2023 Case 2 1 What are the mechanisms of blurred vision which was part of

Nursing 2023 Unit3 reply 2

Case 2 1 What are the mechanisms of blurred vision which was part of 2023 Assignment


Case #2: 

1. What are the mechanisms of blurred vision which was part of his initial symptoms? 

Elevated blood glucose levels cause the water balance in the eyes to fluctuate which can cause blurred vision (McCance & Huether, 2019). 

2.  Are there correlations between his abnormal blood chemistries and his other symptoms? 

There are correlations between J.R.’s abnormal blood chemistries and his other symptoms. J.R.’s lab results meet diagnostic criteria for diabetes mellitus (DM). One diagnostic criterion for DM J.R. met was that he was a patient with classic symptoms of hyperglycemia and a random plasma glucose greater than 200mg/dL (McCance & Huether, 2019). J.R.’s random glucose test resulted with a blood glucose of 350 mg/dl and his admission non-fasting serum glucose was 268 mg/dl, which are both above the normal values for blood glucose. The second diagnostic criteria for DM that J.R. met was that his glycosylated hemoglobin (HbA1c) level was greater than 6.5%, at 9.6% (McCance & Huether, 2019). The diagnostic criteria for DM that J.R. met reflect his other symptoms. Polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision are all symptoms of DM (McCance & Huether, 2019). Water is osmotically attracted from body cells due to elevated blood glucose levels, which results in intracellular dehydration and hypothalamic stimulation of thirst, resulting in polydipsia (McCance & Huether, 2019). When someone has hyperglycemia, it acts as an osmotic diuretic in the body (McCance & Huether, 2019). The amount of glucose that is filtered by the glomeruli of the kidneys exceeds the amount that can be reabsorbed by the renal tubules, which results in glycosuria accompanied by large amounts of water lost in the urine, causing polyuria (McCance & Huether, 2019).  The effects of insulin deficiency lead to the fluid is lost in osmotic diuresis and the loss of body tissue as proteins and fat are utilized for energy, resulting in weight loss (McCance & Huether, 2019). Cellular starvation and a corresponding increase in hunger, also known as polyphagia, results from the depletion of cellular stores of carbohydrates, fats, and protein (McCance & Huether, 2019). Sleep loss from severe nocturia can contribute to fatigue as well as the metabolic changes that result in poor use of food products. The effects of insulin deficiency lead to the fluid is lost in osmotic diuresis and the loss of body tissue as proteins and fat are utilized for energy, resulting in weight loss (McCance & Huether, 2019). 

3. Identify the cardiovascular and microvascular risk factors in the history, physical examination, and laboratory data in this patient. 

Microvascular complications of diabetes depend on both the severity and duration of hyperglycemia (Fowler, 2008). Diabetic retinopathy may be the most common microvascular complication of diabetes (Fowler, 2008). In patients with type 2 D.M., the development of diabetic retinopathy may begin to develop as early as seven years before the diagnosis of diabetes (Fowler, 2008). J.R. has complaints of blurred vision that is more than likely due to his high blood glucose levels from the lab values. Additional microvascular complications that can exist are diabetic nephropathy and diabetic neuropathy (Fowler, 2008). J.R. does not complain of signs of neuropathy at this time, but this is common and may come in the future. To determine diabetic nephropathy in J.R., we would need additional lab results. Individuals with diabetes pose a cardiovascular risk factor and are twice as likely to have heart disease or a stroke, especially at a young age (McCance & Huether, 2019). Over time, hyperglycemia can damage blood vessels and the nerves that control your heart; therefore, individuals with diabetes are more likely to have other conditions that increase the risk for heart disease (Centers for Disease Control and Prevention [CDC], 2021). J.R. does exhibit cardiovascular risk factors, specifically obesity (CDC, 2021).   

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defining obesity as a community health problem in oklahoma

Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response.

DQ: Defining a Community Health Problem

There are many health issues affecting the United States. Some of the most common issues are chronic disease, obesity and overweight persons, immunization, access to healthcare services, tobacco and substance abuse, mental health, injury and violence, and environmental quality.

Using the Internet, obtain scholarly articles and materials to draw inferences and support your philosophy.

In Week 1 Project (ATTACHED), you selected a particular health issue (OBESITY) or health disease (for example, heart disease, cancer, or obesity) to act as a main theme or topic in this course. In this assignment, you will continue your analysis of your selected health issue or health disease topic by collecting both qualitative and quantitative data. Be sure to collect your information from a reliable online source, such as the CDC database surveillance website, the National Immunization Survey, or the Behavioral Risk Factor Surveillance System.

Analyze and synthesize this information as if you were going make a presentation to state public health officials and solicit funding to address the problem.

Respond to the following:

  • Explain why the health issue or health disease you have chosen is a problem in your community (OKLAHOMA).
  • Explain how you might address this health problem in your community. Illustrate how you would develop a framework for your needs assessment and what instrument you would use to collect qualitative information.
  • Prioritize the steps that you might take to define the health problem. Explain in detail with a minimum of four examples and supportive evidence.

Write a 1–2-paragraph response. Comment on the postings of at least two peers with scholarly information.

