Category: Nursing homework help

Hormonal regulation is an essential mechanism for the body and is responsible f

Hormonal regulation is an essential mechanism for the body and is responsible for maintaining the body’s homeostasis and regulating physiological processes, including growth, metabolism, reproduction, and response to stress. Hormones are chemical messengers released from endocrine glands and delivered via the bloodstream to target tissues. Feedback loops modulate this intricate system —negative feedback predominates—which maintains equilibrium in hormone output (Huether & McCance, 2019). However, dysregulation of hormones can occur due to multiple factors and has severe health implications.
Hormonal dysregulation is primarily caused by continued dysfunction of the endocrine gland. Glandular malfunction is seen in disorders like hypothyroidism and hyperthyroidism. In hypothyroidism, the body produces too few thyroid hormones, resulting in fatigue, weight gain, and depression. Hyperthyroidism, on the other hand, is characterized by excessive hormone production, leading to weight loss, anxiety, and tachycardia. These two conditions demonstrate how an imbalanced state can generally interfere with metabolism and health (Huether & McCance, 2019).
External factors, such as diet, environmental toxins, and stress, also affect it. Chronic stress, for example, causes hypothalamic-pituitary-adrenal (HPA) axis hyperactivation and elevated cortisol levels. Prolonged elevation of cortisol has been shown to play a role in the development of obesity, hypertension, and decreased immune function (Turner et al., 2020). Likewise, exposure to endocrine-disrupting chemicals (EDCs) (such as bisphenol A (BPA) and phthalates) may also bind to hormone receptors and disturb hormone signaling pathways. EDCs have been associated with reproductive disorders, metabolic diseases, and developmental malformations (Gore et al., 2021)
Autoimmune disease is another common cause of the hormonal disruption. Type 1 diabetes mellitus and Addison’s disease are classic examples of immune-mediated destruction of an endocrine gland. 2 Type 1 diabetes is characterized by antibody-mediated destruction of pancreatic beta cells that render the patient unable to release insulin, resulting in hyperglycemia and its attendant complications. Aside from this, Addison’s disease, which is caused by adrenal gland hypofunction, brings symptoms including fatigue, hypotension, and hyperpigmentation (Huether & McCance, 2019).
Thus, understanding hypothalamic mechanisms that govern hormonal rhythms and their dysregulation is essential to designing prevention and treatment approaches. Identifying and treating endocrine disease, improving lifestyle, and reducing exposure to endocrine-disrupting chemicals can early correct hormonal dysregulation. Lastly, new horizons appear with the advent of targeted therapies and bio-identical hormones that could help remove the burden of hormonal changes.
References
Gore, A. C., Chappell, V. A., Fenton, S. E., Flaws, J. A., Nadal, A., Prins, G. S., … Zoeller, R. T. (2021). EDC-2: The Endocrine Society’s second scientific statement on endocrine-disrupting chemicals. Endocrine Reviews, 42(2), 91–150. https://doi.org/10.1210/endrev/bnaa012
Huether, S. E., & McCance, K. L. (2019). Understanding pathophysiology (7th ed.). Elsevier Health Sciences.
Turner, A. I., Smyth, N., Hall, S. J., Torres, S. J., & Hussein, M. (2020). Psychological stress and cortisol during pregnancy: An updated systematic review and meta-analysis. Psychoneuroendocrinology, 122, 104865. https://doi.org/10.1016/j.psyneuen.2020.104865

Describe health and illness practices that may augment problems associated wi

Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients. 
Describe the locus-of-control variable that some Filipino Americans have that may influence health-seeking behavior.
Describe the importance of folk medicine and folk healers to Vietnamese Americans. 
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  

Identify one vulnerable population within a selected community. Explore current

Identify one vulnerable population within a selected community. Explore current literature and related data to understand better the variables that place this population at risk for health concerns and health disparities. Analyze national health directives, such as Healthy People 2030 or another national initiative, to determine the correlation to the vulnerable population’s needs/risks/disparities.
Create a concept map, either neatly drawn by hand or using Microsoft Word, that portrays each element and its relationships. 
Download the Concept Map Summary templateLinks to an external site. to answer the questions related to the concept map scenario. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name. 
Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing. 
Use APA in-text citations and complete references to support your writing.  
Use no more than one short direct quote (15 words or less). 

For this final assignment, you will be tasked to review your work in the Topic

For this final assignment, you will be tasked to review your work in the Topic 3 case study and continue to analyze the case to best determine spiritual care interventions throughout their plan of care. In particular, the focus will be on the Christian application of the four principles, as well as appropriate options in providing a patient with spiritual care.
Based on the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” and reading the topic Resources, complete the “Patient’s Spiritual Needs: Case Analysis” document, in which you will analyze the case study in relation to the following:
Patient autonomy
Christian perspective and actions related to sickness and health, principles of beneficence, and nonmaleficence
Spiritual needs assessment and appropriate interventions for all involved in providing care
Accountability that would demonstrate an ethical manner that reflects professional standards of practice and person-centered care and participatory approach to care
Note: Participatory approach to care calls for involving stakeholders, particularly the participants in a program or those affected by a given policy, in specific aspects of the evaluation process. The approach covers a wide range of different types of participation, and stakeholders can be involved at any stage of the impact evaluation process, including its design, data collection, analysis, reporting, and managing a study.
Also, person-centered care is “empowering people to take charge of their own health rather than being passive recipients of services” (WHO, 2021). This care strategy is based on the belief that patient views, input, and experiences can help improve overall health outcomes.
Support your response using only the following Topic 5 Resources:
Chapter 5 from the textbook Practicing Dignity: An Introduction to Christian Values and Decision-Making in Health Care
“Assessing Spiritual Health Through the Use of Spiritual Health Assessment Tools: Indications for End-of-Life Care”
“Faith-Sensitive End-of-Life Care for Children, Young People, and Their Families”
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
BS Health Sciences
1.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.
BS Nursing (RN to BSN)
9.1: Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.
9.2: Employ participatory approach to nursing care.
9.3: Demonstrate accountability to the individual, society, and the profession.
9.5: Demonstrate the professional identity of nursing.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

 
Find a published research study on a topic that you could use for your DNP pr

 
Find a published research study on a topic that you could use for your DNP project that used a chi-square test and find this information from the study:
Give the purpose/objective/aim of the study exactly as it is written in the study.

