Nursing Essays (Examples)
Study Document
Assessing And Treating Pediatric Clients With Mood Disorders
...Nursing Background
The client in the present scenario is an 8-year-old African American male who presents with signs of depression. Some of the reported symptoms include; feeling of sadness, occasional irritation, and decreased appetite. The score obtained upon the administration of the Children’s Depression Rating Scale indicates significant depression. This text concerns itself with three decisions relating to the medications prescribed for the 8-year-old.
Discussion
I. Zoloft
Decision Point 1: Begin Zoloft 25 mg orally daily
Studies conducted in the past have indicated that for children and adolescents suffering from depression, Zoloft (Sertraline) happens to be largely effective. According to Hritzak and Culhane (2004), “Sertraline (Zoloft) is effective and generally well tolerated for the short-term treatment of major depressive disorder in both children and adolescents” (17). In essence, Sertraline, which is essentially an SSRI, impacts unbalanced brain chemicals in persons suffering from anxiety disorders, panic disorders, as well as depression. Low……
References
References
American Academy of Pediatrics (2020). Sertraline - Zoloft (Oral Solution). Retrieved from https://www.aap.org/en-us/professional-resources/Psychopharmacology/Pages/Sertraline-Zoloft-Oral-Solution.aspx
Fainzang, S. (2011). Discourse on safe drug use: symbolic logics and ethical aspects. Drug Saf., 33(8), 623-629.
Hritzak, K. & Culhane, N.S. (2004). Sertraline effective for children and adolescents with major depression. J Fam Pract., 53(1), 8-14.
Milev, D.R. (2015). Does Sleep Quality Change after Switch from Wellbutrin SR to Wellbutrin XL in Patients with Major Depressive Disorder? Retrieved from https://clinicaltrials.gov/ct2/show/NCT00616915
Mullen, S. (2018). Major depressive disorder in children and adolescents. Ment Health Clin., 8(6), 275-283.
Navels, R.M., Gentkovsky, S.T. & Williams, B.E. (2016). Paroxetine—The Antidepressant from Hell? Probably Not, But Caution Required. Psychopharmacol Bull., 46(1), 77-104.
Patel, K., Allen, S., Haque, M.N., Angelescu, L., Baumeister, D. & Tracy, D.K. (2016). Bupropion: a systematic review and meta-analysis of effectiveness as an antidepressant. The Adv Psychopharmacol., 6(2), 99-144.
Study Document
COVID 19 Evaluation And Assessment
...Nursing Keywords: corona virus, coronavirus, covid, covid-19
The patient in the present scenario presents with low grade fever, cough, shortness of breath, as well as back ache. It is also important to note that the patient suffers from gastroesophageal reflux disease, hypertension, and diabetes mellitus. The patient is a 54-year-old male. Some of the symptoms that the patient presents are consistent with COVID-19 symptoms. The main COVID-19 symptoms are inclusive of difficulty breathing/shortness of breath, cough, and fever (Adhikari, 2020). Yet another key consideration in making a decision to test is the patient’s travel history. The patient in the present scenario has recently traveled out of the U.S. He could, thus, be categories as a person under investigation (PUI), i.e. on the basis of the respiratory illness symptoms presented and based on the fact that he had traveled to a country having local transmission. Testing in this case would be consistent……
References
References
Adhikari, S.P., Meng, S., Wi, Y., Mao, Y., Ye., R., Wang, Q. …Zhou, H. (2020). Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infectious Diseases of Poverty, 9(29) 78-83.
CDC (2020). Evaluating and Testing Persons for Coronavirus Disease 2019 (COVID-19). Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-criteria.html
Pung, R., Chiew, C.J., Young, B.E., Chin, S., Chen, M., Clapham, H.E. …Lee, V.J. (2020). Investigation of three clusters of COVID-19 in Singapore: implications for surveillance and response measures. The Lancet, 395(10229), P1039-1046.
Schiffrin, E.L., Flack, J.M., Sadayoshi, I., Muntner, P. & Webb, R.C. (2020). Hypertension and COVID-19. American Journal of Hypertension, 057.
