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9349315 Men S Health.edited
Considering the scope of the problem as defined in the case, population-level interventions can help regulate the HIV inci …

9349315 Men S Health.edited
Considering the scope of the problem as defined in the case, population-level interventions can help regulate the HIV incidence rates among gay men, …

St Thomas University Osteoarthritis Treatment Advance Pharmacology Discussion
Advance Pharmacology Discussion 7 Sally is a 50-year-old female who has been a jogger for several years. She has recently …

St Thomas University Osteoarthritis Treatment Advance Pharmacology Discussion
Advance Pharmacology Discussion 7 Sally is a 50-year-old female who has been a jogger for several years. She has recently been diagnosed with osteoarthritis. She has been taking ibuprofen for 3 months but states that “it does not help” and hurts her stomach. The health care provider prescribes celecoxib (Celebrex) 100 mg orally twice a day. What is the first-line therapy for osteoarthritis and the mechanism of action? Sally expresses concern about all the recent news about heart problems and celecoxib (Celebrex). What information should be included in a teaching plan to help her understand about taking celecoxib and the benefits and risks? Ibuprofen and celecoxib are both nonsteroidal anti-inflammatory drugs. Explain how they are similar and different Online Materials & Resources Schneider, M., & Krüger, K. (2013). Rheumatoid Arthritis–Early Diagnosis and Disease Management. Deutsches Aerzteblatt International, 110(27/28), 477-484. doi:10.3238/arztebl.2013.0477 Magennis, B., Lynch, T., & Corry, M. (2014). Current trends in the medical management of Parkinson’s disease: implications for nursing practice. British Journal of Neuroscience Nursing, 10(2), 67-74. Larsen, M., Rosholm, J., & Hallas, J. (2014). The influence of comprehensive geriatric assessment on drug therapy in elderly patients. European Journal of Clinical Pharmacology, 70(2), 233-239. doi:10.1007/s00228-013-1601-x. REPLY TO  Concerning Sally’s case study, the first-line therapy for osteoarthritis varies with the treatment modalities to substantiate the action plan. The effective action plan for osteoarthritis based on the background diagnosis of Sally, cyclooxygenase-2 (COX-2) inhibitors, acetaminophen (APAP), and nonsteroidal anti-inflammatory drugs (NSAIDs) could be the primary option for the treatment. Osteoarthritis is one of the most prevalent diseases in society that affects mostly the elderly population, such as Sally, who is 50 years old. The leading cause of osteoarthritis is wear and tear of the cartilage over a low repair capacity. The APAP enhances relief from mild to moderate pain, inhibiting the COX-3 activity and synthesizing prostaglandin. NSAIDs also have mild and moderate pain relief that inhibits cyclooxygenase enzymes and prostaglandin synthesis (Medline Plus, 2016). NSAIDs have a low benefit/risk ratio and can be used for short term use with minimum effective dose. On the other hand, the APAP is recommended for long-term use, but it has side effects and should be used strictly. Like any other drug used for diagnosis purposes, there are benefits and risks involved. This case study of Sally taking Celebrex with her heart problems conditions should enhance a plan for diagnosis. Medical specialists need to note that Celebrex is a selective cyco-oxygenase-2 (COX-2) inhibitor-associated with fewer risks of gastrointestinal bleeding contrary to non-selective NSAIDs of the benefits of using Celebrex drug (Falla, 2016). Some of the risks involved while using Celebrex are it increases cardiovascular, kidney risks, and liver complications linked with non-selective NSAIDs. Moreover, Celebrex or Celecoxib’s use has other side effects such as heart-related risks like stroke and heart attack among individuals. These risks may be severe liver problems, serious skin reactions, dizziness, difficulty breathing or shortness of breathing (dyspnea), kidney issues, hypertension or high blood pressure, and difficulty swallowing (Falla, 2016). Some of the merits and benefits of using Celebrex or Celecoxib are liver impairment where it small dosage enhanced dismal or moderate hepatic impairment, is used to relieve pain, swelling and stiffness of osteoarthritis, tenderness, rheumatoid arthritis, and ankylosing spondylitis that affects the joints and spine respectively. The drug is also used to treat painful menstrual periods among female patients and enhance relief and other short-term pain such as injuries for both males and females (Medline Plus, 2016). Another benefit of Celebrex is that; it is used to treat migraine headaches due to severe throbbing. There are similarities and differences between ibuprofen and celecoxib drug base on a nonsteroidal anti-inflammatory. Celebrex is known as a selective COX-2 inhibitor. While it is still an NSAID like ibuprofen, Celebrex only blocks COX-2 instead of ibuprofen, which blocks both COX-1 and COX-2. A COX-2 inhibitor can be more comfortable on the stomach, with a lower risk of causing stomach ulcers (Berger, 2019). Celebrex and ibuprofen have many of the same interactions with other prescription drugs. Both medications interact with blood thinners such as Coumadin (warfarin), certain blood pressure medications (Berger, 2019). Alcohol should be avoided when taking Celebrex or ibuprofen. Using either of these medications with alcohol can increase the risk of GI (stomach) bleeding or inflammation. Both drugs have similar side effects such as abdominal pain, headache dyspepsia, diarrhoea with varying frequency to a patient.

