Need Response To Below Discussion

APA format MSN degree 2 pages long with 3 references 2 from walden university library Due Saturday March 23, 2018 6pm EST

Neurological Disorders

Neurological disorders affect people of all ages, every day, and everywhere in the world. Our senses stem from the neurological system, the ability to taste, smell, hear, see, and touch are the main five senses. When one of these senses is affected our body reacts to it, however there are other senses affected such as the vestibular system that tells our body where we are spatially in the universe and proprioception that helps us gage strength, and ability to do the things we do firmly, or gently. This paper will discuss migraine headaches, share how behaviors can influence the headache and affect medications for headaches, share drug treatments, measures that can decrease symptoms, and organizations available that can help give information to patients affected by the disorder.

Pathophysiology of Migraine Headaches

Headaches are common disorders of the neurological system, but they can also signal underlying disease such as tumors, meningitis, or even brain bleeds per Huether and McCance (2017). They further share migraines can last four to 72 hours and a patient must have two documented episodes of criteria such as unilateral head pain, pain that worsens with activity, and the pain must be moderate to severe in nature. Patients must also have one of these criteria such as nausea, vomiting, photophobia, or phonophobia. Migraines can be with or without perceived auras that affect the visual, sensory, or motor pathways. (Huether and McCance, 2017) They further share the trigeminal vascular system is related to migraine pain, through the release of calcitonin gene-related peptide (CGRP), and that migraines have clinical phases such as a premonitory phase where the patient may be tired, irritable, or have a stiff neck. Migraine auras can accompany just before the migraine and can be visual,sensory, or motor. Headache phase such as throbbing pain, on one side but can spread to the whole head, cause fatigue, nausea, vomiting, dizziness and the recovery phase where the patient can experience continued fatigue, irritability or depression. Migraines are wose than general headaches or tension headaches in that the symptoms are worse, last longer, and prevent the patient from doing anything besides heading to a darkened, quiet, room. When migraines become chronic, they are quite debilitating and can require medications to treat them, next we will look at treatments for migraines.

Migraine Treatments

First line treatment in migraines is the salicylates and nonsteroidal anti-inflammatory (NSAIDs) for mild to moderate migraines, with triptan type medications as first line for moderate to severe migraines. (Arcangelo, Peterson, Wilbur, and Reinhold, 2017) They further share second line treatment as over the counter caffeine compounds such as Excedrin when the salicylates and NSAIDS have not worked. If the migraine is severe the recommendation is to add Ergot derivative medications along with an antiemetic if triptan medications are not effective. Finally, is the third line medication treatments when all the above fail Butalbital or other opioids are recommended. Selecting treatment and trying medications can take months to find a combination that works and it is important to let the patient know this and assess if the patient is trying alternative or complimentary medicine practices along with medical science in the treatment of migraines as their can be drug interactions. Most of the medications used in migraine treatment require assessment of the cardiac status prior to use, and are not recommended during pregnancy. Several are affected by CYP3A4 pathways and therefore should not be used with inhibitors in that drug pathway. If a patient fails one triptan type drug another is tried as different medications can work better for some patients than others, the Butalbital and opioids are only used when all else fails due to addictability and the need to taper dosing prior to stopping these types of medications.

Behaviors Affecting Migraines and Migraine Medications

Patient behaviors can have an effect on migraines, too much sleep, too little sleep, alcohol, foods such as chocolate, and tyramine agents like red wine, stress, medications like vasodilators, hormones. Pretty much it seems life in general can be a trigger for some such as lower socioeconomical status, caffeine, smoking, and even loud noises, strong odors, weather, skipping meals, obesity. (Arcangelo, Peterson, Wilbur, and Reinhold, 2017) Often times we get busy with life and forget to slow down and take care of ourselves properly, it seems life is focused on getting ahead, or trying to fit into society rather than the health components that make life more enjoyable, and overall less costly. If one takes care of ones self, there is less expense for medical care and medication in general. Having patients keep a journal of their headaches can lead to triggers that are specific to that patient and this can help head off migraines but also help with finding medications to use specific to that patients condition. Educating on smoking and alcohol cessation, or adjusting diet if known triggers are found can help decrease symptoms and episodes of migraines.

Organizations are available to offer advice and support for patients that suffer with migraines such as the United States Headache Consortium, the Migraines.org which discusses facts and myths of migraines. Coalition for headache and migraine patients or CHAMP is a foundation to discuss migraines, find a cure and support patients and families dealing with chronic migraines.

