Nursing Care Plan for Breathing and Controlling Body Temperature

Case study

You are the nurse looking after Kyle, a 2 year old male admitted to the

Paediatric ward with whopping cough. He currently has symptoms of

rhinorrhea (runny nose), red, bloodshot eyes, a temperature of 37.9 degrees

Celsius and a paroxysmal cough (repetitive, forceful coughs). Kyle

appears lethargic and apathetic.

Instructions: Structure your assignment so that it meets the following

requirements: You may use headings.

Introduction. (approx 250 words). Serves as a “map” of the essay,
outlining to the reader the key points contained in the body of the work.

Discussion of Activities of Living (AoL’s) related to the Case Study –
Breathing and Controlling Body Temperature (approx. 600 words)

Discuss how the AoL’s of breathing and controlling body temperature have

been altered for Kyle. Your answer must include the following:

An overview of how the two AoL’s may be affected
How you would assess Kyle in relation to the the two identified
AoL’s

How you would initially prioritise Kyle’s care needs and then treat
his symptoms

Nursing Care Plan. (approx 400 words). Using the Nursing Care Plan
provided identify one issue related to either breathing or controlling body

temperature that has arisen from the case study. From this issue students

are required to formulate a plan/goal for improving this issue, identify

strategies for meeting the plan/goal and then discuss what evaluative

measures will be taken to determine if the plan/ goal was met.

Conclusion (approx 250 words, start a new paragraph). Summarise the
key points expressed in the body of the work, as well as the key learning

from your research.

The Impact of Ethnicity on Antidepressant Therapy Essay

Major depressive disorder is one of the most prevalent disorders you will see in clinical practice. Treatment for this disorder, however, can vary greatly depending on client factors, such as ethnicity and culture. As a psychiatric mental health professional, you must understand the influence of these factors to select appropriate psychopharmacologic interventions. For this Discussion, consider how you might assess and treat the individuals in the case studies based on the provided client factors, including ethnicity and culture. The Impact of Ethnicity on Antidepressant Therapy Essay.

Case 3: Volume 1, Case #29: The depressed man who thought he was out of options

To prepare for this Discussion:

Examine the case study and Take the pretest for the case study.
Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office. The Impact of Ethnicity on Antidepressant Therapy Essay.
Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).
Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.
Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.
Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.
Review the posttest for the case study. The Impact of Ethnicity on Antidepressant Therapy Essay.
ACTUAL ASSIGNMENT
PLEASE Addressed each of the following numbers with a subtopic, all the references used must have an in-text citation in each paragraph. All Articles used should come from USA and must be within last five years only that is from 2014 to 2018. Please do not begin a paragraph with author name(s) (PLEASE USE parenthetical/in-text citations). The Impact of Ethnicity on Antidepressant Therapy Essay.

Post a response to the following bullets

Provide the case number in the subject line of the Discussion thread.
List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used. The Impact of Ethnicity on Antidepressant Therapy Essay.
List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?
If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations. The Impact of Ethnicity on Antidepressant Therapy Essay.
References/Resources

The Impact of Ethnicity on Antidepressant Therapy Essay. Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

–Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

–Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. The Impact of Ethnicity on Antidepressant Therapy Essay.

Chapter 7, “Antidepressants”
–Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

–American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. The Impact of Ethnicity on Antidepressant Therapy Essay.

–Howland, R. H. (2008a). Sequenced treatment alternatives to relieve depression (STAR*D). Part 1: Study design. Journal of Psychosocial Nursing and Mental Health Services, 46(9), 21–24. doi:10.3928/02793695-20080901-06

Howland, R. H. (2008a). Sequenced treatment alternatives to relieve depression (STAR*D). Part 2: Study outcomes. Journal of Psychosocial Nursing and Mental Health Services, 46(19), 21–24. doi:10.3928/02793695-20081001-05

Yasuda, S.U., Zhang, L. & Huang, S.-M. (2008). The role of ethnicity in variability in response to drugs: Focus on clinical pharmacology studies. Clinical Pharmacology & Therapeutics, 84(3), 417–423. Retrieved from https://web.archive.org/web/20170809004704/https://www.fda.gov/downloads/Drugs/ScienceResearch/…/UCM085502.pdf The Impact of Ethnicity on Antidepressant Therapy Essay

SOURCE SELECTION STRATEGY

Learning Objectives
To understand:
 the concept and relevance of strategic cost management;
 the basis of price management;
 the leveraging of supplier costs of production and delivery;
 the concept of the total cost of ownership over the product life cycle;
 the scope for collaborative strategic cost management (target pricing and cost
sharing) along the supply chain; and
 the relative advantages and disadvantages of different approaches to supplier
selection.

