Discussion: Which structures contribute to the movement of the ovum from the ovary to the uterus

Discussion: Which structures contribute to the movement of the ovum from the ovary to the uterus

Discussion: Which structures contribute to the movement of the ovum from the ovary to the uterus

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On the 22nd of December 2010 a 14 year old Jamie Wilson woke up like any other day. She told her parents that she was experiencing very mild pain in her right left abdomen. Since it was not severe Jamie took an Advil and continued on with her day.

Last minute Christmas shopping took her and her parents into the city. The pain she felt in her side was returning and slowly becoming more and more intense. Her parents brushed it off as just regular aches and pains that growing girls experience.

With a sudden convulsion of extreme pain and a scream of pure agony her parents decided to take her to the hospital for a second look. By the time they reached the children’s hospital emergency doors Jamie could not even stand. The nausea had over taken her completely. Jamie’s parents carried her in and began the process of admitting her. As the nurse began to evaluate her, the nausea became too much for her and she began to vomit in the ER. The nurses immediately brought her into a private room and started filling her with fluids through an IV. Jamie had blood taken and it was sent away for testing.

At this point the doctors were suspecting an appendicitis. As soon as Jamie had enough fluids in her system she was taken for an ultrasound. This process caused her even more pain as they pushed on her abdomen. Unfortunately the doctors did not see anything in the ultrasound and they proceeded to order a CT scan. As the ink entered Jamie’s body she felt extreme heat which worsened her nausea. The CT scan also came back empty but the doctors were still convinced it was her appendix.

Throughout the night her vitals were checked and she was prepped for an appendectomy. After a restless few hours of attempting to sleep Jamie was into the final stages of surgery prep. A specialist came to exam Jamie right before the surgery and changed the course of the entire day. The specialist ruled out appendicitis and concluded that it was most likely a ruptured cyst on her right ovary. This would explain the lack of evidence in the ultrasound and CT scan.

Unfortunately there is nothing doctors can do about ovarian cyst’s so Jamie was discharged from the hospital and told to relax while she recovered. Within a few days she regained her strength and appetite. It was determined that an ovarian cyst was indeed the cause behind the pain.

QUESTIONS:

What are the two main purposes of the ovaries?

Which structures contribute to the movement of the ovum from the ovary to the uterus?

What hormone promotes and maintains the endometrial lining?

Briefly describe oogenesis?

Why would someone with endometriosis have a normal ultrasound?

 

 

……………………………Answer preview…………………….

In the female body, the ovaries have two main functions: endocrine functions and production of female eggs to be fertilized. Basically, endocrine functionality deals with production of hormones, such as estrogen and progesterone necessary for reproduction. Estrogen hormone is utilized by the body for the purpose of developing the secondary-sexual characteristics. These characteristics include formation of breasts, maturation of organs of reproduction, as well as pubic hair. On the other hand, progesterone is utilized for the thickening of the uterine wall in order to prepare for possible gamete implantation. Additionally, progesterone results to the occurrence of the menstrual cycle (Hawkins & Matzuk, 2008).

            The female eggs are known as oocytes, and their development occur in the ovaries inside the follicles……………………………….

 

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For this week’s discussion I decided to research what Homeland Security is and the different ways that I can get involved to help make a stronger homeland.

For this week’s discussion I decided to research what Homeland Security is and the different ways that I can get involved to help make a stronger homeland.

For this week’s discussion I decided to research what Homeland Security is and the different ways that I can get involved to help make a stronger homeland.

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For this week’s discussion I decided to research what Homeland Security is and the different ways that I can get involved to help make a stronger homeland. The Department of Homeland Security works to improve the security of the United States. The Department’s work includes customs, border, and immigration enforcement, emergency response to natural and manmade disasters, antiterrorism work, and cybersecurity (USA.gov, n.d.). The overall mission of homeland security is to ensure a homeland that is safe, secure, and resilient against terrorism and other hazards. This is an extremely important matter and something I feel every citizen of the U.S. should be aware of and educated on.

On the Department of Homeland Security website, there’s a “get involved” section which lists several different way citizens can get involved with homeland security. One that stood out to me the most was the one titled Citizen Corps. The mission of Citizen Corps is to harness the power of every individual through education, training, and volunteer service to make communities safer, stronger, and better prepared to respond to the threats of terrorism, crime, public health issues, and disasters of all kinds (DHS, 2017). This is one way that I would like to get involved with homeland security. This type of training and education on these certain matters is critical to the overall safety of our homeland.

