Pathophysiology for the Health Professions

Week 7: Concept Process Assignment #3

Ebook: Gould’s Pathophysiology for the Health Professions, 6e 6th Edition

The purpose is to integrate basic concepts with systems disorders using analysis in support of critical thinking. Select a pathophysiology concept and systems disorder for which you have not previously completed an Active Learning Template (faculty may decide to assign a specific concept).

  • Complete the three areas of the basic concept template describing this concept in detail.
  • Complete all areas of the systems disorder template
  • Complete an analysis reviewing how the selected concept and systems disorder is related.

Can use one reference or more

APA format (7th ed.) and is free of errors Grammar and mechanics are free of errors free of Plagiarism   References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs.

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    NR283ConceptProcessAssignmentGuidelines.docx
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    TopicSelectionsforNR283ConceptProcess1.docx
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    basicconceptform.pdf
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    systemdisorderform.pdf
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    goulds-pathophysiology-for-the-health-professions-6th-edition.pdf

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psychological research

In order to better understand psychological research, students will need to find a recent psychology research experiment ( within 5 years), read it and then complete the following criteria.

Format: Word or PDF, 12 pt font, double-spaced, Q-A format, 2 page min

1. Adequately introduce and summarize purpose of research study

2. Adequately summarize research methodology

3. Adequately summarize research results

4. Provides analysis on the purpose and implications of the study

5. Offer criticism of the study

6. Sentence Clarity/Grammar and page length 

50 points

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Explain the difference between spontaneous and procured abortion

  1. Explain the difference between spontaneous and procured abortion. As well as their Ethical impact on each one.
  2. Why can the contraceptive pill, the IUD, and the “morning-after” pill also be considered abortifacients?
  3. Abortion methods, depending on the stage of pregnancy. Explain each one.
  4. Describe the Roe Vs. Wade case and provide a summary of Norma McCorvey’s life.
  5. Describe some better alternatives to abortion.
  6. Read and summarize ERD paragraphs # 45, 46, 47, 48, 49, 50, 51, 66.

2.5 pages, plagiarism-free, no website reference!!

the book https://www.usccb.org/about/doctrine/ethical-and-religious-directives/upload/ethical-religious-directives-catholic-health-service-sixth-edition-2016-06.pdf

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 Discuss the correlation between nursing education and positive patient outcomes

Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.

 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years

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Skin & Breast

This discussion contains 2 parts:

  1. KM is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies and asthma and her mother with psoriasis. KM returns today for an increase in symptoms, and she wants to improve the appearance of her skin. Please discuss the following:
    • What is the underlying cause of psoriasis?
    • What are the common signs and symptoms of this disease?
  2. Define, Compare and Contrast the following conditions:
    • Fibrocystic breast disease
    • Fibroadenoma
    • Malignant breast tumor

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Role And Scope Of Practice Of PMHNP

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the question below.

Initial Post

The Psychiatric-Mental Health Nurse Practitioner (PMHNP) fills a unique space in the healthcare environment.

  • Research your state’s current scope of practice for the role of PMHNP.
  • Do these regulations present a barrier to mental health care?
  • What groups or cultures do you see most impacted by your states current scope of practice regulations?

Replies

Reply to at least two of your classmates. Your reply posts should compare and contrast your state compared to another state you are reviewing.

Your response should include evidence-based research to support your statements using proper citations and APA format.

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Pharmacology

Proton pump inhibitors are a class of novel drugs that are the most potent acid suppressors on the market today.  Since omeprazole’s introduction in 1990, they have been clinically proven to be better than H2RAs.  Over the past decade their use has been scrutinized because of several harmful disease associations.

  • C. difficile infection: FDA’s analysis of over 28 studies revealed that patients taking PPIs were at a 1.4-2.75 times greater risk of developing an infection
  • Fractures: FDA reviewed several studies and have concluded that PPIs in high doses, multiple daily doses, and/or continued therapy for longer than a year increase a person’s risk of osteoporosis related fracture
  • Magnesium: PPIs may decrease magnesium level, which can lead to muscle spasms, arrhythmias, seizures, and fatigue.  This typically occurs after long-term administration of PPIs, usually longer than a year.  Treatment may require magnesium replacement and PPI discontinuation
  • Dementia: Although several theories exist to possibly explain the mechanism, the association needs to be validated in large cohorts and tested in case-control studies. For now, it is probably safe to say a causal link is plausible.
  • H. Pylori infection causes gastritis, PUD, gastric cancer and mucosa-associated lymphoid tissue (MALT) lymphoma and the association between the presence of H. pylori and NSAIDs and an increased incidence of PUD is well documented.

How would you handle a patient who wants to begin long-term PPI use?

What would your discussion with them entail?

In what patients or disease states would you not recommend PPI use?

What if H. Pylori is found to be present?

The following FDA warning appears in the clopidogrel package insert: “Drug interactions: Co-administration of Plavix with omeprazole, a proton pump inhibitor that is an inhibitor of CYP2C19, reduces the pharmacological activity of Plavix if given concomitantly or if given 12 hours apart. ” Plavix (clopidogrel) [package insert] Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership Bridgewater, NJ. 2009.

Evidence-based guidelines such as those provided by the AGA state: “PPI therapy does not need to be altered in concomitant clopidogrel users as there does not appear to be an increased risk for adverse cardiovascular events”. (Strong recommendation, high level of evidence) Am J Gastroenterol 2013; 108:308–328; doi:10.1038/ajg.2012.444.

This leaves the provider to make a professional decision.

You may wish to read the portion of clopidogrel’s package insert [link below] regarding pharmacogenomics as well as the article found in Medscape [link below] regarding genetics in pharmacotherapy before answering the last question. Pharmacogenomics is, and will become, an increasingly bigger part of care as we move forward.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020839s044lbl.pdf
https://www.medscape.com/viewarticle/888159_2

After reviewing the package insert for clopidrogel and available evidence regarding this combination, what would you recommend if a patient is taking esomeprazole and clopidrogel together?

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Healthcare Systems And The Role Of The DNP Practice Scholar

The DNP practice scholar has the skills, knowledge, experience, and ability to be a strong political advocate. Yet, despite this collective awareness, many nurses avoid becoming political engaged in health policy within the community and in some cases, within the organizations where they work.

This week, the focus was on understanding healthcare systems and the role of the DNP practice scholar as advocate for the patient, the community, and joining the national healthcare conversation. Reflect upon the development of your political competency and address the following:

  1. Consider a time when you had the opportunity to become politically involved in an issue (at work or in your community). If you pursued the opportunity what were the results? If you did not, what were the reasons?
  2. As you reflect on this week’s learning activities and your role as a practice scholar, discuss the area of your political competency that needs further development.

3. Review the Twitter feed and share your thoughts on this issue with the class.CDC✔@CDCgov

COVID-19 vaccines are effective at protecting you from severe illness. A study published by CDC found that the Pfizer-BioNTech (COMIRNATY) & Moderna #COVID19 vaccines decreased adults’ risk of being hospitalized from COVID-19 by over 90%.

Get vaccinated: http://www.vaccines.gov .

4. Compose a 140-character Tweet that shares your thoughts and opinions about the Tweet. Be mindful Twitter only allows 140 characters (be concise). Share this Tweet in the discussion.

 

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

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Interprofessional Organizational And Systems Leadership

To Prepare:

  • Review the Resources and select one current national healthcare issue/stressor to focus on.
  • Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

By Day 3 of Week 1

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

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Strategies & Quality Practice

What strategies might a professional nurse use in his/her work environment to advocate for the implementation of nursing theory as a framework for quality practice?

 

Submission Instructions:

  • post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

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