Category: Nursing

develop a solution to specific ethical dilemma faced by a healthcare professional by applying ethical principles. describe the issues and possible solution in a paper of 3-5 pages

Hi! This has two parts.
1st part: Please answer the following questions using APA 7th edition.
1. Patient A:
– Discuss the pharmacological management of nausea, vomiting, and pain in patients
with advanced metastatic non-small cell lung carcinoma, considering the medications
administered to Patient A.
– Explain the mechanism of action and potential side effects of Morphine Sulfate,
Metoclopramide, and Ondansetron in managing the symptoms experienced by Patient
2. Patient B:
– Describe the surgical procedure of transverse colostomy and its indications in patients
with colorectal cancer and colorectal resection. What are the nursing considerations
for postoperative care and stoma management?
– Discuss the rationale for administering medications such as Ondansetron,
Naloxone, Lorazepam, and Morphine in the management of postoperative pain and
nausea in Patient B.
3. Patient C:
– Explain the significance of hip fractures in elderly patients like Patient C and the
potential complications associated with hemiarthroplasty surgery.
– Discuss the nursing interventions for preventing postoperative complications such as
infection and venous thromboembolism in patients undergoing hip fracture repair
Part 2: Case Study: Make sure to make this detailed,well thought out, and organized. Must have detailed answers!!!
1. Mrs. Perez, 32 years of age, is a Hispanic patient who is admitted for early stage cancer of the uterus. The surgeon stated that in order to treat Mrs. Perez’s cancer successfully, the uterus will need to be removed surgically through a procedure called a simple hysterectomy leaving the ovaries, fallopian tubes, and vagina. The surgeon requests that the nurse make arrangements for an interpreter, so they can both use the interpreter’s services. The patient only speaks Spanish, but her mother and one of the patient’s sisters are bilingual. They are currently visiting the patient. Her husband is also visiting and he only speaks Spanish. The patient’s two children are with her sister Maria. The family stated that they are devout Catholics and requested to see a priest while in the hospital. Today is Ash Wednesday.
a. Which interpreter is the most appropriate choice to communicate with Mrs. Perez and why?
b. After critically analyzing the cultural influences, what nursing actions are appropriate for the patient?
2. The nurse manager of an ambulatory care clinic has noted an increased number of visits by patients from different countries and cultures, including patients from Mexico and other Latin American countries. Concerned about meeting the needs of this culturally diverse population, the nurse manager convenes a staff meeting to discuss this change in patient demographics, and to query the staff about any learning needs they have related to the care of these patients.
a. What strategy to avoid stereotyping clients from other cultures should the nurse include in this meeting?
b. Identify culturally sensitive issues to be discussed in the staff meeting.
c. One technician on the staff complains that some patients never make eye contact, and this makes it difficult for him to complete his work. How should the nurse respond?

*Directions: Consider the following patient and answer the questions concisely but
completely in appropriate APA format. Please use 1” margins and 12 font, proper
grammar/spelling, write in paragraphs (do not number your responses), and do
NOT present in first person. Cite references correctly within the body of your paper
and provide title and reference pages. Please review the APA guidelines included in
the Canvas course.
*Seek out an appropriate evidence-based article on the web to support your
discussion of DKA. The article must be recent (no older than 5 years) and must be
from a nursing journal with at least one nurse author. Highlight the article in yellow
to indicate the portions applicable to your discussion and submit the highlighted
article with your paper.
Melanie, a 19 year-old female college student, was diagnosed with type 1 DM three
months ago and she describes her HPI as follows:
 Always had a ‘weight problem’ but approximately four months before
diagnosis she began slowly losing weight despite “eating more than I every
have in my life.”
 Also described increasing thirst leading to “too many trips to the bathroom”,
interrupting her ability to remain in class as expected.
 Diagnosed with type 1 DM after she had lost 18 pounds and was started on the
following insulin regimen: insulin glargine (Lantus) 35 units at bedtime;
insulin lispro (Humalog) sliding scale before each meal. Her meal plan
developed by the dietician included 1200 calories and 10 servings of
CHO/day with a suggestion of walking 30 minutes at least 3 days/week.
 Her presenting S&S quickly resolved, she had much more “energy to
exercise”, but she also noted a disturbing trend: not only had she stopped
losing weight but was actually gaining.
(1) Concisely explain the above HPI (start with what is type 1 DM) and beginning
treatment. May explain the above in ‘bullet’ format but write in paragraphs and
provide appropriate references.
Today, three months post-diagnosis, Melanie is brought to the Emergency Department
and DKA is suspected from the outset. The triage nurse learns that she gradually but
significantly decreased her insulin and CHO intake to “stop the weight gain” and for the
past two days “was back in the bathroom again because I was so thirsty.” Appears
somewhat confused when discussing rationale for her actions.
Admitting VS: 86/48, 136 and regular; 28, deep, and smelling ‘fruity’
Current blood glucose: 424 mg/dL and urine + for ketones
(2) Briefly explain the pathophysiology of DKA and why Melanie is demonstrating
such at this time. Also, explain her presenting VS, BG, and the fact that ketones
are present in her urine. Describe her expected fluid status in all 3 spaces.
(3) Presentation confirms the diagnosis of DKA: provide an expected ABG for
Melanie (complete interpretation and actual numbers) with rationale for each
value.
(4) Serum potassium will fluctuate in DKA: describe the rationale for the common
hypokalemia early in the process and then later hyperkalemia followed by a drop
again with treatment. Why must this be monitored closely?
(5) State the priority nursing diagnosis at this time.
(6) What orders do you expect from the physician to manage her BG/insulin and fluid
needs? Be specific and provide rationale to demonstrate your understanding of
initial DKA treatment. Do not simply copy isolated facts from your references.
And, why is it important to control the change in serum osmolality carefully
during initial therapy?
Melanie’s treatment is successful and she is ready for discharge 36 hours later. What
must she be taught prior to discharge to prevent a repeat of a potentially life-threatening
DKA episode in the future? Consider that she is a 19 year-old college student who has
had a life-long weight problem.

