Category: Nursing > Clinical Nursing & Patient Care

  • [Solved] mod 1 ass

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    In-depth study guidance and analytical solution covering mod 1 ass.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] HCP Week 3 Reply to Peer 2

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    One of the main differences between the healthcare systems of the United Kingdom and the United States lies in their financing structure. The United Kingdom operates under a public healthcare system known as the National Health Service (NHS), funded by the government through taxes (Childers, 2016). …

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    One of the main differences between the healthcare systems of the United Kingdom and the United States lies in their financing structure. The United Kingdom operates under a public healthcare system known as the National Health Service (NHS), funded by the government through taxes (Childers, 2016). In contrast, the US healthcare system is predominantly private and relies heavily on health insurance, much of which is obtained through employment (Knickman & Elbel, 2023). This difference makes access to healthcare services in the United Kingdom more equitable, while in the United States, large inequalities persist based on socioeconomic status (Wager et al., 2024). The universality of the NHS contrasts with the fragmentation of the US system.

    Another key difference is the overall cost of healthcare. The United States spends significantly more per person on healthcare than the United Kingdom, but does not necessarily achieve better outcomes. According to the Peterson-Kaiser Health System Tracker, the United States has higher rates of postoperative adverse events, such as blood clots, compared to similar countries (Wager et al., 2024). Despite high costs, millions of Americans remain uninsured or have limited access to quality services. The United Kingdom's system, on the other hand, shows better results on certain public health indicators, such as preventive care and postoperative care.

    Advanced practice nurses (APRNs) have a significant opportunity to influence healthcare policy in the United States by promoting reforms that promote equitable access and system efficiency. A key policy intervention would be to advocate for an expansion of health coverage through public programs or for strengthening the Affordable Care Act (ACA). They can also influence policies that remove barriers to their independent practice, allowing for greater availability of services in underserved communities (Knickman & Elbel, 2023). Their role as community health advocates and primary care leaders allows them to identify gaps and propose evidence-based solutions. Their active participation in lobbying and legislative development can catalyze significant changes.

    Furthermore, APRNs can leverage their clinical expertise to participate in legislative committees, advisory boards, and professional organizations. They can lead educational campaigns targeting legislators and the public on the benefits of a more equitable and preventative system (Knickman & Elbel, 2023). Through data collection and research, they can support their proposals with concrete evidence on the costs and outcomes of care. They can also develop strategic alliances with other healthcare professionals to strengthen their political voice. In short, advanced practice nurses have the knowledge and positioning necessary to be key agents of change in reforming the American healthcare system.

    **References:**

    Childers, C. (2016, April 26). _US and UK Healthcare System Comparison_ [Video]. YouTube. [https://www.youtube.com/watch?v=R4Y0TKiwNgo](https://www.youtube.com/watch?v=R4Y0TKiwNgo)

    Knickman, J. R., & Elbel, B. (2023). _Jonas and Kovner's Health Care Delivery in the United States_ (13th Ed.). Springer Publishing Company.

    Wager, E., Telesford, I., Rakshit, S., Kurani, N., & Cox, C. (2024, October 9). How does the quality of the U.S. health system compare to other countries? _Health System Tracker_. [https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries%20](https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries%20)

    – a year ago

  • [Solved] HCP Week 3 Reply to Peer 1

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    The healthcare systems in the United States and the United Kingdom represent fundamentally different approaches to healthcare financing and delivery. A key difference lies in the model of healthcare funding. The United Kingdom operates under a publicly funded system known as the National Health Serv…

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    The healthcare systems in the United States and the United Kingdom represent fundamentally different approaches to healthcare financing and delivery. A key difference lies in the model of healthcare funding. The United Kingdom operates under a publicly funded system known as the National Health Service (NHS), which provides care that is free at the point of service and is funded primarily through taxation. In contrast, the United States employs a multi-payer system where healthcare is predominantly financed through private insurance, employer-sponsored coverage, and out-of-pocket payments (Tikkanen et al., 2020). This often results in significant disparities in access to care in the U.S., especially for uninsured or underinsured populations.

    Another critical difference is the cost of healthcare. The United States spends significantly more on healthcare per capita compared to the UK, yet often yields poorer health outcomes such as higher infant mortality rates and lower life expectancy (Schneider et al., 2021). The administrative costs in the U.S. are notably higher due to the complexities of dealing with multiple insurance providers, which contrasts with the more streamlined administrative process in the NHS.

