2023 Ear Pain Case Study Subjective Data Julia a 3 year old preschool child presents to the office

2023 Nursing 557 3

Ear Pain Case Study Subjective Data Julia a 3 year old preschool child presents to the office 2023

Ear Pain Case Study

Subjective Data

Julia, a 3 year old preschool child, presents to the office with a complaint of left ear pain for 2 days. She is accompanied by her mother, Mary. She has had an intermittent fever and her maximum temperature at home was 101 F (axillary). The pain is worse sometimes when she is lying down. The pain is occasional relieved with the use of over-the-counter pain relievers. Julia has not had any vomiting or diarrhea. She has had a slight runny nose, but no cough.

Past medical history: Julia was born via vaginal delivery at 40 weeks’ gestation. She has not had any injuries or illnesses. Her developmental screening was within normal limits at last provider visit.

Social history: Julia lives at home with both parents. Her mother works as a teacher and her father is a commercial fisherman. The family has a pet cat. Julia’s father smokes a pack of cigarettes a day.

Family medical history: Unremarkable

Medications: Julia is currently taking Tylenol for the fever and ear pain.

Immunizations are up to date

Allergies: Penicillin (rash, itching and tongue swelling)

Objective Data

Julia is alert and quiet, sitting on her mother’s lap. She appears well hydrated and well nourished. Vital signs: temp 100 (axillary), HR 100, resp 26, wt. 14 kg.

Skin: Warm and dry to touch and free of lesions.

HEENT: Head is atraumatic and normocephalic. Pupils are equal, round and reactive to light and accommodation. There is not ocular discharge noted. Julia’s external ear reveals that the pinnae are normal, and there is no tenderness to touch on the external ear. On otoscopic exam, the right tympanic membrane (TM) is gray, in normal position, with positive light reflexes. Bony landmarks are visible and there is no fluid noted behind the TM. The left TM is erythematous and bulging with purulent fluid visible behind the TM. The TM is opaque with no light reflex or bony landmarks present. Both nostrils are patent. There is no nasal discharge and there is no nasal flaring. Julia’s mucous membranes are noted to be moist. She has 20 teeth present without evidence of caries. There are no lesions present in the oral cavity.

Neck: Supple with good range of motion. There are some shotty lymph nodes noted on the left side of neck. There is no erythema or tenderness of the nodes.

Resp: Breath sounds bilateral equal and clear to auscultation. Good rise and fall of rib cage. No retractions noted.

Cardiovascular: RRR no murmurs, rubs or gallops noted.

Abd: Soft, flat, non -tender to palpation. Bowel sounds present in all four quadrants. No hepatosplenomegaly present.

Please include the following:

  1. Diagnosis (rule in)
  2. Differential diagnosis ( rule out)
  3. What is the plan of treatment, referral and follow up care?
  4. Does the patient’s psychosocial history affect how you might treat the case?
  5. What if the patient lived in a rural setting?
  6. Are there any demographic characteristics that might affect this case?
  7. Are there any standardized guidelines that you should use to assess or treat the case?

THIS NEEDS TO BE IN APA FORMAT WITH CITATION NO OLDER THAN 5 YEARS PLEASE SEE RUBRIC AND FOLLOW EXACTLY HOW IT IS LAID OUT!!!!! PLEASE DO NOT HANDSHAKE IF THIS IS NOT FOR YOU!!!

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2023 Great post You mentioned that the use of Morphine was for pain management I believe

2023 Nursing COMMENT4

Great post You mentioned that the use of Morphine was for pain management I believe 2023

Great post. You mentioned that the use of Morphine was for pain management. I believe there are other uses for this medication. In the past, “morphine has been reported to reduce preload, heart rate, and possibly afterload, the net effect of which is a reduction in myocardial oxygen demand” (Coons, et al, 2011). But, “recent observational analysis….suggested that the use of morphine is associated with worse outcomes in acute heart failure syndrome(AHFS) , including the need for mechanical ventilation, a longer length of stay, a higher ICU admission rate, and a higher overall risk-adjusted mortality”(Coons, et al, 2011). Guidelines are now to only use  morphine in patients with severe symptoms of AHFS along with restlessness, anxiety, dyspnea or chest pain.

