HEALTH ASSESSMENT

Module 06 Classroom Assignment – Assess and Document

Top of Form

Bottom of Form

Module 06 Content

1.

Top of Form

Conduct an assessment of the following body system: 

· Skin-comprehensive assessment

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Use the worksheet provided in class & Collect both subjective and objective data using the process described in the textbook. Review the Evolve resources & video on Skin located in the Overview tab under Module 6

Write a summary of the assessment and the skills utilized. See the questions below to guide you. Do not disclose any patient identifiers. 

1. What skills (assessment techniques) were utilized during the assessment?

1. What subjective data did you collect? (list your findings)

1. What objective data did you collect? (list your findings

 
APA format isn't required. 

Elder portfolio

I have attached the files below. please answer the questions.

Here is the link for the elder Abuse questions. 

DB

Which part of the module did you think was the least beneficial to your learning? Explain your answer.

Which part of the module did you think was the most beneficial to your learning? Explain your answer.

Post your cost comparison document from Unit 2.

Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications. Respond to two other student posts as per the discussion board rubric.

This is my paper from week 2

Comparing pharmacological alternatives, prescription, and over-the-counter drugs stand out. A good example is “Lisinopril,” a hypertension treatment, and “Ibuprofen,” a painkiller. Consider 10mg “Lisinopril” prescription medication. Both brand-name and generic versions exist. Retail chains, small pharmacies, and internet platforms charge various prices for Lisinopril, which is also affected by geography in the US. In contrast, “Ibuprofen” is an over-the-counter painkiller available without a prescription. Its range of formulas and amounts makes it affordable and widely used. Comparing the generic and brand-name versions of Lisinopril, which have the same active component but cost less, may show the economic benefits of choosing the generic. This comparison between prescription and OTC drugs shows how regulation, accessibility, and cost affect pharmaceuticals. Starting the prescription drugs, Lisinopril is commonly prescribed for the management of hypertension. For a 10mg dose, let us examine the price differences between brand and generic options at different types of pharmacies in different locations in the United States.

Prescription Drug – Lisinopril 10mg (30 tablets)

1. Large Chain Pharmacy – Walgreens (Chicago, IL):

Brand: Prinivil – Cash Price: $45.00

Generic: Lisinopril – Cash Price: $12.00

2. Grocery Store Associate Pharmacy – Publix (Atlanta, GA):

Brand: Zestril – Cash Price: $43.00

Generic: Lisinopril – Cash Price: $10.00

3. Privately Owned Local Pharmacy – Victory Pharmacy (Seattle, WA):

Brand: Qbrelis – Cash Price: $47.00

Generic: Lisinopril – Cash Price: $11.00

4. Pharmacy Associated with Big Box Store – Walmart (Dallas, TX):

Brand: Prinizide – Cash Price: $50.00

Generic: Lisinopril – Cash Price: $9.00

Lisinopril 10mg (30 pills) price among pharmacies and geolocations gives useful information into pharmaceutical cost trends. The study found that generic Lisinopril is much cheaper than brand-name versions at all drugstore types and locations. Walgreens in Chicago sells Prinivil for $45.00 and Lisinopril for $12.00. Zestril, the brand, costs $43.00 at Publix, an Atlanta supermarket store associate pharmacy, whereas Lisinopril costs $10.00. Victory Pharmacy, a Seattle-based private pharmacy, sells Qbrelis for $47.00 and Lisinopril for $11.00. Walmart in Dallas follows this pattern, selling Prinizide for $50 and Lisinopril for $9.00. The consistent price disparity emphasizes the economic logic of adopting generic products wherever available, particularly for financially strapped people seeking cheaper healthcare. This report highlights the significant influence of pharmacy choice on patient spending, pushing consumers to be cautious and aware of the pharmaceutical market.

