Category: Nursing

  • [Solved] week 6-patho

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    **Musculoskeletal Function:** G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn…

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    **Musculoskeletal Function:**

    G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

    **Case Study Questions**

    1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
    2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
    3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
    4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

    **Neurological Function:**

    H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.

    Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

    **Case Study Questions**

    1. Name the most common risks factors for Alzheimer’s disease
    2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
    3. Define and describe explicit and implicit memory.
    4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
    5. What would be the best therapeutic approach on C.J.

    **Submission Instructions:**

    – You must complete both case studies.
    – Your initial post should be at least **500 words per case study**, formatted and cited in current APA style with support from at least 2 academic sources.

    – 2 years ago

  • [Solved] AI

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    See attached – 2 years ago **files (1)** – ## ArtificialIntelligence.docx **## ArtificialIntelligence.docx** Artificial Intelligence Artificial intelligence is a rapidly growing field with applications in many areas of healthcare. Review the literature and find an application that can help healthcar…

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    See attached

    – 2 years ago

    **files (1)**

    – ## ArtificialIntelligence.docx

    **## ArtificialIntelligence.docx**

    Artificial Intelligence

    Artificial intelligence is a rapidly growing field with applications in many areas of healthcare. Review the literature and find an application that can help healthcare providers treat patients with chronic illness. Describe the specific condition and how AI might help manage the care. Specify if the AI resource is designed for the patient or the provider. What is at least one way AI might be used by the patient themselves to increase their self-efficacy and self-care for their illness and health promotion. Finally, what are the drawbacks or risks of using AI for this situation? Is there a cost associated with the usage? Include the AI application in your reference list, in addition to at least one high-level scholarly reference.

    Application: Sepsis Watch by Duke University Health System
    [https://physicians.dukehealth.org/articles/dukes-augmented-intelligence-system-helps-prevent-sepsis-ed](https://physicians.dukehealth.org/articles/dukes-augmented-intelligence-system-helps-prevent-sepsis-ed)

    **## ArtificialIntelligence.docx**

    Artificial Intelligence

    Artificial intelligence is a rapidly growing field with applications in many areas of healthcare. Review the literature and find an application that can help healthcare providers treat patients with chronic illness. Describe the specific condition and how AI might help manage the care. Specify if the AI resource is designed for the patient or the provider. What is at least one way AI might be used by the patient themselves to increase their self-efficacy and self-care for their illness and health promotion. Finally, what are the drawbacks or risks of using AI for this situation? Is there a cost associated with the usage? Include the AI application in your reference list, in addition to at least one high-level scholarly reference.

    Application: Sepsis Watch by Duke University Health System
    [https://physicians.dukehealth.org/articles/dukes-augmented-intelligence-system-helps-prevent-sepsis-ed](https://physicians.dukehealth.org/articles/dukes-augmented-intelligence-system-helps-prevent-sepsis-ed)

  • [Solved] Help

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    In-depth study guidance and analytical solution covering Help.

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  • [Solved] Help

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    In-depth study guidance and analytical solution covering Help.

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  • [Solved] MINI SOAP NOTE

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    DON'T USE CHATGPT, OR COPY AND PASTE ANYTHING. I AM ASKING FOR HELP, I CAN COPY AND PASTE MYSELF. – 2 years ago **files (1)** – ## Week6MiniSoapnote1.pdf **## Week6MiniSoapnote1.pdf** Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word Document. See example templa…

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    DON'T USE CHATGPT, OR COPY AND PASTE ANYTHING.

    I AM ASKING FOR HELP, I CAN COPY AND PASTE MYSELF.

    – 2 years ago

    **files (1)**

    – ## Week6MiniSoapnote1.pdf

    **## Week6MiniSoapnote1.pdf**

    Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word
    Document. See example template below for required format.

    Review the rubric for more information on how your assignment will be graded.