To select the appropriate source of supply the buyer must first consider the specification,
quality and quantity of the requirement, the price to be paid per unit of the deliverable
and the delivery schedule. All these elements are interrelated and, in particular, the cost
and quality of the deliverable are likely to depend on the number of potential suppliers
and how they are engaged by the buyer in sourcing the requirement. When two or more
suppliers vigorously compete for the supply, the quality of the deliverable could easily be
assessed by the buyer, and the latter may switch costlessly between the sources of supply,
it is reasonable to expect that the forces of in- and for-the-market competition between
suppliers will ensure that the buyer gets a good deal, i.e., the supplier tasked with the
delivery has a strong incentive to minimize the unit cost of production, keep profit
margin at the minimum and avoid the temptation to chisel at the quality or let the delivery
schedule slip. But, the sourcing strategy cannot simply rely on the efficiency of market
forces when the choice of suppliers is limited, perhaps restricted to one, the quality of the
product cannot be easily determined and is not immediately visible to the buyer, and
there is no direct visibility of the cost of production and the drives of delivery schedule.

Thus, the development of an efficient sourcing strategy must start with an investment in
better understanding of the cost of supply, the development of Should-Cost approaches,
and the analysis of factors that could induce the supplier to take advantage of the
asymmetric knowledge between the parties and market forces that would not be able to
ensure that the forces of active competition and contestability (potential/latent
competition) deliver a reasonably efficient deal for the buyer. Thus, the first part of this
Topic (sections 7.1-7.5) draws on MHGP, ch. 11. Section 7.6 refers to other readings in
1
the context of source selection strategy and tactics. Students are also asked to re-read
MHGP, ch. 10, which deals with worldwide sourcing of supplies. For another perspective
see L&F chs. 11, 14 and Baily et al (2008), ch. 9: 225-239.
7.1 Strategic Cost Management

Strategic cost management involves the scoping of opportunities for reducing the
cost/price of procured items while securing the desirable quality, timeliness and
dependability of supplies. How this is done varies along the supply chain depending on
the positioning of the firm of interest (focal firm) in the sequence of value-adding
activities, the firm’s market power relative to that of its suppliers and the competitiveness
of various segment of the chain, particularly its final (end product) segment. The focal
firm may be positioned downstream in the supply chain, in which case it is likely to
source intermediate products that are already quite complex (elaborately transformed), or
it may be an upstream producer that buys relatively simple inputs from its suppliers.
Inter-firm supply chain
Upstream direction of flow Downstream
Primary
Inputs
Support Activities (HRM, IT, Technology, Administration)
Inbound and Outbound Transport and Storage
Firm A
End Customer
Firm B Firm C Firm D
Procurement, R&D, Design, Production, Waste Disposal,
Marketing, Sales, Distribution
Figure 7.1 Inter-firm supply chain
Focal
Firm
ACSC 2006

Figure 7.1 was first shown in Week 1 as Figure 1.2. It is now used as a framework for
the discussion of different approaches to strategic cost management. For example, if the
2
Final
Outputs
After-sale
Product
Support
and
Disposal
focal firm in the Figure is Firm D, it may try to influence the cost of sourcing its inputs
from its upstream supplier C. If it has the market power to influence prices charged by C,
it may use it aggressively to demand deep price discounts. Alternatively, D may decide to
collaborate with C to reduce the latter’s cost of production and to share the cost savings
between the two firms. If Firm D has the market power to influence prices, schedules and
product specification upstream in the supply chain, it may also try to ‘lean on’ upstream
producers such as Firm B and force them to lower their prices. Alternatively, D may
initiate cross-company collaboration with C and B, in which case strategic cost
management may become a collaborative effort between the three companies. This is
discussed in more detail in Exhibits 11.1-11.4 in MHGP: 413-415.
The collaborative cost management will be revisited later in this topic. First, consider the
scope for non-collaborative management of supply prices and costs by the focal firm. As
MHGP observe, “Evaluation of a supplier’s actual cost to provide the product or service,
versus the actual purchase price paid, is an ongoing challenge within all industries” (p.
411). Thus, procurement specialists must understand and take advantage of the principles
of price and cost analysis. To facilitate this understanding, the authors distinguish
between:
 price analysis – “the processes of comparing supplier prices against external price
benchmarks, without (our italics) direct knowledge of the supplier’s costs”;
 cost analysis – “the process of analyzing each individual cost element” to
determine the actual production cost; and
 total cost analysis – the analysis of the total cost of the end product by focusing
on all costs incurred by different organisations that add value to the product along
the supply chain (op. cit.: 411-412).

