Medications for people whose prognosis is terminal

Medications for people whose prognosis is terminal
Medications for people whose prognosis is terminal

We shouldn’t be spending money on medications for people whose prognosis is terminal

Opinion piece, in support of the “assignment topic”

Needs to be written as if someone in last year of high school had written it

at least 550 words

NO REFERENCING REQUIRED

NEEDS TO BE PLAGIARISM FREE,

NEEDS TO HAVE QUOTES AND STATISTICS

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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Chronic bacterial sialadenitis Assignment

Chronic bacterial sialadenitis
Chronic bacterial sialadenitis

Chronic bacterial sialadenitis in a a patient with Sjogren syndrome

CASE REPORT TEMPLATE
Topic: Chronic bacterial sialadenitis in a a patient with Sjogren syndrome
Case report must have a reference list.
Word limit is 1000 words, excluding references. References must follow the APA referencing style.

TASK
You will be allocated a health condition for a fake patient which has the potential to impact on their oral health. You are required to write an in-depth case report using the template provided below.

The template provides key subheadings, so that the information can be clearly ordered. You will be assigned a case of a fake patient who assumingly presents to you for the first time with an undiagnosed lesion or a new manifestation related to a pathology and/or a medical condition which may impede, impact or interact with the treatment you can provide. The information on the assigned case will be very brief. You need to add on (or make up) the other details to be consistent with the findings in the case.

You are required to write a case report which identifies the fake patient, outlines the reason of attendance, describes the medical, social and dental history, summarises relevant examination findings, states investigations required, provides differential diagnoses, formulates a preventive strategy and a phased treatment plan considering the OHT scope of practice and the needs for referral and comments on prognosis.

The case report should lastly contain a discussion section that describes the merits of the health condition, justifies the appropriate preventive strategies and treatment modalities and describes the impact of the patient’s age/stage of development, educational, socio-economic, cultural background and application of the OHT scope of practice . Your care plan must consider the patient’s psycho-social determinants of oral health, in particular, relating these determinants to the way you plan your clinical care and plan your home-care preventive strategies and how these should be implemented. In the discussion section you should also demonstrate effective use of recent literature which supports your treatment plan and preventive strategies.
You will be free to change the patient’s demographic details, symptoms or examination findings to suite the health problem / pathology assigned. However, all demographic details, symptoms and examination findings should be coherent and consistent with the health problem / pathology.

Important notes
o Remember: you act as if you are the first clinician to identify the assigned condition and write the case report accordingly (unless it is indicated that the condition was diagnosed).

o No need for unnecessary / irrelevant details. This may produce a lengthy case report that exceeds the word limit. For example, you do not need to present the details of the odontogram if the condition assigned has nothing to do with teeth. For instance, if your assigned condition was a traumatic ulcer at the occlusal plan level caused by a sharp tooth cusp, then you could describe that tooth with some details.
o social history, occupation, socioeconomic status, chief complaint, medical history, dental history, social history, diet, Fluoride exposure, habits, examination findings and investigations. No need to modify irrelevant details / findings. (brief only in table)
o Fill the table below however you want.

Description of personal profile and demographic details
Name Occupation
DOB / / Address
Gender Male Female Social status Single / married / de facto
Ethnicity Socioeconomic status High Middle Low
Other notes

Chief complaint / reason for attendance (one sentence)

History of chief complaint / present illness ( 1-2 sentence)

Medical and medication history (detailed)

Social History (make up)

Diet and fluoride exposure

Dental history
Oral Hygiene Behaviour
Attitude to dental visits
Anxiety / phobia
Past dental history (generally)
Allergies to dental materials / procedures
Complications
Other notes

Habits
Alcohol
Smoking
Recreational drugs
Parafunctional
Other habits

Examination findings
• Extra-oral (only the relevant findings, be careful!) if any related to your condition
• Intra-oral (only the relevant findings, be careful!)
o Soft tissue

Saliva assessment
• Saliva is important in this case as patient have Chronic bacterial sialadenitis with Sjogren syndrome

Investigations (those done and planned to be done)
Radiographs taken Including justification
Radiographic findings
Sensibility tests Results
Blood tests Results
Biopsy Results
Others