References:

Get Involved. (2017, December 07). Retrieved March 22, 2018, from https://www.dhs.gov/get-involved

U.S. Department of Homeland Security. (n.d.). Retrieved March 22, 2018, from

https://www.usa.gov/federal-agencies/u-s-departmen…

Post 2: Megan

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I think one way I can get involved in homeland security is to follow the motto ‘If you see something, say something.’ I believe that phrase is so important to live by, especially in this day and age when there is always something happening everyday on T.V. It can start within the neighborhood such as learning everyday habits of your neighbors; not necessarily stalking them but noticing your surrounding and those within it. Looking out for out of place cars that seem to be constantly passing by every couple of minutes or parked on a side street for long periods at a time. Going beyond the neighborhood and learning different habits of the people you work with and when they start being odd behavior just taking note of it, asking how they might be doing and just keeping an out if you feel their behavior might become a problem within the workplace. Even when you are doing everyday errands and you may be at a store or bank and you notice someone seems nervous or is pacing back and forth, there might be a situation going that can criminal. People leaving bags or suitcases down in crowded areas where there are a lot of people. It’s the little things in noticing people’s behavior’s and common nervous ticks that can help you be aware and diligent.

Post 3: Tammy

‘The Florida Department of Health is responsible for protecting the public health and safety of the residents and visitors of the state of Florida.’ (Wikipedia, n.d). Generally speaking, the state health department can usually be found positioned in a median location (such as the capitol of the state). One major responsibility of the state is that it provides licensure to our healthcare workforce. Some other duties that also can fall under this specific agency include: affirmation of service proficiency, dispersal of state and federal funds to local agencies, and sustaining an array of data (i.e: lab services, birth/death records, injuries, hospital admittance, infectious disease, etc).

Local health departments serve smaller jurisdictions within the state and can be exceptionally favorable for communities. ‘Local health departments are city, county, metropolitan, district, and tribal government agencies.’ (‘NACCHO’, 2015). Most of these facilities seem to have the same focus/mission: ‘Prevent, Promote, Protect’.

One way a local health department prevents is aiding in defense against the start and spread of contagious diseases/outbreaks. They do this by working closely with partners and healthcare associates within the community, which ultimately can make an outbreak situation easier to target, as well as configuring a well-suited response/treatment for it.

When it comes to promoting, a local health department focuses on not only encouraging healthy lifestyles but also providing access to quality health care services for cheaper (i.e: immunizations, prenatal, dental, etc).

Lastly, the local health department assists in protecting the community by maintaining protocols that strongly encourage a healthier community overall (i.e: smoke-free environments, nutritional school lunches, exercise programs, etc).

Florida Department of Health. (n.d). In Wikipedia. Retrieved: March 21, 2018, from: https://en.m.wikipedia.org/wiki/Florida_Department…

“Local Health Departments Protect the Public’s Health“. (2015). NACCHO. Retrieved: March 22, 2018, from: http://archived.naccho.org/advocacy/upload/flyer_w…

Post 4: Jessica

As stated in Basics of the U.S. Health Care System, the state health departments are in charge of various duties; some of which include: primary advocacy for community healthcare in every county, implementation of federally mandated acts such as the Clean Water Act & Clean Air Act and reporting of statistics of community health for further research and knowledge about the nation’s overall health. The state is also important in licensing those who wish to become licensed in their field of health. This maintains a great deal of importance because the state makes sure the folks who will be in the workforce are prepared to take on conditions in their field. States are also in charge of making sure the hospitals and other medical facilities are in standard with cleanliness and safety (Niles, 2018, P. 98).

Local health departments are also essential to the well-being of the state’s communities. Without local health departments, there would not be direct care from the federal and state government to look closer at what our communal issues are. According to Niles, over 90% of health departments offer the immunizations for adults and children; in addition, that same percentage includes the monitoring of infectious diseases to prevent outbreaks (P. 98).

The National Association of County and City Health Officials (NACCHO), is an association that stands behind local health departments. They provide eligibility for grants and access to databases and discounted rates that otherwise, would not be affordable to non-member local departments (“Membership,” 2018).

