Pamela Souza, 6 years old, was admitted to evaluate intrathecal spasticity control for her cerebral palsy. Medications like baclofen can help control her spasticity. The nurse will include gestational/perinatal history, head trauma history, feeding/weight, seizures, respiratory status, and motor function in Pamela's health history. Important nursing interventions include assisting with medications, assessing spasticity, and supporting Pamela and her family. The nurse should teach Pamela's family about her care, medications, and rehabilitation after discharge. Kyle Stephens, 15, was in a diving accident and may have spinal injuries. Important assessments include injuries, especially to the head and spinal cord,
This case study describes a 7-year-old Hispanic female diagnosed with Angelman Syndrome. She was born with hypotonia and developmental delays. She was initially misdiagnosed with Prader-Willi Syndrome but was later correctly diagnosed with Angelman Syndrome after experiencing seizures at age 3. Angelman Syndrome is a genetic disorder caused by a deletion or mutation on chromosome 15. She exhibits many characteristics of the syndrome including severe intellectual and developmental disabilities, lack of speech, balance and coordination issues, and hyperactivity.
Mrs. L.M. is a 24-year-old African American woman who was admitted for a fall and delivered her baby via cesarean section due to being HIV positive. She has a medical history of bipolar disorder, anxiety, and HIV. A nursing assessment found the patient to have acute pain from her c-section incision and anxiety. Lab results showed she was immune to rubella and negative for syphilis, GBS, hepatitis, chlamydia, and gonorrhea. The newborn is doing well and received medication to prevent HIV.
Please respond to two post regarding their differential diagnosis.docx4934bk
This document contains two responses to peers' posts regarding a differential diagnosis for a 3-day old infant presenting with poor feeding, lethargy, and other concerning symptoms.
Response 1 discusses the differential diagnoses of Maple Syrup Urine Disease (MSUD) and Neonatal Diabetes Mellitus. The treatment plan recommends hospitalizing the infant for evaluation and treatment including a protein-restricted diet and supplements. It also provides resources for the family.
Response 2 lists pertinent positive and negative findings from the case. The differential diagnosis includes MSUD and Failure to Thrive. The treatment plan is to transfer the infant to the emergency room for testing and treatment including expressed breastmilk analysis, specialized formula, IV fluids
Please respond to two post regarding their differential diagnosis.docx4934bk
This document contains two responses to peers' posts regarding a differential diagnosis for a 3-day old infant presenting with poor feeding, lethargy, and other concerning symptoms.
Response 1 discusses the differential diagnoses of Maple Syrup Urine Disease (MSUD) and Neonatal Diabetes Mellitus. The treatment plan recommends hospitalizing the infant for evaluation and treatment including a protein-restricted diet and supplements. It also provides resources for the family.
Response 2 lists pertinent positive and negative findings from the case. The differential diagnosis includes MSUD and Failure to Thrive. The treatment plan is to transfer the infant to the emergency room for testing and treatment including expressed breastmilk analysis, specialized formula, IV fluids
The document outlines the objectives and introduction for a case study on a 6-year-old male patient admitted with facial puffiness. The patient's history notes a recent illness with fever, difficulty breathing, vomiting, and tea-colored urine. Laboratory results showed a urinary tract infection and abnormalities. The patient's family, medical, developmental, and social histories are provided. The document establishes the background for analyzing the patient's condition and developing a nursing care plan.
- Functional constipation, which accounts for 95% of cases in children and adolescents, is diagnosed based on the Rome IV criteria through a history and physical exam without additional testing.
- Common treatments for functional constipation include polyethylene glycol (Miralax), lactulose, and enemas. Increasing fiber/fluid intake and probiotics are not effective treatments.
- Referrals to a psychologist can help with some treatment goals, like improving a child's quality of life negatively impacted by chronic constipation. Managing constipation requires addressing relapses and potentially long-term therapy.
This case study describes a 7-year-old Hispanic female diagnosed with Angelman Syndrome. She was born with hypotonia and developmental delays. She was initially misdiagnosed with Prader-Willi Syndrome but was later correctly diagnosed with Angelman Syndrome after experiencing seizures at age 3. Angelman Syndrome is a genetic disorder caused by a deletion or mutation on chromosome 15. She exhibits many characteristics of the syndrome including severe intellectual and developmental disabilities, lack of speech, balance and coordination issues, and hyperactivity.
Mrs. L.M. is a 24-year-old African American woman who was admitted for a fall and delivered her baby via cesarean section due to being HIV positive. She has a medical history of bipolar disorder, anxiety, and HIV. A nursing assessment found the patient to have acute pain from her c-section incision and anxiety. Lab results showed she was immune to rubella and negative for syphilis, GBS, hepatitis, chlamydia, and gonorrhea. The newborn is doing well and received medication to prevent HIV.
Please respond to two post regarding their differential diagnosis.docx4934bk
This document contains two responses to peers' posts regarding a differential diagnosis for a 3-day old infant presenting with poor feeding, lethargy, and other concerning symptoms.
Response 1 discusses the differential diagnoses of Maple Syrup Urine Disease (MSUD) and Neonatal Diabetes Mellitus. The treatment plan recommends hospitalizing the infant for evaluation and treatment including a protein-restricted diet and supplements. It also provides resources for the family.
Response 2 lists pertinent positive and negative findings from the case. The differential diagnosis includes MSUD and Failure to Thrive. The treatment plan is to transfer the infant to the emergency room for testing and treatment including expressed breastmilk analysis, specialized formula, IV fluids
Please respond to two post regarding their differential diagnosis.docx4934bk
This document contains two responses to peers' posts regarding a differential diagnosis for a 3-day old infant presenting with poor feeding, lethargy, and other concerning symptoms.
Response 1 discusses the differential diagnoses of Maple Syrup Urine Disease (MSUD) and Neonatal Diabetes Mellitus. The treatment plan recommends hospitalizing the infant for evaluation and treatment including a protein-restricted diet and supplements. It also provides resources for the family.
Response 2 lists pertinent positive and negative findings from the case. The differential diagnosis includes MSUD and Failure to Thrive. The treatment plan is to transfer the infant to the emergency room for testing and treatment including expressed breastmilk analysis, specialized formula, IV fluids
The document outlines the objectives and introduction for a case study on a 6-year-old male patient admitted with facial puffiness. The patient's history notes a recent illness with fever, difficulty breathing, vomiting, and tea-colored urine. Laboratory results showed a urinary tract infection and abnormalities. The patient's family, medical, developmental, and social histories are provided. The document establishes the background for analyzing the patient's condition and developing a nursing care plan.
- Functional constipation, which accounts for 95% of cases in children and adolescents, is diagnosed based on the Rome IV criteria through a history and physical exam without additional testing.
- Common treatments for functional constipation include polyethylene glycol (Miralax), lactulose, and enemas. Increasing fiber/fluid intake and probiotics are not effective treatments.
- Referrals to a psychologist can help with some treatment goals, like improving a child's quality of life negatively impacted by chronic constipation. Managing constipation requires addressing relapses and potentially long-term therapy.
Patient F is a 39-year-old African American man with sickle cell disease who was admitted to the emergency department due to shortness of breath and dyspnea. He has a history of frequent painful sickle cell crises managed with blood transfusions and is showing signs of chronic renal failure. Upon assessment, it was found that Patient F understands his condition and adheres to his medication regimen, eats a balanced diet, and finds social support from his family which helps him cope with his illness.
Neonatal seizures are common and can severely impact infant brain development. Nurses play an important role by rapidly recognizing seizure symptoms, assisting with treatment protocols, and preventing secondary injuries. They also properly manage biomedical waste through tasks like segregation, labeling, and education of healthcare workers. Effective nursing care is crucial for neonatal seizure management and mitigating long-term neurological complications.
This document summarizes concerns about a 12-year-old female patient's mother. The mother seems to exaggerate the patient's symptoms, insist on unnecessary investigations, and provide inconsistent or false information to doctors. She also seems resistant to medical advice and treatment plans. Multiple specialists have raised concerns that the mother may have a personality disorder or mental health issues influencing her behavior regarding the patient's care.
Yan 2Yichao YanKara WilliamsESL 10696 April 2019 Rough.docxadampcarr67227
Yan 2
Yichao Yan
Kara Williams
ESL 1069
6 April 2019
Rough Draft Analysis of Argument Essay
In the article “What Else Can I Do to Get the School Supplies My Student Need?” the author discusses that, textbook still plays an important role in today’s class. There are so many debates about weather using online text book or physical textbook in school nowadays. The author as a college teacher claims that physical textbook helps her students have better understanding of knowledges. Also, she thinks physical textbook reduced the financial burden on students. However, online source or online textbook should have more benefit then the physical textbook.
First of all, the author claims that physical textbook could helps student read and understand better of new knowledges. The resources that teachers need for their teaching are so differently. It depended on student’s grade and their teaching style. Even people nowadays assume textbooks are outdated, inefficient and biased, author still think using textbook is very important for students to know about some academic basic information, which could help students master the course better.
APPENDIX I r Reports
DIAGNOSES include:
1. Chronic pelvic pain secondary to pelvic metastatic clear cell carcinoma
of unknown PrimarY location.
2. Yeta cava sy.rdromi post placement of Hickman catheter'
3. Anemia due to chronic disease.
4. Hypertension.
HOSPITAL COURSE: The patient is a 78-year-old female whom we have
been following in our clinic ior hypertension and also chronic pudendal
nerve pain. Shie had been recently biagnosed with pelvic me,tastatic clear
cell caicinoma, which her primaiy location is unknown at this time' She
will be discussing this further after the pathology reports are, read. During
her hospital stalia Hickman catheter was placed in order to have IV access
for pain medication or future cancer therapy. She was also admitted for
chronic pain. she did develop swelling of her arms and neck. She was
broughtio interventional radiology and she did have venography and the
Hickman catheter was removed. Her swelling to her arms and neck have
decreased greatly. She denies any shortness of breath. No choking sensation
as previouily noted. Her pain has been managed well with fentanyl patch at
175 mcg. She has also been on IV heparin therapy for anticoagulation
followitig the vena cava syndrome. Today, the patient hasbeen having
complaiits of nausea. She did get some dexamethasone IV for her nausea,
which did improve later this morning. Her blood plessure has been under
good control. Her labs today include a wBC of 5.18, hemoglobin 7.8,
f,ematocrit 23.7, protime 74.4,INR 1'5, PTT 39'6, BUN 6, sodium 139'
potassium 4.2, CO2 27.2.
