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GCCCD Detached Retina Cardiovascular Accident & Parkinson Disease Case Studies

GCCCD Detached Retina Cardiovascular Accident & Parkinson Disease Case Studies.

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.Assignment:In a 1100-word APA essay – Complete all three of the following SherPath case studies: 1. Detached Retina, 2. Cardiovascular Accident, 3. Parkinson’s Disease. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.Detached RetinaMr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. Soon after he was released, he noticed what he described as a “gray spot” in his field of vision. At first he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. He didn’t report any pain with the problem. On calling his physician, he was advised to go to the nearest hospital immediately. A detached retina was diagnosed.After treatment, he regained most of his normal sight back. Five years later, he began having problems again. The central area of his visual field was becoming blurred, and he was losing his depth perception. An initial eye examination revealed neovascularization in both eyes.Question 1: Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition.Question 2: Discuss the treatments available for the patient.Question 3: Relate the symptoms and signs to those of macular degeneration.Question 4: Discuss the treatment available and the prognosis for recovering his normal vision.Resources to assist you: AccidentMr. Quinn, age 64 years, developed a severe headache several hours ago that has not responded to acetaminophen. Now his speech is slurred, and his right arm and the right side of his face feel numb. He is very anxious and is transported to the hospital. Mr. Quinn has a history of smoking and arteriosclerosis, and there is family history of CVA and diabetes. Assessment at the hospital indicated weakness on the right side, including facial asymmetry and a blood pressure of 220/110 Hg mm. A CT scan showed damaged tissue on the left side of the brain, and an angiogram indicated narrowing of the carotid arteries and middle cerebral arteries, with occlusion of the left middle cerebral artery.Question 1: Discuss the pathophysiology related to CVA due to thrombus vs. embolus. Describe the stages in the development of an atheroma.Question 2: Explain the predisposing factors in this case, and relate Mr. Quinn’s initial signs to the pathological changes.Question 3: Discuss the treatments available after first aid for stroke patients and the patient’s prognosis.Resources to help you: DiseaseMr. Nimmo, age 66, has noticed excessive fatigue, muscle aches, and weakness in his legs for some time. His hands were shaking slightly, although his wife reported that the shaking appeared to stop when he fell asleep. Some unintentional head movements were also apparent. He remembers that his grandfather died in his mid-60s after suffering for years from a condition with similar symptoms. After several tests and the elimination of some other neuromuscular conditions, a diagnosis of Parkinson’s disease was made for Mr. Nimmo.Question 1: Discuss the pathophysiology of Parkinson’s disease and how it differs from other neuromuscular conditions affecting older adults.Question 2: Discuss the usual progression of the disease as the pathophysiology develops further. Indicate additional manifestations that will be noticeable.Question 3: Describe the complications that frequently develop, including the rationale for each and the early indications of each problem.Question 4: Discuss the treatments available to this patient.Resources to help you: .doc file
GCCCD Detached Retina Cardiovascular Accident & Parkinson Disease Case Studies

JNTU Cybersecurity Planning Network Security & Basic Building Block Discussion

JNTU Cybersecurity Planning Network Security & Basic Building Block Discussion.

Hello , pls answer below 3 questions in a saperate word doc Course: Cybersecurity Planning:.1) In 500 words, Have you or someone you know ever received a chain letter, phishing message, or some other fraudulent message via email? If so, please share this experience. Explain what type of message it was and what you did to get rid of it.Do not copy without providing proper attribution. This paper will be evaluated through SafeAssign. Write in essay format not in outline, bulleted, numbered or other list format.Use the five paragraph format. Each paragraph must have at least five sentences. Include 3 quotes with quotation marks and cited in-line and in a list of references. Include an interesting meaninful title.Use at least three sources. Use the Research Databases available from the Danforth Library ( Google.Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.Stand alone quotes will not count toward the 3 required quotes.Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0.===================Course: Network Security:1)7.1 What is the basic building block of an 802.11 WLAN?