Evaluation Criteria:

  • Explained why the health issue or health disease you have chosen is a problem in your community.
  • Explained how you might address this health problem in your community, including developing a framework for your needs assessment and what instrument you would use to collect qualitative information.
  • Described in detail the steps that you might take to define the health problem giving a minimum of four examples and supporting evidence.
  • Responses demonstrated an in-depth research and analysis.
  • Justified your answers with appropriate research and reasoning.
  • Commented on the postings of at least two peers.

descriptions of their business opportunities or chosen companies

Introduce your potential business opportunity or chosen company (already established or new). Describe the general industry and market domain of the business opportunity or company. In doing this, here are some directions to guide your answer:

  • Describe the purpose of your company, its reason for existence in the marketplace, and other general information about the organization, operations, marketing, finance, and technology.
  • Discuss some of the key factors of the market domain that you discovered in your research that affect your company.
  • Discuss briefly how these factors affect the marketplace and impact your company (these key factors should represent a variety of factors and not just one source, such as technology or changes in supply of natural resources).

week 2 for leadership principle

Week 2 Assignment: Healthy People 2020 Strategies Paper

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Take one objective from each of the three goals in the Healthy People 2020 infrastructure goals and objectives (Workforce, Data and Information Systems, Public Health Organizations), and discuss possible strategies for reaching the objective (see pp. 142–148, Exhibit 7-1 from your text).

Include the following:

  • Clearly define the objective you are providing the strategy for, including the “Number” and “Objective Short Title.”
    • Example: PHI-1 Competencies for public health professionals
  • Provide one detailed strategy per objective.
  • Besides the course book, include information from at least 1 external source (2 references total).

The paper should be 2–3 pages, excluding title and references pages. Use current APA formatting to style your paper and to cite your sources. Integrate your sources into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources.

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Healthy People 2020 website: https://www.healthypeople.gov/

See the rubric for specific grading criteria.

Due: Sunday, 11:59 p.m. (Pacific time)
Points: 50 points

discussion 1 for week 3 ifsm

Discussion #1 for Week 3


Image result for image of EMR interoperability

Topic: Describe the data/information that flows between health care organizations.

The Week 3 readings focus on data – data quality, data storage, and data records (EHRs). For your Stage 2 assignment, you will identify external organizations with which the Midtown Family Clinic needs to share data, identify what data elements will be shared, and whether the data is going to the external organization or is coming from the external organization. In this discussion, we will examine what interoperability (data sharing) is, why it is important, and why it is so difficult. First, you should conduct some research and find out what interoperability is and how it impacts or is used in health care systems. Then,to gain an understanding of the major challenges with sharing data go to: http://afiahealth.com/challenges-sharing-data-separate-ehrs/

GROUP 3: Using a rehabilitation facility as the organization,

  1. List three data elements (or items of information) that the rehab facility would need to receive with a patient referral [Review what others have posted and try to come up with some different data elements]
  2. List one unique (not previously listed by another respondent) data element that the rehab facility would need to provide to an external organization, and identify what type of organization that is and the purpose of the data sharing.
  3. Choose one aspect of interoperability that you found in your research and explain what an EHR system for the rehab facility would need to be able to do to exchange information with other organizations.

Part II-EVERYONE: This discussion focuses on what information and insights can be gained from data that is collected and shared. There are many tools that take vast arrays of data and create information in a form that helps us better understand what the data tells us. One group of tools are called data visualization tools. Visit the website below and select one of the methods of data display for a topic of interest to you. Explain how that particular display helps us understand the data better. If you can, it would be helpful to copy and paste the data display into your posting, or provide a link to it. (Be sure to cite your source correctly.)


Responses to others’ postings are encouraged, but not required.

ss110 assignmentsquiz 1

  1. Name two of the causes of the Protestant Reformation
  2. Name one of the concepts of the Ptolemaic Universe Theory.
  3. Name one of the reforms undertaken by the Roman Catholic authorities in response to the Protestant reformation.
  4. During the 17th and 18th centuries, as they sought to restore order after the 30 year war, European states developed along two lines. Name one type of such states.
  5. Name 2 consequences of the Peace of Westphalia.

discussion and response etc 1 1

Subject: Emerging Threats & Countermeas

What is separation and what role does it play in a program of national infrastructure protection?

You must do this following:

1) Discussion topic (Around 500 to 600 words) need to submit before Wednesday Noon (today is Monday). 

2) Select AT LEAST 2 other students’ threads and post substantive comments on those threads. Your comments should extend the conversation started with the thread. 

Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply. To help you with your discussion, please consider the following questions:

What did you learn from your classmate’s posting?

What additional questions do you have after reading the posting?

What clarification do you need regarding the posting?

What differences or similarities do you see between your posting and other classmates’ postings?

Required Resources

* Amoroso, E. G. (2012). Cyber attacks: protecting national infrastructure. Elsevier.

* https://s3.us-east-1.amazonaws.com/blackboard.lear…

* Attached chapter 3 _PPT

research proposal organizational evaluation

I would like to develop a research proposal that analyzes a non profit organization.

easy 1000 word paper and power point presentation on what do you need to become an entrepreneur

Topic: ‘What do you need to become an Entrepreneur’

Speech Assignment

Communication is used to inform, to persuade and to analyze. In this assignment, you will write a speech that provides your audience information about ‘What do you need to become an Entrepreneur’. Your presentation will be submitted in the form of a Power Point presentation. Your speech should be a minimum of 1000 words long, including the total from the Power Point slides, and the text of your speech in the Notes section of Power Point.

Your speech should include an introduction which identifies your main point, a body in which you provide support for your main point, and a conclusion that wraps up your presentation and says something about the significance of what you’ve presented.

  • PURPOSE: To inform
  • LENGTH: 1,000 words including the total from the Power Point slides
  • SOURCES: Total of 3, with 1-2 from the Library and 1-2 from discipline specific websites
  • FORMAT: APA Format