DISCHARGE, PLANS:
1. IV heparin is discontinued. She will be switched ovel to Lovenox
r mg/kg subcutaneously daily. The patient will have Home Health to
help her set uP these iniections.
2. She will continue with the fentanyl patch 175 mcg for the pain..
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docxhallettfaustina
1
[Shortened Title up to 50 Characters] 2Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days du ...
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docxhallettfaustina
1
[Shortened Title up to 50 Characters] 16Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days d ...
1) Apparent life-threatening events (ALTEs) are acute changes in infant breathing, color, muscle tone, or responsiveness that are frightening to caregivers but usually resolve spontaneously.
2) Risk factors for ALTEs include prematurity, underlying medical conditions, age under 60 days, suspected child abuse, possible seizures, and recurrent events. Common causes are gastroesophageal reflux, seizures, lung infections, and pertussis.
3) Evaluation of infants presenting with ALTEs aims to identify those at risk of serious underlying conditions or recurrent events requiring intervention. History, physical exam, and targeted testing can identify a diagnosis in many cases to guide management.
1Case Study Cystic FibrosisCystic Fibrosis Case StudyEttaBenton28
1
Case Study Cystic Fibrosis
Cystic Fibrosis: Case Study
The patient is a 7-year-old female. Due to the fact that the patient is a minor, her mother walked into the ER with her. The mother explained that her symptoms consist of persistent coughing throughout the day and it becomes worse at night, the coughing often results in spitting out phlegm. Along with wheezing, stuffy nose, loss of appetite, pain in the abdomen, and the taste of salty skin. The patient has been up coughing and complaining about the pain for 5 hours. Since the patient’s mother had thought it was a regular cold, she had been giving her children’s Tylenol for the past 3 days, 5 mL every 4 hours. Once the patient was taken in, a physical assessment was performed. The questions that were asked to the patients mother were about family history of CF, history of bowel obstruction as an infant, stool, and eating habits (nurses labs 2018). Because of the fact that the patient’s mom mentioned her skin having a salty taste, a sweat test has been recommended to check for cystic fibrosis. The sweat test measures the amount of chloride in sweat while the genetic test detects chromosomal mutations (Very Well Health 2019). Patient has now been diagnosed with cystic fibrous and will be admitted to the hospital for further instructions.
Pathophysiology
The pathophysiology of cystic fibrosis is based on the defects in the cystic fibrosis gene, which codes for protein transmembrane conductance regulator (CFTR) that functions as a chloride channel and is regulated by cyclic adenosine monophosphate (cAMP) (Nurselabs 2018). Cystic fibrosis is often caught at birth but there are cases where people begin to develop it later in life. If it is detected as birth, many persons with cystic fibrosis acquire a lung infection which incites an inflammatory response, the infection becomes established with a distinctive bacterial flora (Nurselabs 2018). If there is a case of a person developing cystic fibrosis as they get older, there are many symptoms that come along with it and it does affect many parts of your body. It can affect your GI tract, pancreas and your sweat glands which causes the skin to taste salt like. Symptoms may include pain in the abdomen, having a chronic cough that may include blood or phlegm, any gastrointestinal problems such as diarrhea, fat in the stool, heartburn, severe constipation, or bulky stools. When it affects your respiratory system, it can cause pulmonary hypertension, shortness of breath, sinusitis, wheezing, acute bronchitis, and/or pneumonia. There might also be a delay in puberty, growth, and in development. Other commons side effects include deformity of nails, different infections, male infertility, nasal polyps or weight loss (Mayo Clinic 2020).
History
The symptoms presented by the patient include coughing up phlegm, wheezing, stuffy nose, pain in the abdomen, salty skin and loss of appetite. In the past the patient has h ...
Differential Diagnosis for Skin Conditions Case Study.pdfsdfghj21
The document provides instructions for a case study assignment on differential diagnosis for skin conditions. Students will examine visual representations of various skin conditions and use differential diagnosis techniques to determine the most likely diagnosis. They will choose one skin condition to document in a SOAP note format, describing observations and formulating a differential diagnosis list of 3-5 possible conditions. The most likely diagnosis must be explained using references.
COMPLICATION OF PREGNANCY (Lesson 1. Hyperemesis Gravidarum).pdfDarenGoco
This document provides an overview of hyperemesis gravidarum, a condition characterized by severe nausea and vomiting during pregnancy. It discusses the causes, symptoms, assessment, and therapeutic management of the condition. Regarding treatment, it outlines conservative home care approaches for mild cases as well as hospitalization for severe cases to correct dehydration and nutritional deficiencies. It also discusses complementary and alternative therapies that can help relieve symptoms, such as acupuncture, ginger, and vitamin supplementation. Throughout treatment, it emphasizes the importance of emotional support, education, and empowering women dealing with this challenging condition.
Clinician Support And Psychosocial Risk Factors Associated With BreastfeedingBiblioteca Virtual
This study examined factors associated with breastfeeding discontinuation at 2 and 12 weeks postpartum in a cohort of 1007 low-risk mothers who initiated breastfeeding. The study found that breastfeeding rates declined over time, with 13% discontinuing by 2 weeks and 45% discontinuing by 12 weeks. Factors associated with earlier discontinuation included lack of breastfeeding confidence, early breastfeeding problems, Asian race, lower education, and depressive symptoms. Receiving encouragement from clinicians was associated with lower risk of discontinuing by 12 weeks, as was not returning to work or school by 12 weeks. The results suggest clinician support and addressing maternal mental health could help promote longer breastfeeding duration.
This document contains 9 case studies describing pediatric patient presentations across several body systems. Each case study includes subjective and objective patient information and is followed by 3 questions related to the case. The cases cover topics such as gastroenteritis, cancer, respiratory illness, gastrointestinal issues, cardiovascular concerns, hematology, diabetes in pregnancy, urinary tract infection, and seizures.
This case study summarizes the medical details of 75-year-old male patient Sergio Abbago who was admitted to the hospital due to difficulty breathing and leg swelling. He was diagnosed with atrial septal defect, hospital-acquired pneumonia, and acute urinary retention. The case study provides background on the patient's medical history, presents results from diagnostic testing, discusses the conditions diagnosed and their pathophysiology, outlines the medical and nursing management of the patient, and establishes goals for his care and discharge plan. The objectives are to comprehensively present the case and develop knowledge and skills for delivering quality healthcare to patients.
Why Do Women Stop Breastfeeding Findings From The Pregnancy RiskBiblioteca Virtual
This study examined breastfeeding behaviors using data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) from 2000-2001. The authors found that 32% of women did not initiate breastfeeding, 4% stopped within the first week, 13% stopped within the first month, and 51% continued for over 4 weeks. Younger women and those with limited socioeconomic resources were more likely to stop breastfeeding early. Common reasons for stopping included sore nipples, perceived inadequate milk supply, and difficulties with breastfeeding. Women's predelivery intentions impacted their likelihood of initiating and continuing breastfeeding.
The document discusses epilepsy and seizures, providing information on:
- What epilepsy is and how it differs from seizures
- Common causes of epilepsy including head trauma, brain tumors, and genetics
- What happens during different types of seizures
- Strategies for responding appropriately to seizures, such as staying calm, protecting the person's head, and calling for medical help if the seizure lasts more than 5 minutes
- Effective strategies for working with students who have epilepsy, including understanding their needs, clear communication with parents and schools, and teaching life skills.
This document provides clinical practice guidelines for the management of community-acquired pneumonia (CAP) in infants and children older than 3 months. It includes recommendations on site-of-care management decisions, diagnostic testing, antimicrobial and surgical therapy, and prevention. The expert panel developed evidence-based guidelines to assist clinicians in decreasing the morbidity and mortality of CAP in children. The guidelines cover practical questions of diagnosis and treatment of CAP in both outpatient and inpatient settings.
The document discusses gallstones, which are crystalline formations that occur in the gallbladder when bile components accumulate. Their presence can lead to inflammation of the gallbladder (cholecystitis) or obstruction of the bile ducts, both of which can become life-threatening if not treated. The case study focuses on a 54-year-old female patient admitted with abdominal pain and a possible diagnosis of obstructed bile duct stones or hepatoma. It provides details on her medical history, examinations, treatment, and nursing management for her condition.
Chapter 8 - Children of alcoholics often display characteristic tr.docxrobertad6
Chapter 8 - Children of alcoholics often display characteristic traits: (1) the "hero" who attempts to replace the dysfunctional parent by overachieving, or (2) the "jester" who compensates for a lack of parental guidance by being mischievous and unruly. Which role did Beethoven play in his family? What is the evidence for your choice? 100+ words
Chapter 9 - Discuss the way travel might have affected composers (for example, Mendelssohn). If you have been outside the U.S., or even taveled far within the U.S., what effect did it have on you? 100+ words
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Similar to Chapter 44 The child with a neuromuscular disorderCase 1 Pamel.docx
Patient F is a 39-year-old African American man with sickle cell disease who was admitted to the emergency department due to shortness of breath and dyspnea. He has a history of frequent painful sickle cell crises managed with blood transfusions and is showing signs of chronic renal failure. Upon assessment, it was found that Patient F understands his condition and adheres to his medication regimen, eats a balanced diet, and finds social support from his family which helps him cope with his illness.
Neonatal seizures are common and can severely impact infant brain development. Nurses play an important role by rapidly recognizing seizure symptoms, assisting with treatment protocols, and preventing secondary injuries. They also properly manage biomedical waste through tasks like segregation, labeling, and education of healthcare workers. Effective nursing care is crucial for neonatal seizure management and mitigating long-term neurological complications.
This document summarizes concerns about a 12-year-old female patient's mother. The mother seems to exaggerate the patient's symptoms, insist on unnecessary investigations, and provide inconsistent or false information to doctors. She also seems resistant to medical advice and treatment plans. Multiple specialists have raised concerns that the mother may have a personality disorder or mental health issues influencing her behavior regarding the patient's care.
Yan 2Yichao YanKara WilliamsESL 10696 April 2019 Rough.docxadampcarr67227
Yan 2
Yichao Yan
Kara Williams
ESL 1069
6 April 2019
Rough Draft Analysis of Argument Essay
In the article “What Else Can I Do to Get the School Supplies My Student Need?” the author discusses that, textbook still plays an important role in today’s class. There are so many debates about weather using online text book or physical textbook in school nowadays. The author as a college teacher claims that physical textbook helps her students have better understanding of knowledges. Also, she thinks physical textbook reduced the financial burden on students. However, online source or online textbook should have more benefit then the physical textbook.
First of all, the author claims that physical textbook could helps student read and understand better of new knowledges. The resources that teachers need for their teaching are so differently. It depended on student’s grade and their teaching style. Even people nowadays assume textbooks are outdated, inefficient and biased, author still think using textbook is very important for students to know about some academic basic information, which could help students master the course better.
APPENDIX I r Reports
DIAGNOSES include:
1. Chronic pelvic pain secondary to pelvic metastatic clear cell carcinoma
of unknown PrimarY location.
2. Yeta cava sy.rdromi post placement of Hickman catheter'
3. Anemia due to chronic disease.
4. Hypertension.
HOSPITAL COURSE: The patient is a 78-year-old female whom we have
been following in our clinic ior hypertension and also chronic pudendal
nerve pain. Shie had been recently biagnosed with pelvic me,tastatic clear
cell caicinoma, which her primaiy location is unknown at this time' She
will be discussing this further after the pathology reports are, read. During
her hospital stalia Hickman catheter was placed in order to have IV access
for pain medication or future cancer therapy. She was also admitted for
chronic pain. she did develop swelling of her arms and neck. She was
broughtio interventional radiology and she did have venography and the
Hickman catheter was removed. Her swelling to her arms and neck have
decreased greatly. She denies any shortness of breath. No choking sensation
as previouily noted. Her pain has been managed well with fentanyl patch at
175 mcg. She has also been on IV heparin therapy for anticoagulation
followitig the vena cava syndrome. Today, the patient hasbeen having
complaiits of nausea. She did get some dexamethasone IV for her nausea,
which did improve later this morning. Her blood plessure has been under
good control. Her labs today include a wBC of 5.18, hemoglobin 7.8,
f,ematocrit 23.7, protime 74.4,INR 1'5, PTT 39'6, BUN 6, sodium 139'
potassium 4.2, CO2 27.2.
DISCHARGE, PLANS:
1. IV heparin is discontinued. She will be switched ovel to Lovenox
r mg/kg subcutaneously daily. The patient will have Home Health to
help her set uP these iniections.
2. She will continue with the fentanyl patch 175 mcg for the pain..
1[Shortened Title up to 50 Characters]2Week 9 Assignment.docxhallettfaustina
1
[Shortened Title up to 50 Characters] 2Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days du ...
1[Shortened Title up to 50 Characters]16Week 9 Assignment.docxhallettfaustina
1
[Shortened Title up to 50 Characters] 16Week 9 Assignment
Bethel U. Godwins
Walden University
NURS 6551, Section 8, Primary Care of Women
July 31, 2016
Abnormal Uterine Bleeding
Society for Reproductive Endocrinology and Infertility (SREI, 2012) described abnormal uterine bleeding as bleeding that differs in quality and quantity from normal menstrual bleeding, such as women spotting or bleeding between the women’s menstrual periods; bleeding after sex; bleeding heavier or last more days than normal; and bleeding post menopause. According to SREI (2012), factors that can cause abnormal bleeding include structural abnormalities of the reproductive system, such as uterine polyps, fibroids, and adenomyosis. Furthermore, SREI (2012) explained that vaginal, uterine or cervical lesions, miscarriage, ectopic pregnancy, endometritis, adhesions in the endometrium, and use of an intrauterine device (IUD) can also cause abnormal bleeding. Johns Hopkins Medicine (2016) specified that early recognition of abnormal bleeding, and seeing a health care provider immediately for appropriate diagnosis and treatment increase the chance of successful treatment. Therefore, the author will focus on a single patient comprehensive evaluation, which includes the patient’s personal/health history; physical examination; laboratory/diagnostic tests; diagnosis; treatment/management plan; education strategies; and follow-up care. Comment by DeAllen B Millender: Good introduction.
General Patient Information
Age: 41-year-old
Race/Ethnicity: Hispanic American
Partner Status: Married Comment by DeAllen B Millender: This information is not in APA format.
Current Health Status
Chief Complaint: “I have heavy, prolonged menstrual bleeding with severe cramping for the past one year”.
History of Present Illness (HPI): RG is a 41-year-old Hispanic American female who presented to the clinic with complaint of heavy prolonged menstrual bleeding with severe cramping for the past one year. Patient reported sharp pelvic pain during menstruation, bleeding between periods, pain with intercourse, blood clots during periods. Abdominal pain/pressure and bloating. Patient suggested that these symptoms started after her second caesarean section surgery one year ago. Patient also reported that she takes over-the counter medication, such as ibuprofen to relieve the pain. she also suggested that she uses heating pad on her abdomen/pelvic for pain relief, and she stated that she soaks in a warm sitz bath to ease pelvic pain and cramping. Patient also reported fatigue and weakness. Patient further stated that she decided to see an obstetrician and gynecologist (OB/GYN) because the heavy prolonged bleeding with severe menstrual cramp interfere with her regular activities. Patient denied nausea, vomiting, diarrhea, fever, and chills.
Timing/Onset: Patient said one year ago.
Location: The location of the problem as stated by the patient is pelvic/uterus/vaginal.
Duration: 5 to7 days d ...
1) Apparent life-threatening events (ALTEs) are acute changes in infant breathing, color, muscle tone, or responsiveness that are frightening to caregivers but usually resolve spontaneously.
2) Risk factors for ALTEs include prematurity, underlying medical conditions, age under 60 days, suspected child abuse, possible seizures, and recurrent events. Common causes are gastroesophageal reflux, seizures, lung infections, and pertussis.
3) Evaluation of infants presenting with ALTEs aims to identify those at risk of serious underlying conditions or recurrent events requiring intervention. History, physical exam, and targeted testing can identify a diagnosis in many cases to guide management.
1Case Study Cystic FibrosisCystic Fibrosis Case StudyEttaBenton28
1
Case Study Cystic Fibrosis
Cystic Fibrosis: Case Study
The patient is a 7-year-old female. Due to the fact that the patient is a minor, her mother walked into the ER with her. The mother explained that her symptoms consist of persistent coughing throughout the day and it becomes worse at night, the coughing often results in spitting out phlegm. Along with wheezing, stuffy nose, loss of appetite, pain in the abdomen, and the taste of salty skin. The patient has been up coughing and complaining about the pain for 5 hours. Since the patient’s mother had thought it was a regular cold, she had been giving her children’s Tylenol for the past 3 days, 5 mL every 4 hours. Once the patient was taken in, a physical assessment was performed. The questions that were asked to the patients mother were about family history of CF, history of bowel obstruction as an infant, stool, and eating habits (nurses labs 2018). Because of the fact that the patient’s mom mentioned her skin having a salty taste, a sweat test has been recommended to check for cystic fibrosis. The sweat test measures the amount of chloride in sweat while the genetic test detects chromosomal mutations (Very Well Health 2019). Patient has now been diagnosed with cystic fibrous and will be admitted to the hospital for further instructions.
Pathophysiology
The pathophysiology of cystic fibrosis is based on the defects in the cystic fibrosis gene, which codes for protein transmembrane conductance regulator (CFTR) that functions as a chloride channel and is regulated by cyclic adenosine monophosphate (cAMP) (Nurselabs 2018). Cystic fibrosis is often caught at birth but there are cases where people begin to develop it later in life. If it is detected as birth, many persons with cystic fibrosis acquire a lung infection which incites an inflammatory response, the infection becomes established with a distinctive bacterial flora (Nurselabs 2018). If there is a case of a person developing cystic fibrosis as they get older, there are many symptoms that come along with it and it does affect many parts of your body. It can affect your GI tract, pancreas and your sweat glands which causes the skin to taste salt like. Symptoms may include pain in the abdomen, having a chronic cough that may include blood or phlegm, any gastrointestinal problems such as diarrhea, fat in the stool, heartburn, severe constipation, or bulky stools. When it affects your respiratory system, it can cause pulmonary hypertension, shortness of breath, sinusitis, wheezing, acute bronchitis, and/or pneumonia. There might also be a delay in puberty, growth, and in development. Other commons side effects include deformity of nails, different infections, male infertility, nasal polyps or weight loss (Mayo Clinic 2020).
History
The symptoms presented by the patient include coughing up phlegm, wheezing, stuffy nose, pain in the abdomen, salty skin and loss of appetite. In the past the patient has h ...
Differential Diagnosis for Skin Conditions Case Study.pdfsdfghj21
The document provides instructions for a case study assignment on differential diagnosis for skin conditions. Students will examine visual representations of various skin conditions and use differential diagnosis techniques to determine the most likely diagnosis. They will choose one skin condition to document in a SOAP note format, describing observations and formulating a differential diagnosis list of 3-5 possible conditions. The most likely diagnosis must be explained using references.
COMPLICATION OF PREGNANCY (Lesson 1. Hyperemesis Gravidarum).pdfDarenGoco
This document provides an overview of hyperemesis gravidarum, a condition characterized by severe nausea and vomiting during pregnancy. It discusses the causes, symptoms, assessment, and therapeutic management of the condition. Regarding treatment, it outlines conservative home care approaches for mild cases as well as hospitalization for severe cases to correct dehydration and nutritional deficiencies. It also discusses complementary and alternative therapies that can help relieve symptoms, such as acupuncture, ginger, and vitamin supplementation. Throughout treatment, it emphasizes the importance of emotional support, education, and empowering women dealing with this challenging condition.
Clinician Support And Psychosocial Risk Factors Associated With BreastfeedingBiblioteca Virtual
This study examined factors associated with breastfeeding discontinuation at 2 and 12 weeks postpartum in a cohort of 1007 low-risk mothers who initiated breastfeeding. The study found that breastfeeding rates declined over time, with 13% discontinuing by 2 weeks and 45% discontinuing by 12 weeks. Factors associated with earlier discontinuation included lack of breastfeeding confidence, early breastfeeding problems, Asian race, lower education, and depressive symptoms. Receiving encouragement from clinicians was associated with lower risk of discontinuing by 12 weeks, as was not returning to work or school by 12 weeks. The results suggest clinician support and addressing maternal mental health could help promote longer breastfeeding duration.