    Advanced Practice Nurses (APNs) can play a pivotal role in advocating for health system improvements in the U.S. Through policy advocacy and involvement in political processes, APNs can support initiatives that promote universal coverage, cost control, and health equity. For instance, APNs can advocate for expanded roles in primary care, greater reimbursement parity, and telehealth legislation that broadens access to underserved areas (Brokaw et al., 2022). Engagement with professional organizations and legislative bodies can amplify the nursing voice in shaping health policy reform toward more sustainable and equitable care models.

    **References**

    Brokaw, J. J., Mahoney, S. T., Vassar, M., & Tackett, S. (2022). The role of advanced practice providers in U.S. healthcare reform: Policy implications and future directions. _The Journal for Nurse Practitioners, 18_(3), 215-220. [https://doi.org/10.1016/j.nurpra.2021.11.007](https://ultra.content.blackboardcdn.com/ultra/uiv3900.116.0-rel.25_2e18a76#)

    Schneider, E. C., Shah, A., Doty, M. M., Tikkanen, R., Fields, K., & Williams, R. D. (2021). Mirror, mirror 2021: Reflecting poorly—Health care in the U.S. compared to other high-income countries. _The Commonwealth Fund_. [https://www.commonwealthfund.org/publications/fund-reports/2021/aug/mirror-mirror-2021-reflecting-poorly](https://ultra.content.blackboardcdn.com/ultra/uiv3900.116.0-rel.25_2e18a76#)

    Tikkanen, R., Osborn, R., Mossialos, E., Djordjevic, A., & Wharton, G. A. (2020). International health care system profiles: United Kingdom. _The Commonwealth Fund_. [https://www.commonwealthfund.org/international-health-policy-center/countries/united-kingdom](https://ultra.content.blackboardcdn.com/ultra/uiv3900.116.0-rel.25_2e18a76#)

    – a year ago

  • [Solved] Nursing assignment

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    – a year ago **files (1)** – ## CliniClinicalSkillsandProceduresSelf.docx **## CliniClinicalSkillsandProceduresSelf.docx** Clinical Skills and Procedures Self-Assessment ### CliniClinical Skills and Procedures Self-Assessment Procedures Self-Assessment Before embarking on any professional or academi…

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    – a year ago

    **files (1)**

    – ## CliniClinicalSkillsandProceduresSelf.docx

    **## CliniClinicalSkillsandProceduresSelf.docx**

    Clinical Skills and Procedures Self-Assessment

    ### CliniClinical Skills and Procedures Self-Assessment Procedures Self-Assessment

    Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I
    _already_ know? What do I
    _need_ to know? And what do I
    _want_ to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.

    The FNP Clinical Skills List and Resource Review document, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all of the necessary skills you should demonstrate during your practicum courses. The FNP Procedure List and Resource Review contains a list of procedures you may have an opportunity to perform at your practicum site. As you perform the procedures (as applicable), record them at the bottom of the list and have your preceptor sign off on it.

    For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172596/modules/items/6964240)

    **To prepare:**

    · Review the resources and clinical skills in the FNP Clinical Skills List and Resource Review document and the FNP Procedures List and Resource Review document. It is recommended that you print out these documents to serve as a guide throughout your practicum.

    · Download the Clinical Skills and Procedures Self-Assessment Form to complete this Assignment.

    **Assignment**

    Using the Clinical Skills and Procedures Self-Assessment Form:

    · Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.

    · Based on your ratings, summarize your strengths and opportunities for improvement.

    · Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.

    **\*\* YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER.  You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.**

    By Day 7

    Submit your completed Clinical Skills and Procedures Self-Assessment Form.

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK1Assgn2+last name+first initial.**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **PRAC_6568_Week1_Assignment2_Rubric**

