Discussion: Diagnosis And Management Of Genitourinary Disorders

Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies.

Case Study 1

You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.

Case Study 2

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.

Case Study 3

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

To prepare:

  • Review “Genitourinary Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.

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Write a 2– to 3–page paper, not including the cover and Reference page, describing:

nursing leadership

  • Reflect on your personal current sense of power within your organization and the profession;
  • Do a self–assessment of your leadership skills by doing the How Good are your Leadership Skills? assessment at http://www.mindtools.com/pages/article/newLDR_50.htm
    • How did you score? You do need not to reveal this in your paper, but hopefully it will guide you in how to apply the concepts to your own situation.
  • Reflect on your motivation for increasing your power within your organization and/or within the nursing profession.
  • Do a self–assessment of your leadership motivation by doing the assessment The Leadership Motivation Assessment found at http://www.mindtools.com/pages/article/newLDR_01.htm
    • Again, it is not necessary to post your score but hopefully it will guide you in how to discuss your motivation at this point in time.
  • Review the information on power in the Learning Resources and conduct additional research on your own to examine strategies that seem relevant and worthwhile for helping to enrich your power as a nurse leader.
  • Identify specific strategies you can use to develop and leverage sources and types of power to achieve desired outcomes.

To Complete

Write a 2– to 3–page paper, not including the cover and Reference page, describing:

  • A self–assessment of your current sense of power within your organization and the profession;
  • A self–assessment of your motivation for increasing your power base;
  • Write a detailed plan for enhancing your power as a nurse and a leader–manager, including specific strategies for achieving that plan.  Be sure to include strategies for mobilizing the power of nursing for social change, empowering others, and building a personal power base.
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Based on your knowledge of the Health Promotion Model, make a chart and/or diagram that outlines all components of the theory and how the theory can be applied to this case study to formulate a plan of care for this patient

Nursing Theory / Case Study 

You as the advanced practice nurse are working in a community health center. Your next patient is Mrs. Richards,  a 39 year-old Caucasian female, presenting to the clinic with a history of Hypothyroidism, Depression, and recent history of Substance Abuse (Heroine Use). During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago and she reports using illicit drugs since their death. 

Based on your knowledge of the Health Promotion Model, make a chart and/or diagram that outlines all components of the theory and how the theory can be applied to this case study to formulate a plan of care for this patient. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the application of the Health Promotion Model in clinical practice.

Pender’s Health Promotion Model
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>Information Systems homework help

Using the organization you chose in Week 2, write a one-page paper describing the organization’s Cloud Computing implementation and the benefits they realized from the implementation. What was the result of implementing Cloud Computing? Did they meet their objectives for fall short?
This paper should be written in third-person. The third-person point of view belongs to the person (or people) being talked about. The third-person pronouns include he, him, his, himself, she, her, hers, herself, it, its, itself, they, them, their, theirs, and themselves (Not I, we, us, our).
The paper must adhere to APA guidelines including Title and Reference pages. The Title and Reference pages do not count towards the page count requirement. There should be at least one scholarly source listed on the reference page. Each reference cited in the text must appear in the reference list, and each entry in the reference list must be cited in text. APA requirements for this class include:
A title page
12-point Time New Roman font
Your paper should be typed and double-spaced with 1″ margins on all sides
The first sentence of each paragraph should be indented one tab space
All papers should contain the page number, flush right, in the header of every page. Use the automatic page-numbering function of your word-processing program to insert page numbers in the top right corner; do not type page numbers manually.
APA 7th edition in-text citations
Reference page

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Collaboration among health care professionals is the key to positive patient outcomes. Each member of the health care team has been trained with specific knowledge and skills which allow them to do what they do best.

Collaboration among health care professionals is the key to positive patient outcomes. Each member of the health care team has been trained with specific knowledge and skills which allow them to do what they do best. Working together as a team brings specific strengths of each discipline to focus on the care of the patient and supplements any weaknesses of other teammates. Effective interdisciplinary relationships decrease costs and improve patient satisfaction while improving overall health care worker satisfaction.Research different health care interdisciplinary relationships (such as radiology working with the emergency room or working in a pharmaceutical company) that the marketing department needs to collaborate with the development department.Write a 1 400- to 1 750-word paper that summarizes your findings.Include ways to avoid and resolve conflict how to work as a team and collaborate with other departments and ways to make the process better. You may also include a personal experience with an interdisciplinary relationship and describe if it worked well or if there was a breakdown.Describe how interdisciplinary relationships affect your organization and the patients and families that use your health care organization.Format your assignment according to APA guidelines.