This is a discussion post for nursing. Use at least 3 references within current 5 years.  The state to use is Florida where I reside. 
Preparing the Discussion
Using the readings from this week as well as reliable outside resources to: 
Identify and describe practice barriers for all four APNs’ roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.
Identify forms of competition on the state and national level that interfere with APNs’ ability to practice independently.
Identify the specific lawmakers by name at the state level (i.e., key members of the state’s legislative branch and executive branch of government)
Discuss interest groups that exist at the state and national levels that influence APN policy.
Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.
A scholarly resource must be used for EACH discussion question each week.
Category Points % Description
DISCUSSION CONTENT
Practice Barriers 15 15% Provides relevant evidence of scholarly inquiry clearly stating how the evidence describes APN barriers to practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Competition 15 15% Provides relevant evidence of scholarly inquiry clearly stating the forms of competition to APN practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Key Law Makers 15 15% Provides relevant evidence of scholarly inquiry in identifying law makers at the state level. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Interest Groups 15 15% Provides relevant evidence of scholarly inquiry at identifying interest groups at the state and national level. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Methods to Influence Change 15 15%
Provides relevant evidence of scholarly inquiry of methods used to influence a change to eliminate barriers.
Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
75 75%
Total CONTENT Points = 75 pts
DISCUSSION FORMAT
Interactive Dialogue 20 20%
4 Required Elements:
Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; 
Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)
Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)
Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.
25 25%
Total FORMAT Points = 25 pts
100 100%
DISCUSSION TOTAL = 100 pts

Answer the question in regards to this case study. Use Acceptable resources include your textbook,
UpToDate, peer-reviewed journals obtained from professional websites such as 
Medscape,
CASE STUDY:
1.     
A 64-year-old female presents with a
2-day history of intense pain along her left posterior chest wall. She
complains of a burning rash in this area. Calamine lotion and Tylenol have been
ineffective. Examination reveals allodynia along the left T5 – T7 dermatome,
with a blistering rash in the middle aspect of the dermatome. She is exhausted
and unable to sleep or eat due to intense pain. She is diagnosed with herpes
zoster and prescribed valacyclovir (Valtrex) 1 g three times a day, along with hydrocodone/acetaminophen
(Vicodin) 5/500, 1-2 tablets every 4 to 6 hours. When she returns 1 week later,
the blisters have resolved, but she continues to have significant allodynia. She
is taking the Vicodin but it does not help much. She cannot wear her
undergarments.
QUESTIONS:
a.     
What schedule drug is hydrocodone? In
what situations can an APRN in Texas prescribe this medication?
b.    
What are the major side effects of
concern for older adults taking opioids for pain?
c.     
What would be a non-opioid treatment
option for this patient with postherpetic neuralgia?
d.    
What education does the patient need
regarding this treatment option?

Please proofread the proposal and compare it to the project proposal feedback form. Make any corrects that make the most sense. 

This assessment addresses the following learning objective(s):
Analyze how policies influence the structure and financing of health care, practice, and health outcomes.
Instructions
As a way of introducing yourselves to the instructor and your peers, please post the following:
Your name and a description of your current position (If not employed, what are your expectations when you complete your program?)
How do you see yourself applying knowledge from this course?
Post a photo of yourself (self-portrait, family, or action photo)
Answer the following question:
With regard to your professional experience, describe how you have felt either positive or negative impacts of the Patient Protection and Affordable Care Act (PPACA).
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review post and response expectations. Please review the rubric to ensure that your response meets the criteria.

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.
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This is a community health promotion plan on suddden infant death syndrome. The plan needs to be directed to a hypothetical group such as young mothers .  Smart goals will also be needed . As well as a section on the development of a sociogram. Healthy people 2030 also needs to be referenced . And can each section of the paper please have a bold section title . I have also included the rubric 

Regarding to order # 78078, below are my classmate post, that I need to reply to
The file will be provided to the assigned writer