Advanced Pathophysiology Module 2 Discussion 2 Student’s Name University Course Professor Date Hematopoietic Contributing Factors for Iron Deficiency Anemia J.D., a 37-year-old woman, exhibits multiple risk factors for developing iron deficiency anemia (Wiafe et al., 2023). She has been experiencing intermenstrual bleeding and menorrhagia for two months, resulting in chronic blood loss and subsequent iron depletion. Moreover, her recent pregnancy history, with four pregnancies in four years, has likely heightened her iron requirements due to the fetus's and placenta's developmental needs. Why Constipation and Dehydration J.D.'s constipation and mild incontinence can be attributed to multiple factors. The utilization of diuretics in managing hypertension may lead to heightened urinary frequency and slight dehydration, which can potentially contribute to constipation (Arumugham & Shahin, 2020). The recent pregnancies she underwent may have impacted her pelvic floor muscles, potentially leading to the development of mild incontinence. Moreover, her persistent iron deficiency can affect the muscular tone of her gastrointestinal tract, resulting in constipation. Importance of Vitamin B12 and Folic Acid in Erythropoiesis Vitamin B12 and folic acid are essential for erythropoiesis, the red blood cell production process. Both vitamins are necessary for DNA synthesis and cell maturation (Wiafe et al., 2023). Deficiency in either vitamin can lead to megaloblastic anemia, characterized by the production of abnormally large and immature red blood cells. Clinical Symptoms of Iron Deficiency Anemia J.D. displays clinical symptoms indicative of iron deficiency anemia, resulting from the reduced oxygen-carrying capacity of her blood. Fatigue and weakness often occur due to compromised oxygen transportation. The insufficiency is apparent through pallor in her skin and mucous membranes. Tachycardia, a heightened heart rate, arises in response to compensate for decreased oxygen delivery. Breathlessness occurs when the body struggles to provide adequate oxygen to its tissues. The condition also causes cold extremities due to insufficient oxygen supply to peripheral regions.

SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Past Medical History Major/Chronic Illnesses____________________________________________________ Trauma/Injury ___________________________________________________________ Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Medications: __________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Family History: ____________________________________________________________ Social history: Lives: Single family House/Condo/ with stairs: ___________ Marital Status:________ Employment Status: ______ Current/Previous occupation type: _________________ Exposure to: ___Smoke____ ETOH ____Recreational Drug Use: __________________ Sexual orientation: _______ Sexual Activity: ____ Contraception Use: ____________ Family Composition: Family/Mother/Father/Alone: _____________________________ Health Maintenance Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____ Exposures: Immunization HX: Review of Systems: General: HEENT: Neck: Lungs: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Activity & Exercise: Psychosocial: Derm: Nutrition: Sleep/Rest: LMP: STI Hx: Physical Exam BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (percentile) _____ General: HEENT: Neck: Pulmonary: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Derm: Psychosocial: Misc. Plan: Differential Diagnoses 1. 2. 3. Principal Diagnoses 1. 2. Plan Diagnosis Diagnostic Testing: Pharmacological Treatment: Education: Referrals: Follow-up: Anticipatory Guidance: Diagnosis Diagnostic Testing: Pharmacological Treatment: Education: Referrals: Follow-up: Anticipatory Guidance: Signature (with appropriate credentials): __________________________________________ Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________ DEA#: 101010101 STU Clinic LIC# 10000000 Tel: (000) 555-1234 FAX: (000) 555-12222 Patient Name: (Initials)______________________________ Age ___________ Date: _______________ RX ______________________________________ SIG: Dispense: ___________ Refill: _________________ No Substitution Signature: ____________________________________________________________