This document contains 9 case studies describing pediatric patient presentations across several body systems. Each case study includes subjective and objective patient information and is followed by 3 questions related to the case. The cases cover topics such as gastroenteritis, cancer, respiratory illness, gastrointestinal issues, cardiovascular concerns, hematology, diabetes in pregnancy, urinary tract infection, and seizures.
This case study summarizes the medical details of 75-year-old male patient Sergio Abbago who was admitted to the hospital due to difficulty breathing and leg swelling. He was diagnosed with atrial septal defect, hospital-acquired pneumonia, and acute urinary retention. The case study provides background on the patient's medical history, presents results from diagnostic testing, discusses the conditions diagnosed and their pathophysiology, outlines the medical and nursing management of the patient, and establishes goals for his care and discharge plan. The objectives are to comprehensively present the case and develop knowledge and skills for delivering quality healthcare to patients.
Why Do Women Stop Breastfeeding Findings From The Pregnancy RiskBiblioteca Virtual
This study examined breastfeeding behaviors using data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) from 2000-2001. The authors found that 32% of women did not initiate breastfeeding, 4% stopped within the first week, 13% stopped within the first month, and 51% continued for over 4 weeks. Younger women and those with limited socioeconomic resources were more likely to stop breastfeeding early. Common reasons for stopping included sore nipples, perceived inadequate milk supply, and difficulties with breastfeeding. Women's predelivery intentions impacted their likelihood of initiating and continuing breastfeeding.
The document discusses epilepsy and seizures, providing information on:
- What epilepsy is and how it differs from seizures
- Common causes of epilepsy including head trauma, brain tumors, and genetics
- What happens during different types of seizures
- Strategies for responding appropriately to seizures, such as staying calm, protecting the person's head, and calling for medical help if the seizure lasts more than 5 minutes
- Effective strategies for working with students who have epilepsy, including understanding their needs, clear communication with parents and schools, and teaching life skills.
This document provides clinical practice guidelines for the management of community-acquired pneumonia (CAP) in infants and children older than 3 months. It includes recommendations on site-of-care management decisions, diagnostic testing, antimicrobial and surgical therapy, and prevention. The expert panel developed evidence-based guidelines to assist clinicians in decreasing the morbidity and mortality of CAP in children. The guidelines cover practical questions of diagnosis and treatment of CAP in both outpatient and inpatient settings.
The document discusses gallstones, which are crystalline formations that occur in the gallbladder when bile components accumulate. Their presence can lead to inflammation of the gallbladder (cholecystitis) or obstruction of the bile ducts, both of which can become life-threatening if not treated. The case study focuses on a 54-year-old female patient admitted with abdominal pain and a possible diagnosis of obstructed bile duct stones or hepatoma. It provides details on her medical history, examinations, treatment, and nursing management for her condition.
Similar to Chapter 44 The child with a neuromuscular disorderCase 1 Pamel.docx (20)
Chapter 8 - Children of alcoholics often display characteristic tr.docxrobertad6
Chapter 8 - Children of alcoholics often display characteristic traits: (1) the "hero" who attempts to replace the dysfunctional parent by overachieving, or (2) the "jester" who compensates for a lack of parental guidance by being mischievous and unruly. Which role did Beethoven play in his family? What is the evidence for your choice? 100+ words
Chapter 9 - Discuss the way travel might have affected composers (for example, Mendelssohn). If you have been outside the U.S., or even taveled far within the U.S., what effect did it have on you? 100+ words
.
Chapter 8 - Review the Siemens AG case study. Note the importan.docxrobertad6
Chapter 8 - Review the Siemens AG case study. Note the importance of understanding the interrelationships amongst all the senior leaders at every location. Pay special attention to Figure 8.1 and Figure 8.2. Note how the corporate CIO should engage with each of the regional leaders. Why is this important? (Information Technology and Organizational Learning)
The above submission should be one-page in length and adhere to APA formatting standards.
.
Chapter 7Victimology and Patterns of VictimizationThe a.docxrobertad6
Chapter 7:
Victimology and Patterns of Victimization
The authors discuss the meaning of genocide, criminology’s aversion of the topic, and assertions of the United States’ own participation in it. Through reviewing a brief U.S. history, the authors argue that genocide stemming from the treatment of Native Americans throughout history should not be written off as radical conspiracy. Likening American Indian reservations to inner cities, a connection is made provoking questions between the historical treatment of African Americans and genocide.
Chapter 8: Lawmaking and the Administration of Criminal Law
This Chapter analyzes the impact that class, race, and gender have on shaping laws and the lawmaking process. Although criminal law is thought to be an objective measure of harm, it is instead the direct result of our political process headed by a powerful few, where money and privilege reign. The authors explain that the laws that shape our reality and perceptions of what is criminal serve the interests of the influential ruling class at the expense of the underclasses.
Discuss
one
of the following (Write Minimum of 250 words):
1. You learned in Chapter 7 that certain victims are valued above others. Why do you think that is? How do you think that impacts the U.S Criminal Justice System?
OR
2. According to Chapter 8, minorities are the labor pool that is regulated through punishment. How is this analysis relevant in criminal justice today?
.
Chapter 7Thinking and IntelligenceFigure 7.1 Thinking .docxrobertad6
Chapter 7
Thinking and Intelligence
Figure 7.1 Thinking is an important part of our human experience, and one that has captivated people for centuries.
Today, it is one area of psychological study. The 19th-century Girl with a Book by José Ferraz de Almeida Júnior, the
20th-century sculpture The Thinker by August Rodin, and Shi Ke’s 10th-century painting Huike Thinking all reflect the
fascination with the process of human thought. (credit “middle”: modification of work by Jason Rogers; credit “right”:
modification of work by Tang Zu-Ming)
Chapter Outline
7.1 What Is Cognition?
7.2 Language
7.3 Problem Solving
7.4 What Are Intelligence and Creativity?
7.5 Measures of Intelligence
7.6 The Source of Intelligence
Introduction
Why is it so difficult to break habits—like reaching for your ringing phone even when you shouldn’t, such
as when you’re driving? How does a person who has never seen or touched snow in real life develop an
understanding of the concept of snow? How do young children acquire the ability to learn language with
no formal instruction? Psychologists who study thinking explore questions like these.
Cognitive psychologists also study intelligence. What is intelligence, and how does it vary from person
to person? Are “street smarts” a kind of intelligence, and if so, how do they relate to other types of
intelligence? What does an IQ test really measure? These questions and more will be explored in this
chapter as you study thinking and intelligence.
In other chapters, we discussed the cognitive processes of perception, learning, and memory. In this
chapter, we will focus on high-level cognitive processes. As a part of this discussion, we will consider
thinking and briefly explore the development and use of language. We will also discuss problem solving
and creativity before ending with a discussion of how intelligence is measured and how our biology
and environments interact to affect intelligence. After finishing this chapter, you will have a greater
appreciation of the higher-level cognitive processes that contribute to our distinctiveness as a species.
Chapter 7 | Thinking and Intelligence 217
7.1 What Is Cognition?
Learning Objectives
By the end of this section, you will be able to:
• Describe cognition
• Distinguish concepts and prototypes
• Explain the difference between natural and artificial concepts
Imagine all of your thoughts as if they were physical entities, swirling rapidly inside your mind. How is it
possible that the brain is able to move from one thought to the next in an organized, orderly fashion? The
brain is endlessly perceiving, processing, planning, organizing, and remembering—it is always active. Yet,
you don’t notice most of your brain’s activity as you move throughout your daily routine. This is only one
facet of the complex processes involved in cognition. Simply put, cognition is thinking, and it encompasses
the processes associated with perception, knowledge, problem solving, judgment, langu.
Chapter 7 2. How does a false positive alarm differ from a f.docxrobertad6
Chapter 7
2. How does a false positive alarm differ from a false negative alarm? From a security perspective, which is less desirable?
3.
How does a network-based IDPS differ from a host-based IDPS?
14.
What is an open port? Why is it important to limit the number of open ports to those that are absolutely essential?
Chapter 8
3.
What is a cryptographic key, and what is it used for? What is a more formal name for a cryptographic key?
4.
What are the three basic operations in cryptography?
9.
What are the components of PKI?
.
Chapter 7 covers Corporate Information Security and Privacy Regu.docxrobertad6
Chapter 7 covers Corporate Information Security and Privacy Regulation. Specifically, the Sarbanes Oxley Act of 2002 was passed as a result of the Enron scandal. Give a short synopsis of the Enron scandal and then provide a short synopsis of SOX.
Answer the question with a short paragraph, between 250 and 350 words. Brevity is a virtue. That is why you are limited to 350 words. If you can't present your hypothesis in 350 words or less then it is too complicated.
Remember that when you state a fact if you don't provide a reference, it is not a fact but rather an opinion.
submit it by 2/16/2020 at 4:59 PM EST
.
Chapter 7The Problem of EvilOf all the objections to theism pr.docxrobertad6
Chapter 7
The Problem of Evil
Of all the objections to theism presented by atheists, the most celebrated and oft-rehearsed, by far, is the problem of evil and suffering. Debates about evolution and the like notwithstanding, most reflective theists would likely agree that objections to belief in God posed by the occurrence of evil and suffering present a far more serious challenge than do objections from science. (In fact, one of the most popular lines of objection to theistic evolution is really a version of the problem of evil; it asks, How could a perfectly loving God employ a means of creation that proceeds by way of the systematic destruction of the weakest and most vulnerable creatures?) A distinction must be drawn, however, between the problem of evil as a philosophical objection to religious belief and the problem as a concerned question.
Some philosophers have put forward arguments from evil which purport to show that God does not exist or that belief in God is unreasonable. To such philosophical attacks, philosophical responses are appropriate. However, many people—believers and nonbelievers alike—are bothered by evil. When they are faced with suffering, on their own part or on the part of others, they may pose an agonizing Why? A philosophical argument is often the last thing such a person wants to hear; such an argument may appear irritatingly superficial or even callous. The person wants compassion and empathy, and the proper response may simply be to listen and try to share the other’s grief and questions. At such times the problem of evil calls more for pastoral care than for philosophical debate.
