hispanic male, came to the emergency department (ED) 7 days ago with complaints of shortness of breath. His wife stated that he had a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). The admission chest x-ray revealed dense consolidation of the left lower lobe. An arterial blood gas (ABG) at that time showed: pH 7.60, PaCO2 29mm/Hg, HC03 32mmol/L, and PaO2 75mm/Hg. Z.Q. quickly deteriorated and subsequently was intubated. He has been in the intensive care unit for 5 days.Subjective Data· Z.Q. and wife have been married 45 years and live with a daughter and 2 grandchildren· Z.Q. and his wife speak both English and SpanishObjective DataPhysical Examination· Blood pressure 167/98, pulse 112, temperature102.0° F, respirations 14, oxygen saturation 72% on 6L via venture mask.· Height 5 feet 6 inches, weight 75 kg· Patient localizes to endotracheal tube (ETT) and is intermittently aroused, making several attempts to pull ETT· Orally intubated #7.5 ETT, taped at 27 cm to lip· Volume cycled ventilator at FIO2 – 60%, in assist control mode of 14 breaths per minute, tidal volume 450, positive end-expiratory pressure PEEP5 cm H2O· Breath sounds decreased in bases with bilateral crackles that do not clear after suctioning· Brown/yellow secretions returned with suctioning· Peripheral pulses weak at 1/4 with capillary refill greater than 4 seconds· 2+ pitting edema in the bilateral lower extremitiesNewly Obtained Diagnostic Study Results· Arterial blood gas (ABG) pH 7.31, PaCO2 58mm/Hg, HCO3 28mmol/L, PaO2 54mm/Hg, EtCO2 38 mm/Hg Chest x-ray reveals diffuse white out in middle and lower lobes; endotracheal tube present with tip well above the carina; left subclavian central venous catheter is located in the superior vena cava· CT scan reveals alveolar opacities with increasing effusions in the gravity-dependent areas of the lungsComplete the following Case study questions. Answers must be thorough and cited appropriately in APA formatInterpret Z.Q.’s latest set of ABGs.Describe each of Z.Q.’s ventilator settings and the rationale for the selection of each.After reviewing Z.Q’s ABG results, the provider increases the PEEP from 5 cm H2O to 8cm H2O. Why would this be necessary and what is the expected outcome associated with this action?The provider decides to begin Z.Q. on IV dobutamine and milrinone. What is the rationale for using each of these medications?Based on the assessment data, what are the nursing priorities for Z.Q.?List three potential adverse complications with mechanical ventilation.You are concerned about Z.Q.’s nutritional status and approach the provider for a dietary consult, thinking that Z.Q. is a candidate for enteral feedings with Pulmocare. What is your reason for making this recommendation?

Activity DetailsPerform the following tasks:Research the information presented within Box 8-3 (pp. 140) and respond to the following questions:1. Which theory do you support?2. What do you think is the best use of insurance?3. If insurance does not cover low-cost and predictable events, should another resource be available to assist individuals, or should people pay out of their own pockets for these healthcare needs?