Membership. (n.d.). Retrieved March 22, 2018, from https://www.naccho.org/membership

Niles, N. J. (2018). Basics of the U.S. health care system (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Post 5: Andrew

I chose to research Publix for this assignment. I recently gave them a bunch of my money for products and wanted to see where my money was really going to. =P

Here is the link to the information:

https://www.sec.gov/cgi-bin/viewer?action=view&cik…#

The acid test formula is (Cash + Accounts Receivable + Short-term Investments) / Current Liabilities.

Total cash for 2017 was $579,925. Short term investments were $915,579. Total accounts receivable were $4,084,921 Current liabilities were $1,754,706

All that equals 3.18 which is very good! I know everyone expects Publix to have a strong turnout and it is no news that this number is this high.

To calculate the accounts receivable turnover ratio I simply took the net sales from 2017 which were $34,558,286 and divided it by the average accounts receivable which was $2,042,460

The accounts receivable turnover ratio came out to 16.92 (rounded)

This means that Publix collects its receivables 16.92 times on average per year. This number also serves as an indicator of the number of accounts receivable Publix collects during a year.

Post 6: Sally

The name of the company I chose is Starbucks. I got my financial reports from https://www.sec.gov/cgi-bin/viewer?action=view&cik…. I am interested in this company because I am a frequent customer at Starbucks and am drinking a Starbucks drink while completing this assignment. To calculate acid-test ratio you follow the formula (cash including cash equivalents + short-term investments + net current receivables)/total current liabilities. Using the Starbucks information I did (2,462.3 + 228.6 + 870.4)/4,220.7. The final acid test ratio for Starbucks is 0.84. To find account receivable turnover ratio I followed the formula net credit sales/average net accounts receivable. Following this formula, I did 2,884.9/96.8. The final accounts receivable turnover ratio is 29.80. From this, I learned that the acid test ratio for Starbucks is not ideal. The ratio for Starbucks is only 0.84 while a safe ratio is 1.00. This means that Starbucks only has $0.84 of asses to pay each dollar of current liabilities. This means they do not have enough assets. With regards to accounts receivable turnover ratio, I learned Starbucks turns over its receivables 29.8 times a year. This seems very high to me but while I was doing calculations I struggled to find the net accounts receivable so I am not sure if I plugged in the correct numbers.

Post 7: Shawn

In the body, deoxygenated blood from the diaphragm down enters the inferior vena cava. Deoxyygenated blood from the upper part of the body and head enters the superior vena cava. These two join together and drain into the right atrium of the heart. This blood then passes through the tricuspid valve with the help of the chordae tendinae and papillary muscle into the right ventricle. From the right ventricle, it goes through the pulmonary valve into the pulmonary trunk where it is carried to the lungs to become oxygenated.

The now oxygen rich blood enters back into the left atria of the heart via the pulmonary veins. It is then pushed through the mitral or bicuspid valve into the left ventricle. From the left ventricle, it travels into the aorta via opening of the aortic valve.The process of it circulating from the heart, to the lungs and from the lungs back to the heart is called pulmonary circulation. Once the blood becomes oxygenated, it is following systemic circulation where it is now distributed to the rest of the body. To do this, it travels though the ascending aorta, arch of aorta, descending thoracic aorta, and abdominal aorta before it loops back around to the heart. This entire process is continuous and must be consistent.

Post 8: Collin

So here it goes, as best as I can simplify it!

The human heart is a very intricate organ with lots of doors and hallways. All the blood in our body funnels through the right side of our heart through two main veins; if the blood comes from the bottom half of our body, it’s funneled through the inferior vena cava (SVC) and if it comes from the top half of our body, it comes through the superior vena cava (IVC). Either way, these veins empty out into a main hallway, called the right atrium. When the right atrium fills up, it contracts and pumps blood into the tricuspid valve and into the right ventricle. When the right ventricle contracts, blood is pumped through the pulmonary valve, into the pulmonary artery and into the lungs. This is a crucial part of the delivery system because the blood needs to fill up with oxygen before it is pumped back out to the body for use.

When blood returns from the lungs it funnels now through the pulmonary veins and goes to the left side of the heart, first through a portal called the left atrium. When this atrium contracts, it goes into the mitral valve and then it’s forced into the left ventricle. At this point the blood is pushed through this last chamber and up through the aortic valve, which flows the blood out to the whole body through the main artery called the aorta. It’s a particularly big job to pump so much blood up and against much higher pressure and circulation, so the aorta has thicker, tougher muscle than the other chambers.