The philosophical problem of evil, on the other hand, can be posed briefly and sharply. It appears to many people that a perfectly good, all-knowing and all-powerful being, were he to exist, would not allow the kinds or quantity of evil and suffering that exists in our world. The underlying assumption of this argument is the intuition—common to many atheists and theists alike—that a good being eliminates evil as far as it is able to. God, being omniscient, should be aware of every instance of evil and suffering; being perfectly good, he would presumably want to eliminate all evil; being omnipotent, he should be able to do just that. If there were a God, therefore, one would expect not to find any evil in the world. Since one does find evil—and quite a bit of it—God must not exist. In this way, the existence of evil and suffering is thought to undermine the rationality of belief in God.
Types of Evil, Versions of the Problem and Types of Responses
The evils in the world which this argument takes as its basis are usually divided into two types. Moral evil is all the evil which is due to the actions of free, morally responsible beings. Murders, rapes and the hunger caused by social injustice would be examples of moral evil. Natural evil (or nonmoral evil) is all the evil that is not (or at least does not appear to be) due to the actions.
CHAPTER 7The CPU and MemoryThe Architecture of Comp.docxrobertad6
CHAPTER 7:
The CPU and Memory
The Architecture of Computer Hardware, Systems Software & Networking:
An Information Technology Approach
5th Edition, Irv Englander
John Wiley and Sons 2013
PowerPoint slides authored by Angela Clark, University of South Alabama
PowerPoint slides for the 4th edition were authored by Wilson Wong, Bentley University
CPU and MemoryEvery instruction executed by the CPU requires memory accessPrimary memory holds program instructions and dataSecondary storage is used for long term storageData is moved from secondary storage to primary memory for CPU execution
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
CPU: Major ComponentsALU (arithmetic logic unit)Performs calculations and comparisonsCU (control unit)Performs fetch/execute cycle
Accesses program instructions and issues commands to the ALU
Moves data to and from CPU registers and other hardware componentsSubcomponents:
Memory management unit: supervises fetching instructions and data from memory
I/O Interface: sometimes combined with memory management unit as Bus Interface Unit
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
*
System Block Diagram
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
*
The Little Man Computer
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
*
Concept of RegistersSmall, permanent storage locations within the CPU used for a particular purposeManipulated directly by the Control UnitWired for specific functionSize in bits or bytes (not in MB like memory) Can hold data, an address, or an instructionHow many registers does the LMC have?What are the registers in the LMC?
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
*
RegistersUse of RegistersScratchpad for currently executing program
Holds data needed quickly or frequentlyStores information about status of CPU and currently executing program
Address of next program instruction
Signals from external devicesGeneral Purpose RegistersUser-visible or program-visible registersHold intermediate results or data values, e.g., loop countersEquivalent to LMC’s calculatorTypically several dozen in current CPUs
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
*
Special-Purpose RegistersProgram Counter Register (PC)Also called instruction pointer (IP)Instruction Register (IR)Stores instruction fetched from memoryMemory Address Register (MAR)Memory Data Register (MDR) Status RegistersStatus of CPU and currently executing programFlags (one bit Boolean variable) to track conditions like arithmetic carry and overflow, power failure, internal computer error
Copyright 2013 John Wiley & Sons, Inc.
7-*
Copyright 2013 John Wiley & Sons, Inc.
*
Register OperationsStores values from other locations (registers and memory)Addition and subtractionShift or rotate dataT.
Chapter 7QUESTION 1. Which of the following is defin.docxrobertad6
Chapter 7
QUESTION 1
.
Which of the following is defined as the persistnce of learning over time, through the encoding, storage and retrieval of memory?
.
memory
long-term memory
short-term memory
sensory memory
.
10 points
QUESTION 2
.
Which of the following refers to the processing of information outside of conscious awareness?
.
sensory memory
short-term memory
automatic processing
working memory
.
10 points
QUESTION 3
.
Behaviors such as texting and driving home would be considered...
.
explicit memories
automatic processing
implicit memories
working memory
.
10 points
QUESTION 4
.
Which of the following pieces of memory would you not process automatically?
.
Where your bed and dresser are in your room
A new acquaintances address
The location of your PSY110 classroom
How to spell your name
.
10 points
QUESTION 5
.
Cramming has actually been shown to be an effective method of learning new information.
.
True
.
False
.
10 points
QUESTION 6
.
Mood can be a retrieval cue.
.
True
.
False
.
10 points
QUESTION 7
.
Which of the following brain structures is responsible for temporarily holding memories until they can be moved to storage?
.
basal ganglia
frontal lobe
cerebellum
hippocampus
.
10 points
QUESTION 8
.
Which of the following brain structures is most involved with you learning motor movements such as how to ride a bike?
.
brain stem
basal ganglia
frontal lobe
hippocampus
.
10 points
QUESTION 9
.
If you have to take a foreign language at Valpo and you took a foreign language in high school, you would benefit from taking the same language at Valpo as you did in high school because you would benefit most from which of the following?
.
Recall
Relearning
Recognition
.
10 points
QUESTION 10
.
This very multiple choice question, which is asking you to identify previously learned material, requires you to make use of which of the following skills?
.
relearning
recall
recognition
.
Chapter 2
QUESTION 1
.
Neurons are...
.
basic building blocks of the nervous system
extensions of the cell body that receive messages
extensions of the cell body that send messages
a nerve impulse
.
10 points
QUESTION 2
.
Everything psychological is simultaneously biological
.
True
.
False
.
10 points
QUESTION 3
.
Brain plasticity allows us to adapt to new environments
.
True
.
False
.
10 points
QUESTION 4
.
The nervous system consists of...
.
the sympathetic and the parasympathetic nervous systems
the brain and spinal cord
the central nervous system and the peripheral nervous system
.
10 points
QUESTION 5
.
Neurotransmitters...
.
include serotonin and dopamine and affect behaviors and emotions
are electrical impulses in the brain
the form of communication between motor neurons and sensory neurons
are natural opiates released in response to pain
.
10 p.
Chapter 7One pageAPA stylePlease comment on the followin.docxrobertad6
Chapter 7
One page
APA style
Please comment on the following statement regarding our current educational system and examples of practices
:
"
It
is a cardinal precept of the newer school of education that the
beginning of instruction shall be made with the experience learners
already have; that this experience and the capacities that have been
developed during its course provide the starting point for all further
learning" (Dewey, 1938, p. 88
).
(
one page- deadline will be
Friday
.
CHAPTER 7
Managing Financial Operations
Revenue cycle (billing and collections)
Receivables management
Cash and marketable securities management
Inventory (supply chain) management
Operational monitoring and control
Copyright 2009 Health Administration Press
7 - ‹#›
Financial Operations
Financial operations involves the day-to-day oversight of such tasks as billing and collections (revenue cycle), cash management, and inventory management.
The specifics are highly dependent on the type of provider (e.g., hospital versus medical practice versus nursing home).
Thus, the focus here is on fundamental concepts as opposed to details.
Copyright 2009 Health Administration Press
7 - ‹#›
The Revenue Cycle
The revenue cycle is defined as all activities associated with billing and collecting for services.
In general, revenue cycle management should ensure that
patients are properly categorized by payer,
correct and timely billing takes place, and
correct and timely payment is received.
The revenue cycle includes the activities listed on the next slide.
Copyright 2009 Health Administration Press
7 - ‹#›
The Revenue Cycle (cont.)
Before-service activities:
Insurance verification
Certification of managed-care patients
Patient financial counseling
At-service activities:
Insurance status verification
Service documentation/claims production
After-service activities:
Claims submission
Third-party follow-up (if needed)
Denials management
Payment receipt and posting
Monitoring and reporting:
Monitoring
Review and improvement
Copyright 2009 Health Administration Press
7 - ‹#›
The Revenue Cycle (cont.)
In revenue cycle management, each of the identified activities is closely monitored to ensure that
the correct amount of reimbursement is collected on each patient,
reimbursements are collected as quickly as possible, and
the costs associated with the revenue cycle are minimized consistently with rapid and correct collections.
Two important keys to good revenue cycle management are information technology and electronic claims processing.
Copyright 2009 Health Administration Press
7 - ‹#›
Receivables Management
If a service is provided for cash, the revenue is immediately received.
If the service is provided on credit, the revenue is not received until the receivable is collected.
Receivables management, which falls under the general umbrella of the revenue cycle, is extremely important to healthcare providers.
Why?
Copyright 2009 Health Administration Press
7 - ‹#›
Accumulation of Receivables
Suppose Valley Clinic contracts with an insurer whose patients use $2,000 in services daily and who pays in 40 days.
The clinic will accumulate receivables at a rate of $2,000 per day.
However, after 40 days, the receivables balance will stabilize at $80,000:
Receivables = Daily sales × Average collection period
= $2,000
× 40
= $80,000
Copyright 2009 Health Administration Press
7 - ‹#›
Cost of Carrying Receiva.
CHAPTER 7Primate BehaviorWhat is Meant By Behavior.docxrobertad6
CHAPTER 7
Primate Behavior
What is Meant By Behavior?
• Anything organisms do that involves action in response to
internal or external stimuli.
• The response of an individual, group, or species to its
environment.
• Such responses may or may not be deliberate and they
aren't necessarily the results of conscious decision
making.
Ecological Perspective
• Pertains to relationships between organisms and
all aspects of their environment
• Temperature
• Predators
• Vegetation
• Availability of food and water
• Types of food
• Disease organisms
• Parasites
Behavioral Ecology
Focuses on the relationship between behaviors,
natural environment, and biological traits of the
species.
Based on the assumption that animals, plants, and
microorganisms evolved together.
Behaviors have evolved through the operation of
natural selection, or
Some behaviors are influenced by genes and are
subject to natural selection the same way physical
characteristics are.
The Evolution of Behavior
Behavior constitutes a phenotype
Individuals whose behavioral phenotypes increase
reproductive fitness pass on their genes at a faster
rate.
Genes do not code for specific behaviors, but they do
code for biological factors that impact behavior, i.e.
hormone levels, intelligence
Species vary in their limits and potentials for learning
and behavioral flexibility, set by genetic factors.
Natural selection acts on genetic factors shaped by
ecological, the same as it does physical
characteristics
Social Structure
• The composition, size, and sex ratio of a group of
animals.
• The social structure of a species is, in part, the
result of natural selection in a specific habitat, and
it guides individual interactions and social
relationships.
Why Are Primates Social?
• Group living exposes animals to competition with other group
members, so why not live alone?
