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Why would this scholarship be impactful for you? – 2 years ago
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Create a 5–7 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Then, create a detailed, annotated training agenda for the pilot team that will accom…
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Describe your clinical experience for this week AT A WOMENS HEALTH OBGYN OFFICE – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis …
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Order on TutorsGallery →Describe your clinical experience for this week AT A WOMENS HEALTH OBGYN OFFICE
– Did you face any challenges, any success? If so, what were they?
– Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
– Mention the health promotion intervention for this patient.
– What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
– Support your plan of care with the current peer-reviewed research guideline.
**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. Sources must be within 2020-2025.
– 2 years ago
I have seen this so many times in my career. Family members even become clued in that their family member is probably having a urinary tract infection because of their confusion. General Question: How could an infection, such as a urinary tract infection (UTI) lead to confusion in an older adult? Wh…
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Order on TutorsGallery →I have seen this so many times in my career. Family members even become clued in that their family member is probably having a urinary tract infection because of their confusion.
General Question: How could an infection, such as a urinary tract infection (UTI) lead to confusion in an older adult? What physiological changes might explain this?
– 2 years ago
The selected disease process is cirrhosis which is a liver disease that occurs when scar tissue replaces healthy tissue preventing the organ from working normally. An injured tissue is replaced by a scar, known as fibrosis which often takes months or years of ongoing injury. The underlying pathophys…
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Order on TutorsGallery →The selected disease process is cirrhosis which is a liver disease that occurs when scar tissue replaces healthy tissue preventing the organ from working normally. An injured tissue is replaced by a scar, known as fibrosis which often takes months or years of ongoing injury. The underlying pathophysiological mechanism of cirrhosis is the development of scar tissue that leads to the replacement of normal liver parenchyma causing blockage of portal blood flow and disruption of normal liver function. When fibrosis reaches a point where distortion of the hepatic vasculature occurs, it is called cirrhosis (Jagdish et al., 2023). If the damage continues, panlobular cirrhosis may occur. The cellular mechanisms responsible for cirrhosis are similar irrespective of the type of initial insult and the injury site within the liver lobule. The clinical manifestation observed in Bayani’s case that could be explained by the pathophysiological mechanisms of cirrhosis is foul-smelling urine. This is due to the liver’s inability to filter waste products effectively leading to a build-up of ammonia in the blood causing a strong, ammonia-like odor in the urine.
The clinical manifestations of cirrhosis depend on the advancement of the disease. The common early signs and symptoms are fatigue, loss of appetite, nausea, weight loss, itchy skin, and upper abdominal pain (Wu et al., 2024). The later signs and symptoms related to portal hypertension and declining liver function are vomiting blood, disruption in the menstrual cycle, jaundice, gallstones, dark-colored pee or stool, edema, blood in the stool, low urine output, shortness of breath, ascites and digestive difficulties. In Bayani’s case, the clinical manifestations that can partially support a diagnosis of cirrhosis are foul-smelling urine, abdominal pain which is caused by a buildup of fluid in the abdomen (ascites), and mild confusion which occurs when a damaged liver cannot properly filter toxins causing them to build up in the brain leading to cognitive changes.
The diagnostic tests that would be most appropriate for investigating a diagnosis of cirrhosis in Bayani’s case are physical examination, blood tests, imaging tests, and liver biopsy. A physical examination focuses on checking the medical history of Bayani, and the signs and symptoms related to cirrhosis. The blood tests for the disease include CBC, liver tests, and viral infection tests. For instance, liver tests can measure liver products like enzymes, proteins, and bilirubin levels in the blood to confirm cirrhosis. Imaging tests include MRI, CT scan, and abdominal ultrasound that show detailed images of the size, shape, and texture of the liver to confirm cirrhosis (Wu et al., 2024). A liver biopsy is a small procedure that involves taking a sample of the liver for examination to diagnose cirrhosis. Type 2 diabetes is a condition that causes high blood sugar levels because the body does not produce adequate insulin. In Bayani’s case, the clinical manifestations that can partially support the diagnosis of type 2 diabetes are mild confusion often known as brain fog, abdominal pain, frequent water drinking and urination, and foul-smelling urine due to the production of ketones excreted in the urine.
References
Jagdish, R. K., Roy, A., Kumar, K., Premkumar, M., Sharma, M., Rao, P. N., Reddy, D. N., & Kulkarni, A. V. (2023). Pathophysiology and management of liver cirrhosis: From Portal hypertension to acute-on-chronic liver failure. _Frontiers in Medicine_, _10_. [https://doi.org/10.3389/fmed.2023.1060073Links to an external site.](https://doi.org/10.3389/fmed.2023.1060073)
Wu, Z., Chen, L., Chen, J., & Chen, C. (2024). Management of liver cirrhosis and its complications. _Liver Cirrhosis and Its Complications – Advances in Diagnosis and Management_. [https://doi.org/10.5772/intechopen.1005466Links to an external site.](https://doi.org/10.5772/intechopen.1005466)
– 2 years ago
In-depth study guidance and analytical solution covering week 5 discussion and Reflection.
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In-depth study guidance and analytical solution covering W5 Reflection.
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