Over-the-Counter Drug – Ibuprofen 200mg (100 tablets):

1) Large Chain Pharmacy – CVS (New et al.):

Brand: Advil – Cash Price: $10.00

Generic: Ibuprofen – Cash Price: $7.00

2) Grocery Store Associate Pharmacy – Kroger (Houston, TX):

Brand: Motrin – Cash Price: $9.00

Generic: Ibuprofen – Cash Price: $6.00

3) Privately Owned Local Pharmacy – Greenway Pharmacy (San et al.):

Brand: Nurofen – Cash Price: $11.00

Generic: Ibuprofen – Cash Price: $7.50

4) Pharmacy Associated with Big Box Store – Target (Minneapolis, MN):

Brand: Up & Up – Cash Price: $8.00

Generic: Ibuprofen – Cash Price: $5.00

Ibuprofen 200mg (100 pills) pricing across pharmacies and locales reveals an interesting price difference between brand-name and generic choices. This difference highlights the constant benefit of generic versions, supporting the pharmaceutical industry trend. In huge chain pharmacies like CVS in New York City, Advil costs $10.00, and Ibuprofen costs $7.00. Kroger, a Houston grocery store associate pharmacy, sells Motrin for $9.00 and generic Ibuprofen for $6.00. San Francisco's privately held Greenway Pharmacy follows this approach. Brand-name Nurofen costs $11.00, whereas generic Ibuprofen costs $7.50. Even in 'big box' pharmacy sections, Target in Minneapolis perpetuates the idea with $8.00 Up & Up and $5.00 generic Ibuprofen. The constancy of this pattern supports the economic case for buying generic drugs. This decision saves customers money and emphasizes educated consumption. This research highlights how competition and price tactics shape customer choices in the market. It promotes intelligent pharmaceutical selections and cost-effective solutions by encouraging active healthcare expenditure evaluation.

Comparing brand names with generic prescription and over-the-counter medications shows that generics are cheaper across pharmacies. This cost disparity supports educated consumption by choosing generic versions. The results highlight the importance of pharmacy selection in determining medicine procurement costs as individuals traverse the complicated healthcare environment. The long-term trend shows that well-informed healthcare choices may save money and ensure access to excellent treatments.

Treatments for Genitourinary Tract Disorders

  1. Describe urinary tract infection, causes, symptoms and treatment
  2. Discuss treatment for benign prostatic hyperplasia
  3. Describe overactive bladder, causes, symptoms and treatment 
  4. Treatment options and recommendations for different STIs (Chlamydia, Gonorrhea and Syphilis)

week 5-5550 replies

Reply to two other student posts with a reflection of their response.  Please make sure to provide citations and references (in APA, 7th ed. format) for your work. (300 words minimum)

Nutritional Principles in Nursing

Discuss dietary concerns and barriers for an older adult to maintain appropriate nutrition levels. Identify the types of concerns and barriers they may encounter. Include two client teaching and nursing interventions for prevention of nutritional deficits as well as the consequences of inadequate nutrition and hydration.


Case Study

 Scenario/Summary

Adam and his family decided to take a trip to the mountains for the weekend in late February. They had a small cabin and looked forward to a weekend away from the big city. The family had a wonderful time together on Saturday morning hiking in the woods and enjoying nature. However, Saturday afternoon a storm rolled in bringing snow and subfreezing temperatures.

Since the heater in the cabin wasn’t working well, Adam’s mother and sister decided to drive into the nearest town to spend the night. Adam and his father, not being sissies, stayed at the cabin where they started a gas heater to keep them warm.

The next morning Adam’s mother and sister returned to find both Adam and his father unconscious. An ambulance was called and they were both transported to the nearest hospital. Adam had arterial blood gases drawn with the following results:

pH 7.2
PaCO2 31.4,
PaO2 40.7 mmHg
His oxygen saturation was 72%. Adam was diagnosed with carbon monoxide poisoning.

Deliverables
Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

With respect to hemoglobin loading, please explain the relationship between binding of oxygen (O2) and carbon monoxide (CO) to the hemoglobin molecules.
During the ambulance ride, a pulse oximeter showed 100% O2 saturation. Why is that different from the 72% measured at the hospital?
One course of treatment is a hyperbaric oxygen treatment. How does a hyperbaric chamber work?
Adams blood work shows him to be in an acidosis (normal blood pH is 7.35-7.45). Explain how this will shift the hemoglobin dissociation curve and why. 