7.2 Define an extended service set.

7.3 List and briefly define IEEE 802.11 services.

7.4 Is a distribution system a wireless network?

7.5 How is the concept of an association related to that of mobility?

7.6 What security areas are addressed by IEEE 802.11i?

7.7 Briefly describe the five IEEE 802.11i phases of operation.
7.8 What is the difference between TKIP and CCMP? =========2)In no less than 250 words, describe the difference between a fat AP and a thin AP. What is needed to deploy a thin AP? Are there any security considerations to think about between the 2 different APs? use APA format and add 2 clickable reference at end
JNTU Cybersecurity Planning Network Security & Basic Building Block Discussion

Principles of Animal Nursing.

essay writing help Principles of Animal Nursing.. Principles of Animal Nursing. Parrot requiring nail clipping and beak trimming: Summary of condition: Due to not having the correct enrichment and food for the parrot that they would have in the wild their nails and beak can overgrow quickly and need trimming by a professional. They would use several different tools such as files and clippers to trim and file the nails/beak down. Initial assessment: During the initial assessment the veterinary surgeon would want to get as much information from just looking at the bird as well as asking the owner various questions. The vet would observe the bird whilst it is still in the cage or carrier box so that it would be handled as little as possible. (, 2019) This is because when the bird is being handled it can stress them out and can cause injuries and possible death. Before handling the vet should make sure that the have a towel (as an example of PPE) ready to secure the bird and restrict movement of its wings so it is unable to fly away, protecting the safety of both the bird and vet. As the bird does not have a contagious disease it will not have to use barrier nursing. However due to it being quite a stressful procedure it would be suitable to not put the bird in a room with any other animals that are noisy and might stress the bird further for example a dog or cat. Nursing requirements: To trim the parrot’s beak and nails putting it in isolation would probably be beneficial to reduce stress and make the treatment easier to carry out. Putting the bird in a dark and quite room would help to calm it so that when it comes to doing the procedure. The noise from other animals such as dogs barking would heighten the possibly already high anxiety the parrot would be feeling because it has already been removed out of its enclosure and taken to a different place. As the parrot would bite if not held correctly it would be suitable for the vet or RVN to wear gloves as a form of PPE Recovery plan: Due to the procedure not being a surgery there is not much recovery. To help them recover the owner could put the parrot in its cage in a dark room to help them relax away from the noises and light. People should not disturb them and keep noise to a minimum. To prevent the beak and nails overgrowing quickly owners could buy a perch which is specially designed to wear down the nails and beak. If this works then the parrot would not need to have the stressful treatment. Regulations: The regulations that would be affected by this treatment are: The Animal Welfare Act protects the 5 needs of animals which would need to be protected when they are being treated at a veterinary practice. Reporting of Injuries, Diseases and Dangerous Occurrences Regulations is important as the vet performing the procedure could get hurt by the bird biting or if the file slips and cuts the persons hand. Complementary therapies: The main complementary therapy would be aroma therapy. The smells and vapours would calm the bird and to remove the tension from how they would have felt during the procedure. Essential oils such as Cedar wood, Eucalyptus and Lavender would be most suitable. (The Miracle of Essential Oils, 2019) References: (2019). [online] Available at: [Accessed 2 Jan. 2019]. The Miracle of Essential Oils. (2019). How to Use Essential Oils for Parrots – The Miracle of Essential Oils. [Online] Available at: [Accessed 15 Jan. 2019]. German shepherd with hip dysplasia requiring corrective surgery: Summary of condition: Hip dysplasia is a condition which mainly effects the larger dog breeds including German Shepherds who are often known to having the unfortunate problem. The condition occurs because the hip joint is loose (hip joint laxity) meaning that the femoral head and acetabulum move abnormally therefore putting strain on the joint and causing the lameness in the back legs. (, 2019). It is usually quite obvious that a dog has hip dysplasia as their back slopes downwards causing them to have an abnormal gait, putting additional pressure on the back legs resulting in stiffness and difficulty walking and getting upstairs(Fitzpatrick Referrals, 2019). In the corrective surgery it is usually a total hip replacement where the damaged joint is removed and a metal and plastic recreation is fitted (Fitzpatrick Referrals, 2019.) Initial assessment: On arrival to the vets the German shepherd would have an initial assessment done by a Registered Veterinary Nurse (RVN). During this they would do a 10 point health check to outline any other issues that could cause a problem. They may also do any tests such as a blood test which the Veterinary Surgeon (Vet) would review later. The German Shepherds respiration rate should be checked and a normal rate is within 12-35 breaths per minute. Anything below 8 and over 36 would be a concern to the veterinary nurse (S, Powell, 2019). Along with this the pulse should be checked which should be around 60-120 beats per minute however it should be taken into consideration that the dogs pulse as well as respiration rate may be higher because they might be stressed and in pain. An x-ray should be done as a diagnostic test even if one has been done before as the hip could have possible further damage that could be causing the animal more pain. When handling or restraining the dog the nurse would have to take into account the dogs poor condition in its back legs and be careful not to hurt them. As it may be in pain, the chance of aggression is increased so it would be suitable to use a muzzle or in more extreme cases a grasper/catch pole. Surgery: The main surgery to treat hip dysplasia that is most effective is a total hip replacement also known as THR. In this surgery the vet would remove the diseased hip joint and in place of the ball a metal implant is fitted. The implant is attached to the bone usually by cement so that it is secure. (Fitzpatrick Referrals, 2019.) Immediately after surgery the veterinary surgeon may prescribe pain relief medication such as opioids for example Methadone as it is one of the strongest pain medications a veterinary surgeon can access. The veterinary surgeon would be performing the operation as veterinary nurses are unable to under the Veterinary Surgeons Act 1966. Nursing requirements: Aseptic nursing would be used in a total hip replacement to prevent pathogens entering the open wound and causing infections. Some examples of how good aseptic technique is shown includes: a scrubbing in procedure before surgery, new set of sterile equipment for every surgery, the temperature of the room should be in-between 15-20°c and also plan to do ‘clean’ surgeries before dirty ones (Class notes, 2018.) If aseptic nursing wasn’t used correctly and the dog developed an infection it could result in having its leg amputated. It could possibly be life