    Demographic Data

    • Age, and gender (must be HIPAA compliant)

    Subjective

    • Chief Complaint (CC) unless an Annual Physical Exam (APE)
    • History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location,

    Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment)
    • Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies,

    immunizations, and preventative health maintenance as applicable
    • Family Hx: As applicable
    • Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.
    • Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap,

    vaccines, colonoscopy)

    Objective

    • Vital signs
    • Physical findings listed by body systems, not paragraph form

    Assessment (Diagnosis/ICD10 Code)

    • Include all diagnoses that apply for this visit

    Plan

    • Dx Plan (lab, x-ray)
    • Tx Plan: (meds)
    • Pt. Education, including specific medication teaching points
    • Referral/Follow-up
    • Health maintenance (including when screenings, immunizations, etc., are next due):

    **## Week6MiniSoapnote1.pdf**

    Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word
    Document. See example template below for required format.

    Review the rubric for more information on how your assignment will be graded.

    Demographic Data

    • Age, and gender (must be HIPAA compliant)

    Subjective

    • Chief Complaint (CC) unless an Annual Physical Exam (APE)
    • History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location,

    Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment)
    • Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies,

    immunizations, and preventative health maintenance as applicable
    • Family Hx: As applicable
    • Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.
    • Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap,

    vaccines, colonoscopy)

    Objective

    • Vital signs
    • Physical findings listed by body systems, not paragraph form

    Assessment (Diagnosis/ICD10 Code)

    • Include all diagnoses that apply for this visit

    Plan

    • Dx Plan (lab, x-ray)
    • Tx Plan: (meds)
    • Pt. Education, including specific medication teaching points
    • Referral/Follow-up
    • Health maintenance (including when screenings, immunizations, etc., are next due):

  • [Solved] discussion 5 pharm

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    – 2 years ago **files (1)** – ## DISCUSSION5Module5Pharm.docx **## DISCUSSION5Module5Pharm.docx** ![A screenshot of a medical discussion AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/discussion-5-pharm-20899491) ![](https://www.sweetstudy.com/questions/discussion-5-pha…

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    – 2 years ago

    **files (1)**

    – ## DISCUSSION5Module5Pharm.docx

    **## DISCUSSION5Module5Pharm.docx**

    ![A screenshot of a medical discussion AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/discussion-5-pharm-20899491)

    ![](https://www.sweetstudy.com/questions/discussion-5-pharm-20899491)

    ## image1.png

    ## image2.png

    **## DISCUSSION5Module5Pharm.docx**

    ![A screenshot of a medical discussion AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/discussion-5-pharm-20899491)

    ![](https://www.sweetstudy.com/questions/discussion-5-pharm-20899491)

    ## image1.png

    ## image2.png

  • [Solved] Weekly Clinical Experience 5

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    Describe your clinical experience for this week. 10 YEAR OLD MALE PEDIATRIC PATIENT – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagno…

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    Assignment Prompt & Instructions

    Describe your clinical experience for this week. 10 YEAR OLD MALE PEDIATRIC PATIENT

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years 2020-2025.

    – 2 years ago

  • [Solved] Module 5 Discussion

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    A 2-month-old is identified during newborn screening with sickle cell anemia. – How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old? – What are the issues for each stage in development? – Where would you refer this child? – How would you coordinate the care of this c…

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    A 2-month-old is identified during newborn screening with sickle cell anemia.

    – How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old?
    – What are the issues for each stage in development?
    – Where would you refer this child?
    – How would you coordinate the care of this child?

    . **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years 2020-2025

    – 2 years ago

  • [Solved] focus note

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    – 2 years ago **files (1)** – ## UTIihuman.docx **## UTIihuman.docx** **Key points** Hurts when I pee Burning when urinating Consistent Moderate Pain and discomfort when urinating. Abdominal cramps Mild abdominal pain. Pain is always there since it started. Worst when peeing. Frequency of urination….

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    – 2 years ago

    **files (1)**

    – ## UTIihuman.docx

    **## UTIihuman.docx**

    **Key points**

    Hurts when I pee

    Burning when urinating

    Consistent Moderate Pain and discomfort when urinating.