Provisional diagnosis / Differential diagnosis

Note: It is advised that patient profile, chief complaint, history, examination, investigations and diagnosis be less than 300 words
Treatment planning (suggested maximum 350 words)
• Preventive strategies (detailed)
• Treatment options (all options possible, ordered from least recommended to most recommended, including the advantages and disadvantages of each option)
• Treatment options agreed upon with the patient (based on socioeconomic status, business, area of residence, compliance…etc)
o It is very important that students understand their scope of practice and highlight the treatment options they will undertake as OHT and those to be done by other dental / medical team members. Referral letters may be enclosed in appendices. References and appendices will not be included in the word count)
• Phased treatment (including preventive measures)
o Visit 1
o Visit 2
o Visit 3…etc
• Prognosis
o Overall prognosis for the chosen treatment plan in light with the prognosis of the condition assigned
o May be structured and stratified depending on the clinical merits / oral structures in association with the assigned condition
o Prognosis of the medical condition (if present)

Discussion (suggested maximum 350 words)
• Description of the Chronic bacterial sialadenitis in a a patient with Sjogren syndrome
o Its clinical oral / dental relevance
o Complications
o Supported by dental literature
• Justification of the preventive strategy
o Supported by evidence based dental literature (important!)
• Justification of the treatment plan
o Supported by evidence based dental literature (important!) why would you do the tteatment plan that you have planned- justification.
• Comments on prognosis
o Supported by evidence based dental literature
• Discussion may also include
o The impact of the patient’s age/stage of development, educational, socio-economic, cultural background and application of the OHT scope of practice
o The patient’s psycho-social determinants of oral health, in particular, relating these determinants to the way you plan your clinical care and plan your home-care preventive strategies
o How these should be implemented.

Description of demographic details, medical and social history, examination findings, investigations and diagnosis

(30 Marks) The description is succinct, comprehensive, well-structured and well-paragraphed. All components are presented consistently and accurately.
Treatment planning & treatment phases

(30 Marks) The plan demonstrates sophisticated, critical, substantial understanding and insight in relation to the implications and recommendations for treatment options. The phased plan is complete and accurate.
Implementation of prevention

(10 Marks) Implementation of prevention demonstrates sophisticated critical understanding and insight in relation to the implications and recommendations for implementing prevention.
Discussion
(justification for treatment & preventive strategies)

(20 Marks) Excellent critical & conceptual analysis; outstanding relevant arguments; subject matter comprehensively and accurately presented; excellent justification related to patient’s developmental stage / age & cognitive ability; relevant reading incorporated effectively. Exceptional and accurate use of references to justify your clinical decisions.

Professional literacy

(10 Marks) Sophisticated level of professional language achieved. Paragraphs succinct with excellent control over grammatical structures, technical vocabulary and spelling. Impeccable referencing in text and reference list in APA style. Outstanding overall presentation

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Intracervical artificial insemination

Intracervical artificial insemination
Intracervical artificial insemination

Intracervical artificial insemination vs. post-cervical artificial insemination in swine

This is only a rough draft. Just need something thrown together quick. Have been out of town and came back the day of without any prior notice of a due date.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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Hematology Case Study Assignment

Hematology Case Study
Hematology Case Study

Hematology Case Study

Henry Jackson Case Study
Using the information from the following case study, answer the questions in an APA formatted paper. APA includes in text citations for any information that is not common knowledge. Included should be a cover page, headings, full English paragraphs, and a correctly formatted APA reference page. The information should be summarized from the resources and not directly quoted. Font, font size, and margin information can be found in the nursing handbook.

