Search Our Essay Database

Essay Instructions: This is a doctoral essay 1500-3000 words, double spaced. It is just to ponder a specific question related to:

MANAGING ARTHRITIS THROUGH IMPROVED NUTRITION

Can arthritis be successfully managed through improved nutrition instead of reliance upon prescription medications and/or pain medications?

Essay Instructions: I would like writer sokkertrapp to do this..


Go to a Nutrition Store you can say you went to Natural Health in Clementon, NJ2001 College Dr # 1
Clementon, NJ 08021-5617
(856) 784-1021

Ask the person to discuss the various supplements on the market that claim to to reduce
or eliminate joint pain.associated with arthritis. Based on the research you have done and the findings of your interview
would you recommend any of the supplements to your older clients ? Explain your answer and back your reasoning
with evidence from the information gathered

http://www.webmd.com/osteoarthritis/guide/arthritis-diets-supplements

http://www.journalstandard.com/features/x7/With-arthritis-pain-activity-is-the-key-to-movement

http://www.womensupermoto.com/index.php/2011-03-10-06-09-32/fitness-health-menu/131-alternative-treatments-chronic-pain
Read part on Supplements
http://nccam.nih.gov/research/results/gait/qa.htm

http://www.arthritis.org/supplemental-relief.php good one

http://www.foxnews.com/health/2010/09/17/study-popular-arthritis-supplements-dont-work/ states they don’t work

There are faxes for this order.

Customer is requesting that (sokkertrapp ) completes this order.

Essay Instructions: Please write a 2 page Discussion paper on the topic given. Please use the APA format, remember to use HEADINGS and separate sections of main posts. Also remember to include a reference page. Please use the given resources and write the paper accordingly. Thanks

Arthritis
While arthritis impacts nearly 50 million adults in the United States, it is not a disease that is limited to adulthood. Consider the case of Ashley Russell. At the age of 14 months, Ashley was diagnosed with juvenile rheumatoid arthritis. As a baby, her parents noticed that her knee was always swollen and that she often wanted to be carried instead of walking on her own (Cyr, 2012). After seeking medical care, Ashley’s underlying disorder was discovered. Arthritis in children is not uncommon. According to the CDC (2011), an estimated 294,000 children under age 18 have some form of arthritis or rheumatic condition. Due to the prevalence of the disorder in both children and adults, you must understand the pathophysiology and symptoms of arthritis in order to properly diagnose and prescribe treatment.
To prepare:
Review Chapter 37 in the Huether and McCance text and Chapter 24 in the McPhee and Hammer text. Identify the pathophysiology of osteoarthritis and rheumatoid arthritis. Consider the similarities and differences of the disorders.
Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology of the disorders, as well as the diagnosis of and treatment for the disorders.
Post on or before Day 3 a description of the pathophysiology of osteoarthritis and rheumatoid arthritis, including the similarities and differences between the disorders. Then explain how the factors you selected might impact the pathophysiology of the disorders, as well as the diagnosis of treatment for the disorders.

Essay Instructions: NRSG 366
Freda smith is a 64 year old woman who has been referred by the local hospital to the community Health centre for ongoing care. Freda was discharged home 2 days ago. She was diagnosed with rheumatoid arthritis 10 years ago and chronic heart failure 5 years ago.


She also has a cataract in her left eye which will be removed in 3 months.
During her recent hospital stay she has been diagnosed with Type 2 Diabetes and commenced on insulin, her regular BGL have been high ranging from 18.5 to 25.6 mmol/L.
Freda lives with her husband John in a 2 bedroom second storey unit.
.
.
There is lift access within the building,.John works full time as a builder
and Freda works in his business as the office manager.
John and Freda have 4 children, 3 sons and 1 daughter, all of them live overseas. Freda is 170cm tall and weighs 110kgs
She is short of breath on exertion.
Her current observations
are;
BP: 140/80
P: 100
R: 26
Sa02: 96% on 21% oxygen

Fredas current medications include
:
?
frusemide 40mg BD
?
digoxin 250 mcg daily
?
lisinopril 20 mg BD
?
atenolol 50 mg daily
?
aspirin 100 mg daily
?
amiodarone 300 mg BD with food, to be reviewed in one month
?
iboprufen 400 mgs TD
S
?
lantus 52 units daily

You are the RN from the community Health service who has been assigned to visit Freda and John at home to assess Fredas level of self management of her BGLs and insulin injections.
The hospital had indicated John was reluctant to give his wife this injection
or get involved in her care
.
You are required to
A comprehensive client assessment.
Identification of the impact of the health issues on Freda and John
Impact on their level of independence and functioning in the community
The nursing care strategies that will support and educate Freda and john to promote their level of independent living. This is to include Fredas level of independence associated with her BGL monitoring and insulin administration.




One: identify the person

Understand the background of the person

Understand all the details provided about the person

Clarify all the symptoms, identified problems and diagnoses
so you understand who you
are dealing with and what problems they may have.

Two: understand the pathophysiology of the diagnoses and the pharmacological principles of the medications the person is on

Review the normal physiology of the body systems involved in the various diagnoses.

Review the pathophysiology related to the diagnoses so you understand the variation from normal

Identify the purpose of the medications in relation to the diagnoses

Review the pharmacodynamics and pharmacokinetics of the medications

Understand the effect of the medication on the pathophysiology of the diagnoses


Three:

Identify the information needed to care for the client and structure assessment to provide you with the information required to plan care for this particular client?s specific problems

Identify all the domains of health to be assessed

Identify the tools needed to perform the assessments in each domain

Identify additional information needed and method to collect the required data, e.g. urine tests


Four: care planning

Identify care needs in order of priority

Construct a plan of care that meets the needs of the client.

Consider care planning across all domains of health: physical, psychological, social, cultural, spiritual, intellectual and other domains you may identify

Include method of evaluation in the care planning

Review care planning from ethical perspective to include client consent, autonomy and adherence to nurses? code of conduct ,legal requirements etc


Five: implementation

Identify possible obstacles to implementation and how you could address it
Six: evaluation and reassessment

Identify how outcomes will be measured and identify reassessment or conclusion of
activity

Identify tracking of progress of long term care goals

ALSO REQUIRED IS A 1 PAGE CONCEPT MAP