 

 

……………………………Answer preview………………..

The role played by the department of homeland security is pivotal to the prosperity of the American society. This department maintains order by finding the best ways to deal with domestic threats in the US. To achieve its objectives, it also tasked with finding the best ways to collect intelligence regarding the threats before they……………………………

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Post an explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected. Explain how the provider should appropriately respond and facilitate the care of the patient

Post an explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected. Explain how the provider should appropriately respond and facilitate the care of the patient

Post an explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected. Explain how the provider should appropriately respond and facilitate the care of the patient

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250 word essay using the following references, or others (minimum 3) regarding the following case scenario.

Scenario 2:

A 17-year-old girl comes to your office with a complaint of abdominal pain and missed periods. She thinks she may be pregnant. She requests pregnancy testing and does not want you to tell her parents if she is pregnant.

References

  1. Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L.  (Eds.). (2017). Pediatric primary care (6th ed.). St. Louis, Missouri: Elsevier.

Chapter 8, “Developmental Management of Adolescents” (pp. 121-140)

This chapter explores adolescent development and anticipatory guidance during adolescence. It also examines common issues in adolescents related to physical and sexual, psychosocial, and cognitive development.

Chapter 15, “Sexuality” (pp. 285-298)

This chapter covers the assessment and management of normal sexual development. It also identifies red flags for abnormal sexual behavior among children and adolescents.

  1. Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents(3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

Promoting Healthy Sexual Development and Sexuality” (pp. 169–176)

This chapter explores strategies for promoting healthy sexual development and sexuality among pediatric patients from infancy through adolescence. It also examines sexual behaviors among adolescents, including onset of intercourse, pregnancy rates, and sexually transmitted infections.

 

“Adolescence” (pp. 515–575)

This chapter explores the care of adolescents ranging from 11 to 21 years. It focuses on their physical, cognitive, emotional, and social transitions relating to their family, friends, school, and jobs.

3.Schapiro, N. A. (2009). Confidentiality and access to adolescent health care services. Journal of Pediatric Health Care, 24(2), 133–136. 

Answer Preview for Post an explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected. Explain how the provider should appropriately respond and facilitate the care of the patient

The Confidentiality of the Patients’ Information

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Discussion: The children should be educated on the safety precautionary measures to avoid fatal consequences

Discussion: The children should be educated on the safety precautionary measures to avoid fatal consequences

Discussion: The children should be educated on the safety precautionary measures to avoid fatal consequences

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The factors that may cause injury, illness and death in school aged children are drowning, guns, and car or bicycle accidents. Using proper safety techniques can prevent these injuries and deaths. The family, community, and the children should be educated on the safety precautionary measures to avoid fatal consequences.

Water safety: Drowning is the second most cause of trauma in children in United States.

Never leave young children alone around bathtubs, pools, or natural bodies of water.

Teach children to swim when they are old enough, usually around age 5 and never let children swim without an adult watching, even if the child knows how to swim.

All kids should use a life jacket when on a boat, fishing, or playing in a river or stream.

Pedestrian skill training: For kids under 10 years old, most accidents occur in marked crosswalks during the day, in the after school hours.

Do not let kids younger than 10 years old cross busy intersections alone.

Teach younger children to stop at the curb and wait for an adult before crossing the street.

Do not let kids play in driveways, alleyways or near streets.

Older kids learn to cautiously cross quiet streets on their own.

Seatbelt and Booster seats: Motor vehicle accidents are the leading cause for death in school-aged children in United States. Proper restraints can reduce the risk of death and serious injury by 60 to 70 percent.

Kids 4 to 8 years old, 40 to 80 lbs, and less than 4 feet 9 inches tall should be in a booster seat.

The shoulder belt should always be worn together with the lap belt, crossing the chest, shoulder, and collarbone to prevent abdominal and spinal injuries.

Children younger than 13 years old should not sit in the front seat.

Never leave the kids alone in the car without adult supervision. It can cause injury and death by heat and suffocation (Hall, 2011).

Bicycle helmets: Bicycle injuries result in approximately 200 deaths each year in children and use of bicycle helmets can reduce the risk of head and brain injury by 85 to 90 percent.

Everyone should wear a helmet whenever riding a bicycle.

Make sure the helmet does not move around on the head or slide over the eyes.

Gun safety: More than 40 percent of US homes with children have guns. Having a gun in the house increases the risk of homicide by three times, and the risk of suicide by five times.