    Abdominal cramps

    Mild abdominal pain. Pain is always there since it started. Worst when peeing.

    Frequency of urination. Goes 2-3 times per hour.

    Can’t completely empty bladder.

    Symptoms started 3 days ago.

    Came from I trip, and sex with BF.

    Sexually active with 1 BF

    BF always use condoms.

    No allergies.

    **PMH**- started periods around 13, LMP 1 week ago.

    On birth control to regulate cycles, mild cramping the first 2 days of her cycles, no spotting, light cycles without clots or heavy flow.

    **No hospitalization/ surgeries**

    **Medication** – Eithinyl estridiol/ norgestimate 0.035/0.25 mg 1 tab PO daily.

    **Allergies** – NKDA

    Preventive care- last checkup – 1 year. Recently saw dentist, no caries.

    Up to date on vaccines.

    **Family history**

    **Father (42)** – smoker

    Mother (44) type 2 Diabetes.

    Maternal grandmother (age 74) –HTN, hyperlipidemia.

    Maternal grandfather (76) –goat, hyperlipidemia

    Parental grandmother (deceased at age 62 from MI

    Parental grandfather (73) – Hyperlipidemia, sciatica

    Social history

    Tobacco- denies personal use. Report smoke exposure from father.

    Alcohol- occasionally at parties with friends, has 2-12oz wine color per party, CAGE0/4.

    Drugs – Denies.

    Diet – healthy meals at home with veggies, fruits, lean meat.

    Tends to eat fast food on weaken dafter school or practice.

    Activity: cheerleading practice most days of the week.

    Sleep – 7-8 hours nightly between 10 pm and 6 am, sleeps in on weekends, no change with recent popularity.

    Stressors – repots adjusting to new popularity, talks with friends with parents about changes and it helps.

    Living situation/Housing: lives in a 2 story with her mom and dad, parents work long hours, only child.

    Support system: Parents, friends, local family.

    Occupation/education: still doing well in school, keeping pace with staying, loves to read classic books.

    Safety: does not drink or text and drink. Wear seat belt.

    Sexual history: identify as a woman. Recently become active with BF. Vaginal and oral intercourse.

    When did the pee start?

    I have had
    **burning when I pee** and. i feel like always need to pee. My pee also smells strong.

    Do you have pain/discomfort when you urinate?

    yup

    when did you have pain/discomfort when you urinate start?

    Well, it really got going about 3 days ago. that was about a day after we got back from a group trip with friends for the weekend. My boyfriend and I went, and we were really excited about it. It happened to be our Zone-year anniversary, and it just felt special to get out of town with our friends while we celebrated.

    Does anything make your pain/discomfort with urinary better or worse?

    Not really

    How severe is your pain/discomfort with urination?

    Moderate, I guess. Enough I don’t want to have pee so much.

    Does your pain/discomfort with urination come and go?

    It had been there since it started.

    How long does your urination pain/discomfort last?

    As long as I pee.

    Feels crampy.

    When did the difficulty urinating start?

    I can go fine. It just hurt.

    is the amount of urine more or less that usual?

    It is same amount; I just need to pee more often.

    When you urinate do you feel that you cannot completely empty your bladder?

    Yes, I have noticed that lately.it feels like I even need to go even after I have just finished. It’s pretty frustrating.

    When you pee is the stream or flow of urine weak or do you dribble?

    Not really.

    Does anything make your urination difficulty better or worse?

    It’s more like it hurts to pee. I can go just fine.

    How severe is your difficulty urinating?

    It’s more like it hurts to pee, not like I can’t go.

    Does your difficulty urinating come and go?

    It hurts to pee, but I wouldn’t say I have a hard time going.

    What are the events surroundings the start of your difficulty urinating?

    It’s more like it hurts to pee, not like I can’t go.

    What treatments have you had for your urinating difficulty?

    I haven’t had to anything for that.

    When did the pee start?

    I have had brining when I pee and. i feel like always need to pee. My pee also smells strong.

    Do you have pain/discomfort when you urinate?

    yup

    when did you have pain/discomfort when you urinate start?