Summary

While migraines are a disorder, and are neurologically related they can take time to diagnose, treat, and find triggers or behaviors that can affect the onset, duration, and occurrence of migraines. Working with patients to fully assess the type of headache, when it occurs, where it occurs, how long it lasts, how often it occurs, what worsens or alleviates it if anything, what kind of pain it brings such as stabbing, or throbbing, what medications or treaments they have already tried, and how it affects the patients life in that are they able to do anything when the migraine occurs. These are all questions as advanced practice nurses that will help guide diagnosis and treatment for migraine sufferers.

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Please Do A Comment Base In These . Write At Least 140 Words. Academic References Need. Write The References In Each Comment. Please Not Together. References From (2012 -2018 ). Please Read Carefully The Comments. Good Reference Is Important DUE TO REVIEW

The affordable care act, also known as Obama care was moved into place 8 years ago in March 2018. This was passed into law to help the United States citizens receive health care coverage at an affordable price. The main goal of the affordable care act was to have many more citizens covered by health care and meet their medical needs. One of the key points of the affordable care act was to allow easy access for the people to compare prices online, and know they were not going to be rejected for having pre-existing conditions.

Some of the key points of Obama care include: bringing down health care premiums, provides free preventative care, provides access to insurance for the uninsured Americans who suffer from pre-existing conditions, Extends coverage for young adults, prohibits from coverage rejection of children due to pre-existing conditions, improves care for older adults after being discharged from the hospital, and increases access to services at home and in the community.

The nurse’s roles is to educate their patients and ensure that they receive the appropriate care they require. Enforce the need for preventative measures and diagnostic testing. Also inform the patient’s about their bill of rights, such as they are entitled to have full knowledge about anything that involves their care to make an informed decision. For example, recommending and emphasizing the importance of having an annual A1C for a patient who is pre-diabetic.

Comment 2

The Affordable Care Act (ACA) offers numerous positive changes in the course of the reforms of health care. There are some crucial elements about the public and community health such as an ability to get preventative services like mammograms or colonoscopies without copays, secondary insurance or deductibles. Strengthens community health center through the allocation of new funding for the expansion as well as constructing community health centers. Insurance organizations may no longer rescind services if the health care claim is made or even deny coverage to under 19 years children with a pre-existing condition (Rawal, 2016). Now patients may appeal insurance organization decisions as well as the federal grants developed to assist the state set up independent offices which can assist the patients navigate the private health insurance system.

These programs help patients to appeal or file a complaint, get an education regarding their rights as well as responsibilities in individual or group health plans insurance policies as well as enroll in health coverage. The ACA also expands the insurance coverage which impacts how clinical services are offered in public health departments. For instance, the agencies of governmental public health providing clinical services can transfer some cases to private sectors like routine childhood vaccinations. The ACA increased health care providers payment in the rural communities as most of them are underserved since they find it challenging to attract as well as retain medical professionals. Public health service may reach many people through developing programs and services like maternal child health program, home visiting as well as making available specialized behavioral health services to the general population. In the healthcare industry, the ACA is the most significant as it covers every aspect of healthcare including women and children health, mental health, care for most needy people professionals in the country as well as care for seniors. ACA has mandated many important health benefits including; emergency services, maternity/newborn care, addiction treatment, rehabilitation services and devices, pediatric services, outpatient care, hospitalization, mental health services, prescription drugs and preventative services (Rawal, 2016).

Nurses have a role in implementing the ACA law. In the United State, American Academy of Nursing and other Nursing organization have supported the effort of health care system reforms strongly. Nurses are expected to be active in patient care and participating in forums where there is a debate for policy discussion and decision making. Nurses should be involved in health care reforms at the state-wide level, the community as well as individual level (D.R., 2017). Nurses need ACA information to enable them to educate their patients concerning ACA law provisions as well as explain the benefits of it so that they may access both health services as well as insurance coverage.

The Selection Process

The process involved with selecting the “right” employee will differ depending on the requirements of the job. In addition, the culture and expectations of an …

775818 Topic: Public Health Research $15
Field: Nursing
Due: 4 days ago
#775818 Topic: Public Health Research

Number of Pages: 3 (Double Spaced)

Number of sources: 6

Writing Style: APA

Type of document: Essay

Academic Level:Master

Category: Nursing

Critical Thinking 10$10
Field: Nursing
Due: 2 days ago
– This assignment about Saudi Arabia

– Follow instructions in the attached file carefully

– Avoid Plagiarism

– 5-6 pages not including the cover page and the references.

