Tag: Nursing

  • [Solved] Nursing Signature Assignment Cerebral Palsy

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    The purpose of this assignment is to evaluate one disease condition in the pediatric population and explore current evidence-based guidelines and treatments to determine a proper plan of care. – [\ \ SignatureAssignment-Template.docx](https://www.sweetstudy.com/files/signatureassignment-template-d…

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    The purpose of this assignment is to evaluate one disease condition in the pediatric population and explore current evidence-based guidelines and treatments to determine a proper plan of care.

    – [\
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    SignatureAssignment-Template.docx](https://www.sweetstudy.com/files/signatureassignment-template-docx-10193099 "SignatureAssignment-Template.docx")
    – [\
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    SignAssignmentInstructions.docx](https://www.sweetstudy.com/files/signassignmentinstructions-docx "SignAssignmentInstructions.docx")
    – [\
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    ResearchBasedPaperGradingRubric.pdf](https://www.sweetstudy.com/files/researchbasedpapergradingrubric-pdf-10193103 "ResearchBasedPaperGradingRubric.pdf")

    – 2 years ago

  • [Solved] Asssigment

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    Similarituy less than 20 % – 2 years ago **files (1)** – ## Bipolarassigment.docx **## Bipolarassigment.docx** Bipolar & Related Disorders – Write up # 2 DSM-5-TR Summaries Assignments (SLO#1) (10% of total grade for this paper) Complete a 1-page summary of a category of disorder from the Bipolar an…

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    Similarituy less than 20 %

    – 2 years ago

    **files (1)**

    – ## Bipolarassigment.docx

    **## Bipolarassigment.docx**

    Bipolar & Related Disorders – Write up # 2

    DSM-5-TR Summaries Assignments (SLO#1) (10% of total grade for this paper)

    Complete a 1-page summary of a category of disorder from the Bipolar and Related Disorders. It should include the following headings: Overview, age-related factors, differential diagnosis, Disorders Risk, and Prognostic Factors.

    **## Bipolarassigment.docx**

    Bipolar & Related Disorders – Write up # 2

    DSM-5-TR Summaries Assignments (SLO#1) (10% of total grade for this paper)

    Complete a 1-page summary of a category of disorder from the Bipolar and Related Disorders. It should include the following headings: Overview, age-related factors, differential diagnosis, Disorders Risk, and Prognostic Factors.

  • [Solved] Reply

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    Attached – [\ \ Screenshot_20250214_191132_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250214-191132-chrome-jpg "Screenshot_20250214_191132_Chrome.jpg") – [\ \ Screenshot_20250214_191110_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250214-191110-chrome-jpg "Scree…

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    Attached

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    Screenshot_20250214_191132_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250214-191132-chrome-jpg "Screenshot_20250214_191132_Chrome.jpg")
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    Screenshot_20250214_191110_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250214-191110-chrome-jpg "Screenshot_20250214_191110_Chrome.jpg")

    – 2 years ago

  • [Solved] Advanced Pathophysiology Analysis

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    Evaluate the concepts of cellular biology and altered cellular and tissue biology for their implications to disease management (EOPSLO# 1). Distinguish knowledge of normal physiology and pathologic alterations across the lifespan that are expressed as diseases of organs and systems (EOPSLO# 1, 9). A…

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    Evaluate the concepts of cellular biology and altered cellular and  tissue biology for their implications to disease management (EOPSLO# 1).       Distinguish knowledge of normal physiology and pathologic  alterations across the lifespan that are expressed as diseases of organs  and systems (EOPSLO# 1, 9).      Analyze current research findings with evidence-based guidelines for  the management of selected diseases (EOPSLO# 4, 9).

    – 2 years ago

  • [Solved] writing

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  • [Solved] Asssigment

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    – 2 years ago **files (1)** – ## SignAssignmentInstructions.docx **## SignAssignmentInstructions.docx** **SCHOOL OF NURSING** **GRADUATE STUDIES** **MASTER OF SCIENCE IN NURSING – FNP** NUR6150 Advanced Practice in Primary Care: Pediatrics ## Signature Assignment Understanding disease conditions spe…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## SignAssignmentInstructions.docx

    **## SignAssignmentInstructions.docx**

    **SCHOOL OF NURSING**

    **GRADUATE STUDIES**

    **MASTER OF SCIENCE IN NURSING – FNP**

    NUR6150 Advanced Practice in Primary Care: Pediatrics

    ## Signature Assignment

    Understanding disease conditions specific to pediatrics is vital to ensure proper and timely diagnosis and treatment to improve healthcare outcomes for the patient. The purpose of this assignment is to evaluate one disease condition in the pediatric population and explore current evidence-based guidelines and treatments to determine a proper plan of care.
    _This assignment will focus on the following course student learning outcomes (CSLO):_

    2. Develop advanced practice care plans to help manage the delivery of health care to the pediatric client and family (EOPSLO# 3, 5, 6, 7).

    3. Utilize relevant evidence-based research findings in the clinical management of the pediatric client (EOPSLO# 1, 3, 4).

    4. Integrate legal, ethical, socioeconomic, psychosocial, and cultural factors in the delivery of health care to the pediatric client (EOPSLO# 2, 6).

    6. Communicate practice knowledge effectively both orally and in writing (EOPSLO# 5).

    7. Demonstrates information literacy skills in complex decision-making (EOPSLO# 1, 5).

    _Instructions:_ Please choose one pediatric health condition learned in the course. Once the health condition is chosen, you are to write a three-to-five-page paper in APA format 7th edition with the following sections and
    _level 2 headings_:

    ### Introduction

    -Brief overview of pediatric health

    -Introduce the disease condition chosen

    -Importance of understanding the condition

    ### Presentation of Condition

    -Describe the condition chosen and its pathophysiology.

    -What signs/symptoms are identified in the patient that can be found?

    -Identify if there can be presentation variations based on culture, race, ethnicity, age, etc.

    ### Diagnosis of Condition

    -Diagnostic testing (include imaging, labs, and other necessary evaluations based on condition)

    -Clinical evaluation via medical history and physical examination

    **SCHOOL OF NURSING**

    **GRADUATE STUDIES**

    **MASTER OF SCIENCE IN NURSING – FNP**

    ### Treatment of Condition

    -Medications

    -Treatments

    -Managing symptoms (if needed)

    -Non-pharmacological treatments (if applicable)

    **Potential Health Risks if Left Untreated**

    -Physical and mental health risks

    ### Recent Evidence-Based Advancements in Condition

    -Choose one evidence-based treatment that has shown to improve condition within the last 5 years.

    -Briefly summarize the treatment and results.

    ### Conclusion

    -Recap points discussed in paper

    -Importance of management and early diagnosis (if applicable)

    **_Course Syllabus: Advanced Practice in Primary Care-Pediatrics_**

    ## image1.jpg

    ## image2.jpeg

    **## SignAssignmentInstructions.docx**

    **SCHOOL OF NURSING**

    **GRADUATE STUDIES**

    **MASTER OF SCIENCE IN NURSING – FNP**

    NUR6150 Advanced Practice in Primary Care: Pediatrics

    ## Signature Assignment

    Understanding disease conditions specific to pediatrics is vital to ensure proper and timely diagnosis and treatment to improve healthcare outcomes for the patient. The purpose of this assignment is to evaluate one disease condition in the pediatric population and explore current evidence-based guidelines and treatments to determine a proper plan of care.
    _This assignment will focus on the following course student learning outcomes (CSLO):_

    2. Develop advanced practice care plans to help manage the delivery of health care to the pediatric client and family (EOPSLO# 3, 5, 6, 7).

    3. Utilize relevant evidence-based research findings in the clinical management of the pediatric client (EOPSLO# 1, 3, 4).

    4. Integrate legal, ethical, socioeconomic, psychosocial, and cultural factors in the delivery of health care to the pediatric client (EOPSLO# 2, 6).

    6. Communicate practice knowledge effectively both orally and in writing (EOPSLO# 5).

    7. Demonstrates information literacy skills in complex decision-making (EOPSLO# 1, 5).

    _Instructions:_ Please choose one pediatric health condition learned in the course. Once the health condition is chosen, you are to write a three-to-five-page paper in APA format 7th edition with the following sections and
    _level 2 headings_:

    ### Introduction

    -Brief overview of pediatric health

    -Introduce the disease condition chosen

    -Importance of understanding the condition

    ### Presentation of Condition

    -Describe the condition chosen and its pathophysiology.

    -What signs/symptoms are identified in the patient that can be found?

    -Identify if there can be presentation variations based on culture, race, ethnicity, age, etc.

    ### Diagnosis of Condition

    -Diagnostic testing (include imaging, labs, and other necessary evaluations based on condition)

    -Clinical evaluation via medical history and physical examination

    **SCHOOL OF NURSING**

    **GRADUATE STUDIES**

    **MASTER OF SCIENCE IN NURSING – FNP**

    ### Treatment of Condition

    -Medications

    -Treatments

    -Managing symptoms (if needed)

    -Non-pharmacological treatments (if applicable)

    **Potential Health Risks if Left Untreated**

    -Physical and mental health risks

    ### Recent Evidence-Based Advancements in Condition

    -Choose one evidence-based treatment that has shown to improve condition within the last 5 years.