    Well, it really got going about 3 days ago. that was about a day after we got back from a group trip with friends for the weekend. My boyfriend and I went, and we were really excited about it. It happened to be our Zone-year anniversary, and it just felt special to get out of town with our friends while we celebrated.

    Does anything make your pain/discomfort with urinary better or worse?

    Not really

    How severe is your pain/discomfort with urination?

    Moderate, I guess. Enough I don’t want to have pee so much.

    Does your pain/discomfort with urination come and go?

    It had been there since it started.

    How long does your urination pain/discomfort last?

    As long as I pee.

    Feels crampy.

    When did the difficulty urinating start?

    I can go fine. It just hurt.

    is the amount of urine more or less that usual?

    It is same amount; I just need to pee more often.

    When you urinate do you feel that you cannot completely empty your bladder?

    Yes, I have noticed that lately.it feels like I even need to go even after I have just finished. Its pretty frustrating.

    When you pee is the stream or flow of urine weak or do you dribble?

    Not really.

    Does anything make your urination difficulty better or worse?

    Its more like it hurts to pee. I can go just fine.

    How severe is your difficulty urinating?

    Its more like it hurts to pee,not like I can’t go.

    Does your difficulty urinating come and go?

    It hurts to pee,but I wouldn’t say I have a hard time going.

    What are the events surroundings start of your difficulty urinating?

    It’s more like it hurts to pee, not like I can’t go.

    What treatments have you had for your urinating difficulty?

    I haven’t had to anything for that.

    **Allergies – no**

    **## UTIihuman.docx**

    **Key points**

    Hurts when I pee

    Burning when urinating

    Consistent Moderate Pain and discomfort when urinating.

    Abdominal cramps

    Mild abdominal pain. Pain is always there since it started. Worst when peeing.

    Frequency of urination. Goes 2-3 times per hour.

    Can’t completely empty bladder.

    Symptoms started 3 days ago.

    Came from I trip, and sex with BF.

    Sexually active with 1 BF

    BF always use condoms.

    No allergies.

    **PMH**- started periods around 13, LMP 1 week ago.

    On birth control to regulate cycles, mild cramping the first 2 days of her cycles, no spotting, light cycles without clots or heavy flow.

    **No hospitalization/ surgeries**

    **Medication** – Eithinyl estridiol/ norgestimate 0.035/0.25 mg 1 tab PO daily.

    **Allergies** – NKDA

    Preventive care- last checkup – 1 year. Recently saw dentist, no caries.

    Up to date on vaccines.

    **Family history**

    **Father (42)** – smoker

    Mother (44) type 2 Diabetes.

    Maternal grandmother (age 74) –HTN, hyperlipidemia.

    Maternal grandfather (76) –goat, hyperlipidemia

    Parental grandmother (deceased at age 62 from MI

    Parental grandfather (73) – Hyperlipidemia, sciatica

    Social history

    Tobacco- denies personal use. Report smoke exposure from father.

    Alcohol- occasionally at parties with friends, has 2-12oz wine color per party, CAGE0/4.

    Drugs – Denies.

    Diet – healthy meals at home with veggies, fruits, lean meat.

    Tends to eat fast food on weaken dafter school or practice.

    Activity: cheerleading practice most days of the week.

    Sleep – 7-8 hours nightly between 10 pm and 6 am, sleeps in on weekends, no change with recent popularity.

    Stressors – repots adjusting to new popularity, talks with friends with parents about changes and it helps.

    Living situation/Housing: lives in a 2 story with her mom and dad, parents work long hours, only child.

    Support system: Parents, friends, local family.

    Occupation/education: still doing well in school, keeping pace with staying, loves to read classic books.

    Safety: does not drink or text and drink. Wear seat belt.

    Sexual history: identify as a woman. Recently become active with BF. Vaginal and oral intercourse.

    When did the pee start?

    I have had
    **burning when I pee** and. i feel like always need to pee. My pee also smells strong.