8 pages

Nhs Fp5004 Assessment 3 Leadership Self Assessment
Leadership shape the nation, communities, and organization. Everyone requires an excellent leader to help guide them throu …

Nhs Fp5004 Assessment 3 Leadership Self Assessment
Leadership shape the nation, communities, and organization. Everyone requires an excellent leader to help guide them through their lives and in making …

Stratford University Week 9 Admitting a Murderer Using Provision Discussion
We will begin applying the ethics we are studying with via the discussion boards. I will be assigning case studies that h …

Stratford University Week 9 Admitting a Murderer Using Provision Discussion
We will begin applying the ethics we are studying with via the discussion boards. I will be assigning case studies that have to do with the first 3 provisions of the Code of Ethics for Nursing for Week 9 presentations. For this week’s discussion, read the following article: http://www.cnn.com/2017/01/03/us/charles-manson-hospitalized/index.html?sr=fbCNN010417charles-manson-hospitalized/index.html0300AMStoryLink&linkId=32991209Presume you are the nurse admitting this patient. Discuss your reactions and your conflicts.Choose one of the first 3 provisions and discuss this article in that context. Please include the provision number in your post subject line.

​Healthcare Policy Analysis Paper, writing homework help
Need week 2 tomorrow which consists of one page and references and week 5 in 2 days which consists of outline and referenc …

​Healthcare Policy Analysis Paper, writing homework help
Need week 2 tomorrow which consists of one page and references and week 5 in 2 days which consists of outline and references. (I will provide you samples)Healthcare Policy Analysis Paper Description you will be completing a Healthcare Policy Analysis Paper . You will be required to choose a single past, current, or proposed legislative item to analyze. Below, you will find the deadlines and requirements of this project. Healthcare Policy Analysis Paper Deadlines Week 7: Submit the final version of your Policy Paper, including your Works Cited page. Healthcare Policy Analysis Paper Expectations Final Paper (Week 7): It is expected that the final version of your Healthcare Policy Analysis Paper will be 8-10 pages in length, with 6-8 sources identified. Your paper should be 12-pt. Times New Roman font, double spaced, with standard margins. You should have a thesis statement in your introduction identifying the legislation/policy that your paper will be addressing. APA in-text citation is required in addition to listing all of your sources on a Works Cited Page at the end of the document. Your grade will be affected if you do not cite or identify your sources correctly. Below is a list of questions that should be addressed in the body of your paper. What is the legislation/policy that will be analyzed in this paper?What is the problem/issue that this legislation attempts to address?What is the history of the legislation?Has (or will) the legislation been effective in addressing the problem or issue?What group(s) of people have been the most affected by the problem?Is there any information on the future of this legislation? (Revision, obsolete, status of bill, etc.) Research Resources For instructions on how to use the Dropbox , Category Points % Description Documentation & Formatting 15 15% A quality paper will include proper citations and a Works Cited page. The number of sources identified and cited meets the paper requirements. Organization and Cohesiveness 25 25% A quality paper will include an introduction based upon a well-formed thesis statement. The logical order of the content will be derived from the thesis statement. The content will be properly subdivided into sections derived from the outline. The conclusion will summarize the previously presented content, and will complement the thesis statement from the introduction. Editing 10 10% A quality paper will be free of any spelling, punctuation, or grammatical errors. Sentences and paragraphs will be clear, concise, and factually correct. Content 100 50% A quality paper will meet the page requirement and have significant scope and depth of research to support any statements. Relevant illustration or examples are encouraged. A quality paper will employ sound use of reasoning and logic to reinforce conclusions. Total 150 100% A quality paper will meet or exceed all of the above requirements. Final Paper Rubric Final Paper Rubric Content – 50% of overall grade Points % Meets Page Requirement 10 10% Depth and Scope of Research 40 40% Answers all of project questions 30 30% Use of sound logic 20 20% Total 100 points 100% Editing – 10% of overall grade Points % Spelling, Punctuation, or Grammatical Errors 3 30% Sentence Meaning Unclear 3 30% Misstatement of Fact 4 40% Total 10 points 100% Organization – 25% of overall grade Points % Introduction; Thesis statement clearly identified legislation to be addressed 10 40% Body text follows an organized plan to address the main points 5 20% Content sub-divisions follow outline 5 20% Conclusion summarizes; complements thesis; contains no new information 5 20% Total 25 points 100% Documentation – 15% of overall grade Points Deduction % Properly uses in-text citation 8 54% Works Cited 7 46% Total (not to exceed) 15 points 100% Category Totals Possible Points % Content 100 50% Organization and Cohesiveness 25 20% Editing 10 15% Documentation and Formatting 15 15% Total 150 points 100%

Applying theory to a practice problem Part 1 and 2, health and medicine homework help
Applying theory to a practice problem Part 1 It is important to understand how research can help you in your everyday env …

Applying theory to a practice problem Part 1 and 2, health and medicine homework help
Applying theory to a practice problem Part 1 It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice. DIRECTIONS: Chose a problem that you are encountering in your practice or about which you have read in the current literature. Write a paper (250 to 500 words) that describes a practical problem that emerges from the evidence in the extant literature or professional practice. The paper should do the following: Clearly describe the problem. Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Applying Theory to a Practice Problem: Part 2: Application of Middle-Range Theory to Problem PURPOSE: It is important to understand how middle-range theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice. In this assignment, you will explore and apply middle-range theory to solve the specific problem that you identified in the previous assignment. DIRECTIONS: Consider the problem that you described in the previous assignment and the instructor feedback about that assignment. Write a paper (1,300 to 1,500 words) that describes how middle-range theory can be applied to the identified problem. The paper should include the following: A brief summary of the problem. A description of a middle-range theory that could be applied to the problem. Is this middle-range theory appropriate to your identified problem? A brief discussion of the middle-range theory’s origins. A discussion of how the middle-range theory has been previously applied. A discussion of the application of the middle-range theory to the identified problem. How would your practice change by incorporating this theory? Prepare this assignment according to guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completionNote .Rubric is attached ,Part 3 will be assigned later

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