“Pre-Disaster” Planning As A Part Of The Ministry Of Health $7
Field: Nursing
Due: 3 days ago
– This assignment about Saudi Arabia

– Avoid Plagiarism

– Follow instructions in the attached file carefully

– two pages not including the cover page and the references.

D10-Admin$7
Field: Nursing
Due: 3 days ago
– This assignment about Emotional Intelligence

– Avoid Plagiarism

– Follow instructions in the attached file carefully

– 1 page and a half not including the cover page and the references.

Homework W4a2$20
Field: Nursing
Due: 2 days ago
Healthcare For Women
In a 4- to 5-page Microsoft Word document, express your views on the following:

Describe at least three (community, state, or national) organizations that are …

Nursing The Selection Process Paper

The Selection Process
The process involved with selecting the “right” employee will differ depending on the requirements of the job. In addition, the culture and expectations of an organization will have great impact on the structure of the selection process. Where one health care setting might require applicants to participate in group interviews, another might use personality tests. In addition, the qualities for which interviewers look might also vary, ranging from a personality focus to a skills focus.

In this Assignment, you investigate the selection process that is used in a health care organization with which you are familiar. You also identify the expectations of both human resources and the nurse manager in terms of selection.

To prepare

Review Chapter 6, “Selecting New Employees” in the course text, Human Resource Management: Functions, Applications, Skill Development, to examine the various selection processes health care settings and other organizations may employ. In addition, reflect upon the three types of “fit” nurse managers should take into consideration when selecting new employees.
Identify a position that is open or has recently been filled in your organization.
Using what you know about the position, the culture and expectations of the organization, your own hiring and selection experiences, and this week’s readings, investigate the following:
Identify the selection steps that have been or will be taken, as well as the members involved. For example, which steps did human resources complete? In which steps did the nursing manager engage?
Identify the skills, educational and work background, and “fit” required for this position. How do these align with the advertised job description?
Identify any problems or areas that could be improved in your organization’s current selection process. If you were the nurse manager, how would you modify this process?
Note: If possible, you may also choose to discuss these ideas with an HR professional or nurse manager in your organization.
To complete

Submit a 3- to 5-page paper in which you do the following:

Briefly describe the selection process used in your setting.
Identify the team members involved in conducting each step. For example, explain which steps HR performs and which steps managers perform.
Explain how effective you believe the current system is.
Briefly describe any problems (e.g., rushing, stereotyping, “like me” syndrome, halo and horn effect, premature selection) your setting has experienced with this current selection system (if applicable).
Explain how you would modify the process and why.
Identify the job title for the open or recently filled position.
Describe the skills and background a desirable applicant would have.
Describe the type of “fit” that would make this applicant the “right” person for this specific job.
Compare the job description with the expectations of the position.
Explain whether or not the job description aligns with the skills, background, and “fit” needed to excel in this position.
Explain the specific attributes or characteristics you, as the nurse manager responsible for selecting a candidate for the position, might seek that are not specifically outlined in the job description. Describe how you could you elicit this information during an interview.

Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications.

Chapter 4, “Matching Employees and Jobs: Job Analysis and Design” (pp. 120–160)This chapter discusses the importance of matching applicants with the “right” jobs. It highlights topics such as job analysis, job design, and job redesign.

Chapter 5, “Recruiting Job Candidates” (pp. 192–230)Chapter 5 provides an in-depth examination of recruitment best practices. It explores recruitment considerations and challenges along with internal and external factors that can impact recruitment efforts.

Chapter 6, “Selecting New Employees” (pp. 194–226)This chapter explains selection processes that are commonly used to find qualified employees. The authors share many techniques used by HR professionals and nurse managers to select the “right” employee for the job.
Markey, L., & Tingle, C. (2012). Screening RNs: A change in hiring practice. Nursing Management, 43(2), 13–15. Retrieved from the Walden Library databases.

This article discusses the process of hiring to fill a nursing position, with a focus on Baton Rouge General Medical Center (BRGMC). At BRGMC, the interview process has one new addition: behavioral screenings for potential RNs. With this new aspect, interviewees are screened for behavior in clinical practice scenarios, equipment recognition, and skills demonstration.