    Do you have pain/discomfort when you urinate?

    yup

    when did you have pain/discomfort when you urinate start?

    Well, it really got going about 3 days ago. that was about a day after we got back from a group trip with friends for the weekend. My boyfriend and I went, and we were really excited about it. It happened to be our Zone-year anniversary, and it just felt special to get out of town with our friends while we celebrated.

    Does anything make your pain/discomfort with urinary better or worse?

    Not really

    How severe is your pain/discomfort with urination?

    Moderate, I guess. Enough I don’t want to have pee so much.

    Does your pain/discomfort with urination come and go?

    It had been there since it started.

    How long does your urination pain/discomfort last?

    As long as I pee.

    Feels crampy.

    When did the difficulty urinating start?

    I can go fine. It just hurt.

    is the amount of urine more or less that usual?

    It is same amount; I just need to pee more often.

    When you urinate do you feel that you cannot completely empty your bladder?

    Yes, I have noticed that lately.it feels like I even need to go even after I have just finished. It’s pretty frustrating.

    When you pee is the stream or flow of urine weak or do you dribble?

    Not really.

    Does anything make your urination difficulty better or worse?

    It’s more like it hurts to pee. I can go just fine.

    How severe is your difficulty urinating?

    It’s more like it hurts to pee, not like I can’t go.

    Does your difficulty urinating come and go?

    It hurts to pee, but I wouldn’t say I have a hard time going.

    What are the events surroundings the start of your difficulty urinating?

    It’s more like it hurts to pee, not like I can’t go.

    What treatments have you had for your urinating difficulty?

    I haven’t had to anything for that.

    When did the pee start?

    I have had brining when I pee and. i feel like always need to pee. My pee also smells strong.

    Do you have pain/discomfort when you urinate?

    yup

    when did you have pain/discomfort when you urinate start?

    Well, it really got going about 3 days ago. that was about a day after we got back from a group trip with friends for the weekend. My boyfriend and I went, and we were really excited about it. It happened to be our Zone-year anniversary, and it just felt special to get out of town with our friends while we celebrated.

    Does anything make your pain/discomfort with urinary better or worse?

    Not really

    How severe is your pain/discomfort with urination?

    Moderate, I guess. Enough I don’t want to have pee so much.

    Does your pain/discomfort with urination come and go?

    It had been there since it started.

    How long does your urination pain/discomfort last?

    As long as I pee.

    Feels crampy.

    When did the difficulty urinating start?

    I can go fine. It just hurt.

    is the amount of urine more or less that usual?

    It is same amount; I just need to pee more often.

    When you urinate do you feel that you cannot completely empty your bladder?

    Yes, I have noticed that lately.it feels like I even need to go even after I have just finished. Its pretty frustrating.

    When you pee is the stream or flow of urine weak or do you dribble?

    Not really.

    Does anything make your urination difficulty better or worse?

    Its more like it hurts to pee. I can go just fine.

    How severe is your difficulty urinating?

    Its more like it hurts to pee,not like I can’t go.

    Does your difficulty urinating come and go?

    It hurts to pee,but I wouldn’t say I have a hard time going.

    What are the events surroundings start of your difficulty urinating?

    It’s more like it hurts to pee, not like I can’t go.

    What treatments have you had for your urinating difficulty?

    I haven’t had to anything for that.

    **Allergies – no**

  • [Solved] Chronic Illness and Rehabilitation417

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    **Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.** 1. Identify chronic illness and its relationship to rehabilitation. Choose from one: COPD, CHF, Stroke, Hip fracture 2. Create interventions that su…

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    Assignment Prompt & Instructions

    **Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.**

    1. Identify chronic illness and its relationship to rehabilitation.

    Choose from one:

    COPD, CHF, Stroke, Hip fracture
    2. Create interventions that support an older adult’s adaptation to the chronic illness or disability.
    3. Describe the nurse’s role in assisting older adults in managing chronic conditions.
    4. From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

    5 pages, excluding the title, abstract and references page.

    Need turnitreport ,, NO AI

    – 2 years ago