You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts. Use at least 1 academic source for each response less than 5 years old. Each reply 150 words
REPLY 1:
Triggers for psoriasis and different clinical types
Psoriasis can develop due to a number of factors. Weather conditions are one of the typical causes. Many believe that one of the meteorological factors that contributes to psoriasis is dry, chilly weather. Adverse weather raises the likelihood of a flare-up, exacerbating the situation. The use of several pharmaceuticals used to treat bipolar disorder, malaria treatments, and some beta-blockers is the second frequent cause of psoriasis. Such pharmaceutical users may have signs of a psoriasis flare-up (Egeberg et al., 2018). Skin trauma is another factor that causes psoriasis. Psoriasis can be exacerbated by several factors that cause skin stress, such as tattoos, immunizations, bumps, burns, and bruises.
Psoriasis can have a variety of differential diagnosis. Eczema is one of the alternative diagnoses. This disorder is characterized by red, itchy areas of skin on the body that mimic psoriasis. The disorder is brought on by an overactive immune system. Seborrheic dermatitis is the second possible diagnosis. Associated symptoms include scaly spots on the scalp (Egeberg et al., 2018). Psoriasis’s clinical manifestations include erythematous scaly plaques on the trunk and extensor surfaces of the limbs are the primary symptoms of psoriasis vulgaris. Psoriasis pustular that is widespread. Pustular psoriasis restricted to the foot soles. Psoriasis pustulosa palmoplantaris is the term used to describe this variety, which generally also affects the palms of the hands. Skin folds that are affected by inverse psoriasis include the axillary, intergluteal, inframammary, and vaginal areas (Rendon & Schäkel, 2019).
REPLY 2:
Based on the clinical manifestations presented on the case above, which would be your eyes diagnosis for C.J. Please name why you get to this diagnosis and document your rational.
C.J noticed crust and yellow discharge on his eye 24 hours after symptoms appeared. After washing his eye thoroughly in the morning, he experienced increased blurry vision until his vision returned to normal. Conjunctivitis is well known for causing pink eye, characterized by inflammation in the conjunctiva, a thin, transparent layer of tissue that covers the inner part of the eyelid and the white part of the eyeball called the sclera. Different types of bacteria can cause redness, increased tearing, watery eyes, itchiness, gritty feeling, swelling of the conjunctiva, and sometimes sensitivity to light as signs and symptoms.
Viral Conjunctivitis is a contagious virus similar to the common cold, like herpes simplex virus, causing eye discharge linked to pink eye, with clear and watery discharge. The mucus is either pale yellow or light yellow.
Bacterial Conjunctivitis is the result of bacterial infections that can escalate to a serious emergency if not promptly addressed. The eye discharge appears to be thicker and has a more pus-like consistency compared to pink eye. The release appears as yellow, green, or gray. The sticky substance known as mucous can make the eyelid feel stuck together when waking up in the morning.
Allergic conjunctivitis can be caused by pollen, dust, or other common irritants that can impact the eyes. Chemical contaminants, components, solution for contact lenses, and medication for eyes. Allergic conjunctivitis is not considered infectious. C.J appears to have bacterial conjunctivitis as indicated by the current symptoms of yellow discharge, yellowish discharge, and redness in both eyes that began 24 hours ago, with the rapid onset of redness and discomfort associated with discharge. C.J also reported waking up with sticky mucus around (Pippin MM, Le JK. Updated 2023 Aug 17).
REPLY 3:
Healthcare providers must ensure that they provide quality care with outcomes that meet the required quality measures. For advanced practice nurses (APNs), the need to ascertain quality care is imperative as it influences their acceptance among different stakeholders. Also, providing high-quality care results in increased patient satisfaction and lower healthcare costs, as Cho et al. (2020) highlight. For instance, when APNs offer high-quality care to patients, the chances of recovery are heightened, lessening the need to spend more money on care provision. To ascertain that the quality of care remains high, healthcare providers and their institutions must have objective means of evaluating and comparing data. The measurement of care provided to patients should consist of numerical data and feedback from patients, which is imperative in improving care and ensuring enhanced outcomes. Process measures, structural measures, and outcome measures are among the techniques that APNs can use to measure and monitor the quality of care delivered to the patients and the achieved outcomes.
Process measures are a technique for assessing the care given by APNs and establishing how well they adhere to evidence-based protocols and practices. According to Moorhead et al. (2023), the main aim of the process measures is to ensure the care provided reflects the accepted recommendations meant for clinical practice. An excellent example of a process measure would be reviewing patient documentation, such as the medical records, to ascertain whether the assessments were properly documented and if the medical provider adhered to the needed clinical guidelines. The measure is also significant in public reporting, which aids in determining whether there is a gradual increase in health outcomes with the care provided in an institution.
REPLY 4:
Advanced nurses are responsible for evaluating and tracking the impact of their interventions on the patient’s health. In order to maintain and develop well-being while also reducing suffering. The evaluation of therapeutic efficacy is the foundation of advanced nursing practice. Medical operations are measured and tracked, which includes reporting data on patient outcomes. It provides a framework for improving nurses’ performance and tracking goal progress (Themes, 2017). In the healthcare industry, factors, processes, and structures are routinely addressed when determining quality-of-care outcomes.
Nurses take a comprehensive approach, providing solutions that are sufficient, efficient, and evidence-based. Themes (2017) proposes that measuring and monitoring should aim to provide acceptable, flexible, and culturally sensitive healthcare. If high-quality healthcare becomes available, the general public’s desire for treatment may rise. A more expert approach When evaluating the level of medical treatment, the nurse should evaluate the patient’s experiences as well as the cumulative process. Results are sometimes visible because they focus on the patient and reflect how well an advanced practice nurse performs their job, which is the most important component of high-quality care. All degrees of medical specialists create a group and collaborate for a defined amount of time as a team. Patients’ assessments of the difference in care quality based on examinations, diagnoses, and treatments used (Kapus et al., 2017). This graphic vividly depicts patient contacts with the healthcare center.
A qualitative approach to measurement and assessment is required if patients’ perspectives are to be fully and deeply understood. The hypothesis that, in this case, guides the empirical study is provided using theory-driven hierarchical models. Patients consider wait times and staff attitudes as performance indicators (Kapus et al., 2017). The research findings should be used to design successful quality care initiatives. It is critical to select quality care proxy metrics with carefully.
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