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2023 Consider the following scenario As an advanced practice nurse at a community health

2023 Nursing 6521 WK 10 DISCUSSION

Consider the following scenario As an advanced practice nurse at a community health 2023

 

Consider the following scenario:

 

As an advanced practice nurse at a community health clinic, you often treat female (and sometimes male patients) with hormone deficiencies. One of your patients requests that you prescribe supplemental hormones. This poses the questions: How will you determine what kind of treatment to suggest? What patient factors should you consider? Are supplemental hormones the best option for the patient, or would they benefit from alternative treatments?

 

 

 

To prepare:

 

Review Chapter 56 of the Arcangelo and Peterson text, as well as the Holloway and Makinen and Huhtaniemi  and  Hollway  articles in the Learning Resources.

 

Review the provided scenario and reflect on whether or not you would support hormone replacement therapy.

 

Locate and review additional articles about research on hormone replacement therapy for women and/or men. Consider the strengths and limitations of hormone replacement therapy.

 

 

 

Post  1-2 PAGES ON : A description of the strengths and limitations of hormone replacement therapy. Based on these strengths and limitations, explain why you would or why you would not support hormone replacement therapy. Explain whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies and why.

 

REFERENCES:

 

Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for advanced practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins. 

 

Chapter 56, “Menopause and Menopausal Hormone Therapy” (pp. 884–895)

 

Holloway, D. (2010). Clinical update on hormone replacement therapy. British Journal of Nursing, 19(8), 496–504. Retrieved from the Walden Library databases.

 

Mäkinen, J. I., & Huhtaniemi, I. (2011). Androgen replacement therapy in late-onset hypogonadism: Current concepts and controversies—A mini-review. Gerontology, 57(3), 193–202.  Retrieved from the Walden Library databases.

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2023 I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS What clinical manifestations are present in Ms G and

2023 Nursing COMMENT KATARZYNA

I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS What clinical manifestations are present in Ms G and 2023

 

 

  I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT..BETWEEN 100-120 WORDS

 

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.

My recommendations for continued treatment would be:

  • Start antibiotics “Patients with diabetes mellitus are at increased risk of invasive S. aureus infections.” (Hakeem, L., Laing, R. et al, 2013).
  • Tylenol to reduce the fever.
  • Pain medicine should be administered as needed.
  • Order wound consult so that the wound can be assessed appropriately and recommendations for wound care can be made. The wound may require debridement in order to promote healing.
  • Elevate the legs to promote venous blood return and apply compression stocking to the other extremity.
  • Appropriate high protein diet to promote wound healing.
  • Case management should be consulted to start discharge plan.

 

2)     Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

Muscle groups affected by Ms.G condition are: flexor hallucis longus, flexor digitorum longus, and tibialis anterior.

3)       What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

The subjective and objective data is vital in prevention of future worsening or recurring of infection. Information that MS. G presented with should be indication for future recommendations for her. With Ms. G’s young age and diabetes we know that she is more prone to have venous ulcers; therefore education and prevention will be crucial in her case. Understanding disease process, controlling her blood sugar level, proper diet with right amount of protein, weight loss and wearing compression stockings will be information that patient needs to be provided and followed up with.

4)      What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

The main factor present in this situation that could prevent wound healing is diabetes disease. “Healing problems are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes”

Brem, H., Tomic-Canic, M, 2007). One of the characteristics of patients with diabetes is  poor circulation, especially to extremities. Reduced amount of oxygen and nutrients delays healing. Ms G. needs consistent blood sugar control along with medication available for her to decrease high blood sugar. Another risk factor is that MS G. lives alone and does not have help with meal preparation. Proper diet high in protein is crucial in wound healing. Education along with case management involvement will be priority to ensure right nutrition.

 

 References:

 

Brem, H., & Tomic-Canic, M. (2007). Cellular and molecular basis of wound healing in diabetes. Journal of Clinical Investigation117(5), 1219–1222. http://doi.org/10.1172/JCI32169

 

Hakeem, L., Laing, R. et al (August 21, 2013). Invasive Staphylococcus aureus infections in diabetes mellitus.Retrieved from http://journals.sagepub.com/doi/abs/10.1177/1474651413500830#articleCitationDownloadContainer

 

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2023 This week s reading discusses social media and some of the concerns that we face using this forum

2023 Nursing HCS 451 Week 5 Discussion- Social Media and Health Care Professionals-Benefits, Risks, and Best Practices

This week s reading discusses social media and some of the concerns that we face using this forum 2023

This week’s reading discusses social media and some of the concerns that we face using this forum:

 

A major risk associated with the use of social media is the posting of unprofessional content that can reflect unfavorably on HCPs, students, and affiliated institutions. Social media convey information about a person’s personality, values, and priorities, and the first impression generated by this content can be lasting. Perceptions may be based on any of the information featured in a social media profile, such as photos, nicknames, posts, and comments liked or shared, as well as the friends, causes, organizations, games, and media that a person follows (Bernhardt M, Alber J, Gold RS. A social media primer for professionals: digital do’s and don’ts. Health Promot Pract. 2014;15(2):168-172)

 

I had a real-life experience when I was CEO at a religious affiliated retirement community several years ago.  Facebook had just come on-line and I did not have a presence there.  After my marriage, my daughter created a Facebook presence for me to share my wedding and honeymoon pictures.  We did this and I never thought another thing about it.  She then went on to post her personal pictures on her facebook page tagging me in pictures where I was present.  When she had been a senior in High School, I had taken her on a trip to New York, and we had our pictures taken with the Naked Cowboy on Times Square as a touristy thing to do.  Little did I know that this picture would so inflame my board of directors when it showed up on my facebook page!  From that point on I have asked no persons to tag me in photos without my permission. It was an important lesson to learn and has made me leary of all social media from a professional standpoint.  Have you ever had a similar experience?

 

 

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2023 For this assignment the student will view Miss Evers Boys DVD or access on YouTube

2023 Nursing MISS EVERS BOYS_ar

For this assignment the student will view Miss Evers Boys DVD or access on YouTube 2023

For this assignment, the student will view Miss Evers Boys (DVD or access on YouTube for free). After viewing the movie, the student will develop a scholarly paper.

 Assignment Criteria:

For this assignment, the student will develop a scholarly paper that addresses the following criteria:

1.         Discuss the type of research utilized in the study and provide rationale for the response.

2.         Discuss any indication that the study went before an Institutional Review Board (IRB) and provide rationale and support for the response.

3.         Discuss any indication of the provision of an informed consent to the participant’s consent and provide rationale and support for the response.

4.         Identify three (3) ethical principles applicable to this study and provide rationale and support for the response.

5.         The scholarly paper should be three to four pages excluding the title and reference pages.

6.         Include level 1 and 2 headings, an introductory paragraph, purpose statement and a conclusion.

7.         Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’).

8.         Include a minimum of three (3) references from professional peer-reviewed nursing journals to support the paper. References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old.

 

9.         APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations). 

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