threatening for example if sepsis occurred. Recovery plan: Rehabilitation is very important after a total hip replacement as the dog could easily pop the joint out and be in a lot of pain. In the first 24 hours the German Shepard should eat light and bland food as it may not have much of an appetite due to the remains of anaesthetic still in their system. After 24 hours their normal appetite should come back and you can start introducing their normal diet back. Due to having a hip replacement they should have restricted exercise. For example, they should only be on lead exercise in the garden away from other dogs so that it does not get excited and damage the hip. A sling might be helpful as well to put under the dog’s stomach and held by the owner to take the pressure off the dog’s hips. However if a dog is hyperactive the vet may think that it would be better to put the dog on cage rest for a couple of days so that the joint can start to heal without no complications. As the dog would be quite immobile for a while after the surgery they should have extra padding where they are lying so that it is more comfortable. The German Shepard should be brought back to the vets for regular check-ups to make sure that the operation has been successful and if not discuss the next steps to helping the dog. The vet may prescribe a pain killer such as Metacam to help relieve their pain in their hip and make them more comfortable as it is an anti-inflammatory. It is very important that the dog does not lick or scratch the sutures as the wound could open and become infected. Therefore they could wear a buster collar to prevent them doing it. Regulations: The main legislations/ regulations that would effect this situation would include: The Health and Safety at Work Act would ensure that the safety of the employees is protected for example reporting broken equipment that could harm people or even animals. The Anaesthetics Act ensures that the operation must be done with anaesthetic and that only the vet can administer it. The Control of Substances Hazardous to Health means that staff have to be trained correctly and stored in a safe way. The Veterinary Surgeons Act outlines who can perform surgeries and who can’t. For example a RVN would not be allowed as they can only do minor surgeries. Complementary therapies: An example of a complementary therapy that would be suitable for the German Shephard is hydrotherapy. This would be beneficial as it will increase muscle mass due to the lack of use as they have been restricted. It works well as the restricted from the water makes the legs work harder to be able to move whilst minimising discomfort. (petMD, 2019) References: (2019). German Shepherd – Hip Dysplasia – UFAW. [online] Available at:—hip-dysplasia [Accessed 3 Jan. 2019]. Powell, S. 2019. Registered veterinary nurse. Conversation with Abbie Sadler. 3 January. Fitzpatrick Referrals. (2019). Hip Dysplasia – Fitzpatrick Referrals. [online] Available at: [Accessed 3 Jan. 2019]. Fitzpatrick Referrals. (2019). Hip Dysplasia – Fitzpatrick Referrals. [online] Available at: [Accessed 3 Jan. 2019]. Fitzpatrick Referrals. (2019). Hip Dysplasia – Fitzpatrick Referrals. [online] Available at: [Accessed 8 Jan. 2019]. Principles of animal nursing class notes taught by Mandy Downing (personal communication) petMD, L. (2019). Hydrotherapy, Water Therapy, and Swimming for Dogs: Benefits, Risks, and Things to Consider | petMD. [online] Available at: [Accessed 13 Jan. 2019]. Cat with cat flu: Summary of condition: Cat flu is a quite common condition that could be could either virally or from bacteria. The illness can be life threatening if not treated quick enough or not correctly. It is spread from direct contact from an infected cat or a carrier cat who has been infected but is not showing the signs of having the illness. Initial assessment: On arrival a RVN would conduct an initial assessment where they would do a 10 point health check as well as look for the symptoms of the condition. This includes: loss of appetite, sneezing, inflamed eyes and high temperature along with other things. A vet would then approve what the RVN should have picked up on then talk to the owners about the next steps for treatment. During an initial assessment the vet could do a diagnostic test which is to take swabs from the eyes, nose or mouth to send off to the laboratory where they can confirm it is cat flu. As it is very contagious, vets don’t always treat them at the practice because of the risk to other cats that do not have the problem, so the owner would take them home. (, 2019) When handling the cat the RVN or vet could wrap them in a towel to prevent it from kicking its legs and trying to get away. The towel would also keep them warm but they would want to be careful that the cat doesn’t overheat as then the condition could get worse. Nursing requirements: Barrier nursing would be used to treat cat flu. This is because cat flu is very contagious to other cats so it is very important that they do not get infected. To do this the cat would be put in isolation which is a physical separation to keep the infected cat safely away from the others. When entering the isolation room the RVN’s or vets would have to wear a sterile gown, gloves and mask which would be removed as soon as leaving the room to avoid the infectious pathogens from passing onto the healthy animals. (Class notes, 2018.) Recovery plan: When at home the cat should be isolated from other cats as they could still be carrying the infection and could pass it on to the other cats in the home. Antibiotics and anti-inflammatories are the main drugs used to treat the symptoms of the illness as there is no one drug to cure the whole thing. Therefore the owners would have to do the following things in order to aid the recovery: warm food to encourage them to eat, clean eyes and ears to remove the discharge and to keep them in a warm and quite room away from noises to make them as comfortable as possible. It could be weeks before the cat recovers fully, and behaviours go back to normal again. Another important thing to do is to make sure that the cat is always hydrated as they lose a lot of hydration whilst ill. Regulations: The regulations that would affect this situation are: The Control of Substances Hazardous to Health means that products such as medications and cleaning equipment should be correctly controlled so that they do not get misused and potentially harm both humans and animals. The Health and Safety at Work act ensures that the safety of the people and animals are protected when they are at the practice. Staff should attend training and always be responsible of the patients and other staff. Complementary therapies: The complementary therapy for a cat with cat flu would include aromatherapy. Using things such as hydrosols which are alcohol free and water soluble. (Healthy Living, 2019). Doing this would calm the cat as well as clearing their airways. By doing these the cats’ symptoms should improve and as a result the illness should start clearing up quicker. Both aromatherapy and steam inhalation will benefit the cat’s condition greatly and will help them recover more. References: petMD, L. (2019). Hydrotherapy, Water Therapy, and Swimming for Dogs: Benefits, Risks, and Things to Consider | petMD. [online] Available at: [Accessed 13 Jan. 2019]. Principles of animal nursing class notes taught by Mandy Downing (personal communication) Healthy Living. (2019). Aromatherapy for Cats | Care2 Healthy Living. [online] Available at: [Accessed 15 Jan. 2019]. Principles of Animal Nursing.

