The subjective data provided by Ms. G included complaints of “…pain and heaviness in her (left) leg” and the inability to bear weigh on her leg and that she has been in bed for 3 days. Ms. G also states that she has been applying heat to the left leg for the last 48 hours, but her leg is more painful and she is” chilling”

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4-The subjective data provided by Ms. G included complaints of “…pain and heaviness in her (left) leg” and the inability to bear weigh on her leg and that she has been in bed for 3 days. Ms. G also states that she has been applying heat to the left leg for the last 48 hours, but her leg is more painful and she is” chilling”. In addition, Ms. G stated that she is a Diabetic and does not have anyone to help her with her meals and that she lives alone.

The objective data obtained from the assessment revealed that Ms. G is a 23-year-old diabetic who is 5’3 and 184 lbs. Ms. G’s left lower leg is red from the ankle to the knee and the left calf measurement is 3 inches larger than her right calf. Ms. G also has a round open wound with a moderate amount of thick yellow drainage that is 2cm in diameter and 1 cm deep located above the medial malleolus. From the description provided in this scenario, the patient has cellulitis (Mayo Clinic, 2019). The lab results are: WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands. The wound culture report indicated: Staphylococcus aureus was present in the wound. According to the Mayo clinic (2019), “The incidence of a more serious staphylococcus infection called methicillin-resistant Staphylococcus aureus (MRSA) is increasing” (Para, 6). Perhaps the patient also needs to be evaluated for this, as well.

My recommendations are as follows: After checking for allergies, the patient will require a course of antibiotic treatment, NSAIDS for pain, APAP to reduce fever and education concerning wound care. The patient should be educated concerning cellulitis, diabetes, blood sugar monitoring, medications, wound care, diabetic foot hygiene and inspection, proper heat application, diet and professional home health care. Increased protein, foot and ankle hygiene and wound care will facilitate wound healing. Education provided by this writer and reinforced by home healthcare staff concerning disease processes will help the patient to better understand how to manage her diabetes and cellulitis (Mayo Clinic, 2019).

According to the ARC: Anatomy Resource Center (n.d.) the bony prominence, the medial malleolus is located on the inner aspect of the ankle.  The potential groups of muscles that could be affected include, but are not limited to, the left Abductor Hallucis muscle, the Gastrocnemius, Soleus, Tibialis Anterior and the Extensor Digitorum Longus.

The significance of the subjective and objective data provided about follow-up diagnostic/laboratory testing, education, and future preventative care involves education concerning proper care and follow up with wound care. The patient should be taught to report any increasing signs and symptoms of infection to her physician. The patient should be taught the importance of diagnostic/ lab testing and preventative care. Furthermore, the patient should be taught how to apply heat safely and the importance of implementing suggested care from her physicians and home care staff. Moreover, the patient should be educated concerning monitoring her blood sugar, taking her medications, foot care hygiene, wearing proper foot wear and the inspection of her feet daily.

The factors that are present that could delay wound healing, and the precautions that are required to prevent delayed wound healing involve a diabetic patient with cellulitis who is living alone and stayed in bed for 3 days due to pain. Her wound culture indicated that Staphylococcus Aureus was present in the wound. There are a multitude of issues that all point to further education for this patient. The precautions needed are appropriate handling of the wound, elevation of the left leg, hygiene, blood sugar monitoring, medications and the importance of taking all antibiotics prescribed to her, diet, increased protein essential for wound healing and daily foot inspection (Grand canyon University, 2013). If the patient understood more about all aspects of her care she would be enabled to participate more fully in her care.

