Please take some time and look at the idea of BulletProof Coffee, a current trend in lipid nutrition. I will not be providing you a source, but rather I want you to seek a reliable one out. Feel free to read all the info out there, as if you were not a smart, fact checking nutrition student; it is very interesting!
What is BulletProof Coffee and who is responsible for coming up with Bulletproof Coffee (what is their background)?
Who is your source (you may use multiple sources for this assignment, as obviously any source can tell you what it is, but look for a reliable source using the CRAAP Test and Hierarchy of Evidence to decide if BulletProof coffee is good or not). Does the source support or not support it. Source(s) can be linked, no need to APA.
What are your thoughts on Bullet Proof Coffee and its claims in terms of nutrition and health based facts from the class lecture and readings and would you try it (why or why not)?
Be sure to number your responses; minimum of 500 words total for all responses (#1-3) not each response.
 

APA format 3 peer review references 

Patient Initials: __JH_____                Age: __60_____                                 Gender: ____M___

Subjective Data:

Chief Complaint: Case #3 “I have a cough that’s getting worse.” (Laureate Education, 2012).

HPI: Mr. Hendricks is a 60 year-year old Caucasian male who presents today complaining of a cough that is progressively getting worse; more frequent over the past three days. He states that his cough is accompanied by expectoration of thick green secretions accompanied by some blood at times. He has associated symptoms of shortness of breath that is aggravated when walking and nothing seems to help. Patient also states that he had difficulty trying to fall asleep last night because he felt like he was getting a fever and had intermittent chills and sweats and took Tylenol. He states “I have never felt like this before and would like to know what’s going.”

Medications: over the counter Tylenol 650mg po at nights.

Allergies: No known drug or food allergies. No seasonal allergies.

Past Medical History: No medical history provided.

Past Surgical History: No surgical history provided.

Immunization history: Up to date with immunizations. Influenza shot received September 2018. Pneumococcal vaccine received October 2018.

Personal/Social History: Patient denies smoking, drinks wine socially, exercise with brisk walking three times weekly and tries to eat a balanced diet. He has a master’s degree in finance and works as an accountant at an accounting firm. He is a safe driver who drives to work daily and always wears seatbelt. He lives with his wife who is a homemaker who helps baby sit twin granddaughters. Patient denies history of recent travel to foreign country within the three months.

Review of Systems

General: productive cough with green phlegm and blood at times; shortness of breath, chills, night sweats, fever and restlessness.

HEENT: Patient denies head or nasal congestion, headache, nasal discharge, dizziness, vertigo. Patient states productive cough with green-colored sometimes bloody phlegm.

Cardiovascular: Patient denies palpations. Has some chest tightness.

Respiratory: Patient states that he has SOB that worsens with walking. Has productive cough with green-colored sputum and occasional hemoptysis. Patient states that he hears whistling noises when he breathes.

Objective Data:

Physical exam:

General: Mr. Hendricks is a 60 year old Caucasian male and a good historian who is relatively healthy and has good hygiene. Alert and oriented x 3, looks age appropriate with normal facial expression and appropriate behavior. He coughed a few times during exam and appears to be in some respiratory distress with shortness of breath.

Vital signs: Ht. 5’9”, Wt. 210 lbs; BMI= 30, blood pressure 128/70, pulse of 82, respirations of 20 and labored, temperature of 100.9 and O2 saturation on room air of 89%.

HEENT: No headache or head masses. No lesions. Wears glasses. Pupils equal and reactive to light; ears symmetrical, no tenderness or discharge. No frontal or maxillary sinus tenderness. No discharge from nose and mucosa pink and moist. Wears partial upper dentures. Throat appears red. Good hygiene.

Neck: No masses, full range of motion. Thyroid size normal.

Integumentary: Warm and most

Respiratory: Thorax symmetrical with diminished breath sounds. B/L rales and expiratory wheezes throughout. Wet productive cough.

Cardiovascular: regular heart rate with good S1 and S2 heart sounds. No S3, S4 or murmur.

Gastrointestinal: abdomen protuberant. Normoactive bowel sounds in all four quadrants.

Peripheral vascular: No peripheral edema. 2+ dorsalis pedis pulses palpated bilaterally.

ASSESSMENT:

Lab Tests and Results:

1. CBC: Blood tests are used to confirm an infection and to try to identify the type of organism causing the infection (Mayo Clinic, 2018.)
2. Sputum culture: is taken after a deep cough and analyzed to help pinpoint the cause of the infection (Mayo Clinic, 2018).
3. O2 saturation: decreased oxygen saturation indications indicates hypoxemia. Normal range should be 95-100% on RA (Mayo Clinic. 2018).

Diagnostics:

1. Chest X-ray: helps your doctor diagnose pneumonia and determine the extent and location of the infection (Mayo Clinic, 2018).

