Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.
Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.
Write a 2- to 3-page paper that addresses the following:
1.) Describe the normal pathophysiology of gastric acid stimulation and production (20 points)
2.) Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders( 20 points)
3.) Select one patient factor such as genetics, gender, ethnicity, age, or behavior and Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis.
4.) Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected (20 points)
5.) Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper (20 points)
Presentation As I would see it, the fundamental obligation of a writer is to report the news in a honest, unprejudiced and unopinionated way. Thus, I attempt to verify that my own written work holds fast to this criteria. Both the Press Complaints Commission (PCC) and the Office of Communications (Ofcom) sets of accepted rules detail exactness as one of the real rules that columnists should react to. The PCC work to authorize their set of accepted rules in the daily paper industry and it is 'the foundation of the arrangement of self-control to which the business has influenced a coupling duty.' (To squeeze Complaints Commission 2009). As a rehearsing writer I feel it is imperative to work in relationship with these codes appropriate from the counterbalance, in order to guarantee my composition is of the most elevated standard all through my whole profession. I trust this is apparent in my news coverage portfolio task. In this report I will take a gander at the significance of precise, impartial news coverage and how I have connected this to my own news stories. Talking about the parts and obligations of the writer with reference to my own particular experience of filling in as a columnist Writers have various parts and duties that they should consider over the span of their whole profession; obviously this relies on the zone of reporting with which they are included. For my report I will focus on the primary region of news coverage we have investigated so far and that is announcing the news. While detailing the news, Journalists should mull over the gathering of people and imminent distribution, their editorial manager and imperatively, their very own advantages (for instance, any lawful commitments). While a few columnists may conflict with what could maybe be depicted as a moral grain, I feel that a really fruitful writer would dependably consider the above before submitting anything for production. Be that as it may, one could maybe advance the contention of open intrigue. Exact A columnist has a support of the media recommending open to ensure that the news they report is precise. This is upheld independent from anyone else directing bodies and media laws, for example, slander and criticism. Different laws are set up to ensure that columnists don't force upon court trials, for example, disdain of court. At display I am learning Teeline shorthand as a component of my course module: 'Planning for NCTJ Accreditation.' One of the fundamental factors that has made revealing precisely a genuine issue for me so far has been my failure to compose at a sufficiently high speed in court hearings and gathering gatherings. All that it would take is one snippet of data brought down mistakenly or passed up a great opportunity inside and out and the validity of a news story could be lost totally. While I don't believe that I have made any mistakes in my work up until this point, it is certainly an issue for me. Ideally as my Teeline aptitudes enhance, I will turn out to be more certain and start to apply it to journalistic circumstances. On my first visit to Sheffield Magistrates Court, I was sufficiently heartbreaking to sit in on a hearing that was in the end resolved to Crown court for trial before a jury. Legitimately, I would be not able write about this story until the point when condemning was finished, something our task would not allow us to do. Along these lines, I needed to search for another case to expound on that I could cover without the dread of hatred. I attempted to guarantee finish exactness in my stories, loaning additional care to the names and subtle elements of the general population included. While there were no genuine legitimate issues with my stories as they were not proposed for production, it was as yet vital both for mine and the assignments purpose for them to be exact. I attempted to place myself into the mentality of an expert writer and think about their parts and obligations, which I think empowered me to compose my stories just as they truly were proposed for a group of people. Fair Further to exactness, Journalists ought to guarantee that their news composing is impartial and presents the fundamental certainties for their crowd to decide their own particular arrangement of judgements. Any feelings ought to be as ascribed cites and a decent columnist will demonstrate the two sides of the story. As our task involved reviewing a report of a court case, I exhibited the actualities arranged by significance in the pyramid style we have been educated and without offering any conclusions of my own. For my board story, I was managing a potential story of high human intrigue. The topic was genuinely delicate as it was with respect to the affirmation of a school conclusion in Sheffield, influencing many nearby youngsters and guardians. I composed my story utilizing the certainties and statements I had acquired from a full gathering, a bureau meeting and important writing from the two sides: the bureau, training officers, school governors and the guardians themselves. I think I prevailing with regards to composing this story from a totally nonpartisan and fair point of view. Because of the delicate nature I needed to ensure that my sentiment did not turn out in my written work. Regardless of whether I was for or against the conclusion was not essential for the sort of the story and my fundamental expectation was for the planned peruser to make their own particular assessment. Objective Sheffield is a Liberal Democrat chamber and all through the gathering gatherings there was some bothering from the Labor and Conservative gathering agents that were available. I think I prevailing with regards to keeping to the third obligation regarding writers that I plot prior by being politically nonpartisan in this specific piece. I think my written work here is objective and my own political influences are not straightforwardly available in any of my three news stories. Plain English To help with the coherence and availability of their news stories, Journalists ought to guarantee that their written work meets the style of their particular distribution and editorial manager. Further to this, composition ought to be in plain English and without language. This is particularly vital in composing stories from court cases, chamber gatherings and police proclamations. For our task, we were to compose our three news stories in the pretense of a territorial daily paper journalist. I read a considerable measure of provincial news coverage both on the web and in print and feel that I have a decent learning of the written work style, which I trust is clear in my work. Also, I generally endeavor to keep up a decent level of plain English all through my journalistic written work. I feel that my court story mirrors this emphatically and peruses well. Open Interest The last territory I wish to investigate is open and human premium. Over the moral obligations, Journalists are urged to compose intriguing news as that is the thing that truly offers daily papers. Open intrigue is the Holy Grail for columnists and preferably all stories we compose would draw a lot of it. Open intrigue can likewise be utilized as a guard for when columnists go excessively far out of their approach to get a story. For instance, if a columnist conflicts with either the PCC or the Ofcom implicit rules, yet one might say that the story holds a lot of open intrigue, they may well escape unscathed. Be that as it may, it is anything but difficult to scrutinize the moral results of these activities. For my court and committee stories I feel that I have caught a decent measure of open enthusiasm, as the two stories have components that make them newsworthy. I am marginally baffled that my own particular sources story isn't exactly as fruitful in this component, yet despite everything I view it as a genuinely solid bit of reporting. While it doesn't have the promptness and show of alternate stories, it takes a more vibe great and bubbly approach. I believe I could have discovered an additionally energizing story, however very enjoyed the differed topics of my 3 pieces.>GET ANSWER