Names Hovhannes Asatryan Lab 1 (25 points) Descriptive statistics and basketball wins: Here are the numbers of wins for the 30 National Basketball Association teams in the 2012–2013 season. Create a new file on SPSS and upload the file (2 points). Create a frequency table for the number of wins using the data provided (2 points). What is the Mean, Mode, and Median for the number of wins (2 points)? What is the standard deviation and variation (2 points)? How many teams had over 41 wins (2 points)? What percent of teams scored below 30 wins (2 point)? Create a histogram for the number of wins with a normal curve (2 points). Does our data set for age represent a normal curve (somewhat bell-shaped)? If not, is it positively or negatively skewed (2 points)? What is the lowest and highest Z-score for wins and make sure to include that in the SPSS data file (2 points)? What does the Z-score for the number of wins for 37 (2 points)? Output file uploaded (2 points) SPSS file uploaded (3 points) 3. 4. By the frequency table the team had 41wins = 2+1+2+1+1+1+1+1+1+1+1=13 For Z score the formula is  Thus after arranging the data in ascending order and applying the formula of the z score I get The lowest Z score is of 18 having -1.71 The highest Z score is of 60 having 1.85 The Z score of 37 is -0.096

Step 1/6 Step 1: Calculate the mean of Math Ability and Belief that Math Ability is Innate. Mean of Math Ability = (66 + 70 + 50) / 3 = 62 Mean of Belief that Math Ability is Innate = (7 + 4 + 10) / 3 = 7 Step 2/6 Step 2: Calculate the deviation scores for Math Ability and Belief that Math Ability is Innate. Deviation score for Math Ability 1 = 66 - 62 = 4 Deviation score for Math Ability 2 = 70 - 62 = 8 Deviation score for Math Ability 3 = 50 - 62 = -12 Deviation score for Belief that Math Ability is Innate 1 = 7 - 7 = 0 Deviation score for Belief that Math Ability is Innate 2 = 4 - 7 = -3 Deviation score for Belief that Math Ability is Innate 3 = 10 - 7 = 3 Step 3/6 Step 3: Calculate the product of deviation scores for each participant. Product of deviation scores for participant 1 = 4 x 0 = 0 Product of deviation scores for participant 2 = 8 x -3 = -24 Product of deviation scores for participant 3 = -12 x 3 = -36 Step 1/5 Step 1: Restate the question as a research hypothesis and a null hypothesis about the populations. Population 1: People exposed only to visual content (V) Population 2: People exposed only to verbal content (Vb) Population 3: People exposed only to paraverbal content (Pv) Research Hypothesis (H1): There is a significant difference in the mean scores of people exposed to visual, verbal, and paraverbal content. H1: μV ≠ μVb ≠ μPv Null Hypothesis (H0): There is no significant difference in the mean scores of people exposed to visual, verbal, and paraverbal content. H0: μV = μVb = μPv Step 2/5 Step 2: Determine the characteristics of the comparison distribution. To determine the characteristics of the comparison distribution, we need to conduct an ANOVA (Analysis of Variance) test. For this, we need the sample sizes, means, and standard deviations for each population. However, this information is not provided in the question. Step 3/5 Step 3: Determine the cutoff sample score on the comparison distribution at which the null hypothesis should be rejected. To determine the cutoff sample score, we need to find the critical F-value. This can be found using an F-distribution table with the appropriate degrees of freedom and alpha level (α = 0.05). The degrees of freedom are calculated as follows: df1 (between groups) = k - 1, where k is the number of groups (populations) df2 (within groups) = N - k, where N is the total number of participants across all groups Again, we do not have the necessary information to calculate the degrees of freedom or the critical F-value.

CLINICAL PERFORMANCE EVALUATION TOOL NUR 419 Nursing Leadership STUDENT’S NAME ___________________________________________ COURSE _____________________________ SEMESTER _______________________ This clinical evaluation tool consists of eight essential competencies with specific performance criteria. The eight competencies were drawn from the BSN program outcomes at St. Thomas University, The Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 2008), and Quality and Safety Education in Nursing (Cronenwett et al., 2007). The performance criteria for each competency include cognitive, affective, and psychomotor domains of learning and provide a complete evaluation of an individual student’s clinical performance. The use of this clinical evaluation tool makes it possible to see the student’s development over time as he or she progresses through the specific course, as well as through the nursing curriculum. It also provides standard measures for student, course, and program evaluation. All students are evaluated on their clinical performances during each nursing clinical course by faculty. Students are required to adhere to Professional Behaviors throughout the nursing program by respecting the rights of others. Failure to meet expected behaviors may result in a failing clinical grade or in appropriate cases, dismissal from the nursing program. Faculty will provide written documentation to the student during the week any unsatisfactory behavior occurs, with suggestions for improvement. The student may respond in writing within 48 hours to the faculty members’ findings and/or submit written documentation relevant to the behavior. Students must be satisfactory in all objectives by the end of the semester in order to pass this course. SATISFACTORY A student who earns a grade of satisfactory: Safely executes effective, ethical psychomotor skills or identifies errors in technique. Applies theoretical knowledge with assistance. Begins to gather data for use in the nursing process. Begins to use therapeutic communication techniques when interacting with others. Begins to apply critical thinking when developing a nursing care plan.

