Tag: Clinical-Nursing

This Evaluation of Marginalized Women: Women with HIV Essay paper should clearly and comprehensively identify the disease or population health problem chosen. The paper should be organized into the following sections:

1. Introduction with a clear presentation of the marginalized group as well as significance and a scholarly overview of the paper. Include Incidence and prevalence statistics.

2. Background of the marginalized group/problem including description, current incidence and/or prevalence statistics current state, local, and national statistics pertaining to the problem.

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3. Discuss the socio economic aspects of the marginalized group

4. Discuss social justice and its relationship to health disparities and health care of marginalized group.

5. Discuss ethical issues on marginalized group Evaluation of Marginalized Women: Women with HIV Essay

6. Provide a brief plan of how you will address this marginalized group in your practice once you are finished with school as a primary nurse pracititioner. Provide three actions you will take along with how you will measure outcomes of your actions. Includes at least three evidenced based actions, supported by literature, that the student will take in their own practice and how outcomes will be measured.

7. Conclude in a clear manner with a brief overview of key points of the entire problem. presents major points of the paper with clear direction for action.

group to be researched: WOMEN with HIV in Kentucky, USA.

Please do not include a cover/title page. Please include all references used. Evaluation of Marginalized Women: Women with HIV Essay

Assignment 1: Practicum – Client Termination Summary- WK1064N

Learning Objectives

Students will:

• Develop client termination summaries

To prepare:

• For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.

• Identify a client who may be ready to complete therapy.

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The Assignment

With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations): SEE ATTACHED CLIENT INFORMATION- USE THIS FOR THE ASSIGNMENT BELOW

• Identifying information of client (i.e., hypothetical name, age, etc.)

• Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end

• Total number of sessions, including number of missed sessions

• Termination planned or unplanned

• Presenting problem

• Major psychosocial issues

• Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)

• Overview of treatment process

• Goal status (goals met, partially met, unmet)

• Treatment limitations (if any)

• Remaining difficulties and/or concerns

• Recommendations

• Follow-up plan (if indicated)

• Instructions for future contact

• Signatures

Assignment 1: Practicum – Client Termination Summary- WK1064N

DNA, Gene Expression, and Biotechnology Essay assignments

Chapter 5

DNA, Gene Expression, and Biotechnology 

Learning Objectives

Understand the structure and function of DNA:

-DNA is a molecule that all living organisms carry in almost every cell in their body.

-It contains instructions for the functions of every cell. DNA, Gene Expression, and Biotechnology Essay assignments.

Explain the relationship between genes and proteins:

Genes are sections of DNA that contain instructions for making proteins.

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Describe the processes of transcription and translation:

-transcription, in which a copy of a gene’s base sequence is made, and

-translation, in which that copy is used to direct the production of a polypeptide.

Identify the impact and causes of mutations:

Alteration of the sequence of bases in DNA

-can lead to changes in the structure and function of the proteins produced

-can have a range of effects

Explain how genes with mutations can cause illness or disorder: DNA, Gene Expression, and Biotechnology Essay assignments.

Can cause disorders and diseases causing the body to become un-adaptive. (Cancer, disorders…etc)

Understand the basic tools used in the application of biotechnology:

What is biotechnology- Adding, deleting, or transplanting genes from one organism to another, to alter the organisms in useful ways.

(The 5 tools)

Chop up the DNA from a donor organism that exhibits the trait of interest.

Amplify the small amount of DNA into more useful quantities.

Insert the different DNA pieces into bacterial cells or viruses.

Grow separate colonies of the bacteria or viruses, each containing a different inserted piece of donor DNA.

Identify the colonies that have received the DNA containing the trait of interest. DNA, Gene Expression, and Biotechnology Essay assignments.

Explain how biotechnology can help produce pharmaceuticals, treat disease, and even prevent disease:

Treatment of Diabetes

Define terms such as genetic engineering, recombinant DNA technology, PCR, and transgenic organisms:

Identify the strengths and weaknesses of gene therapy:

Gene therapy has had a poor record of success in curing human diseases, primarily because of technical difficulties in transferring normal-functioning genes into the cells of a person with a genetic disease. DNA, Gene Expression, and Biotechnology Essay assignments.

(1)Difficulty getting the working gene into the specific cells where it is needed.

 

(2) Difficulty getting the working gene into enough cells and at the right rate to have a psychological effect.

 

When will RNA polymerase bind to the lactose promoter?

 

In the absence of the repressor protein

In the absence of glucose

In the presence of the activator protein

All of the above.

DNA, Gene Expression, and Biotechnology Essay assignments

Evidence-based practice guidelines and ethical considerations

you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

Scenario 1:

The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

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Scenario 2:

A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

Scenario 3:

A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.