Sections 7.2-7.4 briefly discuss these concepts. First, a health warning: the procurement
department should not apply these analytic approaches indiscriminately. It should be
selective in its use of analytic resources, in particular its scarce management time. The
Pareto Principle suggests that the time and effort devoted to price and cost analysis
should be proportional to the importance of different procurement items. For example,
suppose that all items purchased are stratified into three categories, A, B and C, where
 category A acquisitions comprise items which are most valuable or critical for the
focal company but relatively small in number, that is, they account for a large share
of the total value of the acquisition but a small share of the total number of items.
This category may also include items that are cheap to buy but critical for the success
of in-house production activity. To procure these items effectively, the procurement
department should use tight control and detailed analysis of supply costs and prices,
detailed price forecasting, continuous monitoring of quantities, prices and costs;
3

 at the other end of the spectrum, category C acquisitions include items that are
standard, widely available, cheap to buy but which account for a large percentage of
the volume (as opposed to the cost) of all acquisitions. These items tend to be
purchased in bulk and there are usually many alternative sources of supply. As they
tend to be supplied competitively, the market ensures that prices tend to be close to
the cost of production and supplier profit margins are small. The purchasing of these
items should best be kept simple and automated. There is not much point in using
detailed pricing and costing analyses as competitive markets ensure that suppliers
provide value for money. However, it may be useful to analyse samples of products to
confirm that sources of supply are competitive and that markets are effective in
delivering value for money. The procurement department should also use simple
demand extrapolation (rather than detailed price forecasting) and maintain reasonable
safety stocks to avoid supply disruptions; and …………………………………………….

AACN BSN Essentials and Your Future Practice (graded) health and medicine homework help

AACN BSN Essentials and Your Future Practice (graded)
Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice. In your post intended to clearly and thoroughly address the topic of this TD be sure to:
For your response to a classmate to further develop that persons ideas select at least one classmate who has written about a different AACN BSN Essential than the one that you selected.

Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession

A self-assessment is an opportunity for you to review what you have learned in the program, evaluate your clinical skills, and develop goals before exiting the NP program. For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness. You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program.
To Prepare:
Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners
Review preceptor and faculty evaluations in Meditrek for all completed clinical courses
Consider your strengths and weaknesses
Review types of patients treated and clinical procedures performed
To complete:
Write a 2- to 3-page paper that addresses the following:
Identify at least three strengths
Explain why you consider these strengths and what you can do to maintain them in your practice
Identify at least three weaknesses
Explain how you plan to address each weakness
Examine at least three clinical skills you need to obtain prior to exiting the program
Explain how you plan to master the clinical skills before exiting NP program
Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession
Readings
American Association of Nurse Practitioners (n.d.). Nurse practitioners in primary care.
Retrieved from https://www.aanp.org/images/documents/publications/primarycare.pdf
Buppert, C. (2015). What is a nurse practitioner? In Nurse practitioner’s business practice and legal guide (5th ed.) (1-16, 33). Burlington, MA: Jones & Bartlett.
This chapter covers the definition of an NP, other names used for NPs, services rendered by NPs, and preparation and license requirements for NPs. It also covers initials used by NPs, areas of practice, legal history, and distinguishing between a nurse practitioner, a physician, physician assistant, registered nurse, and clinical nurse specialist.
CNA, & Nurses Service Organization (2012). Risk control self-assessment checklist for nurse practitioners.
Retrieved from https://www.hpso.com/Documents/Risk%20Education/individuals/NP_RM_Checklist_2012.pdf
Ford, L. C. (2015). Reflections on fifty years of change. FAANP Forum, 6(1), 2-3.
Retrieved from https://www.aanp.org/images/documents/FAANPForum/2015-3.pdf
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). International development of advanced practice nursing. In Advanced practice nursing: An integrative approach(5th ed.) (133-143). St. Louis, MO: Elsevier Saunders. nursing: Leading change, advancing health.
Retrieved from https://www.nap.edu/catalog/12956/the-future-of-nursing-leading-change-advancing-health
Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 et seq. (2010).
Retrieved from https://democrats.senate.gov/pdfs/reform/patient-protection-affordable-care-act-as-passed.pdf

How does expanding into the global context change your analysis?