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Assessment 1 Instructions: Evidence-Based Patient-Centered ... 15/07/2023, 21:07 Course Navigation  Tutorials Support Log Out Shawn Dwight 11115555 Michelle Dykes Ashadah Austin   FACULTY COACH Assessment 1 Instructions: Evidence-Based Patient-Centered Needs Assessment For this assessment, you...

Chapter 2 Set II 9. (a) Describe and explain the difference between the mean, median, and mode. (b) Make up an example (not in the book or in your lectures) in which the median would be the preferred measure of central tendency. 9. The mean is the sum of the scores divided by the total number of...

INFLUENCING HEALTH POLICY Module 1 Discussion 1    Nursing & Health-Care-Policy Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States.   Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Grading Rubric  Your assignment will be graded according to the grading rubric. Module 2 Discussion  Advocacy What examples of advocacy do you see in your own nursing practice? List and discuss 2 examples.   Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Patient Information Student Name Affiliation Course Instructor Due Date Patient Information Gathering Detailed Patient Information Mental health specialists are essential when it comes to the well-being of those dealing with psychological and emotional problems. Compiling thorough patient data is critical to offering counseling and psychiatric care that works. A possible treatment plan should be included, as well as the patient's social and medical histories and a thorough mental health assessment. Accurate Diagnosis and Treatment Planning The cornerstone of successful mental health treatment is an accurate diagnosis. By obtaining comprehensive patient data, mental health practitioners can accurately diagnose their patients by determining the type and severity of their symptoms. People with various anxiety disorders may exhibit symptoms that are similar to or overlap with one another (Goodwin, 2022). For this reason, a thorough examination is essential to determining a specific diagnosis and developing a treatment strategy. For example, excessive concern, fear, and avoidance are common symptoms of both social anxiety disorder and generalized anxiety disorder, but they require different therapeutic techniques. Identification of Underlying Medical Issues There is a connection between physical and mental health, and underlying medical disorders can worsen mental health symptoms or more similar ones. A thorough medical history is necessary to recognize and treat these problems. Numerous researches have demonstrated the link between psychological and physical well-being. Those with long-term health issues, such as diabetes and cardiovascular disease, are more likely to experience mood disorders like anxiety and depression. These co-occurring illnesses might not be identified without a thorough medical history, resulting in insufficient or ineffective mental health therapy. Assessment of Social and Environmental Factors A person's mental health concerns require a grasp of the social and environmental milieu in which they live and work. A comprehensive social history helps identify the patient's influencing elements, including stressors, traumas, support networks, and socioeconomic circumstances. Post-traumatic stress disorder (PTSD) development and exposure to traumatic experiences are strongly correlated. By gathering comprehensive social information, mental health practitioners can identify traumatic experiences and create trauma-informed care plans to address the underlying causes of distress.

Assessment 1 Instructions: Vila Health: Educational Technology Needs Assessment Conduct an educational technology needs assessment for your current workplace setting or another health care setting you are familiar with and interested in. Document the results of your needs assessment in a 4page report. Introduction Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, complete the assessments in the order in which they are presented. As thoughtful stewards of organizational resources, nurse educators must be able to determine whether new educational technology, upgrades to existing technology, or changes in current technology use will help to close performance gaps, improve patient outcomes, and yield measurable benefits for nursing staff and the organization at large. A comprehensive needs assessment distinguishes needs from wants, compares the current state with the desired state, and enables sound decision making. This assessment provides an opportunity for you to assess the need for changes in existing educational technology, or the current use of that technology, to improve nursing education in a setting of your choice. Note: Complete the assessments in this course in the order in which they are presented. Preparation Workplace Setting and Educational Context You may choose your current workplace setting or another health care setting you are familiar with and interested in as the context for this assessment and all subsequent assessments. Also, in your selected setting, choose the educational context within which the technology is being used: Academic. Clinical (on the job). Continuing professional education. As you work through each assessment in this course, imagine yourself as the director of nursing education or fulfilling a similar role in your organization. In your capacity as director, you are aware that several organizational training initiatives and ongoing educational programs have not met expectations. You suspect that part of the reason for this can be attributed to the ineffective use of existing educational technologies, and in some cases, the lack of appropriate tools and technology. Consequently, you have decided to conduct a needs assessment to determine what changes in existing technologies, or their use, you might propose to executive leaders that would have a positive impact on current nursing processes, staff performance, and patient outcomes.