Keep all guns out of the home.

Talk to your child about the danger of guns and tell them to stay away from them.

If there are guns in the home, make sure they are always kept locked and unloaded, with ammunition locked
separately and keys hidden away (Hall, 2011).

General safety:

Teach the kids fire safety and teach them to dial 911.

Teach stranger awareness, including that a stranger is someone that they do not know, to never get into a car with a stranger and never take anything from a stranger.

Keep the medications outside the reach of children or lock up in a cabinet.

Maintain smoke free environments for your children.

Teach playground safety, including not playing on trampolines (Keep Your Kids Safe, 2001).

As health care providers, we can educate the children, parents and community about the importance of safety and accidents that occurs in children. This teaching can be done in schools, hospitals and doctor’s offices with the help of personnel’s from fire and safety department and police.

References

Hall. D.A. (2011, April). Safety and Your School-Aged Child. Retrieved from.http://www.pacificmedicalcenters.org/index.php/physician-
articles/safety-and-your-school-aged-child/

Keep Your Kids Safe. (2001, November 15). Retrieved from http://www.keepkidshealthy.com/schoolage/schoolagesafety.html

The children should be educated on the safety precautionary measures to avoid fatal consequences

 

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Assignment: Select the proper scientific methods to solve the problem as well as support it utilizing a nursing theory.

Assignment: Select the proper scientific methods to solve the problem as well as support it utilizing a nursing theory.

Assignment: Select the proper scientific methods to solve the problem as well as support it utilizing a nursing theory.

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Each group will be assigned a case study for which the group will need to select the proper scientific methods to solve the problem as well as support it utilizing a nursing theory.

Each student will be assigned a role: Narrator, Nurse Practitioner, Researcher, Patient, and Theorist. Each student will need to describe their role in the case study:

First Narrator will provide the story, then the patient and the nurse practitioner (NP) will displayed interaction based on the case study (Make it realistic), then the researcher and theorist will present the scientific steps to reach the solution that the NP arrived with supporting information and the theorist will present the nursing theory selected by the group that is best allocated to your study (Why that Nursing Theory was selected). Use power point presentation, pictures, music, etc in order to make the group’s point across. Please provide a short synopsis of the material being presented.

Frank, a businessman under a lot of stress who has a car accident while driving home from work one night. Frank has low blood insulin levels and high blood sugar levels that his doctor believes may have contributed to the blurred vision he experienced immediately before the car crash. Frank subsequently develops stomach problems and is found to have high levels of bile in his blood.Group 4: Case Study # 4

Objectives:

Describe the organs in the upper left quadrant of the abdominal cavity.

Describe the connection between the pancreatic and bile ducts in the abdominal cavity.

Describe how bilirubin is formed in the spleen by the breakdown of hemoglobin to form unconjugated bilirubin and then treated at the liver to form conjugated bilirubin.

Describe the circulation of bile within the body and through the digestive tract.

Synthesize medical data and form a hypothesis to diagnose physical problems.

Case Study 4

Select the proper scientific methods to solve the problem as well as support it utilizing a nursing theory.

 

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Based on this information, what is your presumptive nursing diagnosis.

Based on this information, what is your presumptive nursing diagnosis.

Based on this information, what is your presumptive nursing diagnosis.

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Case Study

Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash on her face that has been present for 1 week. She denies new soaps, detergents, lotions, environmental exposures, medications, and foods. The rash is across her face and the bridge of her nose. She states that she first noticed it after spending a week hiking and camping in the Appalachians. The lesions itch and are painful. She has not tried anything to make it better, but she has noticed that going outdoors makes it worse. She denies any spread of the rash to other areas. She has never had this rash before.

She has noticed some increased fatigue, fever, and weight loss. She denies headache, sore throat, ear pain, nasal or sinus congestion, chest pain, shortness of breath, cough, abdominal pain, and pain with urination, constipation, or diarrhea. She does have mouth soreness. She has noticed some increased muscle aches and pains, which are worse in the hand and wrist. She denies early morning joint stiffness or difficulty with being able to move in the morning. She denies temperature intolerance, polyuria, polydipsia, or polyphagia.

She had a tonsillectomy at age 9 for chronic strep throat infections. She has been healthy as an adult. She has never had children. She has never been hospitalized for any reason.

Her family history is significant for a mother with rheumatoid arthritis. Her father is healthy.