 Differential Diagnoses:

1. Bacterial pneumonia: is an infection of the air sacs in one or both lungs which may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing, dullness to percussion, decreased breath sound, fatigue. It is most commonly caused by Streptococcus pneumoniae(Mayo Clinic, 2018). Since the patient appears to have most of these symptoms, this is a great possibility.
2. Acute bronchitis: Acute bronchitis, often called a “chest cold,” is the most common type of bronchitis. It occurs when the airways of the lungs swell and produce mucus which makes one cough. It is caused by a virus and often occurs after an upper respiratory infection. Symptoms include sore throat, soreness in the chest, fever, coughing with or without mucus production, fatigue, mild headaches and watery eyes (CDC, 2017b). This can also be a possibility based on the patient’s symptoms.
3. Asthma exacerbation: Asthma is a disease that affects your lungs. It causes repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing. Asthma can be controlled by taking medicine and avoiding the triggers that can cause an attack (CDC, 2017a). This can also be a possibility based on the patient’s symptoms.
4. Bronchiectasis exacerbation: Bronchiectasis is a condition in which the airways (called bronchial tubes) that branch from the trachea into each lung become widened and inflamed. Such damage limits the ability of the airways to clear bacteria and mucus from the lungs, resulting in sputum production, cough, and shortness of breath. Bronchiectasis can be congenital or acquired as a result of an infection. Symptoms include cough, shortness of breath, wheezing, weight loss, fatigue and chronic sinusitis (Mount Sinai, 2018). Based on these symptoms, this can be a possibility for patient diagnosis.
5. COPD exacerbation: chronic obstructive pulmonary disease (COPD) experiences long-term and progressive damage to their lungs. This affects air flow to the lungs. Symptoms include rapid shallow breathing, increasing amounts of mucus, which is often yellow, green, tan, or even blood-tinged, experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another and wheezing more than usual (Healthline.com, 2018). Based on patient symptoms, this can also be a possibility for the patient condition.

References

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.

Centers for Disease Control and Prevention (2017a). Asthma. Retrieved October 9, 2018 from:

Centers for Disease Control and Prevention (2017b). Bronchitis. Retrieved October 9, 2018

from: https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/bronchitis.html

Healthline.com (2018). COPD Exacerbation. Retrieved October 9, 2018 from:

Laureate Education. (Producer). (2012). Advanced health assessment and diagnostic reasoning.

Baltimore, MD: Author.

Mayo Clinic (2018). Pneumonia. Retrieved October 9, 2018 from:

Mount Sinai (2018). What is Bronchiectasis? Retrieved October 9, 2018 from:

TASK DESCRIPTION :- 

You will appraise a health assessment vignette and make critical observations on the situation. Drawing on the given consumer health assessment data, you will discern normal and abnormal data; make connections between these data and specifics of the situation, and develop an initial plan that includes priorities for action.

WHAT YOU NEED TO DO :-

1. Review the knowledge and skills relating to:
   1. a)  Assessment data collection processes
   2. b)  Assessing the neurological status of the patient
   3. c)  Clinical reasoning and decision-making
   4. d)  SBAR communication.2.Watch the health assessment vignette
      1. https://youtu.be/OwKkWKUJc5Q 
      The first scenario relates to a patient with a head injury (up to 3.07 minutes).The second scenario relates to a patient with an ankle injury.3. After watching the health assessment vignette answer the following questions. Question 1 (500 words):You are the RN working in the clinical where the patient in the vignette has just presented with a head injury.Explain what neurological assessment data should be collected from the patient to ensure any neurological deficit is identified?Linking your assessment reasoning to anatomy and physiology, provide a rationale for collecting this data.Justify your answer using evidence from two (2) contemporary, valid research articles (no older than 7 years)Question 2 (250 words):Watch the second part of the vignette (from 3.07 minutes) relating to the patient who has sustained an ankle injury.Document a written handover you will provide to the doctor who will take over the patient’s care.Your report must use the SBAR format which accurately reflects information obtained from the viewed episode of care. 

S Situation: Identify patient and what is new for that shift

B Background: What are the relevant pieces of information about your client medical history?

A Assessment: What is new about your client’s condition? What happened during your shift

R Recommendation: What is the plan for the next shift? 

Discussion Question 

Engaging in a political process enables a nurse leader to influence others in order to achieve a set of professional goals. During the COVID-19 pandemic this political influence is needed now more than ever. Explore the importance of political process in nursing, and answer the following questions:
1. How can average nurses be involved in the political process related to the COVID-19 pandemic?
2. What was the most important issue related to COVID-19 that required nurses to be involved?
3. What nursing leaders have influenced others during the COVID-19 pandemic?
As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.