Legal and Ethic

Legal

Consider an ethical issue faced by American businesses in the international arena. What are the ethical issues involved? If the issue was domestic, what would the proper solution be? How does expanding into the global context change your analysis? Do we have to consider ethics universally or in terms of specific practices within a country?

Please cite a case or news article that contributes to your answer. You do not have to agree with the result or the analysis in the article.

Critical Decision Making For Providers

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media (http://lc.gcumedia.com/hlt307v/allied-health-community/allied-health-community-v1.1.html)

In a 800-1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:

1. What were the consequences of a failure to report?

2. What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments?

3. As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?

Prepare this assignment according to the APA guidelines

In addition to your textbook, “The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment.

Medication Errors

Medication Errors

One of the topics covered in Unit II is how and why medication errors occur and the best prevention methods. In this Article Critique, you will investigate this issue further.

Using the CSU Online Library, research and critique an article that covers an instance of a medication error. Your article should be recent (within the last five years,) and your critique should include the following:

 An introduction

 A summary of the article’s main points

 The reason for the error

 Consequences of the error

 A paragraph of how you can learn from this article

Your assignment must be in APA format and approximately two pages in length (not including the title and reference page.) Be sure to cite all paraphrase and quotations appropriately.

For more information regarding how to write article critiques, click here to view the Success Center’s webinar on the subject.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

Anatomy & Physiology Research Paper/Rheumatoid Arthritis

Anatomy & Physiology Research Paper/Rheumatoid Arthritis/ 6 Journal Articles/Endnote References/Follow Rubric/ APA Referencing Style

Format Instructions:

➢ Length – 3- 4 pages – (not including a References and Cover Page)

➢ Double-spaced, size 12 font, margins 1” left, right, upper and lower.

➢ Use the APA format for references, there are instructions in the College Library for your information.

➢ Cite all borrowed language in quotations (not more than 10% of your paper)

➢ Research must include 6 different sources – not more than 3 internet sources

➢ Bibliography / Reference Page should be in “end note” format

You are required to write a critical analysis of the disease of your choice.

Included in this analysis, you will need to explain how the disease you chose affects the various body systems where relevant.

The following relevant and concise information must (if pertinent) be included in your write up.

▪ Name of disease

▪ History of the disease

▪ Description of disease

Anatomy of the system(s) involved

▪ Effects on other body systems

▪ Cause of disease

▪ Signs and symptoms

▪ Diagnosis of the disease

▪ Complications, if any

▪ Treatment and side effects

Conclusion should include the following:

▪ Brief mention of current or proposed research that may significantly impact the disease.

▪ Prevention strategies if any

▪ Your insight / opinion

 

NOTE: you must focus on the anatomy & physiology of the disease/disorder. Cover the normal anatomy & physiology of the organ system affected and then state what the disease/disorder does to this organ system, and other organ systems. In other words, if you are picking tuberculosis, I do not want you to go too much in detail about the bacteria that causes it but how the bacteria escape our body’s defenses and what the bacteria do to the lungs, bones, etc.

For Farhatullah Only

Respond to this post in 50 word

Taxonomy is a way that scientists classify living things. This classification system is also known as the Linnaean system. Named after a Swedish botanist called Carl Linnaeus. The order of classification is as follows: domain, kingdom, phylum, class, order, family, genus, species and subspecies. A common species that most people are familiar with is the dog or Canis lupus.

Respond to this post in 50 word

Systematics had its beginnings during the fifteenth and sixteenth centuries as a part of renewed general interest in the natural world. In the eighteenth century, the binomial or two-name system was introduced, which has persisted until present day. The binomial consists of two parts which are the name of the genus and that of the species. Additional categories of classification were added in the nineteenth and twentieth centuries. Genera are now grouped into families; and those families into orders; and those orders into classes; and those classes into phyla or divisions; and phyla and divisions into kingdoms being the major division use in biological classification. (Rye, Wise, & Jorokovski, 2017, Chapter 20, Phylogenies and the History of Life).

Rye, C., Wise, R., & Jorokovski, Vladimir. (2017). Biology. Retrieved from The University of Phoenix eBook Collection Database.

Name one autoimmune disorder. How does it affect the immune system? Do you know someone who has an autoimmune disorder? How does it affect his or her life? 50 words