References

ARC: Anatomy Resource Center. (n.d.). Muscular System in Grand Canyon University ARC: Anatomy Resource Center.  Retrieved from https://lc.gcumedia.com/bio155l/anatomy-resource-center/v2.1/#/main

Grand Canyon University. (2013). NRS410 Lecture 1.Introduction to pathophysiology and nursing management of disease. Cell Structure , Infalamation and innmune system. Retrieved fromhttps://lc-ugrad3.gcu.edu/learningPlatform/user/users.html?operation=home&token=7iDqO7mKYHjzXbS%2bWFIznME7xLNavXJeUIkiTPCqFkm%2bTLQVeqi4QCwAxfNHd01vWR5On60EMHEnAScw%2fgtDjQ%3d%3d&classId=1695951#/learningPlatform/loudBooks/loudbooks.html?viewPage=past&operation=innerPage&topicMaterialId=145e45e2-0efc-4ff9-85ca-7fab0aa81183&contentId=64be1e20-3e70-4fd0-929f-d70532cdd950&

Mayo Clinic. (2019) Cellulitis.  Retrieved from https://www.mayoclinic.org/diseases-conditions/cellulitis/symptoms-causes/syc-20370762

 

5-Great post! That is amazing to hear how the medical fields has advanced so much to the point that they are now able to test the organism to test and see which antibiotic would work best for it. I am sure her diabetic history would need to be considered as well for her treatment and would need to be taken into consideration. Post care would need to be considered and patient education would be ideal for prevention for her as well.

 

6-Great post and recommendations. You are right, a DVT came to my mind first thing due to the swelling, so a doppler would be necessary. Although I do like wounds, I am not a wound care nurse and would need a consult. Her diabetes would need to be addressed. Hopefully after this incident she would be educated more about the health of her diabetes and how important it is to keep it under control.

 

The post The subjective data provided by Ms. G included complaints of “…pain and heaviness in her (left) leg” and the inability to bear weigh on her leg and that she has been in bed for 3 days. Ms. G also states that she has been applying heat to the left leg for the last 48 hours, but her leg is more painful and she is” chilling” appeared first on Infinite Essays.

Becoming familiar with the legislative process is an important skill for public health advocacy, prevention, and policy

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hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. Its 2 different discussions and respond to each discussion separate.

You are expected to post a primary response to the discussion topic. All posts should address the discussion topic/question, add to the discussion, and/or encourage others to respond. Facts and claims MUST be supported with APA format citations and references. Use personal experience, course resources such as textbook and additional readings, library references and resources, and well-reputed internet sources, which includes reputable media sources, as well as scholarly sources. Your primary response to the topic/questions posed should be 2 -3 paragraphs, and be thoughtful, well-written, and include appropriate APA in-text citation(s) and reference(s) when appropriate.

Discussion Board # 1: Review a Legislative Session 

Becoming familiar with the legislative process is an important skill for public health advocacy, prevention, and policy. Review the Senate Floor session for March 10th 2016:
http://calchannel.granicus.com/MediaPlayer.php?view_id=7&clip_id=3442 The session is 1 hour 46 minutes in length. Please review it in its entirety.

The session video should be opened using Google Chrome or Firefox (Internet Explorer will not work effectively for this video)

The California Legislature passed a set of landmark public health bills:

· SBX2-5 Electronic cigarettes (Leno)

· SBX2-7 Tobacco products: minimum legal age (Hernandez)

· ABX2-7 Smoking in the workplace (Mark Stone)

· ABX2-9 Tobacco use programs (Thurmond)

· ABX2-10 Local taxes: authorization: cigarettes and tobacco products (Bloom)

· ABX2-11 Cigarette and tobacco product licensing: fees and funding (Nazarian)

Each bill that was passed that day has the potential to impact improvements in public health.

· Research two bills above that particularly interest you.

o Then, share two specific facts you learned about the two bills you researched (one fact each).

· Next, share one piece of information you learned about the remaining FOUR bills (not the two from the bullet above) connected to the legislative process, advocacy, policy solutions, etc while reviewing the session. Try your best to link (describe) the information you learned to Chapter 1, 2, or 17.

Sources: 

· You are required to use at least TWO sources from the textbook, government reports, peer-reviewed journal articles or textbooks. Use your OWN WORDS (e.g., do not cut and paste from a government report or article).

·  Paraphrase (use your own words) to report the information.

· Include APA formatted in-text citations to identify your sources AND include full APA formatted references for your sources at the end of your post.

o Purdue OWL APA Guide

Discussion Board # 2

Coalitions and Public Health

Public health issues are broad and complex and often too difficult to solve with the efforts of one organization. Forming a group of individuals and organizations into a coalition which address and attempt to solve these issues can be an effective strategy. Often, advocacy efforts and development of or changing policy or programs is the end result. Coalitions can:

· Advocate for community environment and policies that support heart health.

