Case Study: Cardiorespiratory – Custom Nursing Help

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Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 850 words, critically evaluate Mrs. J.’s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, and abstract is required.
 
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Final project | Article writing homework help

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Curiosity Final Project

What have you always wanted to know? That is what we have explored this final unit of English 1302. We have learned the various aspects of research and how research can be used to discover what it is you are curious to know. Your objective in this assignment is:

  • to focus your curiosity down to a manageable topic
  • to decide and to justify what type of research you will need to use to finally understand what you have always wanted to know
  • to communicate that researched topic in the most appropriate form that teaches others what you have learned in this process

You should have already chosen your topic, which for many, started out broadly. Focus your topic to something more specific that you can manage in an assignment of this size.

Next, decide which type of research you will need to use for your topic and carry out that research: pure, original, secondary, or a combination of all three. You will justify the type of research used in the form of a proposal and annotated bibliography (see below).

Finally, present your findings in the most appropriate format (essay, scientific study, film, or other type of media presentation):

  • Use the information you found during your research process to educate your audience on your topic.
  • If you are presenting your findings in essay format, yours must include an introduction with a specific thesis statement that the body paragraphs will support through the research you incorporate and with a conclusion that ties together your essay.
  • If you are presenting your findings in a different format, you must still communicate that information in an organized and logical format (with introductory and concluding information), supported by the findings from your research.

For those writing essays or scientific studies, the specific requirements of this assignment include that your essay must:

  • be longer and more comprehensive than any other essay you have written and adequate to fully explore and answer your question (I will not specify a page or time length as you are the expert on this topic)
  • adhere to the standards of academic writing
  • be organized (with an introduction that includes a thesis statement, body paragraphs which support that thesis statement, and a conclusion that ties everything together if presenting in essay form), be logical, and be clear
  • be typed/referenced in whatever format your topic’s discipline requires (APA, Chicago, CSE or other)
    • include a bibliography, in the style of the format your discipline requires
    • include adequate research to support your topic (typically, that is around one to two sources per page of writing)

For those presenting in a format other than an essay or scientific study, the specific requirements of this assignment include that your presentation must:

  • be engaging: use whatever software you want to create animation or videos or podcasts or whatever else you can imagine
  • not be static—pay attention: NO STATIC POWER POINTS as they do little to communicate
  • be organized (with an introduction and conclusion in some format)
  • be presented in a format that is grammatically correct (writing and/or oral reading must be correct)
  • be accompanied with a bibliography (at the end of the presentation) in whatever format your topic’s discipline requires (APA, Chicago, CSE or other)
  • include adequate research to support your topic
  • be uploaded or shared in a format that is accessible to everyone in class

Calculate the OR for diabetes (outcome) with a family history of diabetes (exposure)

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Calculate the OR for diabetes (outcome) with a family history of diabetes (exposure)

Calculate the OR and the RR from the provided dataset. Calculate the OR for diabetes (outcome) with a family history of diabetes (exposure). Calculate the RR for allergies (outcome) with a family history of allergies (exposure). Write up sentences to interpret the OR and RR that is calculated. Show your calculations and discuss the significance of each. Make sure to include Hill’s Criteria in discussions of potential causality. Given the 95% Confidence Interval, can you determine if the result is statistically significant? Odds Ratio and 95% CI Calculator http://easycalculation.com/statistics/odds-ratio.php Relative Risk Calculator http://easycalculation.com/statistics/relative-risk.php

 

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South Asia

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Choose the question you are comfortable with

Section 1: Please choose one of the following questions and write a one- one and a half page response essay. 50 points

1. “Our enemies, among whom I regret to say, there are still some Muslims, have set about actively encouraging provincialism in the hope of weakening Pakistan, and thereby facilitating the re-absorption of this province into the Indian Dominion…. A flood of false propaganda is being daily put forth with the object of undermining the solidarity of the Mussalmansof this State and inciting the people to commit acts of lawlessness. The recent language controversy … is only one of the many subtle ways whereby the poison of provincialism is being sedulously injected into this province…. Is it not significant that the very persons who in the past have betrayed the Mussalmans or fought against Pakistan … should now suddenly pose as the saviors of your just rights and incite you to defy the Government on the question of language? “- Jinnah Comment on the attitude of Jinnah and other West Pakistani politicians and administrators towards Bengali language and what were it’s repercussions?

2. “Our struggle, this time, is a struggle for our freedom. Our struggle, this time, is a struggle for our independence. Joy Bangla!” – Sheikh Mujibur Rahman. What were the reasons for East Pakistani’s disaffection from West Pakistan and what role did Mujibur Rahman play in the creation of Bangladesh.