Questions and Topics We Can Help You To Answer 

Nurses have an active role in medication management, including safe administration practices, knowledge of risks such as medication errors, adverse effects and drug interactions. Patient participation in medication management and patient education are also essential to patient safety. 

Questions and Topics We Can Help You To Answer 

Imagine that you are the designated Privacy Officer in a healthcare institution.

There are 2 parts to this paper:

As the Privacy Officer, what types of monitoring procedures would you develop?
What would you include in your sanctions for violations of the policy?  
and

As the Privacy Officer, how would you address the following? 

Tracking each point of access of the patient's database, including who entered the data.
Nurses in your hospital have an access code that only gives them access to their unit's patients.  A visitor accidentally comes to the wrong unit looking for a patient and asks the nurse to find out what unit the patient is on
Encouraging nurses to report privacy and security breaches.

This is a 5-7 page double spaced document (7 pages of content is the maximum) not including a title page and reference page. You must have a minimum of 3 APA cited references for this paper.

Advanced Nursing Practice and Advanced Practice Nursing

1. Analyze the differences between Advanced Nursing Practice and Advanced Practice Nursing.
2. Appraise the population served through your Advanced Nursing Practice Role.
3. Evaluate certification opportunities for your chosen role.
4. Develop your licensure, accreditation, certification, and education plan based on your chosen advanced nursing practice role.
5. Investigate state-specific implications for your chosen role. (Alabama)

Questions and Topics We Can Help You To Answer 

The transition from Registered Nurse to a nursing advanced practice role occurs through acquiring the educational component of role acquisition and the occupational or work component of role implementation. Discuss three strategies for enhancing the nursing advanced practice role development.

Questions and Topics We Can Help You To Answer: 

What are your thoughts now regarding the role of the professional nurse?
How will your integrate related cultural and/or spiritual aspects into your role as a professional nurse?

Questions and Topics We Can Help You To Answer: 

Write a short scenario that illustrates a particular type of dysfunctional conflict. Provide the who and what of the conflict. Discuss the components of the scenario that characterize the particular type of dysfunctional conflict. From your readings, identify and explain two strategies to effectively deal with the conflict.

Questions and Topics We Can Help You To Answer: 

Final Essay Prompt: The final essay is a text analysis of news reports (newspapers, television
reports, radio news) on a drug-related at regional, national, international, or transnational
level. The topic is quite open (from the involvement of Elvis Presley in the media campaign
against drugs up to the Opium Crisis). You need to collect, at least, seven reports on your
case study, analyze the news framing (i.e., the journalist perspectives, the language,
pictures and/or images that come along with the report). You also need to discuss your
topic through academic lenses. In other words, you need to collect data from academic
sources to compare/contrast/criticize what and how journalists have reported your case
study.
You can also analyze political commentary (news editorials, political radio talk, etc.), but
you need to have a clear differentiation between them and news reports.

Questions and Topics We Can Help You To Answer: 

TURN YOUR PASSION INTO PURPOSE

Questions and Topics We Can Help You To Answer: 

Discussion: Pharmacotherapy for Hematologic Disorders
In the 1970s, the average lifespan for patients diagnosed with sickle cell disease was 14 years. Today, the average lifespan has increased to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other hematologic disorders such as hemophilia and cancer continue to improve as well. This can be attributed to advancements in medical care—specifically drug therapy and treatment. When managing drug therapies for patients, it is essential to continuously examine current treatments and evaluate the impact of patient factors on drug effectiveness. To prepare for your role as an advanced practice nurse, you must become familiar with common drug treatments for various hematologic disorders seen in clinical settings.

