Master Degree Nurse Practioner program

This is a Master Degree Nurse Practioner program minimum of 350 words. With at least 2 peer review reference in 7 the edition apa style.  Please do not use international references.

Mrs. P. has been in the ICU for several days, has made gradual progression, and appears to be doing well with laboratory findings and arterial blood gases indicating normal readings. The enteral feeds were held overnight for anticipation of extubation. Describe the process for weaning the patient from the ventilator and discuss when it is appropriate to remove ventilator support as the patient has improved. What are the risks to monitor for as this process is implemented for the patient? Support your answer with two or three peer-reviewed resources.

Penicillium Camemberti

Penicillium Camemberti

Jennifer Carrigan

Microbiology 1- Dr. R

Penicillium Camemberti is ;

is a “yeast like” fungus from the penicillium group, it is a cellular microorganism.

said to be a “domesticated” form of penicillium commune.

widely and predominantly used in the dairy industry. This fungus is the only truly filamentous strain used for white mold cheese making. Specifically, in the making of the popular cheeses, Camembert, Langres, Coulommiers, Camboloza and Brie. After the lactic acid fermentation, yeast may grow inside and the penicillium camemberti will grow on the exterior, it also gives these cheeses a unique and earthy flavor.

The penicillium camberti is either added directly into the cheese while being made or onto the exterior. During this process, the fungus forms a firm protective crust which can sometimes vary in color. The color often stays white but due to differences in strains of penicillium camemberti, some produce a larger amount of lipolytic and proteolytic enzymes while others produce a larger amount of mycotoxin cyclopiazonic acid.

Thus, causing some strains to produce a heavy white mycelium or a flatter white mycelium. Some strains can also present in shades of gray or green. When used on cheeses that are made using raw milk, the color could change even more over time, presenting with a mycelium of pink, red, or even yellow. The addition of salt also plays a role in the color as well. This crust that forms on the exterior is greatly beneficial because it hinders the growth of unwanted or potentially harmful mold contaminants during the aging process.

the production of fermented meat products

In addition to its primary use in making cheese, penicillium camemberti  is also used as a starter culture in the production of fermented meat products. It is often found as an natural colonizer of fermented sausages, such as salami, peperoni and chorizo, originating from the mycobiota of the production facility. It also provides the meat with a unique” ripened flavor” while preventing the lipids from oxidation. This process greatly improves the flavor, smell and overall quality of these meats.

Penicillium  camemberti has been predominantly used in the dairy industry but is still being researched today to find future uses in other nondairy-related areas.

 

References

J.C. Frisvad, in  Encyclopedia of Food Microbiology (Second Edition) , 2014

“A. Abbas, A.D.W. Dobson, in  Encyclopedia of Dairy Sciences (Second Edition) , 2011” (“Penicillium camemberti – an overview | ScienceDirect Topics”)

Bruna, José M.; Hierro, Eva M.; de la Hoz, Lorenzo; Mottram, Donald S.; Fernández, Manuela; Ordóñez, Juan A. (15 August 2003). “Changes in selected biochemical and sensory parameters as affected by the superficial inoculation of Penicillium camemberti on dry fermented sausages”. International Journal of Food Microbiology85 (1–2): 111–125. doi: 10.1016/s0168-1605(02)00505-6 . PMID    12810276 .

Marjorie Kelly Cowan ; Heidi Smith. “Microbiology, A systems Approach, Sixth Edition.”

screenings to anticipate a patient’s health needs in the future

Number 1 post: CF

 

Nurse practitioners (NPs) look beyond routine screenings to anticipate a patient’s health needs in the future. By providing relevant educational information. And encouraging regular follow-up visits to assess progress. And alter wellness plans, NPs can not only assist patients in managing their existing problems. But also to avoid future conditions (Edelman & Kudzma, 2018).