She does not smoke; she drinks a glass of wine nearly every night with her dinner; she denies illicit drug use. She completed a master’s degree in engineering. She has lived with her boyfriend for the past 5 years.

Patient is an alert young woman, sitting comfortably on the examination table. BP 112/66 mm Hg; HR 62 BPM and regular; respiratory rate 12 breaths/min; temperature 100.3°F. Several erythematous plaques scattered over the cheeks and the bridge of nose, sparing the nasolabial folds. Normocephalic, atraumatic. Sclera white, conjunctivae clear; pupils constrict from 4 mm to 2 mm and equal, round, and reactive to light and accommodation. Oropharynx moist with erythema in the posterior pharyngeal wall; no exudates; shallow ulcers in the buccal mucosa bilaterally. Neck supple without cervical lymphadenopathy or thyromegaly. Full range of motion; no swelling or deformity; muscles with normal bulk and tone.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS (write your presentation in H&P format no paragraph format).

Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case ( Minimum 3) written in

NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

Teaching plan and nursing care plan per each nursing diagnosis on this case.+

 

Answer preview to based on this information, what is your presumptive nursing diagnosis

Based on this information what is your presumptive nursing diagnosis

 

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How would you focus the prevention program to prevent medical adhesive related skin injuries (MARSI) in at risk populations

How would you focus the prevention program to prevent medical adhesive related skin injuries (MARSI) in at risk populations

How would you focus the prevention program to prevent medical adhesive related skin injuries (MARSI) in at risk populations

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MARSI: PREVENTION & TREATMENT: How would you focus the prevention program to prevent medical adhesive related skin injuries (MARSI) in at risk populations? In your health care system, how would you develop a prevention program to prevent this skin care problem?

What are some options to secure dressings without adhesives for an upper extremity wound? A large abdominal surgical wound?

Answer preview to how would you focus the prevention program to prevent medical adhesive related skin injuries (MARSI) in at risk populations

How would you focus the prevention program to prevent medical adhesive related skin injuries (MARSI) in at risk populations

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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What antifungal medication(s) should this patient be prescribed, and for how long

What antifungal medication(s) should this patient be prescribed, and for how long

What antifungal medication(s) should this patient be prescribed, and for how long

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DERMATOLOGY CASE STUDY

Chief complaint: “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies.

Denies associated symptoms of fever and chills.

PMH: Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History: Immunization is up to date and she received her flu shot this year.

Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right great toe swollen, itchy, painful and discolored.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.

PSYCH: Normal affect. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

Assessment:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis: Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab:

Fungal culture confirms fungal infection.

As an NP student, you need to determine the medications for onychomycosis.

1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.

2. What labs for baseline and follow up of therapy would you order for this patient? Give rationale.

Requirements: 2 pages

What antifungal medication(s) should this patient be prescribed and for how long

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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To what could your neighbor have been exposed, and how could the exposure have occurred?

Please reply to Research # 1- Dayra

Need to reply with 1 paragraph with a minimum of 100 words. Include reference with citation minimum 1.

Emerging Infectious Diseases

A low-grade fever in pregnant women is most of the time a normal thing since the body is undergoing a lot o hormonal changes and imbalances which alters the normal functioning of the body. Though so, if the fever stays up for a prolonged time it could signify an underlying condition hence it’s advisable to get it checked by a professional doctor. Zika virus disease can have serious health problems in the human body. The health issues can become chronic if the Zika virus disease is contracted by a pregnant woman (Brasil, 2016). Also, a pregnant woman can pass the virus to the baby which can cause birth defects known as microcephaly, brain damage, and reduced brain tissue as well as reduces body movement.

 

The signs and symptoms of the Zinka virus disease include a low-grade fever, headache, joint pain, conjunctivitis abdominal pain, and fatigue (Baud, 2017). To my knowledge, I would say that my neighbor has been exposed to the Zika virus disease. This is because she had traveled and has the signs and symptoms of the disease. The exposure could have occurred due to the recent travel she had. Zika Virus disease is transmitted from one person to another through a bite from an infected Aedes species mosquito (Roundy, 2017). These mosquitoes are found all over the world and that’s why mainly pregnant women are not advised to travel to avoid exposure.