Henry Jackson is a 46-year-old man diagnosed with non-Hodgkin lymphoma (NHL) 4 months ago. He finished receiving his third of six chemotherapy courses 5 days ago. Yesterday morning, he was seen at the oncology office for malaise, muscle weakness, and palpitations. He had splenomegaly on examination. A computed tomography (CT) scan of the abdomen showed metastatic disease in the liver and spleen. He is admitted to the hospital with progressive disease. He is accompanied by his husband and their 2 sons age 13 and 15.
Lab work is as follows:
Na 136 mEq/L
K 6.1 mEq/L
Cl 97 mEq/L
CO2 28 mEq/L
Glucose 98 mg/dL
Blood urea nitrogen (BUN) 54 mg/dL
Creatinine 2.7 mg/dL
Ca 6.3 units/L
Total protein 5.4 g/dL
Albumin ) 2.8 g/dL
Phosphorus 4.8 mg/dL
Uric acid 20.7 mg/dL
Total bilirubin 0.8 mg/dL
Alkaline phosphatase 172 units/L
Aspartate transaminase (AST) 254 units/L
Alanine transaminase (ALT) 74 units/L
Lactate dehydrogenase (LDH) 214 IU/L
1. Interpret Mr. Jackson’s admitting BMP panel and fully discuss. Your interpretation should convey a good understanding of the material.
2. Based on these values, which common oncologic emergency is Mr. Jackson experiencing?
3. Describe the pathophysiology of this condition.
4. What assessment other findings would you expect in Mr. Jackson?
5. Your institution uses electronic charting. Based on the assessment described, document your findings by providing a narrative note organized into the following areas: ? Neurologic ? Respiratory ? Cardiovascular ? Gastrointestinal ? Psychosocial
The Complete Blood Count (CBC) is now available:
White blood cells (WBCs) 1500/mm3
Neutrophils 66%
Lymphocytes 16%
Monocytes 15%
Eosinophils 5%
Hemoglobin (Hgb) 8.3 g/dL
Hematocrit (Hct) 23%
Platelets 21,000/mm3 (21 x 109 /L)

6. Based on his lab values, identify and discuss at least three additional problems for which Mr. Jackson is at risk. Provide sourced and referenced rationale
7. Discuss your nursing priorities? Provide sourced and referenced rationale
8. Discuss what would indicate that Mr. Jackson is improving. Provide sourced and referenced rationale to support the discussion.
9. Discuss and provide sourced and referenced rationale on the deeds of the family and how to support the family members.
10. Develop a complete nursing care plan for his discharge needs. You do not have to include the evaluation phase.

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Importance of Medical Debriefing after code events

Importance of Medical Debriefing after code events
Importance of Medical Debriefing after code events

Importance of Medical Debriefing after code events

The journal is an essential tool for the researcher. It is comprised of pertinent, captured quotes from peer-reviewed sources. Researchers identify related peer-reviewed content, conduct a cursory read, identify relevant salient points, enter the comment (Aaha!-moment) within the journal, add key words to each entry, and appropriately cite it using APA format to include page numbers within source. When the research is complete, the journal provides an easy means for pulling together thoughts based upon the keywords defined within each journal entry. In effect, it provides rich, synthesized content to written work students will conduct research during modules 1-3, which will supply content for the research paper due during module 4.

Create a journal regarding the topic which I given above
Conduct a search for a minimum of 3 relevant peer-reviewed articles per week (total of 9 articles by the end of week 3).
Add journal entries that are relevant and expand upon your research topic. As a rule of thumb, a minimum of one journal ed page PER assigned reading chapter, or article. Full or excerpted quotes must be cited per APA: (Author (s), publication date, page number) following each quote – in quotation marks.
Submit/re-submit the journal with new journal entries for each module on or before the due date. Do not create a new journal for each module.

NB . Each peer reviewed article need one Journal page. APA ,0% plagiarism. I am giving the sample journal too. So more than the word count just need to fill 3 page journal with the help of 3 peer reviewed article.

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Disease Care (Diabetes- five ways) Paper

Disease Care
                Disease Care

Disease Care (Diabetes- five ways)

1. Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx

2. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique and include current nursing or healthcare research to support your critique. a. The length of the paper is to be no greater than three pages, double spaced, excluding title page and reference page. Extra pages will not be read and will not count toward your grade.

3. This assignment will be graded on quality of information presented, use of citations, and use of Standard English grammar, sentence structure, and organization based on the required components.

4. Create the review using a Microsoft Word version that creates documents with file names ending in .docx. This is the required format for all Chamberlain documents.