Health promotion and prevention

Based on their educational level, NPs have the skills and knowledge to communicate effectively. Plan individualized care with team members, and use shared decision making to determine treatment which is very important in health promotion and prevention in the community (Georgiev et al., 2019). APNs can provide lifestyle modification, treatment regimens, care coordination, tailored patient care, and health promotion, among other things to promote health in the community. (Edelman & Kudzma, 2018). Community nursing is very important to help promote good health and prevention of disease. It is important for the APN to discuss topics that is relevant to the individual patient and create individual goals.

Health promotion and prevention in the community includes promoting vaccines, healthy diet and lifestyles as well as important health screenings such as prostate exams, colonoscopies, mammograms, PAP smears, screening for diabetes, etc. A lot of diseases are preventable and/or can be reversed with proper health promotion and lifestyle changes. As diseases are a burden on our healthcare and financial system. Nurses have a unique role in building trust and rapport with patients to help achieve individual goals, quality of life for the individual as well as the community.

 

Number 2 post: MS

Community nursing is not just health teaching or preventative medicine in a place other than an office setting, but has been developed from a social model of health generated from community models of practice (St John & Keleher, 2020). These services include epidemiology, public health, social science, health promotion, and general nursing knowledge. Community nursing does not necessarily mean caring for someone in their home, but rather caring for the community as a whole and exploring what obstacles, barriers, and needs of the community are and helping to address those needs.

local health issues

A nurse practitioner can help to establish initiatives, respond to the community’s needs, and create an environment that addresses local health issues (Mathieson, Grande, & Luker, 2019). These services include preventative care and education as well as interventional care. Nurse practitioners working in a community health role also advocate for the community and research policy developments that can help to eliminate healthcare disparities. Examples of community health nursing include addressing poverty and hunger, promote primary education, reduce child mortality, combat HIV/AIDS and other diseases, ensure environmental sustainability, and develop a global partnership for development (Anderson & McFarlane, 2020).

Earlier in this class we learned about health disparities and how certain populations are more susceptible to sub-par care and higher disease rates, such as in the LGBT community. When implementing community-based programs, it is important to be informed on the culture you are working with to ensure culturally appropriate and culturally sensitive care. Rather than focusing on disease-specific problems, we should develop new programs with the goal of primary prevention. People in communities “deserve comprehensive nursing care aimed at improvement of health for all” (Anderson & McFarlane, 2020). The community as well as the nurse practitioner should have common goals in healthcare with accessibility and services available to all.

nursing interventions for clients with gastrointestinal disorders.

Competency

Select appropriate nursing interventions for clients with gastrointestinal disorders.

Choose one from this list Throat cancer, steatosis, proctectomy , rectal cancer, GI bleed – lower, peptic ulcer disease NSAIDS ,Pernicious anemia

Scenario

Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office.

Instructions for GI Disorder: 

Please be sure to include the following in your poster design of your GI disorder:

  • Overview of the disorder
  • Causes of the disorder
  • Diagnostic tests to diagnosis the disorder
  • Assessment findings
  • Multidimensional nursing care interventions for the disorder
Instructions for GI Disorder: 

Please be sure to include the following in your poster design of your GI procedure:

  • Overview of the procedure
  • Indications for the procedure
  • Risks of the procedure and assessment findings to watch for
  • Pre/intra/post procedure multidimensional nursing care interventions
  • Pre/intra/post procedure client and family education

APA formatting for poster

The differing meanings of “valid inference” and “warranted inference”

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 8, 9, 17 (Introduction); review Chapter 7
  • Lesson

Introduction
Remember – your actual journal entry should be somewhat brief; most of your time should be spent thinking about the questions asked and the issues raised. Your thoughts should then be distilled into a mini-argument that will respond affirmatively to the four tests for evaluating arguments: truthfulness of premises, logical strength, relevance, and non-circularity.