    -Briefly summarize the treatment and results.

    ### Conclusion

    -Recap points discussed in paper

    -Importance of management and early diagnosis (if applicable)

    **_Course Syllabus: Advanced Practice in Primary Care-Pediatrics_**

    ## image1.jpg

    ## image2.jpeg

  • [Solved] case study 2

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    Brian is a previously healthy 56-year-old white man who presents with progressive neuropathy and declining mental status over several months. The patient initially developed numbness of his fingertips and the balls of his feet and began to lose motor control of his hands, which manifested as droppin…

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    Brian is a previously healthy 56-year-old white man who presents with progressive neuropathy and declining mental status over several months. The patient initially developed numbness of his fingertips and the balls of his feet and began to lose motor control of his hands, which manifested as dropping objects or flinging them as he tried to pick them up. As symptoms progressed, he had visual tracking problems that were severe enough to interfere with driving a car, and he developed short-term memory loss and slowing of cognitive function. His current vital signs are 117/70, 72, 98.6, 12, Ht 5’9” Wt 193 lbs.

    – 2 years ago

  • [Solved] case study

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    Tim is a 22 y/o male who is complaining of lethargy, cold sensitivity, weight gain of 10 lbs over the last 3 months with an unnoticeable change in appetite, brain fog, constipation, and muscle weakness that he feels has become progressively more noticeable over the last several months. Tim is a hete…

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    Tim is a 22 y/o male who is complaining of lethargy, cold sensitivity, weight gain of 10 lbs over the last 3 months with an unnoticeable change in appetite, brain fog, constipation, and muscle weakness that he feels has become progressively more noticeable over the last several months. Tim is a heterosexual, single, full-time college student and works part-time at a coffee shop. His last annual physical examination was 2 years ago and was WNL. His current vital signs are 110/70, 62, 98.6, 12, Ht 5’9” Wt 190 lbs.

    – 2 years ago

  • [Solved] Discussion P W6 Reply to peer 2

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    Assessment of glomerular filtration rate (GFR) is fundamental to clinical practice, public health, and research. The kidney has several critical functions; GFR is used as an overall assessment of these kidney functions. GFR is used to diagnose, stage, and manage chronic kidney disease (CKD) (Inker &…

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    Assessment of glomerular filtration rate (GFR) is fundamental to clinical practice, public health, and research. The kidney has several critical functions; GFR is used as an overall assessment of these kidney functions. GFR is used to diagnose, stage, and manage chronic kidney disease (CKD) (Inker & Titan, 2021). GFR is most commonly assed through markers and creatinine levels. Strengths: GFR is a well-established clinical laboratory practice, particularly in the neonatal population. It is a property of the kidney, has a large range, and is affected by physiological, pharmacologic, and pathologic conditions. Limitations: Methods to measure GFR are laborious, expensive, and not broadly available (Bjornstad et al, 2018). A major challenge to diagnose early kidney disease is the lack of individuals that participate in yearly doctor visits as well as those who live with hypertension unknowingly will result in kidney failure. Creatinine and/or cystatin C are most accurate once GFR is <60ml/min/1.73m2, a point at which half of renal function is already lost. Accurate measurement of GFR is also important to stratify renal injuries, monitor nephrotoxicity and guide medication dosing (Bjornstad et al, 2018). Often certain medication drugs that are nephrotoxic can lead to acute renal failure (AKI), creatinine levels, BMP as well as GFR levels must be monitor on a weekly basis to be able to treat the patient accordingly.

    About 1-3% of all infants and children have a condition called vesicoureteral reflux (VUR), which means some of their urine flows in the wrong direction after entering the bladder. Some of the urine flows back up toward the kidneys and can increase the chance of developing a urinary tract infection (UTI) (2024). Most pediatric UTIs are caused by Gram negative coliform bacteria arising from fecal flora colonizing the perineum, which enter and ascend the urinary tract. Escherichia coli (E. coli) is the most common uropathogen, responsible for approximately 80% of pediatric UTIs (Tallus, 2019). Other common uropathogens include Klebsiella, Proteus, Enterobacter and Enterococcus species (Kaufman et al., 2019). Refluxing ureteral endings show structural and functional anomalies: previous studies have shown a significant decrease in alfa actin, miosin and desmin contents as well as a high rate of atrophy and muscular degeneration with disorganized muscular fibres (Arena et al., 2016). VRU can also be caused by an abnormal embryological development occurring during the early stage of fetal life. VRU occurs on both sexes however females are prone to have more UTIs due to their anatomy and a shorter urethra, in males a circumcision will favor in the prevention of UTIs.