Follow directs attached and rewrite the entire paper so it doesn’t pick up plagiarism.Preparing the assignmentFollow these guidelines when completing this assignment. Speak with your faculty member if you have questions.1. Complete a health assessment/history on an individual of your choice who is 18 years of age or older and NOT afamily member or close frienda. The purpose of this restriction is to avoid any tendency to anticipate answers or to influence how the questionsare answered. Your goal in choosing an interviewee is to simulate the interaction between you and an individualfor whom you would provide care.b. Inform the individual that information obtained will be kept confidential and do not use identifying informationwithin the assignment.c. The Health History Worksheet can be used to help you organize the Family Medical History information you willobtain from the Adult Participant (document link is on the Assignment page).d. The use of this tool is optional. There are three parts to this assignment.2. Include the following sections when completing the assignment.a. Health History Assessment (70 points/70%)1) Demographics2) Perception of Health) Past Medical History4) Family Medical History5) Review of Systems6) Developmental Considerations7) Cultural Considerations8) Psychosocial Considerations9) Collaborative Resourcesb. Reflection(20 points/20%)Reflection is used to intentionally examine our thought processes, actions, and behaviors in order to evaluate outcomes. Provide a written reflection that describes your experience with conducting this Health History.1) Reflect on your interaction with the interviewee holistically.a) Describe the interaction in its entirety: include the environment, your approach to the individual,time of day, and other features relevant to therapeutic communication and to the interviewprocess.2) How did your interaction compare to what you have learned?3) What barriers to communication did you experience?a) How did you overcome them?b) What will you do to overcome them in the future?4) What went well with this assignment?5) Were there unanticipated challenges during this assignment?6) Was there information you wished you had available but did not?7) How will you alter your approach next time?c. Style and Organization (10 points/10%)Your writing should reflect your synthesis of ideas based on prior knowledge, newly acquired information, and appropriate writing skills. Scoring of your work in written communication is based on proper use of grammar, spelling, APA, and how clearly you express your thoughts and reasoning in your writing.1) Grammar and mechanics are free of errors.2) Verbalizes thoughts and reasoning clearly.3) Uses appropriate resources and ideas to support topic with APA where applicable.

Home>Nursing homework helpnursingpowerReaching out a SolutionIn a Microsoft Word document of 4-5 pages formatted in APA 7 style, you will develop a process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question.***Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapterWhat is the issue?Is it my issue, and can I solve it?Is this the real issue or merely a symptom of a larger one?Does it need an immediate solution, or can it wait?Is it likely to go away by itself?Can I risk ignoring it?What are the possible solutions? Are there risks to these solutions?What steps would you need to take in order to solve the issue?Does anyone else at the school need to be involved in the solution?Where is the power leverage in the school to reach the preferred solution?Reaching a solution requires the use of power vested in the nurse. Review Box 8-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.On a separate references page, cite all sources using APA 7 format.Please note that the title and reference pages should not be included in the total page count of your paper.

DQ1Frequency distributions can be graphed with bar charts, histograms or polygons. Choose one variable from the “Health Behavior Data Set” and discuss which type of graph is appropriate and why. Refer to section 2.3 in the Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences textbook as needed for assistance.DQ2The mean, median, and mode are measures of central tendency. Explain why these measures are crucial to public health data analysis.

The Ethics Behind AssessmentConsider the following scenarios:As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.· CASE STUDY· A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.. What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?. Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