Community public health

 Give an example of community health needs assessment (CHNA) data from Annapolis family support center. Identify what their top findings were.  

What classic signs and symptoms did Mr. Jones experience which would indicate myocardial infarction (MI)?

Case Study #1 – Cardiac

 This case study is meant to be completed individually.  Please place questions and answers into a Word document and upload into the drop box when complete.  APA formatting is not necessary, but you must cite your work and avoid copy/pasting from any source…paraphrase!

Mr. Jones is a 52-year-old obese man with a medical history of gastric reflux and degenerative arthritis.  He arrives at the emergency department with his wife. They had been to dinner and a movie. During the movie Mr. Jones began experiencing excruciating chest pain that radiated to his jaw and left arm.  He appears short of breath and diaphoretic. He reaches the registration window when he suddenly collapses. The nurses place him on a stretcher. He has no pulse, and the monitor reveals ventricular tachycardia.  He was successfully converted to sinus rhythm after one minute of CPR and one defib/shock at 300 joules.

Mr. Jones regains consciousness after his rhythm converts.  He has a blood pressure of 130/92, a heart rate of 112, and a respiratory rate of 24.  O2 is immediately started at 3 liters/minute. Three 18 g IV’s are started, lab work is drawn (CPK-MB, Troponin, CBC, PT, PTT, type and screen & Chem 21) and a 12-lead EKG is preformed. He still complains of chest pain (8/10) and nausea. Sublingual NTG 1/150 gr is given.  The 12-lead EKG reveals sinus tachycardia, a PR interval of 0.24, and 3 mm ST-segment elevation in leads V2, V3, & V4. 

After being admitted to the CCU Mr. Jones complains of chest pain continuing at 8/10. Mr. Jones is given IV morphine 4mg and a nitroglycerin gtt.  This drip was started 10 mcg/min and titrated up every 3-5 minutes until the pain was relieved at 50 mcg/min.  His blood pressure drops to 84/40.  He is pale and diaphoretic.  He is prepared for a percutaneous coronary intervention (PCI) and taken to the cardiac cath lab.

Questions

  1. What classic signs and symptoms did Mr. Jones experience which would indicate myocardial infarction (MI)? What are the specific pathophysiological reasons for each of these signs and symptoms?
  2. What ECG changes indicate myocardial injury? According to the ECG, which coronary arteries were experiencing occlusion and subsequently what area of the heart was being affected? (List the type of change and the coronary artery most often associated with changes in V2, V3, and V4.
  3. What are three things the nurse can do to speed up the time between admission and intervention? 
  4. How is a heparin drip calculated and what is the nurses’ role in maintaining this medication?
  5. If the blood pressure drops while the patient is receiving nitroglycerin, should the nitro be shut off completely?
  6. Why is morphine the drug of choice for cardiac pain?
  7. With this type of MI, an intra-aortic balloon pump may be inserted.  What are the two main functions of the IABP?
  8. What are three differences between CKMB’s and Troponin blood tests?
  9. After the angioplasty and stent placement, Mr. Jones is admitted to the CCU for monitoring.  What are the nursing considerations and assessment priorities for a patient with an arterial sheathe in place?
  10. Once admitted to the CCU, what nursing diagnosis would be the top priority? (The diagnosis must include the “related to” and “as evidenced by”). 
  11. After angioplasty, the patient begins experiencing frequent PVC’s.  What does this indicate and what should be done about it?
  12. If the patient begins to experience chest pain post angioplasty, what is the first thing the nurse should do?
  13. Patient teaching should consist of education about risk factors and lifestyle modifications.  What are three things the nurse could teach Mr. Jones about prior to discharge?
  14. Mr. Jones is going to be discharged on Plavix, Lopressor, Zocor, and Aspirin.  List one teaching point for each of these medications.
  15. Discuss the American Association of Critical Care Nurses (AACN) Synergy Model and how this concept would be important in this patient’s care.