• Costs of competition are offset by the benefits of predator
defense provided by associating with others.
• Group living evolved as an adaptive response to a number of
ecological variables.
Some Factors That Influence Social Structure
• Body Size
• Larger animals are better able to retain heat and their overall energy
requirements are less than for smaller animals
• This means they need fewer calories per unit of body weight.
Some Factors That Influence Social Structure
• Metabolism
• The chemical processes within cells that break down nutrients and release
energy for the body to use.
• Basal Metabolic Rate (BMR) and Diet
• Smaller animals generally have a higher BMR than larger ones.
• This means smaller primates require an energy-rich diet high in protein,
fats, and carbohydrates (fruit, and insects).
Some Factors That Influence Social Structure
• BMR and Diet
• Nutritional needs have evolved along with BMR and body size
• Benefits are considered in terms of energy (calories) obtained from food
.
Chapter 7Medical Care Production and Costs(c) 2012 Cengage.docxrobertad6
Chapter 7
Medical Care Production and Costs
(c) 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
The Short-Run Production Function of the Representative Medical Firm
Assumptions of short-run production:
Medical firm produces a single output of medical services, q
Only two medical inputs exist: nurse-hours, n, and a composite capital good, k
Quantity of capital is fixed at some amount
(c) 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
The Short-Run Production Function of the Representative Medical Firm
Medical firm faces an incentive to produce as efficiently as possible
Medical firm possesses perfect information regarding the demands for its product
(c) 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
The Short-Run Production Function of the Representative Medical Firm
Production function:
Identifies different ways nurse-hours & capital can be combined
To produce various levels of medical services
(c) 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
The Short-Run Production Function of the Representative Medical Firm
Each level of output produced by -
Several different combinations of the nurse and capital inputs
Each combination – assumed to be technically efficient – maximum amount of output that is feasible given the state of technology
(c) 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
The Short-Run Production Function of the Representative Medical Firm
Law of diminishing marginal productivity
At first, total output increases at an increasing rate
After some point, it increases at a decreasing rate
Total product curve, TP
Depicts total output produced by different levels of the variable input, holding all other inputs constant
(c) 2012 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classro.
CHAPTER 7FriendshipTHE NATURE OF FRIENDSHIPFRIENDSHIP ACROSS T.docxrobertad6
CHAPTER 7
Friendship
THE NATURE OF FRIENDSHIPFRIENDSHIP ACROSS THE LIFE CYCLEDIFFERENCES IN FRIENDSHIPFRIENDSHIP DIFFICULTIESFOR YOUR CONSIDERATIONCHAPTER SUMMARY
I get by with a little help from my friends. John Lennon
Take a moment and think about your two best friends. Why are they such close companions? Why do you think of them as friends? You probably like but don't love them. (Or, at least, you're not “in love” with them, or you'd probably think of them as more than just “friends.”) You've probably shared a lot of good times with them, and you feel comfortable around them; you know that they like you, too, and you feel that you can count on them to help you when you need it.
Indeed, the positive sentiments you feel toward your friends may actually be rather varied and complex. They annoy you sometimes, but you're fond of them, and because they're best friends, they know things about you that no one else may know. You like to do things with them, and you expect your relationship to continue indefinitely. In fact, if you look back at the features that define intimacy (way back on page 2), you may find that your connections to your best friends are quite intimate, indeed. You may have substantial knowledge of them, and you probably feel high levels of trust and commitment toward them; you may not experience as much caring, interdependence, responsiveness, and mutuality as you do with a romantic partner, but all three are present, nonetheless.
So, are friendships the same as but just less intimate than our romantic partnerships? Yes and no. Friendships are based on the same building blocks of intimacy as romances are, but the mix of components is usually different. Romances also have some ingredients that friendships typically lack, so their recipes do differ. But many of the elements of friendships and romances are quite similar, and this chapter will set the stage for our consideration of love (in chapter 8) by detailing what it means to like an intimate partner. Among other topics, I'll describe various features of friendship and question whether men and women can be “just friends.”
Page 214
THE NATURE OF FRIENDSHIP
Our friendships are indispensable sources of pleasure and support. One study of unmarried young adults found that over one-third of them (36 percent) considered a friendship to be their “closest, deepest, most involved, and most intimate” current relationship (Berscheid et al., 1989). A larger proportion (47 percent) identified a romantic relationship as their most important partnerships, but friendships were obviously significant connections to others. And they remain so, even after people marry. Another study that used an event-sampling procedure1 to track people's interactions found that they were generally having more fun when they were with friends than when they were alone or with family members, including their spouses. The best times occurred when both their spouses and their friends were present, but if it was one or.
Chapter 7
Food, Nutrition & Obesity Policy
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
1
Identifying the Problem: Obesity & Its Consequences
Obesity = excessive body fat/bodyweight
BMI—a ratio of weight to height, calculated as kilograms divided by meters squared
Categorize an individual as obese = BMI ≥30
In children, obesity refers to a BMI greater than, or equal to, the 95th percentile
Obesity is a major risk factor for:
Type 2 diabetes, cardiovascular disease, and hypertension
Greater risk for additional comorbid health conditions, including stroke, arthritis, nonalcoholic fatty liver disease, kidney disease, and mental health problems related to social stigma
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
2
Identifying the Problem: Obesity & Its Consequences
Disparities
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
3
Identifying the Problem: Obesity & Its Consequences
Disparities: Children
Between 1980 and 2004, obesity prevalence tripled among children aged 2 to 19 years increasing from 6% to 19%
Overall prevalence has remained fairly stable since 2004
2011–2012 = 17% of children obese
Hispanic children have the highest obesity prevalence, followed by: non-Hispanic Black and non-Hispanic White children
Black children are more likely to be severely obese than are White children
Trends indicate the most pronounced increase of severe obesity in White female and Black male children
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
4
Identifying the Problem: Obesity & Its Consequences
Disparities: Adults
More prevalent in non-Hispanic Blacks and Hispanics
Exists at the highest rate among all adults aged 40 to 59 years
Gender- and income-based obesity-related disparities exist among all racial and ethnic groups
Most pronounced among non-Hispanic Black women across all age categories
Higher income non- Hispanic Black and Mexican American men have slightly higher obesity prevalence rates than those with lower incomes
Adults in rural areas are significantly more likely to be obese than those in urban areas
WHY?
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
5
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
6
Identifying the Problem: Obesity & Its Consequences
The Costs of Obesity
$315.8 billion was spent on adult obesity-related direct healthcare costs in 2010
Majority of expenses resulting from the treatment of comorbid health conditions, particularly type 2 diabetes
Medicare and Medicaid spending would see decreases of 8.5% and 11.8% if obesity-related costs were removed from the analysis
Obesity-related absenteeism translates to an estimated cost of $8.65 billion per year in lost productivity
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
7
Identifying the Problem: Obesity & Its Consequences
Obesogenic Environment
Eyler, Chriqui, Moreland-Russell & Brownson, 2016
8
https://youtu.be/5Rm7E2e1Su8
Identifying the Problem: Obesity & Its Consequences
Obesogenic Environment.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Chapter 44 The child with a neuromuscular disorderCase 1 Pamel.docx
1. Chapter 44: The child with a neuromuscular disorder
Case 1: Pamela Souza, 6 years old, was born with cerebral
palsy. Pamela suffers from general spasticity, mental
impairment, impaired vision and hearing, and hydrocephalus.
She has been admitted to the pediatric unit for evaluation of
intrathecal spasticity control.
A. Identify medications that might be used to help control
Pamela’s spasticity?
Medications that can be used to control Pamela’s spasticity
include; Baclofen, Tizanidine, Dantrolene sodium, Diazepam,
Clonazepam, and Gabapentin.
B. What information would the nurse include in the health
history?
C. Gestational and perinatal events
D. History of head trauma
E. Feeding and weight loss
F. Seizure activity
G. Respiratory status: Has a cough, sputum production, or
increased work of breathing developed?
H. Motor function: Has there been a change in muscle tone or
increase in spasticity?
I. Presence of fever
J. Any other changes in physical state or medication regimen
K.
The following is the information that the nurse is expected to
include in the health history regarding Pamela; history of head
trauma, gestational and perinatal events, find out if the baby is
She is 6yo..not a baby
feeding well and also identify any weight loss, seizure activity,
indicate the respiratory status of the child including any
coughs, sputum production, or increased work of breathing
development, presence of fever, any changes in physical state or
medication regimen, and motor functions of the baby(Perry et
al., 2017).
2. L. What nursing interventions would be important in Pamela’s
care?
The best nursing interventions that best suit Pamela’s case
include;
· Assisting with the administration of baclofen
· Assessment of spasticity before and after administration of
medication
· Preoperative care and teaching
· Postoperative care and teaching
· Emotional support for Pamela and her family
· The nurse should teach the parents about the programmable
delivery system, frequent checks and how to adjust dose and
programming.
· If the patient is eligible for baclofen, the nurse should give it
with caution to prevent hallucinations, possible psychosis, or
any other serious effects and also bare in mind that abrupt
discontinuation may lead to other serious reactions.
· Strengthen family support – teach the patient’s family on how
to treat and interact with her at home so that she feels
supported.
· The nurse should also prevent deformity, encourage mobility,
increase oral intake of fluids, manage rest and sleep periods,
enhance self care, and facilitate communication.
M. What information would be important to include in a
teaching plan for Pamela and her family?
N. Information about the type of pump being inserted and how it
works
O. Information and expectations about intrathecal baclofen
treatment
P. Daily care of the surgical incisions
Q. Notify the physician or nurse practitioner if the child has a
temperature greater than 101.5ºF, or if the child has persistent
incision pain.
R. Avoid tub baths for 2 weeks.
S. Do not allow the child to sleep on the stomach for 4 weeks
3. after pump insertion.
T. Discourage twisting at the waist, reaching high overhead,
stretching, or bending forward or backward for 4 weeks.
U. When the incisions have healed, normal activity may be
resumed.
V. Wear loose clothing to prevent irritation at the incision site.
W. Carry implanted device identification and emergency
information cards at all times.
The nurse should include the following in the teaching plan; the
drugs should be taken exactly as they have been prescribed and
they should not stop giving Pamela the drugs without consulting
the healthcare giver because abrupt discontinuation may lead to
serious reactions. The family should also be aware that these
drugs may have side effects like dizziness, confusion,
drowsiness, nausea, insomnia, headache, frequent or painful
urination but these side effects will go away after
discontinuation of the drug. However, it is important to report if
the side effects of the drug persist or become severe(Perry et
al., 2017)
Case 2: Kyle Stephens, 15 years old, is brought to the
emergency department by ambulance after a diving accident at a
local lake.
1. What nursing assessments would be important to Kyle?
The nurse should assess if Kyle has any injuries in the body
especially on the head, the spinal cord should also be assessed
to find out if it is injured, she should be assessed for the amount
of water taken, check if the airways are functioning well, and
also assess the breathing rate and temperatures for any
infections.
1. What diagnostic tests would the nurse expect to be ordered
for Kyle?
An x-ray is expected to be ordered to confirm the crushed
vertebrae and determine how severe it is and also check for any
other damages around it. For the severed spinal cord, the nurse
expects the following tests to be ordered; CT scan, MRI, or X-
4. ray. All the above tests will enable the doctor to have a clear
look at the abnormalities in the spinal cord (Chandy, D., &
Weinhouse, 2019).
1. What would be important teaching points for Kyle and his
family?
Kyle should follow the exercises prescribed by the doctor with
the help of the family members so that the spinal cord can heal
faster, ensure to sleep in positions that do not harm the spinal
cord further, avoid falls, and also ensure that Kyle is taken for
follow up checks at the hospital so that his progress can be
monitored. There is also a need for rehabilitation so that the
child can function normal again. Kyle should be taken through
bowel training, skin assessment, and also get assessed on sexual
functioning.
References
Chandy, D., & Weinhouse, G. L. (2019). Drowning (submersion
injuries). UpToDate.
Perry, S. E., Hockenberry, M. J., Alden, K. R., Lowdermilk, D.
L., Cashion, M. C., & Wilson, D. (2017). Maternal Child
Nursing Care-E-Book. Mosby.
5. Chapter 49: The child with an endocrine disorder
Case 1: Jalissa Twyman, 8 years old, was admitted to the
pediatric intensive care unit with a closed head trauma after
being involved in a bicycle/motor vehicle accident. Jalissa is
unconscious. The nurses caring for Jalissa document a weight
loss of 1.82 kg over a 24-hour period, decreased skin turgor,
and dry mucous membranes. Urine output for the same 24-hour
period is 3.5 L/m2
I. What further assessments should the nurse perform on
Jelissa?
The nurse should check if the child has a raised, swollen area
from a bruise or a bump, any cuts in the scalp, sensitivity to
light and noise, lightheadedness, confusion, and assess the
functionality of the nerves, arterial blood pressure, intracranial
pressure, heart rate and rhythm, central nervous pressure, and
core temperature (Perry et al., 2017).
II. Tachycardia
III. Increased respiratory rate
IV. Urine concentration
V.
VI. What laboratory tests should the nurse expect to be ordered
for Jelissa?
A complete blood cell count especially if the child is suspected
to have bleeding, CT scan, and MRI scan. Also, there is need to
carry out a coagulation profile of the patient.
VII. UA
VIII. CT scan, MRI, or ultrasound of the skull and kidneys
IX. Serum osmolarity
X. Serum sodium
XI. Fluid deprivation test
XII. What nursing interventions should be done for Jelissa?
The nurse should ensure that the neck is positioned at a midline
6. position to prevent jugular vein compression, ensure adequate
sedation, ensure that there is no increased pressure on the intra-
abdominal pressure, and also establish early enteral feeding
because the child has lost weight in 24 hours and needs energy.
Case 2: Aellai Gianopoulos, 13 years old, is brought to the
clinic by her mother, who states that Aellai is losing her hair.
Vital signs are as follows: T 98.4°F, HR 85, R 15, BP 121/78.
Height is 64 in., and weight is 81.5 kg.
Aellai has an olive complexion marred by acne, large brown
eyes, and long black hair that is very thin on the top of her
head. Her breasts are small and she has an abundance of hair on
her arms and legs. She reached puberty approximately 6 months
ago
She has classic s/s of a specific endocrine disorder.. a big clue
is that this is a girl.
a. What other information should the nurse gather in the health
history?
The nurse should note down if there are any history of
endocrine disorder cases in the family, the age of the onset of
the patient’s symptoms, the rate at which the symptoms are
progressing, history of menstruation, any other medical history
and any medications that the patient could be taking, or has
taken before regarding the symptoms (Clare, 2019).
b. What laboratory tests would the nurse expect to be ordered
for Aellai?
A twenty four hour urine collection test,
bone density test, For what she is 13yo?
ACTH stimulation test, CRH stimulation test, Incorrect
fine-needle aspiration Biopsy, of what?
oral glucose tolerance test, dexamethasone suppression test,
Incorrect
five day glucose sensor test, and TSH blood test.
7. c. What should the nurse include in the teaching plan for Aellai
and her family?
The nurse should develop a teaching plan for Aellai and her
family to enable them to understand what is happening to Aellai
and the care that she needs. The plan should include the
following; it is important to first of all know that children are
different and they grow at a different rate. However, their
Aellai has endocrine disorder whereby the hormones responsible
for the growth and development of her bone, reproductive
organs, and secondary sex characteristics, and the hormones
responsible for hair growth and skin pigmentation (Clare,
2019). Therefore, Aellai should visit an endocrinologist
regularly for correction and monitoring.
References
Clare, C. (2019). Endocrine Disorders. Learning to Care E-
Book: The Nurse Associate, 455.
Perry, S. E., Hockenberry, M. J., Alden, K. R., Lowdermilk, D.
L., Cashion, M. C., & Wilson, D. (2017). Maternal Child
Nursing Care-E-Book. Mosby.
The child with a neuromuscular disorder
Chapter 44: The child with a neuromuscular disorder
Case 1: Pamela Souza, 6 years old, was born with cerebral
palsy. Pamela suffers from general spasticity, mental
impairment, impaired vision and hearing, and hydrocephalus.
She has been admitted to the pediatric unit for evaluation of
intrathecal spasticity control.
A. Identify medications that might be used to help control
Pamela’s spasticity?
Medications that can be used to control Pamela’s spasticity
8. include; Baclofen, Tizanidine, Dantrolene sodium, Diazepam,
Clonazepam, and Gabapentin.
B. What information would the nurse include in the health
history?
C. Gestational and perinatal events
D. History of head trauma
E. Feeding and weight loss
F. Seizure activity
G. Respiratory status: Has a cough, sputum production, or
increased work of breathing developed?
H. Motor function: Has there been a change in muscle tone or
increase in spasticity?
I. Presence of fever
J. Any other changes in physical state or medication regimen
The nurse will include the following in the health history of
Pamela; mental retardation, Oromotor dysfunction, document if
the patient has language and speech disorder, hearing and
Ophthalmologic disorders (Perry et al., 2017).
K. What nursing interventions would be important in Pamela’s
care?
The best nursing interventions that best suit Pamela’s case
include;
You need to learn what this is to answer this question.
admitted to the pediatric unit for evaluation of intrathecal
spasticity control.
· Ensuring therapeutic communication – the nurse should
communicate with Pamela’s parents and family so that he or she
can learn the child’s activities at home.
· Enhance self esteem – the nurse needs to assist Pamela to
increase her her personal judgement on oneself because most of
the time children with cerebral palsy have a low self esteem
because they are not like their peers.
· Provide emotional support – reassure the patient that all is
well and she is doing well
9. · Strengthen family support – teach the patient’s family on how
to treat and interact with her at home so that she feels
supported.
· The nurse should also prevent deformity, encourage mobility,
increase oral intake of fluids, manage rest and sleep periods,
enhance self care, and facilitate communication.
L. What information would be important to include in a
teaching plan for Pamela and her family?
l. see above
After the baby will be discharge, care does not stop at that
point. It still continues even at home. The following are some of
the teaching aspects include teaching the family how to interact
well with family, encourage her to play but also ensure that she
is not in danger (Perry et al., 2017)
Case 2: Kyle Stephens, 15 years old, is brought to the
emergency department by ambulance after a diving accident at a
local lake.
1. What nursing assessments would be important to Kyle?
The nurse should assess if Kyle has any injuries in the body
especially on the head, the spinal cord should also be assessed
to find out if it is injured, she should be assessed for the amount
of water taken, check if the airways are functioning well, and
also assess the breathing rate and temperatures for any
infections.
0. What diagnostic tests would the nurse expect to be ordered
for Kyle?
An x-ray is expected to be ordered to confirm the crushed
vertebrae and determine how severe it is and also check for any
other damages around it. For the severed spinal cord, the nurse
expects the following tests to be ordered; CT scan, MRI, or X-
ray. All the above tests will enable the doctor to have a clear
look at the abnormalities in the spinal cord (Chandy, D., &
Weinhouse, 2019).
0. What would be important teaching points for Kyle and his
family?
10. Kyle should follow the exercises prescribed by the doctor with
the help of the family members so that the spinal cord can heal
faster, ensure to sleep in positions that do not harm the spinal
cord further, avoid falls, and also ensure that Kyle is taken for
follow up checks at the hospital so that his progress can be
monitored.
· Catheter care
· Bowel training
· Skin assessment
· Rehabilitation needs
· Sexual functioning
References
Chandy, D., & Weinhouse, G. L. (2019). Drowning (submersion
injuries). UpToDate.
Perry, S. E., Hockenberry, M. J., Alden, K. R., Lowdermilk, D.
L., Cashion, M. C., & Wilson, D. (2017). Maternal Child
Nursing Care-E-Book. Mosby.
Child with a cardiovascular disorder
Chapter 41: Child with a cardiovascular disorder
Case 1: Baby boy Ellis, 2 hours old, is being evaluated in the
newborn nursery by the nursing staff. Findings include T 37°C;
apical heart rate 140 bpm; respirations 58 breaths per minute;
BP (arms) 70/47, (calves) 62/39; head circumference 34 cm;
chest circumference 31 cm; length 48 cm; weight 2,700 g. The
infant is crying.
i. Based on the physical findings, what should be the nurse’s
priority?
The nurse should first focus on the breathing rate and heartbeat
of the child. The baby has a slightly high apical heart rate and
temperature. Incorrect. Go review normal VS for a newborn,
Therefore, the baby’s temperature need to be reduced to normal
11. and he also needs to be put on oxygen to help him with
breathing until his breathing system has developed fully.