What is the population in the study?
What is the independent (treatment or intervention) variable (IV)?
What is the dependent (outcome) variable (DV)? If there are multiple dependent variables, choose only one for the focus of this discussion.
What is its level of measurement (nominal, ordinal, interval, ratio)? Is it a categorical or continuous variable? You can determine this as you read the Methods section of the report for how the DV is measured.

If a hypothesis was stated in the article for the independent t-test, give it here and label it as a Ho or Ha. Write the stated hypothesis as an equation. Write the other hypothesis (the Ho or Ha that was not given) in words and an equation. If a hypothesis was not stated, then restate the purpose/objective/aim as a null hypothesis in words and equation format. Do this for both a null and alternative hypothesis. Again, focus on only one independent variable and one dependent variable. Use the format for the chi-square equation provided on p. 301 of Kim et al. (2022) and the handout attached to the announcement this week.
What are the assumptions for the chi-square test (Kim et al., 2022, p. 301)? Are they met in this study? Provide information given in the study that can be used to determine whether each assumption is or is not met. What information is not given?
What alpha level (level of significance) was used?
What are the groups that were tested?
Give the frequencies for the outcome variable for the groups.
 Give the chi-square statistic and p-value for the difference in frequencies for the DV.
Specifically state the p-value rule for the results of this study to determine whether to reject or fail to reject the null hypothesis.
Based on the decision made about the null hypothesis, what type of error is possible (Kim et al., 2022, pp. 131-132 and Table 7-2)
What are the usual causes of this type of error? Are any of them present in the methodology for this study?
The effect size for chi-square results is reported as a Phi or Cramer’s V statistic (Kim et al., (2022), pp. 308-309. Give this value, if given in the study, and interpret what it means in terms of the magnitude or clinical meaningfulness (clinical significance) of the result. If not given, determine the clinical significance of the difference in frequencies by using your knowledge, critical thinking, and experience with your patients and setting. Would you incorporate the intervention or treatment into your practice? Is your evaluation of the clinical significance of the findings consistent with the statistical significance for the findings and the value of the effect size? Explain your rationale.

 
Knee Pain
A 17-year-old female patient presents to your office complaining of

 
Knee Pain
A 17-year-old female patient presents to your office complaining of left knee pain for one month. She states that the pain is localized to the front of her knee, is intermittent, and occurs with using stairs, prolonged sitting with the knee bent, and running while playing soccer. She does not recall a traumatic incident. She lives in a duplex apartment with her family, with eight stairs into the building and the entrance to her apartment. She plays soccer, and the team practices four times a week for 2 hours, with games on the weekends.
Examination:
Past Medical History: unremarkable
Medication: Advil
Observation: Subtalar joint pronation in weight-bearing; Genu recurvatum
Active Range of Motion: Within normal limits, pain at end-range flexion
Passive Range of Motion: Same as for active
Manual Muscle Testing: Within normal limits, except left quadriceps 4-/5, hip abductors 3+/5, and hip external rotators ⅘
Special Tests: Positive left step-down test (pain and loss of eccentric control); positive left Clarke’s sign; positive left patellar grind test
Other: Decreased left stance time
Address the following questions:
Based on the subjective information only, what are the three most likely diagnoses? Give your rationales for your differentials.
How can you confirm your differentials? 
What are the causative agents?
How would you treat this patient? Include diagnostics, medication, and dosing.

 
Back Pain
Low back pain (LBP) is highly prevalent in the United States and gl

 
Back Pain
Low back pain (LBP) is highly prevalent in the United States and globally, resulting in functional impairment and lowered quality of life. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a non-spinal source; or (4) back pain associated with another specific spinal cause.
Clinical practice guidelines can be powerful tools for promoting evidence-based practice, as they integrate research findings in order to support decision making.

Describe how lifelong learning helps nurses stay up-to-date on the latest medic

Describe how lifelong learning helps nurses stay up-to-date on the latest medical advances and best practices. Explain how emerging fields, such as health informatics, improve patient safety and nursing competency. What are some challenges that nurses face in lifelong learning, and how can these challenges be overcome?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. 

Summarize how professional nursing organizations are using technology to improv

Summarize how professional nursing organizations are using technology to improve networking capabilities for nurses. Describe two emerging technologies that are changing the way nurses access continuing education and professional development opportunities. How can nurses use technology to advocate for their patients and the nursing profession?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Jenny, a 66-year-old retired cook, presents with a vesicular rash on the right

Jenny, a 66-year-old retired cook, presents with a vesicular rash on the right side of her face. She experienced pain on that side 2 days ago, but thought it was just a headache. She has been under a lot of stress lately because she is caring for her husband who has Alzheimer’s disease.
Create a nurse practitioner mini soap note