    | | | |
    | — | — | — |
    | PRAC_6568_Week1_Assignment2_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form. | **25 to >22.0 ptsExcellent** The response provides ratings for all procedures on the form.<br> <br>**22 to >19.5 ptsGood** The response provides ratings for most of the procedures on the form.<br> <br>**19.5 to >17.0 ptsFair** The response provides ratings for some of the procedures on the form.<br> <br>**17 to >0 ptsPoor** The response provides ratings for only a few procedures on the form, or ratings are missing. | 25 pts |
    | This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement. | **30 to >26.0 ptsExcellent** The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.<br> <br>**26 to >23.0 ptsGood** The response provides an accurate summary of both the strengths and opportunities for improvement.<br> <br>**23 to >20.0 ptsFair** The response provides a vague and/or inaccurate summary of both the strengths and opportunities for improvement.<br> <br>**20 to >0 ptsPoor** A summary of both the strengths and opportunities for improvement is incomplete or missing. | 30 pts |
    | This criterion is linked to a Learning OutcomeBased on your self-assessment and theory of nursing practice, develop three to four (3–4) goals and objectives for this Practicum experience. Include them on the designated area of the form. | **30 to >26.0 ptsExcellent** The response provides three to four (3–4) clear and appropriate goals and objectives for the practicum experience.<br> <br>**26 to >23.0 ptsGood** The response provides three to four (3–4) appropriate goals and objectives for the practicum experience.<br> <br>**23 to >20.0 ptsFair** The response provides three to four (3–4) somewhat unclear or inappropriate goals and objectives for the practicum experience.<br> <br>**20 to >0 ptsPoor** The response provides fewer than three goals and objectives for the practicum experience, and/or goals and objectives are unclear, inappropriate, or missing. | 30 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. | **5 to >4.0 ptsExcellent** Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.<br> <br>**4 to >3.5 ptsGood** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.<br> <br>**3.5 to >3.0 ptsFair** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.<br> <br>**3 to >0 ptsPoor** Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion was provided. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English writing standards: Student uses correct grammar, mechanics, and proper punctuation. | **5 to >4.0 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4 to >3.5 ptsGood** Contains one or two (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | **5 to >4.0 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4 to >3.5 ptsGood** Contains one or two (1 or 2) APA format errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) APA format errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |

    Total Points: 100

    **## CliniClinicalSkillsandProceduresSelf.docx**

    Clinical Skills and Procedures Self-Assessment

    ### CliniClinical Skills and Procedures Self-Assessment Procedures Self-Assessment

    Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I
    _already_ know? What do I
    _need_ to know? And what do I
    _want_ to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.

    The FNP Clinical Skills List and Resource Review document, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all of the necessary skills you should demonstrate during your practicum courses. The FNP Procedure List and Resource Review contains a list of procedures you may have an opportunity to perform at your practicum site. As you perform the procedures (as applicable), record them at the bottom of the list and have your preceptor sign off on it.

    For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172596/modules/items/6964240)

    **To prepare:**

    · Review the resources and clinical skills in the FNP Clinical Skills List and Resource Review document and the FNP Procedures List and Resource Review document. It is recommended that you print out these documents to serve as a guide throughout your practicum.

    · Download the Clinical Skills and Procedures Self-Assessment Form to complete this Assignment.

    **Assignment**

    Using the Clinical Skills and Procedures Self-Assessment Form:

    · Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.

    · Based on your ratings, summarize your strengths and opportunities for improvement.

    · Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.

    **\*\* YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER.  You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.**

    By Day 7

    Submit your completed Clinical Skills and Procedures Self-Assessment Form.

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK1Assgn2+last name+first initial.**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **PRAC_6568_Week1_Assignment2_Rubric**

    | | | |
    | — | — | — |
    | PRAC_6568_Week1_Assignment2_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form. | **25 to >22.0 ptsExcellent** The response provides ratings for all procedures on the form.<br> <br>**22 to >19.5 ptsGood** The response provides ratings for most of the procedures on the form.<br> <br>**19.5 to >17.0 ptsFair** The response provides ratings for some of the procedures on the form.<br> <br>**17 to >0 ptsPoor** The response provides ratings for only a few procedures on the form, or ratings are missing. | 25 pts |
    | This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement. | **30 to >26.0 ptsExcellent** The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.<br> <br>**26 to >23.0 ptsGood** The response provides an accurate summary of both the strengths and opportunities for improvement.<br> <br>**23 to >20.0 ptsFair** The response provides a vague and/or inaccurate summary of both the strengths and opportunities for improvement.<br> <br>**20 to >0 ptsPoor** A summary of both the strengths and opportunities for improvement is incomplete or missing. | 30 pts |
    | This criterion is linked to a Learning OutcomeBased on your self-assessment and theory of nursing practice, develop three to four (3–4) goals and objectives for this Practicum experience. Include them on the designated area of the form. | **30 to >26.0 ptsExcellent** The response provides three to four (3–4) clear and appropriate goals and objectives for the practicum experience.<br> <br>**26 to >23.0 ptsGood** The response provides three to four (3–4) appropriate goals and objectives for the practicum experience.<br> <br>**23 to >20.0 ptsFair** The response provides three to four (3–4) somewhat unclear or inappropriate goals and objectives for the practicum experience.<br> <br>**20 to >0 ptsPoor** The response provides fewer than three goals and objectives for the practicum experience, and/or goals and objectives are unclear, inappropriate, or missing. | 30 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. | **5 to >4.0 ptsExcellent** Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.<br> <br>**4 to >3.5 ptsGood** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.<br> <br>**3.5 to >3.0 ptsFair** Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.<br> <br>**3 to >0 ptsPoor** Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion was provided. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English writing standards: Student uses correct grammar, mechanics, and proper punctuation. | **5 to >4.0 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4 to >3.5 ptsGood** Contains one or two (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | **5 to >4.0 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4 to >3.5 ptsGood** Contains one or two (1 or 2) APA format errors.<br> <br>**3.5 to >3.0 ptsFair** Contains several (3 or 4) APA format errors.<br> <br>**3 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |

    Total Points: 100

  • [Solved] Pharm week 3 Reply to Peer 2

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    LS’s presentation is consistent with a focal-onset seizure that evolved into a bilateral tonic-clonic seizure. One notable risk factor contributing to her current condition is her history of febrile convulsions in childhood. Although febrile seizures are generally benign, complex febrile seizures (p…

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    LS’s presentation is consistent with a focal-onset seizure that evolved into a bilateral tonic-clonic seizure. One notable risk factor contributing to her current condition is her history of febrile convulsions in childhood. Although febrile seizures are generally benign, complex febrile seizures (particularly those that are prolonged, focal, or recur within 24 hours) have been associated with an increased risk of developing temporal lobe epilepsy later in life (Berg et al., 2017). Given that her febrile seizure occurred following pneumonia and included convulsions at age 10, which is later than typical febrile seizures. This could indicate a more significant underlying predisposition to epilepsy.

    Since LS’s basic metabolic workup is unremarkable, the next step involves neuroimaging and electroencephalography (EEG) to evaluate structural and electrical brain abnormalities. A magnetic resonance imaging (MRI) scan is especially critical in cases like this, where a focal seizure origin is suspected. MRI can help identify mesial temporal sclerosis, cortical dysplasia, or other structural causes of epilepsy that could guide both prognosis and treatment (Krumholz & Wiebe, 2021). Additionally, prolonged or ambulatory EEG monitoring might be useful if there is uncertainty about the diagnosis or if events recur.

    The presence of epileptiform discharges over the right temporal region on EEG strongly supports a diagnosis of focal epilepsy, specifically temporal lobe epilepsy. Given this evidence and the unprovoked nature of her seizure, initiating antiseizure medications is recommended to reduce the risk of recurrence. First-line treatments for focal-onset seizures in adults include lamotrigine (Lamictal), levetiracetam (Keppra), and oxcarbazepine (Trileptal). Levetiracetam is often favored for its favorable side effect profile and ease of titration (National Institute for Health and Care Excellence [NICE], 2022). The decision to start anti seizure medication also considers the patient’s quality of life, safety (e.g., driving), and psychosocial implications of another seizure.

    In short, LS’s history, EEG findings, and seizure presentation justify starting anti seizure therapy, with further imaging (preferably an MRI) essential to clarify the underlying etiology.

    **References**

    Berg, A. T., Coryell, J., Saneto, R. P., Grinspan, Z. M., Alexander, J. J., & Pathak, S. (2017). Early-life epilepsies and the emerging role of genetic testing. _JAMA Pediatrics_, _171_(9), 863–871. https://doi.org/10.1001/jamapediatrics.2017.1743

    Krumholz, A., & Wiebe, S. (2021). Diagnosis and management of epilepsy in adults: A review. _JAMA_, _325_(21), 2218–2228. https://doi.org/10.1001/jama.2021.4914

    National Institute for Health and Care Excellence (NICE). (2022). _Epilepsies: Diagnosis and management_. https://www.nice.org.uk/guidance/ng217

    – a year ago

  • [Solved] Pharm week 3 Reply to Peer 1

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    LS is a 31-year-old woman presenting with her first unprovoked seizure. The clinical features suggest a focal onset seizure with secondary generalization, preceded by an aura (rising abdominal sensation, metallic taste) consistent with temporal lobe epilepsy. Temporal lobe epilepsy is a type of epil…

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    Assignment Prompt & Instructions

    LS is a 31-year-old woman presenting with her first unprovoked seizure. The clinical features suggest a focal onset seizure with secondary generalization, preceded by an aura (rising abdominal sensation, metallic taste) consistent with temporal lobe epilepsy. Temporal lobe epilepsy is a type of epilepsy where seizures begin in the temporal lobe. Your temporal lobe helps you make sense of the world around you through memory, sound vision and speech (Cleveland Clinic , 2025).