To prepare:
Select one of the following hematologic disorders: anemia, hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or white blood cell disorders. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.
Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.
With these thoughts in mind:

By Day 3
Post a description of the hematologic disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

Questions and Topics We Can Help You To Answer: 

Based on the 5 sources provided, please answer these 5 questions below. Please use the information from these sources only and the references. The 5 sources to which I have mentioned is uploaded below(2 of them is a pdf file, 3 of them are links)

1.    Discuss strategies to educate and treat a patient with high risk behaviors for STI’s?

2.    What is the pathophysiological process and consequences for the patient with untreated HIV?

3.    What are the barriers to African American LGBT men regarding HIV treatment?

4.    Name common 5 STI’s and the treatment:

5.    How does the clinician approach discussing sensitive topics with patients?

Must be apa formatted and include in-text citations. 
Use the references from the sources that were provided

These are the 3 links
https://www.nytimes.com/2017/06/06/magazine/americas-hidden-hiv-epidemic.html

https://www.healthychildren.org/English/health-issues/conditions/sexually-transmitted/pages/Diagnostic-Testing-for-Sexually-Transmitted-Infections.aspx

https://www.nichd.nih.gov/health/topics/stds/conditioninfo/specific

Questions and Topics We Can Help You To Answer: 

Week 5: Assessment of Head, Neck, Eyes, Ears, Nose, and Throat
Emily, age 15, is brought to your clinic complaining of chills, aches, and a sore throat. Without any testing, consider all of the possible diagnoses. It could be a cold, the flu, bronchitis, or even something more serious, such as meningitis or mononucleosis. Assessing the actual cause will involve much more than simple visual inspection. Some conditions are so subtle that they require the use of special instruments and tests in addition to a trained eye and ear.

This week, you will explore how to assess the head, neck, eyes, ears, nose, and throat. Whether dealing with a detached retina, sinusitis, or meningitis, advanced practice nurses need to know the proper assessment techniques in order to form accurate diagnoses.

Learning Objectives
Students will:
Apply assessment skills to diagnose eye, ears, and throat conditions
Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for the head, neck, eyes, ears, nose, and throat
Photo Credit: Patrick Heagney/E+/Getty Images

Learning Resources
Required Readings
Note: To access this week's required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S.,  Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 10, “Head and Neck” (pp. 184-203)


This chapter reviews the anatomy and physiology of the head and neck. The authors also describe the procedures for conducting a physical examination of the head and neck.


Chapter 11, “Eyes” (pp. 204-230)


In this chapter, the authors describe the anatomy and function of the eyes. In addition, the authors explain the steps involved in conducting a physical examination of the eyes.


Chapter 12, “Ears, Nose, and Throat” (pp. 231-259)


The authors of this chapter detail the proper procedures for conducting a physical exam of the ears, nose, and throat. The chapter also provides pictures and descriptions of common abnormalities in the ears, nose, and throat.
Dains, J. E., Baumann, L. C.,  Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 15, “Earache” (pp. 174–183)


This chapter covers the main questions that need to be asked about the patient’s condition prior to the physical examination, as well as how these questions lead to a focused physical examination.


Chapter 21, “Hoarseness” (pp. 248-255)


This chapter focuses on the most common causes of hoarseness. It provides strategies for evaluating the patient both through questions and through physical exams.


Chapter 25, “Nasal Symptoms and Sinus Congestion” (pp.301-309)


In this chapter, the authors highlight the key questions to ask about the patients symptoms, the key parts of the physical examination, and potential laboratory work that might be needed to provide an accurate diagnosis of nasal and sinus conditions.


Chapter 30, “Red Eye” (pp. 357-368)


The focus of this chapter is on how to determine the cause of red eyes in a patient, including key symptoms to consider and possible diagnoses.


Chapter 32, “Sore Throat” (pp. 381-389)


A sore throat is one most common concerns patients describe. This chapter includes questions to ask when taking the patient’s history, things to look for while conducting the physical exam, and possible causes for the sore throat.


Chapter 38, “Vision Loss” (pp. 446-457)


This chapter highlights the causes of vision loss and how the causes of the condition can be diagnosed.
Sullivan,  D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia,  PA: F. A. Davis.