5. Any questions about this paper may be discussed in the Q & A Forum in Canvas or directly with your faculty member.

6. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper- and lowercase, bold, centered). a. Introduction b. Summary of Brochure c. Evaluation of Brochure d. Conclusion

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Administer medication safely Assignment

Administer medication safely
Administer medication safely

Administer medication safely. monitor, and evaluate the outcomes of the medication, both positive and negative

The assignment consists of 3 parts.. part one contain 3 questions to answer, part 2 is a case study reading and answer the questions, part 3 is the case study as well and answer questions

Case Studies

15% of the Final Grade
Due: Week 12 (Sunday April 7, 2019)

Your role as a Developmental Service Worker is to administer medications safely. Another
significant role is to monitor, and evaluate the outcomes of the medication, both positive and negative.

Review the following case studies and answer the questions.

The challenge is “putting it all together” in a way that demonstrates your understanding of various types of medication as well as the various diagnoses. In order to answer the questions, you must research each of the medications, and also have some knowledge of the various diagnoses. Some of your answers will require your creative problem solving, as you may not find the answer in a text. If you can recall some of the classroom discussions, it might be helpful.

To gather information, you will be using the course text, Essentials of Pharmacology for Health Professions, Guide to Drugs in Canada, class notes and power point presentation (week 8); you may also access reliable web sites: Canoe Health, WebMD., Epilepsy Canada, CAMH, (Wikipedia is NOT considered a reliable website.)

Requirements: Typed and professional appearance, with a Title page and Reference page. Good grammar. No spelling errors.

Part 1 – 15pts

1. Explain the following terms and give examples of each;
a) Psychotropic medication
b) Typical and Atypical medication c) Delusion
d) Hallucination
(5 pts.)

2. Give a brief description of;
a. Drug tolerance
b. Drug dependence
(5 pts.)

3. As a DSW, briefly describe in one – two paragraphs how you would ensure an individual with an intellectual disability has consistent support while transitioning onto a new medication. i.e. teaching, protocols (5 pts.)

Part 2 – 25pts

4. Rob sustained a brain injury due to trauma at age 18 months and is now 25 years old. Rob has a moderate (to severe) developmental disability and he has complex partial seizures.

• Rob also has behavioural problems in that he can be aggressive at times. Rob becomes very frustrated when he is told “no” or that he cannot do something that he believes that he can, such as taking the train by himself to Montreal to look after his elderly grandmother.

• In the last month, Rob’s aggression of yelling profanities at staff and threatening them has increased significantly. Rob also has an older sibling who has been diagnosed with a bipolar disorder but does not have a developmental disability.

• Rob was assessed by his neurologist 2 months ago. Due to being seizure-free for 2 years, the neurologist decreased the Depakote (Divalproex Sodium) by 250 mg/day. Rob is due to return to the neurologist for a 6-month follow-up in 4 months’ time.

• Rob eats regular diet, but the foods must be chopped into bite-sized pieces or smaller.

Rob’s Medications include:

Depakote (Divalproex Sodium): 250mg in the morning and 500mg at night.
Ferrous gluconate: 300mg once daily.
Answer the following questions:

a) Identify the drug classification for each medication and suggest the reason why they were prescribed. Is it possible that one medication may have been playing a dual role? (3 pts)

b) Depakote (Divalproex Sodium) is ‘enteric coated’. Explain what that means. (2pts)

c) Write directions for your co-workers as to the best way to administer both of his medications. What times for medication administration would you suggest? Explain how you would use Rob’s input. (5pts)

d) You are accompanying Rob to a routine 3-month follow-up with his primary physician. What information would you help Rob to share with the physician? Explain why. (5pts)

e) What tests do you think the physician should be ordering? Explain why. (5pts)

f) How would you explain the type of seizures that Rob has to a new co-worker. Explain the rationale for not restraining Rob during a seizure. (5pts)

Part 3 – 45pts

5. Paul is 30 years old and has a severe developmental disability of unknown origin. Paul’s living arrangements includes 24-hour support in a group living situation. He has been taking Haldol 1 mg twice daily plus Benztropine 2 mg twice daily for over 10 years.
• Paul exhibits aggression that consists mostly of pinching staff. Staff interprets the pinching to be his way of communicating things he considers urgent. The pinching seems to mean a variety of things such as “you are in my chair”, “I need to go to the bathroom”, “I am ready for dinner”, “I don’t feel well”, “it hurts when I void (pee)”, and it’s really hot in this house”.
• Recently the aggression has increased up in frequency from, once a month to 3 – 4
daily.
• The psychiatrist has decided that due to long term use of Haldol and its apparent ineffectiveness, she has prescribed Celexa 10 mg twice daily to start slowly.
• If effective the Haldol will be slowly decreased and stopped.
• Paul has gained 10 lbs. over the past year and burps frequently during the day, after which he makes a sour face. Why do you think that is happening?
• Paul eats a regular diet, and the residential direct care staff has been known to offer food to temporarily appease him.

