Category: nursing

Do you feel that the electronic record is more of a risk to patient privacy than the paper record?

enhance knowledge of the evaluation and management of acute versus chronic presentation of headache.

Case Study Description:
Sally Jones, 45 years old, presents to the primary care clinic with complaint of a headache. She says the headache usually comes when she is at work. She works as an administrative assistant for a chief Executive Officer at a local hospital. The headache is usually generalized and bilateral and most of the intensity of pain is around the neck or the back of her head. Sally says, When the pain comes it is like a tight band around my head. She says the headaches have been occurring more frequently over the past 30 days. Sally takes homeopathic tea she recently bought on her most recent trip to Mexico to visit her family. She does not believe in taking medicine for pain because of the side effects.

What are the pertinent subjective findings? What other questions would you ask Sally to gain more information about her headaches?

Describe the focused physical assessment you will perform on this patient. Provide rationale for conducting the focused assessment and support with peer-reviewed scholarly references.

Identify the diagnostic studies/tests you will order for this patient (if any). Provide scientific, evidence-based rationale from a nationally accepted clinical guideline to justify the diagnostic studies/tests you will order for this patient.

Develop a list of three differential diagnoses for Sallys symptoms. Prioritize the three differential diagnoses from the most serious diagnosis to the least significant diagnosis.

What is the most likely diagnosis based on Sallys history of present illness and chief complaint? Is this condition acute or chronic-provide your justification?

Develop a comprehensive, holistic treatment plan including pharmacologic and non-pharmacologic therapies for this patient taking into consideration Sally health belief and cultural belief practices.

Discuss the difference in your pharmacologic intervention in acute versus chronic presentation. How will your treatment change if your patient is an adolescent?

Cancer Detectives and Molecular Oncologists

Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory
While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients.
Learning Objectives
Students will:
• Compare cognitive behavioral therapy and rational emotive behavioral therapy
• Recommend cognitive behavioral therapies for clients
To prepare:
• Review the media in this week’s Learning Resources.
• Reflect on the various forms of cognitive behavioral therapy.

Assessing and Treating Clients with With Bipolar Disorder
Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with bipolar disorder.
Learning Objectives
Students will:
• Assess client factors and history to develop personalized plans of bipolar therapy for clients
• Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy
• Evaluate efficacy of treatment plans
• Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan