What are the key cellular differences between non-Hodgkin lymphoma and Hodgkin lymphoma?

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Case Study 9

Disorders of White Blood Cells and Lymphoid Tissues

Max is a 60-year-old living in Iowa. For the 27 years, he has been working in the agricultural industry, particularly in the management of corn production. Recently he began to feel weak during work and tired easily. During the night he woke up sweating, and he often felt unusually warm during the day. Max was also surprised that, in spite of eating regularly, his weight was declining and his work pants were now too large for him. Upon physical examination, his physician noted his inguinal lymph nodes were swollen although Max said they were not sore. Subsequent laboratory tests confirmed follicular, non-Hodgkin lymphoma. Chemotherapy in conjunction with rituximab was immediately initiated.

  1. What are the key cellular differences between non-Hodgkin lymphoma and Hodgkin lymphoma?
  2. The early manifestations of non-Hodgkin lymphoma and Hodgkin lymphoma in lymphatic tissue appear differently. In terms of lymphatic presentation, how would these two diseases appear clinically?
  3. What are the pharmacologic properties of rituximab, and what is its mechanism of action on malignant cells?
  4. Outline the structure of lymph node parenchyma including the areas where B and T lymphocytes reside. Where did Max’s lymphoma arise?

 

Assignment Requirements:

Before finalizing your work, you should:

·

·         Ensure you have written at least four double-spaced pages.

·         Be sure to read the Assignment description carefully (as displayed above);

·         Consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and

·         Utilize spelling and grammar check to minimize errors.

·         Follow the conventions of Standard American English (correct grammar, punctuation, etc.);

·         Be well ordered, logical, and unified, as well as original and insightful;

·         Display superior content, organization, style, and mechanics; and

·         Use APA 6th Edition format as outlined in the APA Progression Ladder.

Why is Maria’s culture important when obtaining the health assessment?

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As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. Using Healthy People 2020 and your text as a guide:

    1. What additional information would you like to gather from Maria?
    2. What are Maria’s real and potential health risks?
    3. Why is Maria’s culture important when obtaining the health assessment?
    4. Pick one of Maria’s health risks. Would you classify Maria’s problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term goal for this risk?
    5. APA FORMAT REQUIRED

a. What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)

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a. What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)

b. Differentiate between specialty nursing practice and advanced practice nursing by comparing and contrasting these levels of practice in the following dimensions: knowledge base, scope of practice, credentialing, and regulation.

What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)

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Part A

What is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)

Part B

Differentiate between specialty nursing practice and advanced practice nursing by comparing and contrasting these levels of practice in the following dimensions: knowledge base, scope of practice, credentialing, and regulation.

(400 WORDS both)

Describe the role of the informatics nurse in a healthcare setting of your choice, and explain in detail three advantages of having a nurse who is expert in informatics working alongside less skilled nurse peers.

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Read Chapters 16, 17, 18, 20, and 24 in Thede and Sewell. Write a three page paper (five pages total with a title page, three pages of text, and a references page). Describe the role of the informatics nurse in a healthcare setting of your choice, and explain in detail three advantages of having a nurse who is expert in informatics working alongside less skilled nurse peers. Be sure to detail the role of the informatics nurse. Take time to go to Nursing Informatics websites and obtain support for your description of the informatics nurse’s role. Cite five or more sources from nursing informatics literature to earn maximum points for the Supporting Data criteria (see grading rubric criteria on next page). Also identify one way computers are used in a nurse’s work setting and any experience you have had with a computer program, e.g., Cerna for medication administration.

2) Create a resume detailing your license(s), earned degree(s), certification(s), professional experiences, previous positions held, membership in professional organizations, publications, and skills.

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1) Write an introductory cover letter of no more than 500 words in which you explain your professional objectives, professional interests, and strengths as an applicant.

2) Create a resume detailing your license(s), earned degree(s), certification(s), professional experiences, previous positions held, membership in professional organizations, publications, and skills.

3) Both the cover letter and resume should be formally written using a professionally accepted format. Review “Resume Resources,” located at for http://www.resume-resource.com/examples-medical.html, for examples of approved formats; however, other professional templates may be used.

4) APA format is not required, but solid academic writing is expected.

Explain at least three public health campaigns targeting access to healthcare for women and/or minorities. Describe at least two aspects of their advertising strategies that have addressed income and education.

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Barriers to Healthcare for Women and Minorities

Poverty and lack of education are two big barriers to healthcare for women and minorities. Low levels of education are associated with low life expectancies and high mortality rates. People living in poverty often lack education about when, why, and where to access healthcare. There have been various legislative activities in the US to improve public health.

On the basis of your understanding of the access to healthcare facilities and impacts of barriers to healthcare access, answer the following questions:

Explain at least three public health campaigns targeting access to healthcare for women and/or minorities. Describe at least two aspects of their advertising strategies that have addressed income and education.
Abortion has been the subject of numerous legislative activities in the United States. How have various legislations affected low-income and minority women?
Describe the legal battle over birth control devices in the United States. Include how access to healthcare has been affected by the legal decisions.
Describe the legal barriers to healthcare access for low-income immigrant minorities.
Review the articles, “Ethnic and gender disparities in needed adolescent mental health care”, and “Overlooked and underserved: Improving the health of men of color”. Explain what it means to be “overlooked” by the healthcare system.
Discuss at least two examples that illustrate why minorities are often overlooked in the healthcare system. Do you agree or disagree with these reasons, why or why not?
Despite the fact that school-based psychological counseling is available to all students, Thomas et al., report that ethnic disparities in mental healthcare access and utilization still persist. Explain why this disparity exists. What can be done to decrease mental health access and utilization barriers for low-income and minority students?
What strategies does former U.S. Surgeon General, David Satcher, M.D., discuss that will decrease the potential for minorities to be overlooked by the healthcare system?
at the end Participate in the discussion by asking two or more questions, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion

Discuss sources of bias for both quantitative and qualitative research. For quantitative research, be sure to address both random and systematic bias. You may use examples from the articles you selected as illustrations of bias and/or preventing bias.

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(1)Researchers often identify the research problem and then go in search of a theory. Discuss the disadvantages of doing this. What does the textbook recommend that researchers do to assure a true fit between theory and designing the study?

(2).Discuss sources of bias for both quantitative and qualitative research. For quantitative research, be sure to address both random and systematic bias. You may use examples from the articles you selected as illustrations of bias and/or preventing bias.

Two separate questions

What changes can we expect to occur with the influx of baby boomers entering into the long-term care system?

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Role of Technology in Long-Term Care

Using the South University Online Library and the Internet, find three articles describing the role technology will play in addressing the challenges ahead in long-term care. Summarize your findings and based on your learning, respond to the following questions:

Which challenges in long-term care system remain unmet? Why?
What changes can we expect to occur with the influx of baby boomers entering into the long-term care system?
Why do you think technology is important to long-term care? Support your answer with relevant examples.
What are the pros and cons of the implementation of technology in long-term care? Consider both providers and consumers while describing.
How does technology improve the type and quality of care received by long-term care consumers?
How important is the commitment by top management for the use of information technology in long-term care to be successful? Why?
How can the challenges be proactively addressed as opposed to being reactive?
Legal and Ethical Issues: Case Study

Cathy Smith, an eighty-eight-year-old woman, was admitted to the emergency room from the nursing facility with acute respiratory distress. Although Smith does not have a living will, her daughter Rose, a health care professional, has the power of attorney (POA) to make her mother’s health decisions.

Smith suffers from end-stage Alzheimer’s disease and recently experienced congestive heart failure. Her condition is alarming. The doctors want to place her on life-support equipment, including a ventilator. Smith’s son, Andrew, agrees with the doctor’s decision. However, Rose states her mother would never want to be placed on life-support machines to prolong her life.

Analyze the scenario and answer the following questions:

What are the autonomy-beneficial conflicts between Rose and Andrew related to placing their mother on life support in this case? Who has the right to make the decision on behalf of the client? Why?
What are the ethical issues related to the competency and decision-making capacity of the client while making the health care decisions? Do these issues impact the services offered in long-term care? How?
What are some of the critical issues related to informed consent? Who has the right to assume this responsibility? Why?