Instructions
For this journal assignment, briefly answer each of the following prompts:

Civic Responsibility

  • Inference: The differing meanings of “valid inference” and “warranted inference” are closely related to the differing purposes of deductive and inductive arguments – the purpose of deductive being to prove; the purpose of inductive to make the conclusion most probable.
    • Look up the words “valid” and “warranted.” Each of these words, you will find, has what is known as a lexical definition – that is just the dictionary definition of the word. Words also have a certain connotations – meanings that go beyond their lexical definitions; associated ideas and concepts – think of terms such a “fur baby” as the name for a pet.
    • Briefly discuss how the lexical definitions and connotations of “valid” and “warranted” can help us understand the differing purposes of deductive and inductive arguments.
  • Civic Responsibility: In Section 8.2, the text states that there are “fallacious argument templates” (Facione & Gittens, p. 167) and then gives a number of examples. The authors further state: “Analysis of the meanings of the terms used and the grammatical rules of the language reveal the source of error” (p.167).
    • Denying the Consequent

    • Choose one of the fallacies in this section, such as Denying the Antecedent or False Classification and pair it with the valid argument template. For example, if you choose Denying the Antecedent, the valid argument template will be Denying the Consequent. False Classification would pair with one of the fallacies in Reasoning About Classes of Objects.
    • Explain, in your own words, how the fallacy is revealed through analysis of the valid argument template. Think of it this way – if you know how the heart works, you will know that certain malfunctions will prevent it from working.  For example, if you know that the coronary arteries supply the heart with blood, then you can reason that a blockage will stop that vital flow. So this journal prompt asks you to explain, in your own words, how one of the valid argument templates work – and how that exposes the fallacy connected with that type of argument.
    • Civic Responsibility

  • Civic Responsibility: At the end of Chapter 9 there is a Bonus Exercise that asks you to research and analyze the 2009 debate over the healthcare public option. If you were actually to complete that exercise, it would take quite a bit of time and effort.
    • Do you think that completing such an exercise would be time well spent or time wasted? If well-spent, why? If time wasted, why?
    • Is there any issue on which you think a comparable amount of time and effort would be worthwhile?
    • As a critical thinker, do you believe that citizens have an obligation to be informed on topics of current interest? If yes, why, if no, why not?

If you include references to outside sources (beyond the textbook), make sure you cite them properly.

Writing Requirements (APA format)

  • Length: 1 ½ -2 pages (not including prompts, title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (as needed)

Grading
This activity will be graded using the Journal Grading Rubric.

Course Outcomes (CO): 3, 4, 5, 6

Alzheimer’s Disease

ATI’s Three Critical Points Journal Method of Remediation

 

My Name:

Assessment Name:

 

Assessment Date:

 

My score:

 

Number of Missed Topics from Topics to Review:

 

Topic 1: Alzheimer’s Disease: Interventions for a Client Who Has Dementia

1.

 

2.

 

3.

 

Topic 2:  Multiple Sclerosis: Priority Action for a Client During an Initial Visit

 

1.

 

2.

 

3.

 

Topic 3: Multiple Sclerosis: Identifying the Need for a Referral

1.

 

2.

 

3.

 

Topic 4: Middle and Inner Ear Disorders: Interventions for Client Who Has Ménière’s Disease

 

1.

 

2.

 

3.

Spinal Cord Injury

Topic 5: Spinal Cord Injury: Care of a Client Who Has a Halo Device

 

1.   

 

2.

 

3.

 

Topic 6: Spinal Cord Injury: Caring for a Client Who Has a Spinal Cord Injury

 

1.

 

2.

 

3.

 

Topic 7: Cancer Treatment Options: Caring for a Client Who Has a Sealed Radiation Implant

1.

 

 

2.

 

3.

 

Topic 8: Cancer Treatment Options: Caring for a Client Who Is Receiving Brachytherapy

1.

2.

3.

 

Topic 9: Pharmacokinetics and Routes of Administration: Teaching About Proper Needle Disposal

1.

2.

3.

 

Topic 10: Tuberculosis: Priority Action for a Client in the Emergency Department

 

1.

2.

3.

Topic 11: Disorders of the Eye: Priority Assessment of Age-Related Changes

1.