Identify the causes of Chronic Kidney Disease (CKD) •

uLearning Objectives

By the end of this presentation, participants will be able to:

•Identify the causes of Chronic Kidney Disease (CKD) •CKD risk factors •Management of CKD •Know the effect of CKD on individual, the family, and the community, as well as to all age groups throughout the life span •Know the available resources for professionals and clients •Be aware of at least one health-related organization for CKD uCHRONIC KIDNEY DISEASE uBose Akinseye uWhitney walker uMonzoor Hameed uChronic Kidney Disease

Rationale

uCKD and end-stage renal disease (ESRD) are significant public health problems in the United States and a major source of suffering and poor quality of life for those afflicted uThey are responsible for premature death and exact a high economic price from both the private and public sectors uCKD and ESRD are very costly to treat. Nearly 25% of the Medicare budget is used to treat people with CKD and ESRD (HealthyPeople.gov, 2018). uResources uProfessional resources include up to date education and evidence based research. Reliable resources include: uhttps://www.uptodate.com/home uhttps://www.andeal.org/topic.cfm?menu=5303&cat=4042 u uRelation and Importance:
uMaintaining optimum health and quality of life is important for individuals of all ages. uUnderstanding that chronic kidney disease is not only debilitating, but time consuming is important for the individual and family. u Dialysis is time consuming. Multiple hours a day for 3 days a week doesn’t have to be the course of the individuals life. This also puts a strain on family life and roles. When an individual becomes ill with disease, family roles and dynamics change. uIndividuals diagnosed with CKD need to maintain proper and appropriate diet and avoid strenuous activities. u uRelation and Importance (Contd.): uThe number of patients starting renal replacement therapy (RRT) is increasing. uImprovements in the management of chronic kidney disease (CKD) across communities to alter this trend are a public health priority. With this increasing number health care cost also increases within our community and nation. u In total, stage 2–stage 4 CKD costs Medicare FFS about $49 billion each year! See attached PDF for more staggering cost and effects on the community.

uHow to optimize health:

uEducation:
§Learning about the causes of kidney disease and the prevention is very important in working towards an optimized health. §Diabetes is the most common cause of kidney failure. Diabetes education is essential to prevent Chronic Kidney disease § All racial and ethnic groups have benefited equally from lifestyle modification program mentioned by the Diabetes Prevention Program (DPP) . This program educates individuals and the community on: •Heart & Kidney healthy diets •Weight reduction •Exercise Programs u uHow to optimize health contd. uProper Diet: §Understanding the types of food and beverages that aid good health is very important for patients diagnosed with CKD. §Dietary changes may include limiting fluids, eating a low-protein diet, limiting salt, potassium, phosphorous, and other electrolytes, and getting enough calories and vital nutrients.
§High salt intake is linked to risk factors for both heart disease and worsening kidney function. The key is to limit salt and high protein intake

uPopulation Disparities uMale §According to the National Health and Nutrition Examination Survey (NHANES), 12.1% of males have chronic kidney disease (NKF, 2016). uFemale §According to the National Health and Nutrition Examination Survey (NHANES), 15.1% of females have chronic kidney disease (NKF, 2016). uRace §As of 2013, more than 67.7% of all new end stage renal disease patients were White §26% were Black or African American (NKF, 2016). §14.7% patients identified as Hispanic or Latino (NKF, 2016). §About 0.9% were Native American (NKF, 2016). §Approximately 4.9% were Asian Americans (NKF, 2016). §Less than 0.29% did not identify with the above categories (NKF, 2016). § uCommunity and Professional Resources u Davita offers many community and professional resources for all stages of kidney disease. Davita also offers support groups for patients with kidney disease. The link below is a good source: §https://www.davita.com/kidney-disease/additional-resource uThis community website offers education on financial help for Kidney patients §https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/financial-help-treatment uEducation for the patient and family is vital for them during this life changing process. This website offers education for both §http://www.dpcedcenter.org/patient-family-resources u uHealth Related Organizations uThe National Kidney Foundation

The National Kidney Foundation is the leading organization in the U.S. dedicated to the awareness, prevention and treatment of kidney disease for hundreds of thousands of healthcare professionals, millions of patients and their families, and tens of millions of Americans at risk.

National Kidney Foundation, Inc., 30 East 33rd Street, New York, NY 10016, 1-800-622-9010.