Look at the BPs again.. Why are UE BPs higher then LE?
This is the question/
ii. What assessment /tests should the nurse expect to be done on
this infant?
Cardiovascular magnetic resonance imaging,
fetal echocardiogram, the baby is born.. no longer a fetus
chest x-ray, pulse oximetry, cardiac catheterization, and
electrocardiogram tests are expected to be done on the infant
(Hockenberry & Wilson, 2018).
iii. What should the nurse include in the teaching plan for the
parents of this infant?
c. Need to answer the above correctly first.
The nurse needs to inform the parents that the child is receiving
intravenous (IV) fluids or having adjustments to make his
breathing easier. He or she should also assure the parent that
their baby is doing well. The nurse should teach the parents on
how to care for their child once he is discharged. For example,
they should always keep the baby warm to prevent cyanosis,
observe the baby keenly and report to the doctor anytime the
baby lacks enough oxygen and they should look out for
symptoms like blue skin color and difficulty in breathing for
this diagnosis, and also understand how to give medicine to the
baby (Hockenberry & Wilson, 2018).
CASE 2: Jennifer Collins, 13 years old, is admitted to the
pediatric floor with a diagnosis of probable acute rheumatic
fever?
1. What would the nurse include when performing an initial
assessment?
Nursing assessment for probable acute rheumatic fever include;
· History – the nurse will interview the caregiver to get an up to
date history of the child. He or she will enquire about any
recent respiratory infection or sore throat and also find out the
time that the symptoms begun.
12. ·
· Physical exam – the nurse will begin with a thorough review
of all systems and note the physical condition of the child, look
out for any signs and classify them as either major or minor
manifestations, check temperature and pulse, examine swollen
or painful joints, subcutaneous nodules, and look for any signs
of chorea (Carapetis et al., 2005).
. History of recent streptococcal infection
. History of joint pain and/or fever
. Past history of ARF
. Observation for Sydenham chorea
. Observation for erythema marginatum
. Palpation of the surfaces of the wrist, elbows, and knees for
firm, painless, subcutaneous nodules
. Presence or absence of heart murmur
.
0. What tests would the nurse expect to be done on Jeniffer?
The diagnosis of acute rheumatic fever is confirmed.
The following tests are expected to be done on Jeniffer;
· Throat culture test
· Rapid antigen detection test – this is used to detect group A
streptococci antigen which allows the diagnosis of streptococcal
pharyngitis to be made.
· Antistreptococcal antibodies test – when antistreptococcal
antibodies are at their peak that is when the features of
rheumatic fever begin to show. This is the best test to confirm
acute rheumatic fever for people who show chorea as the only
diagnostic criterion.
· Heart reactive antibodies - this is a test to see if tropomyosin
is elevated in persons with acute rheumatic fever.
· Rapid detection test for D8/17 – this is a immunofluorescence
technique for identifying the B-cell marker D8/17 and see if it
is positive.
· Other tests will be chest radiography and Echocardiography.
0. What would the nurse be sure to include in the discharge
teaching plan for Jennifer and her family?
13. As the baby gets discharged, the nurse should include the
following in the teaching plan for Jeniffer and her family; they
should always be very keen on any symptoms of rheumatic fever
and see the doctor immediately because there is no cure for
rheumatic fever but the symptoms can be treated (Carapetis et
al., 2005). Also, the child will need to be to be taken back to the
hospital for follow ups with cardiology as symptoms of valve
damage may not be detectable until later in the future. Also,
matters hygiene should be included in the teaching plan. This is
because many studies have shown that there are higher
occurrences of rheumatic fever in places with poor sanitation
and overcrowding.
References
Carapetis, J. R., McDonald, M., & Wilson, N. J. (2005). Acute
rheumatic fever. The Lancet, 366(9480), 155-168.
Hockenberry, M. J., & Wilson, D. (2018). Wong's nursing care
of infants and children-E-book. Elsevier Health Sciences.
Running head: NURSING MANAGEMENT OF THE
NEWBORN
NURSING MANAGEMENT OF THE NEWBORN 8
NAME: Adebola Amoo Ross
14. As a postpartum nurse your next client is an LGA baby boy who
was born at 37 weeks' gestation. He had Apgar scores of 8 and
9. He was circumcised. The mother is breast-feeding. Your unit
requires a full assessment, screenings, discharge instructions,
and documentation. (Learning Objectives 4, 7, 8, and 10)
1. Describe what a normal head-to-toe assessment would be for
an infant born at 37 weeks' gestation. What test is used to
determine this gestational age? What is the scale used to
determine the Apgar score, and are this baby’s scores normal?
2. As the discharging nurse, you are responsible for what
screenings in an infant in the first 24 to 48 hours? What
immunizations would be required?
3. What discharge instructions would be pertinent to this
mother? How would you educate her or the family?
4. How would you document your discharge teaching? Write a
sample narrative of your teaching.
Definition of the Diagnosis
A new born baby usually undergoes several tests in order to
detect any disorders that might need immediate medical
attention (Susan, Terri & Susan, 2009). The test begins with
physical examination which includes measurement of weight,
length and head circumference. The heart rate, muscle tone,
skin color, reflexes and breathing effort is also examined and
scores of between 0 and 10 are given using the Apgar scale
depending on the observed conditions. A baby with good health
has an Apgar score above 7 whereas an Apgar score below 5
indicates that the baby may need immediate medical care. The
gestation age is determined using the Ballard scale. It could
either be small for gestation age (SGA), appropriate for
gestation age (AGA) or large for gestation age (LGA). LGA’s
refers to babies or infants whose age or gender is larger than
expectedor their birth weight greater than the 90th percentile.
Some of the common risks in LGA infants include birth trauma,
diabetes mellitus, metatarsus, adductus and hip subluxation
(Angelica , Flaminia , Mania, Simona, Sara , & Cristina, 2014).
15. Gestation diabetes is the common cause of LGA babies, other
causes include, excessive maternal weight gain, fetal sex,
increased gestation age and use of amoxicillin and pivambicillin
antibiotics during pregnancy (Lawrence, 2017).
Common Signs and Symptoms
The common signs and symptoms for LGA babies are those that
are related to the complications that may occur.
Potential Complications
Some of the potential complications associated with LGA
newborns are birth injuries, perinatal asphyxia, difficult
delivery, meconium aspiration, low Apgar score, lung problems,
hypoglycemia, birth defects, and polycythemia (Cervellin,
Comelli , Bonfanti, Numeroso , & Lippi, 2019).
Head to Toe Assessment
Vital Signs: Temperature, 98.6°F; blood pressure, 45/80 mm
Hg; heartbeat, 160 beats/min; respiratory rate, 60 breaths/min,
oxygen saturation 100% on room air
HEENT:
Head: the average head circumference of 33 to 35cm, overriding
sutures, caput succedaneum
Eye: visual acuity 20/400, normal red reflex, no discharge,
white sclera.
Ear: normal configuration that is a third angle of the eye and
response to sound
Nose: symmetrical
Mouth: normal configuration; Epstein’s pearl, no cleft palate.
Neck: normal rotation.
Chest: average circumference of 30 to 33 cm, clear heart and
lung sounds.
Abdomen: slight protrusion, cord drying, 3 umbilical vessels,
liver 2 cm below costal margin, presence of bowel sounds.
Skin: pink skin, erythema toxicum, Mongolian spots,
acrocynosis, milia
Genitalia: an open and properly placed urethra; presence of
testes in the scrotum.
Limbs: presence of limbs, pink nails and no deformities.
16. NANDA Nursing Diagnosis
1. Birth injuries
2. Hypoglycemia
3. Lung problems
4. Heart diseases
5. Obesity
Infant screening
1. Otoacoustic emissions (OAE) test and auditory brain stem
response (ABR)
The OAE tests is used to determine the response of some parts
of the ear to sound while the ABR test is used to evaluate the
auditory brain stem and brains response to sound (Angelica et
al., 2014).
Desired outcome
Normal hearing
Interventions and rationale
1. Place a miniature earphone and a microphone on the baby’s
ear and play a sound.
Rationale: Back reflection of an echo into the ear canal shows
normal hearing
Place Band-Aid-electrodes on the baby’s head
Rationale: sound response indicates normal hearing
2. Pulse oximetry test
The pulse ox is a non-invasive test that measures the amount of
oxygen in the blood.
Desired outcome
Normal oxygen levels.
Interventions and rationale
Place a pulse CO oximeter on the baby’s skin. The CO oximeter
measures the fractional oxyhemoglobin.
Rationale: an oxygen saturation level of more than eighty-nine
percent is an indication of healthy individual.
3. Bilirubin test
A jaundiced look on the baby would indicate bilirubin test is
required.
Immunization Vaccines
17. · BCG vaccine
· Hepatitis B
· OPV
Discharge Instructions
· Keep the circumcision wound dry and clean and apply
ointment daily.
· Breast feeding of the baby every two or three hours’ time
· Avoid any other food apart from the breast milk
· Wrap the baby to maintain normal temperatures
· Bathing the baby daily and take good care of the umbilical
cord
· Contact the doctor in case of any abnormal signs and
symptoms.
Documentation of the Discharge Teaching
The discharging teaching is done using the Focus, data, action,
Response way. Mother of a circumcised LGA baby boy born at
37 weeks educated on wound care, baby care, breast feeding and
follow up.
Documentation sample
Date
Time
focus
Notes
15/02/2020
12:57pm
Health education
The mother is able to follow the guidelines given and can
handle the baby well.
18. References
Angelica D., Flaminia C., Mania G., Simona C., Sara C, &
Cristina O. (2014). Investigation of the 1H-NMR based urine
metabolomics profiles of IUGR, LGA and AGA newborns on the
first day of life. The Journal of Maternal-Fetal & Neonatal
Medicine: 27(2)
Cervellin G., Comelli I., Bonfanti L., Numeroso F., & Lippi G.
(2019). Emergency diagnostic testing in pregnancy. Journal of
laboratory and precision medicine: 5(2). doi:
10.21037/jlpm.2019.10.04
Lawrence E. (2017). A matter of size: Part 2. Evaluating the
large-for-gestational-age neonate. PubMed journals
Susan S., Terri K., & Susan C. (2009). Maternity and Pediatric
Nursing, 2nd ed. ISBN: 978-1-60913-747.