Scenario 4:

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled. evidence-based practice guidelines and ethical considerations.

Scenario 5:

A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.

Scenario 6:

A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.

Scenario 7:

A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

To prepare:

• Select one scenarios, and reflect on the material presented. evidence-based practice guidelines and ethical considerations.

• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

• Consider how you would respond as a nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

To complete:

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as a practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature. evidence-based practice guidelines and ethical considerations.

Biofuels and Fossil Fuels

Chapter 4 Energy:

(Understand that energy from the sun fuels all life on earth)

Describe the various types of energy and how energy can be stored in different molecules:

(Biofuels and Fossil Fuels)

Biofuels- Energy from plants; fuels produced from plant and animal products

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Fossil fuels:
(
Most vehicles). These fuels (which also include oil, natural gas, and coal) are produced from the decayed remains of plants and animals modified over millions of years by heat, pressure, and bacteria. Biofuels and Fossil Fuels.

 

Explain the laws of thermodynamics and how they relate to all living organisms:

 

-The study of the transformation of energy from one type to another, such as from potential energy to kinetic energy, is called thermodynamics.

1
st
law – Energy can never be created or destroyed; it can only change from one form to another.

2nd Law- Every conversion of energy includes the transformation of some energy into heat; Heat is almost completely useless to living organisms

(Adenosine triphosphate (ATP)) Biofuels and Fossil Fuels

The Role of the PMHNP

Use APA writing guidelines. You do not need a cover page for discussion but please include references. Your discussion should be about 1 page, Write about 3 paragraphs. Each paragraph is 4-5 sentences.

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Where does the psychiatric mental health nurse practitioner fit in within a mental health treatment team of social worker, therapists, psychologist, psychiatrist, and family care? What does it mean to specialize? What goes into being confident and competent provider? Are psychiatric nurse practitioners too medication focused? The Role of the PMHNP

Cell theory – eukaryotic and prokaryotic Cells Essay

Chapter 3 Cells:

Explain the two principles of the cell theory:

All living organisms are made up of one or more cells.

All cells arise from other pre-existing cells.

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Compare and contrast prokaryotic and eukaryotic cell structure:

A
eukaryotic cell

has a central control structure called a nucleus which contains the cell’s DNA.

eukaryotes

A
prokaryotic cell

does not have a nucleus; its DNA simply resides in the middle of the cell

cell theory – eukaryotic and prokaryotic Cells Essay

prokaryotes

Animal cells- chloroplasts, cell wall, vacuole

 

Plant cells- No centriole

 

-Discuss the theories of endosymbiosis and invagination as a means to explain the presence of organelles in eukaryotic cells:

Developed to explain the presence of two organelles in eukaryotes, chloroplasts in plants and algae, and mitochondria in plants and animals. cell theory – eukaryotic and prokaryotic Cells Essay

 

Describe the overall structure of the plasma membrane as well as the structure of individual phospholipids:

Plasma membrane: a plasma membrane, a two-layered membrane that holds the contents of a cell in place and regulates what enters and leaves the cell.

Describe the following passive transport methods: diffusion, facilitated diffusion, osmosis:

Diffusion: (Solutes and solvents)

Simple Diffusion: Molecules pass directly through the plasma membrane without help of another membrane

Facilitated diffusion: Molecules move across with help of another channel or carrier.

Osmosis: Osmosis is the passive diffusion of water across a membrane. cell theory – eukaryotic and prokaryotic Cells Essay.

Describe what happens to cells in isotonic, hypertonic, and hypotonic solutions

Contrast the various types of active transport methods:

(Active transport, cells use energy to move small molecules into and out of the cell)

-Primary active transport:

uses energy directly from ATP

-Secondary-An indirect method many transporter proteins use for fueling their activities

 

The transport protein simultaneously moves one molecule against its concentration gradient while letting another flow down its concentration gradient. cell theory – eukaryotic and prokaryotic Cells Essay

 

No ATP is used directly.

 

At some other point and in some other location, energy from ATP was used to pump one of the types of molecules involved against their concentration gradient.

 

Explain the various structures that allow for connection and communication between cells:

-Connections between cells hold them in place and enable them to communicate with each other.