World Health Organization – WHO (2020). Coronavirus disease (COVID-19) advice for the public: Myth busters. Retrieved from https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-busters
Wei, M., Yuan, J. & Liu, Y. (2020). Novel Coronavirus Infection in Hospitalized Infants Under 1 Year of Age in China. JAMA, 323(13), 1213-1314.
Study Document
Rapid Influenza Testing In Children And Adults
...Nursing Introduction
Influenza is, in basic terms, a viral attack on the respiratory system of an individual. In most cases, it is simply referred to as the flu. Some of the more common symptoms of influenza include, but they are not limited to, a sore throat, nasal congestion, weakness and fatigue, headache, muscle aches, and fever. In as far as diagnosis is concerned, a physical exam is in most cases conducted alongside tests. There are various tests that could be used in influenza diagnosis. These could be inclusive of the rapid influenza diagnostic tests (RIDTs).
Discussion
From the onset, it is important to note that according to the Centers for Disease Control and Prevention – CDC (2016), RIDTs “are immunoassays that can identify the presence of influenza A and B viral nucleoprotein antigens in respiratory specimens, and display the result in a qualitative way (positive vs. negative).” As CDC further points……
References
References
Atkinson, K. & Mabey, D. (Eds.). (2019). Revolutionizing Tropical Medicine: Point-of-Care Tests, New Imaging Technologies and Digital Health. Hoboken, NJ: John Wiley & Sons.
Cantle, F., Thenabadu, S. & Lacy, C. (Eds.). (2015). Challenging Concepts in Emergency Medicine: Cases with Expert Commentary. New York, NY: Oxford University Press.
Centers for Disease Control and Prevention – CDC (2016). Rapid Influenza Diagnostic Tests. Retrieved from https://www.cdc.gov/flu/professionals/diagnosis/clinician_guidance_ridt.htm
Peci, A., Winter, A., King, E., Blair, J. & Gubbay, J. (2014). Performance of Rapid Influenza Diagnostic Testing in Outbreak Settings. J Clin Microbiol, 52(12), 4309-4317.
World Health Organization (2018). Use of Influenza Rapid Diagnostic Tests. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/44304/9789241599283_eng.pdf?sequence=1 ;
Study Document
Diabetes Tweets
...Nursing Diabetes
1. Publicly Available Education Piece Selected:
Centers for Disease Control and Prevention – CDC (n.d.). Diabetes. Retrieved from https://www.cdc.gov/media/presskits/aahd/diabetes.pdf
2. Original Educational Piece – Twitter:
Tweet 1
Diabetes could trigger a wide range of health complications such as kidney failure, blindness, and heart disease. Other possible complications of diabetes include, but they are not limited to, nerve damage, Alzheimer’s disease, and nerve damage. #diabetes
Tweet 2
Diabetes is a leading cause of death not only in the United States, but also across the world. In addition to being the underlying cause of death, it is also a prominent contributing cause of death. #diabetes #diabetesscreening
Tweet 3
Blacks are more likely to be diagnosed with diabetes than whites. According to @CDCgov, blacks are approximately 1.7 times more likely to develop diabetes than whites. #healthandwellness #diabetes #diabetesscreening
Tweet 4
Some of the most common symptoms of diabetes include unexplained weight loss,……
Study Document
Program Rationale On Vaping
...Nursing Health Promotion Project
The Centers for Disease Control and Prevention - CDC is categorical that “the use of e-cigarettes is unsafe for kids, teens, and young adults” (CDC, 2020). As a matter of fact, most e-cigarettes, as CDC further points out, have nicotine as one of the ingredients. In addition to having a negative effect on the brain development of adolescents, nicotine is also highly addictive and as CDC observes, teens who smoke e-cigarettes have a significantly high likelihood of embracing cigarette smoking later on in life (CDC, 2020). According to the County Government of Placer, teen vaping has been on the increase in the county (County of Placer, 2019). Indeed, in this very county, “nearly a quarter of 11th graders reported having used an e-cigarette in 2018 — significantly higher than the number smoking whole cigarettes” (County of Placer, 2019). A wide range of reasons that have contributed to……
References
References
Centers for Disease Control and Prevention – CDC (2020). Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young Adults. Retrieved from https://www.cdc.gov/tobacco/basic_information/e-cigarettes/Quick-Facts-on-the-Risks-of-E-cigarettes-for-Kids-Teens-and-Young-Adults.html
County of Placer (2019). Placer, Others See Increase in Teen Vaping. Retrieved from https://www.placer.ca.gov/Blog.aspx?IID=8
National Institute of Drug Abuse – NIDA (2016). Teens and E-cigarettes. Retrieved from https://www.drugabuse.gov/related-topics/trends-statistics/infographics/teens-e-cigarettes
Study Document
Treatment Of Pubertal Disorders
...Nursing Soap Note
Patient: A 12-year-old patient visiting the physician for well-child examination.