NUR 445 Denver School WK6 Kaiser Permanente Health Plan Annotated Bibliography

NUR 445 Denver School WK6 Kaiser Permanente Health Plan Annotated Bibliography.

This assignment is due Sunday night of Week 6 at 11:59pm Mountain Time.Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.Step 1 Summarize four selected and approved research articles from your literature search in Project B, Part 3 (that was due in Week 5).
In a two- to three-page paper, summarize four selected and approved research articles.Sources must be reputable and within five years of publication.List the inclusion and exclusion criteria used in the search (one paragraph). Include the terms used in the search and the filters used for search: date ranges, key words (if applicable), qualitative versus quantitative articles, and so on.Identify the search engine(s) used for the search (PubMed, CINAHL, EBSCO, UpToDate). Provide an appraisal/analysis of the articles. Describe the research components valuable to the creditability of the studies (one to two paragraphs per article). Summary of overall article as it pertains to proposed project Number of participants/sample sizeWhat was done in the studyValidity/reliability of the pre- and post-assessment tool(s), if applicableFindings of the studyAny other pertinent informationStep 2 Save and submit your assignment. When you have completed your assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor.Cite all sources in APA format.For grading details, see the rubric
NUR 445 Denver School WK6 Kaiser Permanente Health Plan Annotated Bibliography

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