Module 1 Discussion No unread replies.No replies.    Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: Identify the different roles and responsibilities of the nurse. Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths. Which patient population is most likely to experience health disparities and why?   Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. Module 2 Discussion No unread replies.No replies.    Therapeutic Relationship  For this Discussion, your instructor will assign you a case number. Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: Moral distress is a frequent situation where health care providers should face. Please define and discuss a personal experience where you have faced Moral distress in your practice.

USE CASE STUDY 2 THROUGHOUT Module 2 Discussion No unread replies.No replies.     Skin, Eye, & Ear Disorders  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis.   Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. Module 2 Assignment Due 28 May by 23:59   Points 100   Submitting an external tool     Telehealth Medicine For this assignment, answer the following questions: What are the Pros and Cons to telehealth? How will you approach and perform a telehealth assessment? What are the limits to telehealth? What is the difference between the provider's need for a successful telehealth visit versus the Patient's perspective?

We know that time shortage is one of the major challenges college/university students are faced with when it comes to matters concerning homework. Quite often than not, you will find yourself, or you have already found yourself rushing to beat your assignments deadline. You know what late assignment submission means to your academic performance, and you certainly are not willing or ready to fall victim of the consequence.

PHILOSOPHICAL & THEORETICAL, EVIDENCE-BASED RESEARCH! Class Week #1 DB Discuss the interrelationship among theory, practice, and research.   Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Grading Rubric  Your assignment will be graded according to the grading rubric. Module 1: Lecture Materials & Resources  Foundations of Nursing Science Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s). Read Butts, J. & Rich, K. (2015). Philosophies and theories for advanced nursing practice (3rd ed.). Jones and Bartlett Learning. ISBN: 9781284112245 Chapters 1, 2, 4, 5 Gray, J., Grove, S. & Sutherland, S. (2018). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier. ISBN: 978-0323377584 Chapters 1-5, and 9 American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Use as a guide for writing in current APA format. As part of your readings in this Module, please also review the following: Syllabus APA and Research Guides Watch The role of the Research Nurse (9:59) MD Anderson Cancer Center. (2013, May 2). The role of the Research Nurse [Video file]. Retrieved fromThe role of the Research NurseLinks to an external site.

Module 2 Discussion No unread replies.No replies.     Discussion 2 Hematopoietic:  J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.  Past Medical History (PMH):  Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.  Case Study Questions Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.

Module 2 Discussion No unread replies.No replies.     Discussion 2 After studying Module 2: Lecture Materials & Resources, discuss the following: The importance of effective communication that promotes cultural competence.  Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Module 3 Discussion No unread replies.No replies.     Discussion 3 After studying Module 3: Lecture Materials & Resources, discuss the following: Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1-month old. Sarah, age 13, Martin, age 12, and Wayne, age 8, attend the Amish elementary school located 1 mile from their home. Lucille, age 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems, and their physician told the family he will need to be hospitalized if he does not get better within 2 days. Choose two or three areas of prenatal care that you would want to discuss with Mary, and then write brief notes about what you know and/or need to learn about Amish values to discuss perinatal care in a way that is culturally congruent. Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.

USE CASE STUDY 2 THROUGHOUT Module 1 Discussion 44 unread replies.44 replies.     Cultural, Spiritual, Nutritional, & Mental Health Disorders  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Once you received your case number, answer the following questions. Please be specific and relate your questions to your specific case. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions? Submission Instructions: You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned. You will reply to your peers that have posted on the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).  All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.