Source and Reliability: Mother and father, both reliable sources.
Subjective (S):
Patient Case, Age and Clinical Setting: 12 years patient visiting a physician.
Chief Complaint: Few minor illnesses over the past 2 years.
HPI: The patient last visited the physician for a well-child examination 2 years ago. He has a few minor illnesses since then. He is currently in the puberty stage of development.
Past Medical History: Few minor illnesses.
Family History: None
Social History: Patient lives with his mother and father.
Risk Factors: Sexual maturation, pubertal growth spurt, and abnormal pubertal development.
ROS: Premature adrenarche.
Objective (O):
VS: BP - 115/70, Temp - 98, weight - 80 pounds, height – 59 inches, HR – 90.
Physical Exam:
· The patient is alert but does not fully understand changes in his body.
· He started developing some underarm……
References
References
ICD10 Data. (2018). 2020 ICD-10-CM Diagnosis Code E30.1. Retrieved January 22, 2020, from https://www.icd10data.com/ICD10CM/Codes/E00-E89/E20-E35/E30-/E30.1
Oberfield, S.E., Sopher, A.B. & Gerken, A.T. (2011, June). Approach to the Girl with Early Onset of Pubic Hair. The Journal of Clinical Endocrinology & Metabolism, 96(6), 1610-1622.
Study Document
Root Cause And Analysis
...Nursing Explain why a root cause analysis was appropriate for this situation
A root cause analysis was appropriate for this particular situation in order to realize particularly what went wrong and the suitable way of fixing it. Imperatively, root cause analyses are utilized when sentry or adverse occurrences take place in the healthcare sector, post event. Basically, an assessment team is sent off, through the use of a toolbox approach with numerous approaches such as Fault-Tree-Analysis, Pareto Analysis, as well as brainstorming with the main objective of ascertaining the root or causes of the mistake or failure. The state of affairs is split into different steps and every one of them is comprehensively analyzed to determine the error or risks in within processes, human aspects and also equipment. These phases include the following:
1. Ascertain the incident to be analyzed
2. Form a team to be responsible for conducting the RCA……
References
References
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., ... & Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient safety in surgery, 10(1), 20.
Johnson, A., Clay-Williams, R., & Lane, P. (2018). Framework for better care: reconciling approaches to patient safety and quality. Australian Health Review.
Study Document
Gastrointestinal Tract Disorders Of Motility
...Nursing The Normal Pathophysiology of Gastric Acid Stimulation and Production
In the words of Phan, Benhammou, and Pisegna (2015), “gastric acid secretion by parietal cells occurs in the fundus of the stomach, and is intricately regulated by various neuronal (vagal), paracrine (histamine, somatostatin) and hormonal factors” (387). As the authors further point out, there are two key phases in gastric acid secretion. These are the cephalic phase and the gastric phases. While the former takes place as a consequence of neurological signals and prior to the entry of food in the stomach, the latter phase could be conceptualized as the period involving the activation of gastric activity in the stomach after food is swallowed. More specifically, gastric secretion in the cephalic phase is the result of several factors including, but not limited to the smell, thought or taste of food. Thus, it follows that this is largely a conditioned reflex. Its……
References
References
Braun, C.A. & Anderson, C.M. (2007). Pathophysiology: Functional Alterations in Human Health. New York, NY: Lippincott Williams & Wilkins.
Krause, G., Malagelda, J.R. & Preuschoff, U. (2005). Functional Disorders of the Gastrointestinal Tract. Washington, DC: IOS Press.