· Ensure that community heart disease and stroke prevention approaches and materials are culturally sensitive for targeted audiences (because the coalition members themselves represent the community).

· Propel a strategic and concerted resolution of the problem.

To answer the prompts below review this document: Kansas University Toolbox Ch. 5 Starting a Coalition

· Describe what a coalition is and three common goals/elements that they focus upon.

· Describe the three most essential types of members that form a coalition.

· Using the internet, locate a coalition that focuses on the issue of tobacco use or nutrition. Tell your colleagues the: 1) name of the coalition and 2) the main goal/purpose 3) List three participating members of the coalition. Hint: Try your best not to duplicate a coalition that your colleagues posted 

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Healthcare Financial Management and Decision Making – Time Value of Money

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Title: Healthcare Financial Management and Decision Making – Time Value of Money
Paper type Research Paper
Language style English (U.S.)
Deadline 6th Feb 2019 @ 06:15:33 P.M.
Paper format APA
Course level Degree
Subject Area Nursing
# pages 5   ( or 1375 words Minimum)
Spacing Double Spacing
Cost USD 25
# sources 6
Paper Details You are the chief financial officer (CFO) at a community hospital. One of the comments that have come back from patient surveys is the need for a commercial 24-hour pharmacy within the hospital. In this way, patients or their families will be able to fill prescriptions and begin taking ordered medication right away instead of waiting until the following day.  The chief executive officer (CEO) wants you to create a proposal for the first 3 months of operation utilizing the time value of money tools for the development of this new revenue-generating department.  The following points must be covered in your proposal: Include and discuss the need for working capital to;

1) Include 2 months of startup drug inventory, vendor financing arrangements, personnel costs including salaries and benefits, renovations, disposable supplies, and cost of equipment 2) Provide 2 viable options to measure the rate of return to optimize the financial performance of the department based on time value principles with rationale and justification.  3) Include a profitability analysis for 3 years. 4) Include a schedule of assumptions for your proposal.

A) What questions might the board ask regarding the feasibility of this proposal? B) How might current changes in federal, state, and local policies influence decisions to be made? The body of the paper must be 5–7 pages not including title and reference pages. References must be at least 5 relevant academic or professional references published in the past 5 years.

Kindly Check on Grammar and Turnitin that does not save. Please do not sell this paper after submitting to me, as I would fail badly.

Kind Regards

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Professional advocacy is about supporting the interests of one’s profession. Professional associations advocate for their members by uniting as a single voice and taking action to advance or remove barriers to the profession. 

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Professional Advocacy through Association Membership

Professional advocacy is about supporting the interests of one’s profession. Professional associations advocate for their members by uniting as a single voice and taking action to advance or remove barriers to the profession.

Nurse practitioners (NPs) unite in member-created associations and organizations at many different levels: local, state, national, and international. They unite as specialty groups to further the goals or interests of their profession. Each of these organizations has a purpose or mission, membership benefits, and role in professional advocacy.

While individually the NP may be able to contact a legislator on an issue of concern, a professional organization has the collective power of being able to be heard in numbers. These organizations are poised to take the course of action needed to influence the stakeholders. Just as these groups take action to make change, individual NPs must take action to promote their own professional interests and causes. One of the best ways a professional can support their profession is by joining an association or organization.

Directions

In a 2-3 page paper address the following:  Please use headers

  1. Join a NP association at the local, state, national or international level. (join as a student) (I joined American Association of Nurse Practitioners (AANP) use this association. 
  2. Discuss the mission and vision of this organization.
  3. Describe the requirements for membership.
  4. Explain at least five benefits to belonging to this organization.
  5. Demonstrate understanding of the advocacy efforts of this organization by answering the following:
  • What are the current key issues of concern (name at least three)?
  • What actions are being taken by this organization to address these concerns?
  • What current legislative efforts are being done by this organization in one of the following areas:
    • expanding the NP scope of practice
    • NP regulation of practice
    • Healthcare policy
    • Payment issues
    • Prescriptive privileges

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