Chapter 3, "SOAP Notes" (pp. 45-57)
Note: Download the seven documents (Adult Examination Checklists and Physical Exam Summaries) below, and use them as you practice conducting assessments of the head, neck, eyes, ears, nose, and throat.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for head, face, and neck. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Adult Examination Checklist: Guide for Head, Face, and Neck was published as a companion to Seidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for eye assessment. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Adult Examination Checklist: Guide for Eye Assessment was published as a companion to Seidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for ear assessment. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Adult Examination Checklist: Guide for Ear Assessment was published as a companion to Seidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for nose, paranasal sinuses, mouth, oropharynx. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Adult Examination Checklist: Guide for Nose, Paranasal Sinuses, Mouth, Oropharynx was published as a companion toSeidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Ears, nose, and throat. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Ears, Nose, and Throat Physical Exam Summary was published as a companion to Seidel's guide to physical examination(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Eyes. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Eyes Physical Exam Summary was published as a companion to Seidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Head, face, and neck. In Mosby's guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.



This Head and Neck Physical Exam Summary was published as a companion to Seidel's guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Bedell, H. E., & Stevenson, S. B. (2013). Eye movement testing in clinical examination. Vision Research 90, 32–37. doi:10.1016/j.visres.2013.02.001. Retrieved from http://www.sciencedirect.com/science/article/pii/S0042698913000217

Rubin, G. S. (2013). Measuring reading performance. Vision Research 90, 43–51. doi:10.1016/j.visres.2013.02.015. Retrieved from http://www.sciencedirect.com/science/article/pii/S0042698913000436

Harmes, K. M., Blackwood, R. A., Burrows, H. L., Cooke, J. M., Harrison, R. V., & Passamani, P. P. (2013). Otitis media: Diagnosis and treatment. American Family Physicians, 88(7), 435–440. Retrieved from http://www.aafp.org/journals/afp.html



Otolaryngology Houston. (2014). Imaging of maxillary sinusitis (X-ray, CT, and MRI). Retrieved from http://www.ghorayeb.com/ImagingMaxillarySinusitis.html



This website provides medical images of sinusitis, including X-rays, CT scans, and MRIs (magnetic resonance imaging).

Document: Episodic/Focused SOAP Note Exemplar (Word document)

Document: Episodic/Focused SOAP Note Template (Word document)

Required Media
Online media for Seidel's Guide to Physical Examination

It is highly recommended that you access and view the resources included with the course text, Seidel's Guide to Physical Examination. Focus on the videos and animations in Chapters 10, 11, and 12 that relate to the assessment of the head, neck, eyes, ears, nose, and throat. 


Optional Resources
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

Chapter 7, “The Head and Neck” (pp. 178–301)


This chapter describes head and neck examinations that can be made with general clinical resources. Also, the authors detail syndromes of common head and neck conditions.**********************

Discussion: Assessing the Ears, Nose, and Throat
Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep test.

In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

Note: you will have case one...  your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

Case 1: Nose Focused Exam 
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.


To prepare:

With regard to the case study you were assigned:

Review this week's Learning Resources and consider the insights they provide.
Consider what history would be necessary to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. How would the results be used to make a diagnosis?
Identify at least 5 possible conditions that may be considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned.

By Day 3
Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient's differential diagnosis and justify why you selected each.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the "Post to Discussion Question" link and then select "Create Thread" to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Questions and Topics We Can Help You To Answer: 

Mike, 29 years old, was admitted to a community hospital three days ago with weakness and hypotension after sustaining a spider bite while hiking in the woods. Mike has a large hematoma on his left arm where he was bite. He has no prior medical history, no drug allergies, and does not take medication. Mike started to experience moderate respiratory distress, and started oozing blood from his IV sites, nose, and catheter. He is mildly jaundice and his skin is cool. His vital signs include a heart rate of 110 beats per minute and regular blood pressure of 92/44, slightly labored respiratory rate of 22 breaths per minute, and a pulse oximetry reading of 91 percent. What would your initial diagnosis be, explain? What diagnostic test would you order and why? What would you expect the diagnostic test to show? What is the treatment option for the diagnosis?