§By Phone/Email §Main Number:
(800) 622-9010
info@kidney.org §NKF Cares Patient Information Help Line
(855) NKF-CARES
(1-855-653-2273)
nkfcares@kidney.org

uThe National Kidney Foundation
uNKF Membership
(888) 564-6653
membership@kidney.org uBy Fax §(212) 689-9261 uBy Mail §National Kidney Foundation
30 East 33rd Street
New York, NY 10016 u uAmerican Kidney Fund
uThe American Kidney Fund is the nation’s leading non-profit working on behalf of the 30 million Americans with kidney disease. uThe mission of the organization is to help people fight kidney disease and live healthier lives. The organization fulfills that mission by providing a complete spectrum of programs and services such as: prevention activities, top-rated health educational resources, and direct financial assistance, enabling 1 in 5 U.S. dialysis patients to access lifesaving medical care, including dialysis and transplantation.

uContact Information for Help
uPatient grants
800-795-3226
patientservice@kidneyfund.org

uKidney health questions/HelpLine
866-300-2900
helpline@kidneyfund.org u uReferences uAmerican Kidney Fund. (2018). About Us. Retrieved from http://www.kidneyfund.org uCDC. (2018). Chronic Kidney Disease (CKD) Surveillance System. Retrieved from https://nccd.cdc.gov/ckd/ uHealthyPeople.gov (2018). Chronic Kidney Disease. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/chronic-kidney-disease uNKF. (2017). About Chronic Kidney Disease. Retrieved from https://www.kidney.org/atoz/content/about-chronic-kidney-disease uNKF. (2016). Demographics of Kidney Disease. Retrieved from https://www.kidney.org/news/newsroom/factsheets/Demographics-of-Kidney-Disease u u

Please Answer Base In This Answer In APA Format .Write At Least 250 Words , Please Answer The Comments By Number And List Your Answers Please, Thank You

1-excellent point you brought about with mother moving into daughters home and there being roll confusion as to who will be the leader. Clear communication and boundaries need to be in place within this family. This family will need to learn their remaining and new roles in order to properly function. The grandmother should still have decision making roles when it comes to some aspects of her personal life. This will give her a sense of control and keep her active in her own care. Decisions rega the childre, their roles and discipline should be between the husband and wife.

2-You mention goals. This is crucial. I have seen many families make decisions that they would not have made if they fully understood the impact of those decisions. “If only we had known that it would be like this.”. Of course, not all situations can be clearly defined or predicted, but reviewing in depth the available information and helping families to understand the process and what to expect is critical to good family function through difficult health situations.

3-Anticipatory strategies should be incorporated into family education. These range from installing equipment (such as a handle in the shower) that may help Ms. Jones with activities of daily living to a living will and an advanced directive for medical care. Anticipatory strategies tie in to the risk factor assessment from last week. What is the family at risk for and what could be implemented to prevent the identified problem from occurring?

Acute Care Presentation

Acute care.

Prepare an 8- to 10-slide Microsoft® PowerPoint® presentation with detailed speaker notes that discusses the health care service provider selected.

Include the following in your presentation:

Identify the selected health care service provider selected.
Identify two additional services and products he or she provides.
Identify the roles of various stakeholders and emerging roles within the health care service provider selected.
Explain how the services and products are financed or paid for.
Identify current and future trends that may have an impact on this provider of health care services.
Cite at least 3 peer-reviewed or scholarly references and your textbook to support your presentation.

Format your presentation according to APA guidelines. Your presentation must include an introduction slide, conclusion slide, and a reference slide.

Practicum Journal: Safe Prescribing

There is probably no greater responsibility that the psychiatric mental health nurse practitioner (PMHNP) assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.

In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state.

Learning Objectives

· Analyze roles of the Drug Enforcement Administration

· Analyze PMHNP responsibilities when issued a DEA number

· Analyze DEA number application procedures

· Analyze state requirements for safe prescribing and prescription monitoring

· Analyze PMHNP responsibilities for safe prescribing and prescription monitoring

· Analyze Schedule II-V drug levels

ASSIGNMENT

To prepare for this Practicum Journal:

· Review the Learning Resources.

In 2-3 pages:

· Describe the role of the Drug Enforcement Administration (DEA) as it pertains to

the Psychiatric mental health nurse practitioner (PMHNP).

· Explain your responsibilities when having a DEA number.

· Explain how you apply for a DEA number.

· Explain your state’s requirements (TEXAS) for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.

· Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

N: B PLEASE INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES LESS THAN 5 YEARS OLD

Learning Resources

Required Readings

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Depression

Premenstrual dysphoric disorder

Seasonal affective disorder (MDD with Seasonal Variation)

agomelatine
amisulpride
amitriptyline
amoxapine
amphetamine (d)
amphetamine (d,l)
aripiprazole (adjunct)
asenapine
atomoxetine
bupropion
buspirone (adjunct)
citalopram
clomipramine
cyamemazine
desipramine
desvenlafaxine
dothiepin
paroxetine
phenelzine
protriptyline

quetiapine (adjunct)
reboxetine
selegiline
sertindole
sertraline
sulpiride
tianeptine
tranylcypromine
triiodothyronine
trazodone
trimipramine
venlafaxine
vilazodone
vortioxetine
doxepin
duloxetine
escitalopram
fluoxetine
flupenthixol
fluvoxamine

iloperidone
imipramine
isocarboxazid
ketamine
lisdexamfetamine
lithium (adjunct)
l-methylfolate (adjunct)
lofepramine
lurasidone
maprotiline
methylphenidate (d)
methylphenidate (d,l)
mianserin
milnacipran
mirtazapine
moclobemide
modafinil (adjunct)
nefazodone
nortriptyline
olanzapine

citalopram
desvenlafaxine
escitalopram
fluoxetine
paroxetine
sertraline
venlafaxine

bupropion

Drug Enforcement Administration. (n.d.). Drug schedules. Retrieved June 14, 2016, from https://www.dea.gov/druginfo/ds.shtml

Reflection Paper For My Capstone

Hi,

I need 2 and half pages of paper in APA format. It should be reflection paper about my feeling of my first week of capstone as a school nurse. I am doing my capstone in a school indistric 15 that have 1200 students : preschoolers through 8th grade.

I want to write this reflection about how i was excited and at the same time a little nervous because i had no idea what should i expect. i found it so interesting since patients all were adorable, even sometimes the fake story they made to be out of class was intetresting to me. In the first week of my capstone hours, i learned how to repond to each student and how to intervene. since we are not allowed to use any medication even over the countermeds or cough drop. I tried to get to know students better and know about students that have any kind of medical issue.

i attend 3 school days each week for 7 weeks. Each week i need this 2 and half pages paper with some refrences. There are 7 students with diabetes 1 that need accu check few times each day . They do all things for themselves and nurse just observe them. One student need straight cath, 2 times in each school day, he does for himself with supervision of the nurse.

Also i want to write me second paper with consideration all these information, like in second week of being in school, students started to come to me as well as their regular nurse and talk about the reason they are in nursing office that moment. It is whole different situation being a nurse in school than in a hospital. It is refreshing to me to work with these population , since it took me to those years i was in school and I remembered all sweet memories again. The main cause that students come to the nursing office is complaining of headache and stomachache and i realized most of them don’t eat any breakfast at home, it can be a factor that associate to not feel well to start a schoolday.

can you write 2 different reflection paper for 2 weeks?

Each paper 2 1/2 pages with refrences andAPA format. the topic for both papers can be” my experience as a school nurse” . Who can help me?

I want the person to be available for next 7 weeks to each week do this assignment. Thank you

Discussion: Cardiovascular Disorders

APA format 2 pages long with 3 references 2 from Walden U library MSN degree

Discussion: Cardiovascular Disorders
As the leading cause of death in the United States for both men and women, cardiovascular disorders account for 7 million hospitalizations per year (NCSL, 2012). This is the result of the extensive treatment and care that is often required for patients with cardiovascular disorders. While some disorders progress slowly, others progress rapidly and may lead to death in a matter of minutes. Therefore, it is important that you, as an advanced practice nurse, are able to quickly recognize signs and symptoms of cardiovascular disorders. As you assist physicians with the diagnosis and treatment of patients, it is essential to consider individual patient factors that might impact treatment and care.
To prepare:

Review this week’s media presentations on alterations of cardiovascular function and hypertension and hyperlipidemia.
Select one of the following alterations of cardiovascular disorders:
Anaphylactic shock
Chronic venous insufficiency
Congestive heart failure
Coronary artery disease
Dysrhythmia
Heart murmur
Hypertension
Myocardial infarction
Peripheral arterial disease
Venous thrombosis
Consider the pathophysiology of the alteration you selected, as well as drugs that would be used for treatment.
Select one of the following patient factors: genetics, gender, ethnicity, age, and behavior. Think about how the factor you selected might impact the pathophysiology of the alteration and effects of prescribed drugs.
Reflect on how to educate these patients on the alteration, treatment options, management, and self-care.
By Day 3
Post a description of the pathophysiology of the alteration you selected, as well as drugs that would be used for treatment. Then, explain how the factor you selected might impact the pathophysiology and effects of prescribed drugs. Finally, explain how to educate patients on the alteration, treatment options, management, and self-care.