 

I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFRENCE

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 I mentioned this in my Welcome Announcement on the Home Page but wanted to remind you again

2023 Nursing Please help with homework-$20.00

I mentioned this in my Welcome Announcement on the Home Page but wanted to remind you again 2023

I mentioned this in my Welcome Announcement on the Home Page, but wanted to remind you again of how to organize all of your posts, responses and papers for this course.  

When writing in this class, I ask that you use headings within your writings that correspond with the rubric that I am grading from. For example, if the Weekly Discussion has four sections to respond to, then please use these four headings in your post and put your responses under each heading.  Or if your paper has six rubric sections to answer about, then have six headings in your paper and put the information below these headings.  

I have found that it makes it easier for the both of us and it improves my student’s grades exponentially.  Also, less is missed because you can see if you have completed each and every section of the rubric and I will know where to find your answers that correspond. 

Thank you for keeping us both organized!

 

Sick Role Model

 

When a person becomes sick, he or she may demonstrate a variety of behaviors. Some people like to be left alone while others may seek assistance. Some people will act well even when they are sick. They may even feel guilty for not being able to do their work or take responsibilities.

 

What are the four aspects of the sick role model (Parsons 1951)? According to Parsons, medicine is an institution for the social control of deviant behavior. Do you agree or disagree with this view? Why or why not?

 

What is the patient-physician relationship according to Cockerham? Which two sociological examples of the sick role, as evidenced by existing research, do you think are most appropriate? Justify your answers with appropriate research and reasoning.

Parsons, T. (1951). The social system. Glencoe, IL: The Free Press.

Complementary and Alternative medicine (CAM) —An analysis

 

“CAM therapies have been in existence for hundreds of years. While many of these therapies are commonly used in non-Western societies their popularity is increasing steadily. In fact, large numbers of American consumers are using CAM currently in an effort to pre-empt disease and disability or to promote health and a sense of well-being.”

 

(Source: Kirschstein, R. I., Acting Director, National Center for Complementary and Alternative Medicine, National Institutes of Health, AMSA, 2008.)

How effective do you think CAM is in comparison to clinical treatment and diagnosis? Justify your answer. Identify and discuss at least 10 types of treatments offered by CAM practitioners. Analyze and present at least one case that shows the positive effect of CAM and one that shows the negative effect. What is the National Institutes of Health’s (NIH) role in CAM research? Justify your answers with appropriate research and reasoning  Please indicate all referances and have less than 25% with turnitin

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Select an active bill at the state or federal level that impacts the

2023 Nursing Review of a bill paper

Select an active bill at the state or federal level that impacts the 2023

Select an active bill at the state or federal level that impacts the professional practice of nursing. In a 3–4 page paper (excluding the title and reference pages), summarize the provisions of the bill and clearly explain what the bill will accomplish. The paper should be no more than 4 pages, typed in Times New Roman using 12-point font, and double-spaced with 1“ margins.

Your review of a bill paper should:

  • Discuss the major provisions of the bill.
  • Demonstrate an in-depth understanding of the legislation by explaining the background and all relevant facts.
  • Discuss any relevant history related to the legislation, pertinent votes, and issues that are stalling the legislation, etc.
  • Use primary sources for this information.
  • Identify key supporters and those who do not support the bill. Explain why some of these individuals support the bill and why some do not.
  • Explore the positions of the key stakeholders in the bill, both pros and cons. Do not make assumptions about potential key stakeholders. Examine this area carefully so you are correctly reflecting the stakeholders positions.
  • Discuss how the bill would impact a nurse’s ability to provide safe and quality care or to practice to the highest scope of the nursing license.
  • Explain specific actions that nurses can take to assist with the passage or defeat of the legislation
  • Use APA format, headings and references as appropriate.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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