    References

    Inker, L. A., & Titan, S. (2021, November). Measurement and estimation of GFR for use in clinical practice: Core curriculum 2021 – American journal of kidney diseases. National Kidney Foundation. [https://www.ajkd.org/article/S0272-6386(21)00707-1/fulltext](https://www.ajkd.org/article/S0272-6386(21)00707-1/fulltext)

    Bjornstad, P., Karger, A. B., & Maahs, D. M. (2018). Measured GFR in Routine Clinical Practice-The Promise of Dried Blood Spots. Advances in chronic kidney disease, 25(1), 76–83. [https://doi.org/10.1053/j.ackd.2017.09.003](https://doi.org/10.1053/j.ackd.2017.09.003)

    Vesicoureteral reflux (VUR) in Infants & Children. National Kidney Foundation. (2024, October 26). [https://www.kidney.org/kidney-topics/vesicoureteral-reflux-vur-infants-children](https://www.kidney.org/kidney-topics/vesicoureteral-reflux-vur-infants-children)

    Kaufman, J., Temple-Smith, M., & Sanci, L. (2019, September 24). Urinary tract infections in children: An overview of diagnosis and management. BMJ pediatrics open. [https://pmc.ncbi.nlm.nih.gov/articles/PMC6782125/](https://pmc.ncbi.nlm.nih.gov/articles/PMC6782125/)

    Tullus K. Fifteen-minute consultation: why and how do children get urinary tract infections? Arch Dis Child Educ Pract Ed (2019. 10.11)36/archdischild-2018-315023.

    Arena, S., Iacona, R., Impellizzeri, P., Russo, T., Marseglia, L., Gitto, E., & Romeo, C. (2016, November 29). Physiopathology of vesico-ureteral reflux. Italian journal of pediatrics. [https://pmc.ncbi.nlm.nih.gov/articles/PMC5129198/](https://pmc.ncbi.nlm.nih.gov/articles/PMC5129198/)

    – 2 years ago

  • [Solved] Discussion P W6 Reply to peer 1

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    GFR is a key indicator of kidney function, reflecting how well the kidneys filter blood. The most accurate method of measuring GFR involves using exogenous markers such as inulin clearance, which is freely filtered by the glomerulus and neither reabsorbed nor secreted by renal tubules (Levey et al.,…

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    GFR is a key indicator of kidney function, reflecting how well the kidneys filter blood. The most accurate method of measuring GFR involves using exogenous markers such as inulin clearance, which is freely filtered by the glomerulus and neither reabsorbed nor secreted by renal tubules (Levey et al., 2020). However, inulin clearance is time-consuming and not practical for routine clinical use. Instead, creatinine clearance is commonly used, though it has limitations since creatinine undergoes some tubular secretion, leading to an overestimation of GFR. Serum creatinine-based equations, such as the CKD-EPI or MDRD formulas, provide a more practical estimation, adjusting for variables like age, sex, and body surface area (Inker et al., 2021). Another alternative is cystatin C, a protein filtered by the glomerulus, offering a more reliable marker in certain populations, such as children and those with fluctuating muscle mass (Sharma et al., 2022).

         Vesicoureteral reflux is a congenital or acquired condition where urine flows retrograde from the bladder into the ureters due to an incompetent vesicoureteral junction. Normally, the ureter enters the bladder at an oblique angle, forming a functional one-way valve that prevents backflow. In VUR, this angle is disrupted due to congenital abnormalities in the ureter’s insertion or bladder wall, resulting in urine reflux during bladder contraction (Shapiro et al., 2021). VUR increases the risk of urinary tract infections and renal scarring due to recurrent pyelonephritis (infection gets so bad it migrates to the kidney, resulting in kidney infection, which is a more serious infection). Higher-grade VUR can lead to progressive kidney damage and hypertension if untreated. Management varies based on severity, ranging from antibiotic prophylaxis to surgical intervention for persistent or high-grade cases.

    **References**

    Inker, L. A., Schmid, C. H., Tighiouart, H., et al. (2021). Estimating glomerular filtration rate using serum creatinine and cystatin C. _The New England Journal of Medicine_, 385(19), 1737-1749.

    Levey, A. S., Stevens, L. A., Schmid, C. H., et al. (2020). A new equation to estimate glomerular filtration rate. _Annals of Internal Medicine_, 150(9), 604-612.

    Sharma, A., Menon, S., Ghosh, A., et al. (2022). Cystatin C-based estimation of glomerular filtration rate in children: A systematic review. _Pediatric Nephrology_, 37(4), 829-840.

    Shapiro, E., Tejwani, R., & Franco, I. (2021). Vesicoureteral reflux in children: Pathophysiology, diagnosis, and management. _The Journal of Urology_, 206(2), 265-274.

    – 2 years ago