The first assignment of this semester is for you to perform a PRELIMINARY NEEDS ASSESSMENT by performing an evidence-based literature review. Once you identify a need, then you can start creating a solution. This will specifically, later on, assist you in explaining and justifying what the needs are in your target population. Use the following process to PREPARE to do your needs assessment.*Review Healthy People 2020 documents and the objectives from 2020 Topics and Objectives (Objectives A–Z) Link: https://www.healthypeople.gov/2020/topics-objectives (Links to an external site.). Also Table 1-4 (pg. 26) (Course required textbook).*Choose a numerical Healthy People 2020 objective with a HEALTH BEHAVIOR CHANGE FOCUS for your anticipated health promotion/education program (examples include obesity, tobacco use, substance abuse, responsible sex behavior, mental health, injury, violence, immunization).Make sure that the Healthy People 2020 OBJECTIVE and associated HEALTH BEHAVIOR CHANGE FOCUS is one that you can envision being able to develop into a ready to implement community health promotion intervention with a strong health education component as well as a strong health promotion and empowerment focus.REQUIRED COMPONENTS for Assignment #1: THE PRELIMINARY NEEDS ASSESSMENT (PLEASE READ CAREFULLY)The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 3,000-words. This assignment must be completed and submitted on a Microsoft word document.APA format is required. 12 font size should be used, font names that should be used are Times New Roman or Cambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include a title page that consists of your name (First and Last), Panther ID number, and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources.Requirements:1. Document your targeted Objective and your Health Behavior Change Focus. State your chosen health behavior focus and targeted objective from HP 2020 and the Leading Health Indicator it relates to that you intend to address in your health education and program.2. Document the need for a program related to your targeted objective. Discuss the rationale or need for your choice to design a program to meet the targeted HP 2020 objective by reporting on the following: a) Report on the documented health risk(s) associated with not meeting this objective. b) State ALL of the HEALTH RISKS AND HEALTH CONDITIONS and DISEASES that are associated with the objective’s corresponding maladaptive health behavior. This is to be done by doing an evidence-based literature review using appropriate sources of secondary data.Examples of appropriate sources include official statistical databases like National Center for Health Statistics, technical reports, scholarly journal articles, and literature review articles. A practical example of this would be to perform a literature review that provides documentation of all pertinent health risks and conditions and diseases that are associated with one of the Healthy People Objective’s that deal with tobacco use, and that describes each of these health risks and diseases (lung cancer, chronic obstructive pulmonary disease).3. Report on the incidence and prevalence rates of the health risks and the health conditions and diseases that are associated with your chosen Healthy People 2020/2010 Health Behavior. Report on any pertinent morbidity rates or mortality rates that are directly linked to your chosen Healthy People 2020 health behavior. Report any temporal trends of incidence and prevalence rates of the health risks and health conditions and health diseases that are directly linked to your chosen Healthy People 2020 health behavior. Locate research data and statistics from scholarly literature, trustworthy websites, and statistical evidence. You must provide incidence and prevalence rates on a national level. Examples of appropriate sources of data include official statistical databases like NWCHS and census database at www.census.gov (Links to an external site.), technical reports, scholarly journals, and literature review articles). An example of this would be to expound upon the prevalence AND incidence rates AND TRENDS of INCIDENCE AND PREVALENCE RATES of lung cancer and chronic obstructive pulmonary disease for one of the Healthy People 2020/2010 Tobacco Use Objectives at the national level morbidity and mortality rates associated with lung cancer and chronic obstructive pulmonary disease.4. Report what the research and literature suggest to minimize the risk that is associated with not performing your chosen health behavior change and thus, to meet the Healthy People 2020 objective. This is also to be done by doing an evidence-based literature review using appropriate sources. Examples of appropriate data sources include evidence base search engines, journals, and resources such as Cochrane, Medline, Trip Database, and any other evidence-driven journals or resources. An example would be to search the literature for “evidence-based” methods and programs that have been most effective to accomplish the desired behavior change (like increase physical activity).

Home>Nursing homework helpnursingpowerReaching out a SolutionIn a Microsoft Word document of 4-5 pages formatted in APA 7 style, you will develop a process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question.***Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapterWhat is the issue?Is it my issue, and can I solve it?Is this the real issue or merely a symptom of a larger one?Does it need an immediate solution, or can it wait?Is it likely to go away by itself?Can I risk ignoring it?What are the possible solutions? Are there risks to these solutions?What steps would you need to take in order to solve the issue?Does anyone else at the school need to be involved in the solution?Where is the power leverage in the school to reach the preferred solution?Reaching a solution requires the use of power vested in the nurse. Review Box 8-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.On a separate references page, cite all sources using APA 7 format.Please note that the title and reference pages should not be included in the total page count of your paper.

DQ1Summarize the six steps of hypothesis testing. Propose a scenario in which hypothesis testing is applied to public health data.DQ2Compare and contrast descriptive and inferential statistics. Discuss why both descriptive and inferential statistics are used in the analysis of public health data.

Have to write about why I chose pharmacy and have to write a personal experience  as an employee at a (family business) FDA regulated pharmaceuticals. I worked as a QA employee, thus have to write about how I helped maintain integrity, maintain procedure for production, BMR checks. Also, mention how I can expand the business in terms of pharmacy and commercially. Moreover, mention how I want to introduce ANDA products in this facility which can expand the margin and the business.https://www.pharmaguideline.com/2019/05/abbreviated-new-drug-application-anda.html