Lacy, B.E., Crowell, M.D. & DiBaise, J.K. (2014). Functional and Motility Disorders of the Gastrointestinal Tract: A Case Study Approach. New York, NY: Springer.
Lee, S.P., Sung, I. Kim, J.H., Lee, S., Park, H.S. & Shim, C.S. (2016). Risk Factors for the Presence of Symptoms in Peptic Ulcer Disease. Clin Endosc., 50(8), 578-584.
Phan, J., Benhammou, J.N. & Pisegna, J.R. (2015). Gastric Hypersecretory States: Investigation and Management. Curr Treat Options Gastroenterol., 13(4), 386-397.
Wantabe, T., Urita, Y., Sugimoto, M. & Miki, K. (2007). Gastro-esophageal reflux disease symptoms are more common in general practice in Japan. World J Gastroenterol., 13(31), 4219-4223.
Study Document
Anxiety Disorders
...Nursing Anxiety disorders is a term used to refer to a group of mental illnesses that cause significant distress, which affects an individual’s ability to continue living normally. However, individuals experiencing substantial anxiety due to various factors in their lives are usually confused whether they are having normal reactions or suffering from an anxiety disorder. There are different kinds of anxiety disorders including specific phobia and adjustment disorder. Anxiety disorder refers to a mental illnesses that generate significant distress and affects an individual’s normal living while adjustment disorder refers to stress-related conditions due to difficulties coping with changes in life circumstances (Mayo Clinic, 2017). For instance, a person could suffer from an adjustment disorder after the loss of a job or death of a loved one.
Specific Phobia is an example of anxiety disorders and is characterized by intense fear of a particular situation or object. For instance, a person could……
References
References
Mayo Clinic. (2017, October 25). Adjustment Disorders. Retrieved October 2, 2019, from https://www.mayoclinic.org/diseases-conditions/adjustment-disorders/symptoms-causes/syc-20355224
Mayo Clinic. (2016, October 19). Specific Phobias. Retrieved October 2, 2019, from https://www.mayoclinic.org/diseases-conditions/specific-phobias/symptoms-causes/syc-20355156
Truschel, J. & Cagliostro, D. (2018, February 13). Anxiety and Phobias: What are Specific Phobias? Retrieved October 2, 2019, from https://www.psycom.net/anxiety-specific-phobias/
Study Document
Mild Neurocognitive Disorder Due To Traumatic Brain Injury
...Nursing The diagnostic criteria for mild neurocognitive disorder due to traumatic brain injury as indicated in the DSM-5 begins with cognitive problems meaning that the patient must have a diagnosis of a mild neurocognitive disorder. There must be evidence of a traumatic brain injury that might have occurred due to a head injury. This head injury must result in the patient losing consciousness, posttraumatic amnesia, disorientation and confusion, and neurological signs (Cooper et al., 2015). Lastly, the mild neurological disorder presents immediately after the patient has experienced the traumatic brain injury or after the patient regains consciousness and it lasts past the acute post-injury period.
Mild neurocognitive disorders usually do not require any treatment other than the patient taking enough rest and over-the-counter pain relievers mostly for treating the headache. However, the patient should be monitored for any persistent, worsening, or new symptoms (Writer & Schillerstrom, 2009). Treatment for the head……
References
References
Cooper, D. B., Bunner, A. E., Kennedy, J. E., Balldin, V., Tate, D. F., Eapen, B. C., & Jaramillo, C. A. (2015). Treatment of persistent post-concussive symptoms after mild traumatic brain injury: a systematic review of cognitive rehabilitation and behavioral health interventions in military service members and veterans. Brain imaging and behavior, 9(3), 403-420.
Hadanny, A., & Efrati, S. (2016). Treatment of persistent post-concussion syndrome due to mild traumatic brain injury: current status and future directions. Expert review of neurotherapeutics, 16(8), 875-887.
Writer, B. W., & Schillerstrom, J. E. (2009). Psychopharmacological treatment for cognitive impairment in survivors of traumatic brain injury: a critical review. The Journal of neuropsychiatry and clinical neurosciences, 21(4), 362-370.
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