-Gap Junctions- pores surrounded by special proteins that form open channels between two cells

-Tight Junctions-form continuous, water-tight seals around cells and also anchor cells in place

Particularly important in the small intestine where digestion occurs cell theory – eukaryotic and prokaryotic Cells Essay

-Desmosomes-are like spot welds or rivets that fasten cells together into strong sheets

Function like Velcro: they hold cells together but are not water-tight

Found in much of the tissue-lining cavities of animal bodies

Describe the major landmarks of eukaryotic cells:

The nucleus—the largest and most prominent organelle in most eukaryotic cells. cell theory – eukaryotic and prokaryotic Cells Essay

 

The nucleus has two primary functions:

Genetic control center

Storehouse for hereditary information

 

-Chromatin- a mass of long, thin fibers consisting of DNA with some proteins attached

Nucleolus-an area near the center of the nucleus where subunits of the ribosomes are assembled

 

Ribosomes are like little factories.-

 

Explain the structural differences between animal and plant cells:

 

Animal cells- chloroplasts, cell wall, vacuole

 

Plant cells- No centriole

 

Self-Quiz:

 

Used for detoxification.

Garbage disposal of the cells.

Used to maintain turgor pressure.

Converts light into chemical energy.

Converts chemical energy into ATP.

 

Answers:

1=smooth ER

2=lysosome

3=vacuole

4=

5=mitochondria

cell theory – eukaryotic and prokaryotic Cells Essay

Differential diagnosis Essay

Case Study 2

Liz is a 79-year-old female with a history of aortic stenosis and hypertension. The patient underwent elective aortic valve replacement yesterday. This AM during rounds, the patient is sitting up in the chair. Vital signs: 99.4-54-20-85/50. Pa 29/13, CVP10. Urine output 20 ml/hr for the last 3 hours. Cardiac output 3.9, cardiac index 1.8. Patient’s preop ef was 50%. Labs are as follows:

• K 4.0 Normal

• Cr 1.5 Adult female 0.5-1.1 mg/dL

• BUN 42 8-21 mg/dL

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• Decreased Output

• Hgb 9.8 Adult female11.7-15.5 g/dL

• Hct 29.1 Adult female 38-44%

• Plt 138 150-450 x 10^3/uL Thrombocytopenia

• Postoperative chest X-ray normal

• Slightly elevated temperature

• Bradycardia

• Hypotension

• Pa 29/13 Normal 20-30/8-12

• CVP 10 Normal 2-6

• Cardiac output 3.9 Normal 4-8 L/min

• Cardiac index 1.8 Normal 2.5-4.0

What is the diffenfential diagnosis. Please do not chose hypovolemia?

What treatment and management will this patient being on?

What patient education will you provide for your patient?

What is Norvasc used for? what are the side effects? What is the black box warning on Norvasc?

Please use resources that are less than five-year-old. Thank you. Differential diagnosis Essay

Atomic structure – principles of chemistry and study of biology

Chapter 2 : Chemistry

Relate major principles of chemistry to the study of biology

Understand atomic structure

Compare and contrast the major chemical bonds involved in important molecules and compounds

Identify the major macromolecules that make up living organisms carbon,oxygen,nitrogen,hydrogen

Explain the importance of the function of each of the four major macromolecules

Carbs-Primary fuel for organisms (CONTAIN CARBON,HYDROGEN,AND OXYGEN)

Lipids- store energy, (hydrophobic, hydrophilic, nonpolar, don’t dissolve in water, phospholipids-most important factor in the cell membrane hydrophilic heads and hydrophobic tails)

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Proteins- body building macromolecules-help fight invading microorgnaisms,control cell activity and some hormones, allow muscle contraction, heart pumping,sperm swim,carry molecules such as oxygen around the body –Amino acids (20) strung together to build up a protein, enzymes are proteins that speed up chemical reactions. atomic structure – principles of chemistry and study of biology.

Nucleic acids- store information on how to build and run a body. There are two types-Deoxyribonucleic acid (DNA) – DNA holds the genetic information to build an organism.

Ribonucleic acid (RNA) – RNA is a universal translator, reading DNA and directing protein production.

Both play central roles in directing the production of proteins

The information in a molecule of DNA is determined by its sequence of bases.

Adenine, guanine, cytosine, and thymine

 

Compare and contrast DNA and RNA  :

RNA differs from DNA in 3 ways: The sugar molecule of the sugar-phosphate backbone

Single-stranded

Uracil (U) replaces thymine (T)

atomic structure – principles of chemistry and study of biology

CAUTI PICOT – Qualitative Research Critique and Ethical Considerations

Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Refer to the resource ”Research Critique Guidelines” for suggested headings and content for your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

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PICOT Statement:

For hospitalized adult patients (P), does use of the CAUTI Bundle/Guide (I) compared with CAUTI without the use of Bundle/Guide (C) reduce the rate of CAUTI (O) within 180 days of process improvement implementation (T)? CAUTI PICOT – Qualitative Research Critique and Ethical Considerations