Discussion Post-Chronic Renal Failure

Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation.

  • What are the criteria to be placed in the transplant list?
  • What options for transplantation does Mr. Rojas have?
  • What recommendations can you give Mr. Rojas on treatment compliance?
  • What other renal replacement therapies could Mr. Rojas be educated about?
  • What are their advantages and disadvantages?

Must be at least 250 words. 

see below

see below

Theory Logic Model for hypertension in homeless

Please see the attachment for instructions

Discussion Post-Political Issues for Nursing

 

Go to the ANA home page and search for their Advocacy Policy. Read through the ANA Advocacy Policy’s web pages.

Look at issues at a federal, state, or local level for which the ANA is advocating change or new policies.

Which one are you most eager to see enacted? Why does it interest you? How will passage of such legislation affect you or your patients?

https://www.nursingworld.org/

DISCUSSION REPLIES

Respond to at least four colleagues post. Choose colleagues with different life experiences and beliefs from your own (holistic and patient centered approach are my own), and contrast how these factors have shaped their philosophies compared with yours. Also comment on their goals for expanding their experience, practice, and social change advocacy with suggestions or guidance based on your experience. Be specific and provide examples.

Reply

Hello Professor and Class, 

In Eukaryotic cells are found in plants, animals, fungi, and protists. In the Eukaryotic cells the nucleus is what is found in them. The nucleus is a compact sphere that is the most prominent organelle in eukaryotic cells (Cowan 2020 pg. 115).  The nucleus is what is called a “control center” and it is what protects the DNA. 

The DNA in eukaryotes is stored within the nucleus, while DNA is stored in the cytoplasm of prokaryotes. Additionally, DNA in eukaryotic cells is stored in double-stranded chromosomes that are condensed by histones (Tarantino).  This would contain the cell’s genetic information and controls the cell’s growth and reproduction.

Cowan, M. K., & Smith, H. (2020). Microbiology: A Systems Approach (6th ed.). McGraw-Hill Higher Education (US). https://ambassadored.vitalsource.com/books/9781260451290Links to an external site.

Tarantino, C. (n.d.). Eukaryotic Cell:What Is It, Difference from Prokaryotic Cells, and More. Osmosis From Elsevier. https://www.osmosis.org/answers/eukaryotic-cellLinks to an external site.  

Reply

reply

Week 1 Discussion: Social Factors

I live in Lady Lake, FL. According to the U.S. Census Bureau in 2022, the city of Lady Lake’s population was 16,661, the median income was $42,088, and the percentage of people living in poverty was 14.0% (U.S. Census Bureau, 2022). The grocery store that I usually shop at and that is local is called Winn-Dixie. The Winn-Dixie I went to was located in Lady Lake FL. I did my research when I went grocery shopping yesterday and gathered the prices of the following, all were non-organic.

· 1 gallon of milk: $ 4.19 (whole milk)

· 1 loaf of bread: $4.19 (butter bread)

· 1 bag of apples (including price per pound): $5.99 (for a 3lb bag) /$2.39 per pound.

· 1 bag of carrots: $2.39 (baby-cut carrots)

· 1 large container of yogurt: $5.99 (Greek yogurt 32 ounces)

· 1 2-liter of soda: $1.49 (liter of coke)

· 1 bag of chips: $5.99 (bag of Doritos)

· 1 package of cookies: $4.19 (Chips Ahoy)

When it comes to buying groceries there are several social factors that could impact what groceries are purchased. Poverty levels can impact what groceries are purchased due to limited income. Those with limited income and are considered to be “in poverty” will rely more on cheaper and more affordable food options.  According to the US Department of Health and Human Services, “Low-income groups tend to rely on foods that are cheap and convenient to access but are often low in nutrients” (U.S. Department of Health and Human Services, n.d.).Cheaper food options may not be the most nutritious or healthy. Also, those who live in poverty might rely more on food that is processed and packaged, these foods will last longer helping them get the most out of their money.  We can look at what is gathered above, yogurt is $5.99 and will not last as long as cookies which is $4.19.

The second social factor that could impact what groceries are purchased would be availability. When grocery stores have a wide variety of fresh fruits and vegetables it can be easier for people to select those healthier options and incorporate them into their diets. If the grocery stores do not have these items readily available, then customers may be led to frozen processed fruits and vegetables. Availability and assortment are important for those who may not have the money or accessibility to other sources of fresh produce.