    An important risk factor in LS past medical history is her febrile convulsion at the age of 10. Although febrile seizures in children are common in her case since it occurred at the age of 10 and was prolonged with associated focal features are associated with a higher risk for temporal lobe epilepsy later on in life. This raises the possibility of mesial temporal sclerosis or another underlying temporal lobe pathology.

    The initial work up would include for LS to obtain an EEG along with an MRI of the brain. The EEG was already preformed on this case given the findings of epileptiform discharge as seen in the right temporal lobe which increases the risk of reoccurrence therefore seizure medication would be necessary. In LS’s case an MRI may reveal mesial temporal sclerosis, tumors, cortical dysplasia or scarring. This helps with diagnosis confirmation and planning for long term management.

    First line options for focal-onset seizure medications include: Levetiracetam. This medication is used to control certain types of seizures such as partial onset seizures myoclonic seizures, or tonic-clonic seizures (Mayo Clinic , 2025). LS is already on fluoxetine with is an SSRI, levetiracetam is a good initial choice due to the minimal interactions. LS next step in coping with her current situation is to start antiseizure therapy immediately, schedule a brain MRI (which was done), counsel of seizure safety, driving precautions and lifestyle modifications. It is imperative that LS is able to identify when a seizure is going to occur. She would also need a referral to a neurology and an epilepsy specialist.

    #### **References**

    _Cleveland Clinic_. (2025, january 5). Retrieved from Temporal Lobe Epilepsy : https://my.clevelandclinic.org/health/diseases/17778-temporal-lobe-seizures

    _Mayo Clinic_. (2025, May 1). Retrieved from Levetiracetam : https://www.mayoclinic.org/drugs-supplements/levetiracetam-oral-route/descr

    National Institute for Health and Care Excellence (NICE). (2022). _Epilepsies: Diagnosis and_

    _management_. https://www.nice.org.uk/guidance/ng217

    – a year ago

  • [Solved] Week 3.1

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    Discussion response – a year ago

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    Assignment Prompt & Instructions

    Discussion response

    – a year ago

  • [Solved] NGR5810 research methods in nursing

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    20 ariticles :Required Characteristics of Each Article 1. Peer-Reviewed Published in a scholarly journal (not a blog, magazine, or newspaper). You can check this in databases like CINAHL, PubMed, or FIU Library filters. 2. Relevant to Your Topic Directly addresses your research focus (e.g., barrie…

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    20 ariticles :Required Characteristics of Each Article

    1. Peer-Reviewed

    Published in a scholarly journal (not a blog, magazine, or newspaper).

    You can check this in databases like CINAHL, PubMed, or FIU Library filters.

    2. Relevant to Your Topic

    Directly addresses your research focus (e.g., barriers/facilitators to Doxycycline-PEP use).

    Avoid articles that only mention your topic in passing.

    3. Research-Based

    Primary research (RCTs, cohort studies, interviews, etc.) or systematic reviews.

    Not just opinion pieces or literature summaries.

    4. Published Between 2018–2025

    Ensures the evidence is current and relevant.

    5. English Language

    Unless otherwise allowed by your instructor.

    6. Available in Full Text

    You must be able to read the entire study (not just the abstract).

    Includes sample size, methods, results, and conclusions. In 5 to 10 page.

    Shows limitations or recommendations for future research.

    Uses APA 7th edition citation format for references.

    – [\
    \
    Researchproject.pdf](https://www.sweetstudy.com/files/researchproject-pdf-10300789 "Researchproject.pdf")

    – a year ago

  • [Solved] Help on project nursing

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    In-depth study guidance and analytical solution covering Help on project nursing.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Doctoral Writing 4

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    Now, with a solid foundation, focus on developing a comprehensive literature review for your practice problem. How does an in-depth literature review contribute to the significance of your project, and how might this skill inform your approach to evidence-based practice in your future nursing endeav…

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    Assignment Prompt & Instructions

    Now, with a solid foundation, focus on developing a comprehensive literature review for your practice problem. How does an in-depth literature review contribute to the significance of your project, and how might this skill inform your approach to evidence-based practice in your future nursing endeavors?

    – a year ago