2.

3.

Topic 12: Immunizations: Recommended Vaccinations for Older Adult Clients

1.

2.

3.

Topic 13: Amputations: Providing Support Following an Alteration in Body Image

1.

2.

3.

Topic 14: Pain Management: Use of Nonpharmacological Methods of Pain Relief

1.

2.

3.

Topic 15: Heart Failure and Pulmonary Edema: Dietary Teaching About Sodium Restrictions

1.

2.

3.

Topic 16: Blood and Blood Product Transfusions: Preparing to Administer a Blood Transfusion

1.

2.

3.

Topic 17: Cardiovascular Diagnostic and Therapeutic Procedures: Maintaining a Central Venous Access Device

1.

2.

3.

Topic 18: Osteoarthritis and Low-Back Pain: Planning Pain Relief for a Client Who Has Osteoarthritis

1.

2.

3.

Topic 19: Gastrointestinal Therapeutic Procedures: Reporting Abnormal Findings During Total Parenteral Nutrition Administration

1.

2.

3.

Topic 20: Gastrointestinal Therapeutic Procedures: Shortage of TPN Solution

Gastrointestinal Therapeutic Procedures

1.

2.

3.

Topic 21: Cardiovascular Diagnostic and Therapeutic Procedures: Cardiac Catheterization

1.

2.

3.

Topic 22: Postoperative Nursing Care: Assessment of Postoperative Dressing

1.

2.

3.

Topic 23: Hemodialysis and Peritoneal Dialysis: Monitoring Patency of an Arteriovenous Graft

1.

2.

3.

Topic 24: Amputations: Postoperative Interventions to Prevent Complications

1.

2.

3.

Topic 25: Gastrointestinal Therapeutic Procedures: Discharge Teaching for a Client Who Has an Ileostomy

1.

2.

3.

Topic 26: Postoperative Nursing Care: Priority Assessments Following a Coronary Artery Bypass Grafting

1.

2.

3.

Topic 27: Airway Management: Evaluating Client Understanding of Tracheostomy Care

1.

2.

3.

Topic 28: Diabetes Mellitus Management: Sick Day Management

1.

2.

3.

Topic 29: Diagnostic and Therapeutic Procedures for Female Reproductive Disorders: Discharge Instructions for Syphilis

Diagnostic and Therapeutic Procedures

1.

2.

3.

Topic 30: Hyperthyroidism: Priority Finding Following Complete Thyroidectomy

1.

2.

3.

Topic 31: Postoperative Nursing Care: Priority Findings Following General Anesthesia

1.

2.

3.

Topic 32: Peptic Ulcer Disease: Nursing Interventions for a Client Who Has a Duodenal Ulcer

1.

2.

3.

Topic 33: Respiratory Management and Mechanical Ventilation: Interventions for Mechanical Ventilation

1.

2.

3.

Topic 34: Respiratory Management and Mechanical Ventilation: Priority Finding Following Extubation

1.

2.

3.

Topic 35: Hemodynamic Shock: Client Positioning

1.

2.

3.

Topic 36: Pacemakers and Implantable Cardioverter/Defibrillators: Identifying Postoperative Complications

1.

2.

3.

Topic 37: Intravenous Therapy: Priority Action for Central Venous Access Device Complication

1.

2.

3.

Topic 38: Hemodialysis and Peritoneal Dialysis: Assessment of an Arteriovenous Fistula

1.

2.

3.

Environmental Health

 

Clinical Assignment: Environmental Health

 

HealthyPeople 2020’s Environmental Health Theme:

Homes and Communities in Oak Park, Illinois, USA

 

Instructions

 

1. Briefly describe homes and communities in Oak Park, Illinois, USA

 

2. Discuss how the community of Oak Park is affected/impacted by homes and communities.

 

3. Explore homes and communities’ health situations from historical, present, and future-oriented perspectives.

 

4. Discuss any strategies that are planned or have been implemented to address homes and communities’ issues to safeguard or improve societal and environmental health. Consider the barriers and facilitators for success of these strategies. Propose strategies if none are found.