A community health nurse could use outreach as an intervention to address areas of food security. According to our book,
Community/Public Health Nursing, the definition of outreach is, “locates populations of interest or populations at risk and provides information about the nature of the concern, what can be done about it, and how services can be obtained” (Nies & McEwen, 2022). The community health nurse should focus on the poverty population recognizing that they are at risk for food security and reach out to them. Once information is gathered the CHN can then do further research on how we can help those in need and provide them the services they may need.

References

Nies, M., & McEwen, M. (2022).
Community/Public Health Nursing. Elsevier Health Sciences.

U.S. Census Bureau. (2022).
U.S. Census Bureau. Retrieved from https://www.census.gov/quickfacts/fact/table/ladylaketownflorida,US/PST045222?

U.S. Department of Health and Human Services. (n.d.).
U.S. Department of Health and Human Services. Retrieved from Access to Foods That Support Healthy Dietary Patterns: https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/access-foods-support-healthy-dietary-patterns#:~:text=Low%2Dincome%20groups%20tend%20to,are%20often%20low%20in%20nutrients.&text=Fresh%20fruits%20and%20vegetab


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Health Assessment

 

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each

Hinduism


Hindu Deity Discussion

Discuss the following:

It is said that there are over 

330 million gods and goddesses
 within the Hindu religion and each god/goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting 


2 different Hindu gods/goddesses

 of your choosing that you would be interested in learning more about.

For each selected Hindu deity, you must provide the following:

1.
Name and Title (Ex: Vishnu, God of Preservation)

2.
Image of the deity

3.
Brief explanation of why you chose that specific god/goddess. Below are some examples of this:

· Maybe that Hindu god/goddess reminds you of a Christian saint or biblical character who is the Catholic patron/patroness of a particular human endeavor, career field, or avocation that somehow pertains to you.

· Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music

· Maybe you found the specific image of that god/goddess intriguing.

· Maybe there is a pop culture reference to the deity.

· Ex: TV series, movie, book, video game, etc.

4.
Deity in Scripture

· Summarize a story from the Hindu scriptures in which that the deity plays a major role.

· This can be their origin story or another important story about the deity.

5.
Relationship to other Hindu Deities

· How is this specific deity related to at least 

2 other Hindu deities?

· Ex: Is the selected deity a mother/father to another deity or possibly a husband/wife of another deity?

6.
Imagery & Symbolism

· Explain the traditional symbolism associated with the selected deity.

· Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them

 

Submission Instructions:

·
Your post should be at least 200 words. You must include all of the required elements within your post.

Websites for assistance in selecting specific Hindu gods/goddesses:

·

BBC: God or Gods?Links to an external site.

·

Hindu GalleryLinks to an external site.

·

Hindu Gods and GoddessesLinks to an external site.

·

Information on HinduismLinks to an external site.

·

Ten of the Most Important Hindu GodsLinks to an external site.

NB: No direct quotation

methology

Week 2 Methodology

· Points 75

 This week, you will submit the methodology portion of your project. In this section, you will explain your proposed research design and the foundation for your data collection. While you will not collect data for your study, you will be expected to explain how you would implement your study. 

In your methodology section, include the following: 

Statement of purpose

· What was studied and why? 

· The population studies (if appropriate) and how they will be selected for the study

Description of the methodology

· Is your study qualitative or quantitative and why did you choose this method? 

· If you chose quantitative, is your study:

· Descriptive, correlational, quasi-experimental or experimental and why?

· If you chose qualitative, is your study:

· A case study, grounded theory, phenomenology, ethnography, or historical study and why? 

· What other methods were considered but discarded? 

Data collection

· How will you collect the data that correlates to your research method?

· What are the factors that influence this data collection choice? 

· Identify and explain the data collection instrument and if they are published instruments or created by the researcher. 

· Where will the data be collected and who will collect it? How will it be recorded? 

· How is the data collection connected to the research questions? 

· What is the plan for data analysis? 

Trustworthiness

Describe how you will ensure your study is trustworthy: 

· Qualitative: Explain strategies for credibility, dependability confirmability, and transferability. 

· Quantitative: Explain strategies for internal and external validity, reliability, and objectivity

Your methodology section should be 8–10 pages with cited references and support from your research. 

Review the rubric for grading criteria.

Points Possible: 75

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