 

When the mosquito bites an infected person, the like virus infects the mosquito which will, in turn, bite a non-infected person and transmit the virus. Zika virus disease can also be transmitted by having unprotected sex. In the case that the husband travels, gets infected with the Zika virus disease, he can transmit it to his pregnant wife who will then pass it to the baby and cause complications to the unborn baby (Brooks, 2016). In this light, women are advised to practice safe sex with their spouses if they had traveled. There is no known treatment for the virus. I would encourage my neighbor to drink plenty of water to reduce dehydration, have plenty of rest, treat the symptoms by taking medicines that reduce pain and fever.

 

 

References

Brasil, P., Pereira Jr, J. P., Moreira, M. E., Ribeiro Nogueira, R. M., Damasceno, L., Wakimoto, M., … & Nielsen-Saines, K. (2016). Zika virus infection in pregnant women in Rio de Janeiro. New England Journal of Medicine375(24), 2321-2334.

Baud, D., Gubler, D. J., Schaub, B., Lanteri, M. C., &Musso, D. (2017). An update on Zika virus infection. The Lancet390(10107), 2099-2109.

Roundy, C. M., Azar, S. R., Rossi, S. L., Huang, J. H., Leal, G., Yun, R., … &Vasilakis, N. (2017). Variation in Aedes aegypti mosquito competence for Zika virus transmission. Emerging infectious diseases23(4), 625.

Brooks, R. B. (2016). Likely sexual transmission of Zika virus from a man with no symptoms of infection—Maryland, 2016. MMWR. Morbidity and mortality weekly report65.

 

Please reply to Research # 2- Claudia

Need to reply with 1 paragraph with a minimum of 100 words. Include reference with citation minimum 1.

 

To what could your neighbor have been exposed, and how could the exposure have occurred? What advice would you give your neighbor?

 

Previously unidentified infectious agents can cause emerging infectious diseases, known agents spreading to new geographic location or population, or the re-emergence of agents whose incidence had declined but the incidence of the diseases re-emerged (Demarco & Healey-Walsh, 2020). The factors influencing emerging infectious diseases include human susceptibility, travel, lack of political will to breakdown public health infrastructure, climate change and human behavior, and microbial adaptation.

 

My neighbor’s symptoms reflect those of the Zika virus, which include fever, rash, headache, and joint pain (Burke et al., 2016). The symptoms are mild and occur between two to seven days after infection. I would advise my neighbor to go for a serum test. Besides, I would refer her to a maternity unit for fetal ultrasound scan checks up to twelve weeks after having the signs and symptoms.

 

The healthcare professionals would give recommendations based on the results. I would also advise the patient of the complications of Zika virus to the pregnancy, including microcephaly which is when the head of the baby is smaller than the expected 2.5th centile for the given gestational age, stillbirths, and congenital Zika syndrome (Burke et al., 2016). Besides, in the first trimester, there is a significant risk of microcephaly. I would also advise avoiding traveling to areas with the risk of infectious diseases.

 

 

References

Burke, R. M., Pandya, P., Nastouli, E., &Gothard, P. (2016). Zika virus infection during pregnancy: What, where, and why? British Journal of General Practice66(644), 122–123. https://doi.org/10.3399/bjgp16X683917

Demarco, R., & Healey-Walsh, J. (2020). Community & Public Health Nursing: Evidence for Practice (3rd ed.). Wolters Kluwer.

 
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Based on systematic review and and guide line for exercise for obesity and diabetes

Based on systematic review and and guide line for exercise for obesity and diabetes

Based on systematic review and and guide line for exercise for obesity and diabetes

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

Just information from the project everything should be based on systematic review and and guide line for exercise for obesity and diabetes

My project is on obesity and type two diabetes these two populations go hand and when it comes to making up exercise Runtes for clients. I will be working with clients from the age of 25 –45. The main question that I will be focus on is resistance training exercise or aerobic exercise is more effective for clients with obesity and diabetes? Some symptoms associated with this population is dry mouth or excessive thirst, frequent urination, nausea and vomiting, abdominal pain, shortness of breath, muscle weakness and mental confusion. Some of the way I would measure to see if the client is getting better are checking to see how often the client use the rest room, checking his breathing patter after a hard work out and to see how often thought out the day that the client is thirty.

Background question

Are there any family history of these disorder?

When did you start getting these symptoms?

Are there any activities thought out the day that affect you?

What are something you do to make you feel better?

Are there any traumatic events that happen prior to disorder?

 

Based on systematic review and and guide line for exercise for obesity and diabetes

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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