Answer the following questions;

a) Identify the drug classification for each medication and suggest the reason why they were prescribed. (6pts)

b) Explain the meaning of the term ‘dual diagnoses. (2pts)

c) What format of the medication would best be suited for Paul? Write directions for your co- workers as to the best way to administer his medication. What times for medication administration would you suggest? (6pts)

d) Explain the rationale for slowly decreasing the Haldol, rather that stopping it abruptly. (3pts)

e) You are accompanying Paul to a routine 3-month follow-up with his primary physician. What information would you help Paul to share with the physician? Explain why. (4pts)

f) What non-medication actions could you use to help Paul to reduce his weight? The weight gain could aggravate his hiatus hernia or a gastro-esophageal reflux which in turn may require management with additional medication. (3pts)

g) Devise a way of monitoring the effectiveness of the new medication. (3pts)

h) What information would you assist Paul to share with the psychiatrist? (3pts)

i) What are Paul’s rights when the physician prescribes psychotropic medication? (4pts)

j) What is the term for the person who could legally assist Paul to make medical decisions? (1pt)

k) Does Paul have the right to refuse to take medication? What action might you take if Paul did refuse to take his medication? (3pts)

l) While you were preparing Paul’s medication, you accidentally dropped a Celexa tablet onto the floor. What actions would you take? (Include how you would dispose of the medication. (5 pts)

m) How would you store each of these medications? (2pts)

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Take medication safely Term Paper

Take medication safely
Take medication safely

Take medication safely ( preventing medication errors)

. Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper
website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx
2. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique
and include current nursing or healthcare research to support your critique.
a. The length of the paper is to be no greater than three pages, double spaced, excluding title
page and reference page. Extra pages will not be read and will not count toward your grade.
3. This assignment will be graded on quality of information presented, use of citations, and use of
Standard English grammar, sentence structure, and organization based on the required component
6. APA format is required with both a title page and reference page. Use the required components of the
review as Level 1 headers (upper- and lowercase, bold, centered).
a. Introduction
b. Summary of Brochure
c. Evaluation of Brochure
d. Conclusion

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Formulation and Hypothetical Poster Presentation

Formulation and Hypothetical Poster Presentation Students this project will allow you to formulate and hypothetically develop your own research project.

Formulation and Hypothetical Poster Presentation
Formulation and Hypothetical Poster Presentation

The purpose of this project is for the student to follow all of the different steps in a research project on an already published article and presented as a poster presentation. A poster session or poster presentation is the presentation of research information by an individual or representatives of research teams at a congress or conference with an academic or professional focus. The work is usually peer-reviewed. Poster sessions are particularly prominent at scientific conferences such as medical congresses.

Students will select nursing research already published and following the article information you will create a poster presentation that includes the below information:

The outline of the poster should include the following tabs (minimum requirements)

Abstract Outline:

-Title of Project

Problem Statement: what is the problem that needs fixing?

-Purpose of the Project

-Research Question(s)

-Hypothesis

Methodology (Qualitative vs. Quantitative)

-Steps in implementing your project

-Limitations

Results (Pretend results)

-Conclusion

-References

Multivitamins in The Annals of Internal Medicine

Multivitamins in The Annals of Internal Medicine Read the following editorial published on multivitamins in the Annals of Internal Medicine and discuss the questions that follow: vitamins.pdf

Multivitamins in The Annals of Internal Medicine
Multivitamins in The Annals of Internal Medicine

Do you agree with the opinion of the editorial? Why or why not? Research on your own and produce a reference that is contrary to this study. Be sure to reference and briefly summarize it. Also, identify the source of funding for the article. For instance, a vitamin manufacturer that pays for research on the product would likely have a “pro-vitamin” stance. Try to avoid these studies, as they are quite biased. A good place to research is through the library website, where peer-reviewed journals are plentiful