NUR 504 506
a year ago 20
NUR506Dis.pdf
NUR504Dis4.pdf
NUR506Dis.pdf
NUR 506 Discussion 1
Nursing & Health-Care-Policy
Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States. 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 2
Advocacy
What examples of advocacy do you see in your own nursing practice? List and discuss 2 examples. 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 3
ACA and Health-Care Outcomes & Costs
What components of the ACA do you think will have a positive effect on improving health care outcomes and decreasing costs? 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 4
Local, State & Federal Advocacy
• What are specific actions that health professionals can take regardless of their practice area and site to promote population and community health?
• What advocacy actions might you take to improve health care through legislation at the state or federal level?
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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 5
Issues in Today's Workforce Culture
Based on your reading in chapter 60, why do you think the issues presented in this chapter persist in today’s workforce culture?
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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 6
Health Care Disparities in LGBTQ
Discuss how to close the health care disparities gap in the LGBTQ community? 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
NUR504Dis4.pdf
Gastrointestinal & Endocrine For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 2
Case 1 Case 2 Case 3 Chief Compl aint (CC)
“I am here today due to frequent and watery bowel movements”
“I have pain in my belly” “neck swelling”
Histor y of Prese nt Illness (HPI)
A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hours
A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex
A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction
PMH No contributory Patient denies Patient denies
PSH Appendectomy at the age of 14
Surgical removal of benign left breast nodule 2 years ago
Drug Hx No meds Birth control No medication at the
time Allergi es Penicillin NKA NKA
Subje ctive
Fever and chills, Lost appetite Flatulence No mucus or blood on stools
Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination
Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
Objective Data
PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
B/P 138/90; temperature 99°F; (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10
B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
Gener al
well-developed female in no acute distress, appears slightly fatigued
acute distress and severe pain
42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
HEEN T
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
Bulging eyes
Neck Supple Diffuse enlargement of the thyroid gland
Lungs CTA AP&L CTA AP&L CTA AP&L
Card S1S2 without rub or gallop
S1S2 without rub or gallop
S1S2 without rub, Tachycardia
Abd
positive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness.
• INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round • AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted • PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable • PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area
benign, normoactive bowel sounds x 4
GU Non contributory
• EXTERNAL: mature hair distribution; no external lesions on labia • INTROITUS: slight green-gray discharge, no lesions • VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls • CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT) • UTERUS: ante- flexed, normal size, shape, and position • ADNEXA: bilateral tenderness with fullness; both ovaries without masses • RECTAL: deferred • VAGINAL DISCHARGE: green in color
Non contributory
Ext no cyanosis, clubbing or edema
no cyanosis, clubbing or edema
no cyanosis, clubbing or edema
Integu ment
good skin turgor noted, moist mucous membranes
intact without lesions masses or rashes
Thin skin, Increase moisture
Neuro No obvious deformities, CN grossly intact II-XII
No obvious deficits and CN grossly intact II-XII
No obvious deficits and CN grossly intact II-XII
Once you received your case number, answer the following questions:
1. What other subjective data would you obtain? 2. What other objective findings would you look for? 3. What diagnostic exams do you want to order? 4. Name 3 differential diagnoses based on this patient
presenting symptoms? 5. Give rationales for your each differential diagnosis.
Submission Instructions:
• Your instructor will assign you your case number and you will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each). • 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possibl
NUR506Dis.pdf
NUR 506 Discussion 1
Nursing & Health-Care-Policy
Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States. 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 2
Advocacy
What examples of advocacy do you see in your own nursing practice? List and discuss 2 examples. 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 3
ACA and Health-Care Outcomes & Costs
What components of the ACA do you think will have a positive effect on improving health care outcomes and decreasing costs? 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 4
Local, State & Federal Advocacy
• What are specific actions that health professionals can take regardless of their practice area and site to promote population and community health?
• What advocacy actions might you take to improve health care through legislation at the state or federal level?
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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 5
Issues in Today's Workforce Culture
Based on your reading in chapter 60, why do you think the issues presented in this chapter persist in today’s workforce culture?
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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
Discussion 6
Health Care Disparities in LGBTQ
Discuss how to close the health care disparities gap in the LGBTQ community? 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possible.
NUR504Dis4.pdf
Gastrointestinal & Endocrine For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 2
Case 1 Case 2 Case 3 Chief Compl aint (CC)
“I am here today due to frequent and watery bowel movements”
“I have pain in my belly” “neck swelling”
Histor y of Prese nt Illness (HPI)
A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hours
A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex
A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction
PMH No contributory Patient denies Patient denies
PSH Appendectomy at the age of 14
Surgical removal of benign left breast nodule 2 years ago
Drug Hx No meds Birth control No medication at the
time Allergi es Penicillin NKA NKA
Subje ctive
Fever and chills, Lost appetite Flatulence No mucus or blood on stools
Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination
Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
Objective Data
PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
B/P 138/90; temperature 99°F; (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10
B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
Gener al
well-developed female in no acute distress, appears slightly fatigued
acute distress and severe pain
42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
HEEN T
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
Bulging eyes
Neck Supple Diffuse enlargement of the thyroid gland
Lungs CTA AP&L CTA AP&L CTA AP&L
Card S1S2 without rub or gallop
S1S2 without rub or gallop
S1S2 without rub, Tachycardia
Abd
positive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness.
• INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round • AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted • PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable • PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area
benign, normoactive bowel sounds x 4
GU Non contributory
• EXTERNAL: mature hair distribution; no external lesions on labia • INTROITUS: slight green-gray discharge, no lesions • VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls • CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT) • UTERUS: ante- flexed, normal size, shape, and position • ADNEXA: bilateral tenderness with fullness; both ovaries without masses • RECTAL: deferred • VAGINAL DISCHARGE: green in color
Non contributory
Ext no cyanosis, clubbing or edema
no cyanosis, clubbing or edema
no cyanosis, clubbing or edema
Integu ment
good skin turgor noted, moist mucous membranes
intact without lesions masses or rashes
Thin skin, Increase moisture
Neuro No obvious deformities, CN grossly intact II-XII
No obvious deficits and CN grossly intact II-XII
No obvious deficits and CN grossly intact II-XII
Once you received your case number, answer the following questions:
1. What other subjective data would you obtain? 2. What other objective findings would you look for? 3. What diagnostic exams do you want to order? 4. Name 3 differential diagnoses based on this patient
presenting symptoms? 5. Give rationales for your each differential diagnosis.
Submission Instructions:
• Your instructor will assign you your case number and you will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each). • 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.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• All replies must be constructive and use literature where possibl