 

5. Within the paper, consider and address population health concepts such as “social justice” and “the greater good.”

 

6. Utilize and appropriately cite relevant public/governmental agency websites and media/newspaper publications to substantiate your writing.

 

7. References in APA format (7th edition)

 

8. Length: 2 pages (approximately 500 words)

 

 

 

 

 

Helpful Resources:

· For more information about HealthyPeople 2020’s Environmental Health objectives/themes

https://www.healthypeople.gov/2020/topics-objectives/topic/environmental-health

· EPA website (USA – Environment Protection Agency’s website)

https://www3.epa.gov/enviro/myenviro/

· Official website of Oak Park, Illinois, USA

https://www.oak-park.us/

· US Census Bureau

https://www.census.gov/en.html

 

Note: Search relevant public/governmental agency websites and media/newspaper publications to help understand the situation from historical, present, and future-oriented perspectives.

 

 

the treatment of older adults in society

the treatment of older adults in society

When I Was Growing Up…How were older adults in my family treated?
What did I observe about the treatment of older adults in society?
How were people with mental or emotional disorders viewed?
What language was used to describe aging, old age, and older adults with altered mental function?
What words did my family use, and what was the connotative meaning of the words used, to describe older adults? Was it positive, negative, or mixed?

What things were going on in the area, country, world that affected how mental illness was addressed?

answer all these with 300 words and with references and in text citation in app

Primary Diagnosis And ICD-10 Code-Primary Hypertension.

Below is the template you are to follow when developing your management plan. Also, always be sure to complete the EMR on the case. Use this template with each case. It is not a SOAP format as that is not required. Points will be deducted for not utilizing the template.

THIS SECTION IS 30 POINTS!!! Follow the bullet points below. Copy and answer each bullet point on a word document and cut and paste your responses to the management section!

  • Primary Diagnosis and ICD-10 code: Also include any procedural codes.
  • 3-5 Differential Diagnoses- Why? What made you select each one as a DDX? How did you rule out? This would be a good area to include references.
  • Additional laboratory and diagnostic tests: It may be necessary to establish or evaluate a condition. Some tests, such as MRI, may require prior authorization from the patient’s insurance carrier.
  • Consults: referrals to specialists, therapists (physical, occupational), counselors, or other professionals. If you are sending it to the hospital, what orders would you write for a direct admit?
  • Therapeutic modalities: pharmacological and nonpharmacological management. 
  • Health Promotion: Address risk factors as appropriate. Consider age-appropriate preventive health screening.
  • Patient education: Explanations and advice given to patient and family members.
  • Disposition/follow-up instructions: when the patient is to return sooner, and when to go to another facility such as the emergency department, urgent care center, specialist, or therapist.
  • References (minimum of 3, timely, that prove this plan follows the current standard of care).

overweight Hispanic construction worker

Harvey HoyaProblem ListH.H. is a 57 y.o. overweight Hispanic construction worker who presents for evaluation of an elevated blood pressure reading at a recent local health fair. He reports “some” shortness of breath with moderate exertion, intermittent headaches, and interrupted sleep with snoring. Physical examination is notable BP 172/94 L and 178/98 R after 5 minutes of rest; laterally displaced PMI; and funduscopic findings of A-V nicking. Was told he had elevated BP in the past but took no action. FH is positive for hypertension

Ethics of Health Care Professionals

Ethics of Health Care Professionals

Complete the ethics self-assessment found on American College of Healthcare Executives Web site.

Following your assessment, write a 2–3-page analysis of the areas where you are strong in your ethics and the areas where you may examine further to define or improve your ethical stance.

For example, how might you promote discussion of controversial issues affecting community or patient health?

Identify at least 2 sources that you might use to resolve a personal or professional ethical conflict. Cite at least 1 professional reference using APA format.