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Diagnostic

Develop and Concept Map, using the form provided, on the following patient. Include Diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

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Sociology homework help

Instructions: Choose three different norms from the list below and violate each one at least twice this week. Decide in advance how, when and with whom you will violate these norms norm. Your experiments should be intentional and deliberate. Do NOT violate norms in such a way that could put you in physical or emotional danger irreparably harm a professional relationship!
Norm Violation Options:
Standing too close to someone when talking
Standing too far away when talking
Failing to make eye contact during a conversation
Failing to reply to social greetings such as “hello,” “goodbye,” or saying “thank you”
Taking food off of another person’s plate in a social setting
Standing too close to someone you do not know well in an elevator or in a line
Failing to practice good personal grooming or hygiene habits (usually best on a weekend)
Dressing up or down in a way that does not match the work/social/home/public occasion
Carry out the norm violations throughout the week.  It may be useful to try violating the norms in different settings with different people. For instance, a coworker may react differently to you taking food off of their plate than your spouse might.
Summary and Analysis: After you have completed the norm violations, respond to the following:
Which norm violations you selected and why.
Where, when, and with whom you violated the norms.
What took place while you were violating the norm.
The reaction of those who witnessed the norm violation.
Explain why norms an important part of social structure.
Explain why some norms are more important for the social order than others.
Explain why a better understanding of norms can make you a better employee, co-worker or boss.
Mechanics: Assignments must be a minimum of one page, single-spaced, typed, standard 8.5×11 page, 1” margins, Times New Roman or Arial 10-12 point font, and include your name/course/assignment title/date.
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LIST THE REASONS WHY EPIDEMIOLOGY IS IMPORTANT TO RESEARCH STUDIES OF ENVIRONMENTAL HEALTH.

Environmental Epidemiology Assessment

Define the following terms: (15 points) 

Environmental epidemiology:  
Natural experiment: 
Descriptive epidemiology:  
Odds ratio: 
Relative risk:  

Explain the work of John Snow using the methodology of the natural experiment. (10 points)
List the reasons why epidemiology is important to research studies of environmental health. What are some of the important limitations of the epidemiologic approach with respect to the study of environmental health problems? (15 points)
Explain how ecologic analysis is used to study the health effects of air pollution. Provide examples of uncontrolled factors that may affect ecologic study results. (15 points)
Describe the importance of the contributions of Sir Percival Pott to environmental health, particularly in the field of cancer prevention. (10 points)
Describe Hill’s criteria for disease causality. (10 points)
Explain the epidemiologic triangle and how it can be applied to environmental health. (10 points)
Explain the difference between descriptive and analytic epidemiology. Provide examples of how both types of study design are utilized in the field of environmental health. (15 points)

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Assignment: Advocating for the Nursing Role in Program Design and Implementation

Assignment: Advocating for the Nursing Role in Program Design and Implementation

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
  • Review the User Guide for Uploading Media in your Blackboard Classroom by accessing the Kaltura Media Uploader on the Left Navigation Bar in preparation to record your narrated video or audio for this Assignment.

The Assignment: (2–3 pages)

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
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>Management homework help

Last week, you prepared the foundation of your final project by selecting a case study and applying the appropriate action research process to the OD challenge. Based on your knowledge of intervention types, you proposed a recommended interaction for the challenge. This week, you will have the opportunity to gain a deeper understanding of individual, team, group, and organizational interventions, and what they look like during problem solving and decision-making.
Intervention is the “doing” phase of action research. This paper will solidify your intervention selection. You will explain the actions used during your selected intervention and comprehensively apply the process to the case study. The paper must be at least two full pages in length, and must include the course textbook as a reference, as well as three additional scholarly and credible sources to support the content of the paper.
In your paper,

  • Select an appropriate intervention for your case study.
  • Evaluate why the intervention is applicable to the case study.
  • Interpret the actions involved when utilizing the intervention.
  • attachment

    week370.doc
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