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.
Review this week’s media presentation on the gastrointestinal system.
Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.
Write a 2- to 3-page paper that addresses the following:
Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
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.
community, agency community, patron and cloud computing. they're dedicated to offering aggressive ict answers and offerings to telecom operators, businesses and purchasers, continuously improving patron revel in and creating most fee for clients. at present, huawei’s products and solutions were implemented in greater than a hundred and seventy international locations and areas, serving one-1/3 of the sector’s populace.(huawei, 2018) huawei implements the strategy of global operation. its merchandise and solutions had been carried out to more than a hundred nations and 36 operators in the top 50 globally, serving over 1 billion customers global. huawei has been dedicated to constructing its personal deliver chain and prevailing competitive advantages of fast, tremendous and coffee-fee supply guarantee. huawei has constructed a flat manufacturing corporation, efficiently and flexibly making sure the demand for items inside the market and earnestly implementing the isc reform of the integrated deliver chain to ensure the implementation of new tactics and systems. huawei is aware about the weaknesses in deliver chain operations. in fact, it became hard to find a higher deliver chain operation for huawei. from 1997 to 2005, huawei added the management mode of ibm comprehensively, which turned into particularly pondered in two most important methods, one of which turned into integrated supply chain (isc), it also laid the foundation for the destiny ten years of huawei. but the problem is that its deliver chain infrastructure is around excessive-margin, high value however short reaction verbal exchange equipment building. inside the beyond ten years, due to the diversification of terminal, chip, telecommunications system and business enterprise services enterprise, the easy deliver chain is hard to evolve to one of a kind commercial enterprise wishes, which include low income, low-value cellular telephone business, in addition to a normal manufacturing chip business, does not adapt. the customization to accommodate those new organizations is to patch the deliver chain to make the technique and gadget extra complicated and inefficient. that’s the hassle with huawei’s supply chain. (hafizah, 2013) there are three shortcomings in conventional logistics management (1) big inventory the conventional stock buffer in the supply chain makes both manufacturers and retailers maintain some merchandise in inventory, that is the reason for the shortage of goods in different components of the supply chain. in the supply chain, if the garage and inventory factors of various companies aren't consistent, the inventory hassle can be enlarged. due to the fact every participant has inventory in the deliver chain, coupled with the inventory management of supply chain every hyperlink of the error and influence every different, while the products arrived on the remaining hyperlink of deliver chain, the inventory level is nearly no dating among the goods and the actual demand. (2) gradual reaction the free distribution channels inside the conventional marketplace are inherent. because of the disjointed reordering method in the deliver chain, it is not possible to fulfill the income demand of warm merchandise. (three) sluggish business processing traditional way of managing logistics control made from a unmarried, if the business enterprise of volatile and non-risky merchandise inventory degrees are similar, and they're dispensed inside the same sort of logistics network, will reason the products drift and circulation is slow. 3.zero included supply chain control the isc (incorporated deliver chain) procedure is tailored for huawei with the aid of ibm. isc requested to every branch link worried the operation of the company, as a part of the supply chain, internal departments and outside suppliers all want to powerful control of each departments with a purpose to improve the supply chain operation efficiency and monetary advantages. (neil, 2017) isc (incorporated deliver chain, deliver chain control is based totally on the principle of huawei within the deliver chain facts drift, logistics and coins drift to hold on the layout, planning and manipulate, to make sure implementation of the deliver chain in key desires: to enhance consumer pleasure, lessen the total value of the deliver chain. isc is not only a fabric supply chain, but integrating financial, information and the management sample, ceo ren zhengfei said: “as soon as the integrated supply chain hassle resolve, the corporation’s all control hassle is largely solved.” in huawei’s isc reform, the internal departments which includes buying, stock, transportation and order fulfillment had been finished first, then erp machine changed into built and optimized, the order of e-commerce turned into developed finally. from the issue of the exchange, the isc reforming of huawei’s project especially based on 3 reasons: 1) isc alternate coverage is wider, it consists of the organisation’s>GET ANSWER