Nursing  Assignment: Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.To Prepare:Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing psychotic disorders. Consider whether experiences of psychosis-related symptoms are always indicative of a diagnosis of schizophrenia. Think about alternative diagnoses for psychosis-related symptoms.Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also, review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.Consider what history would be necessary to collect from this patient.Consider what interview questions you would need to ask this patient.Identify at least three possible differential diagnoses for the patient.Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

 
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Nursing  English Module 3 SLP and Case

Module 3 – SLPMULTI-SOURCE ACADEMIC WRITINGNote: Module 3 SLP should be completed before the Module 3 Case.Prepare an Annotated Bibliography for the two sources used in the Module 3 Case essay. Use the information at https://owl.english.purdue.edu/owl/resource/614/03/ to help you.SLP Assignment ExpectationsCreate an annotated bibliography for the essay assigned as the Module 3 Case.Privacy Policy | ContactModule 3 – CaseMULTI-SOURCE ACADEMIC WRITING___________________________________________________________________Case AssignmentNote: Module 3 SLP should be completed before the Module 3 Case.The Module 3 Case study is an Argumentative essay in which the writer takes a stance on technology and children and provides three or more supporting points as support.After reflecting on “The Impact of Technology on the Developing Child” and “Is the Internet hurting children?” write a well-organized and well-supported essay on technology and children.A well-organized essay has a beginning, middle, and an end. The beginning, or introduction, should include an opening sentence to grab your reader’s attention. Follow the opening sentence with a brief background on the topic or situation. In this case, it would be brief summary on technology and children today. The last sentence of the introduction is the thesis statement. The thesis states the main point of the essay, which in this case, would be a statement affirming the impact of technology on children today.A well-supported essay includes supporting points, details, and examples. For this essay, you must decide the best way to organize the body of the paper. Will you have one or two paragraphs for each supporting point? Will you divide the body of your paper into three or more paragraphs, one for each point? In any case, each body paragraph must support (explain) your reasoning (rationale) using specific details. Each body paragraph must have a topic sentence that states the main point of the paragraph, which in this case would be each supporting point.This essay must include no less than EIGHT citations from:ONE of the assigned background materials for Module 3 andONE additional credible and reliable source selected by the student.Citations are to be a combination of direct quotations and paraphrased quotations with or without the author’s name.The conclusion typically summarizes the main points of the essay and/or closes with a lasting impression that connects the reader to their world. In this case, where do we go from here?The essay must also include a Reference List.Be sure to proofread your essay and edit for proper grammar, punctuation, diction (word choice), and spelling, as errors in sentence skills will lower a final grade. A grade will be determined based on the Module 3 Case expectations and the Trident University General Education rubric for English.Papers must be double-spaced in Times or Times New Roman font (12 cpi) with standard one-inch margins.The first person “I” is not used in a formal essay.Assignment ExpectationsWrite an essay (no less than five pages in length) that states an original thesis statement on technology and children.Demonstrate the ability to make and support an Argumentative claim in a well-supported, organized, and cohesive essay.Demonstrate the ability to select credible and reliable sources for use in a well-supported and cohesive essay.Demonstrate the ability to write a direct quote, paraphrased, or summary citation in APA Style

 
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Nursing  Ques/PH4

Instructions: Response must be at least 300 words written in current APA format with at least two academic references cited. References must be within the last five years. Response must extend, correct/refute, or add additional nuance.According to Khan et al. (2019), type 2 diabetes affects an estimated 462 million people worldwide, making it one of the most common disease of the developed world.  The researchers in this article state that the rise of sedentary lifestyle and an increase of unhealthy diets has contributed to rising body mass index (BMI) that has been associated with the diagnosis of type 2 diabetes (Khan et al., 2019).  They also state that higher BMIs with increased age places a person at greater risk for the disease.Diabetes Mellitus is a group of disorders that present as elevated blood glucose levels due to insulin dysregulation in the body (Arcangelo et al., 2017).  The two most commonly confused diabetes is one and two.  In many patients understanding the differences between these two diseases can be challenging.  Type 1 diabetes is an autoimmune disease characterized by the bodies inability to produce insulin due to the destruction of pancreatic beta cells (Arcangelo et al., 2017).  Without the production of insulin, the body has no way of controlling blood glucose levels, creating sustained states of hypoglycemia.Type 1 diabetes is most often seen in patients younger than 30, making it one of the most common chronic diseases in children, but can occur at anytime during one’s lifetime (Arcangelo et al., 2017).  It has been proposed that the etiology of this disorder could be from the genetic predisposition of beta cell damage from viral infection, autoimmunity, and environmental factors (Arcangelo et al., 2017).  The main feature of this disorder is that after destruction of pancreatic beta cells, the body loses its ability to create insulin.Type 2 diabetes the cells in tissue like adipose and muscle become increasingly less sensitive to insulin, or the pancreas becomes so overworked that it decreases the production of insulin needed to reduce blood glucose levels.  According to Galicia-Garcia et al. (2020), high levels of oxidative stress caused by inflammation due to poor western diets is one factor that contributes to the destruction of pancreatic beta cells.  The combination of insulin resistance by body cells and decreased insulin secretion places the patient at risk for high blood glucose levels (Arcangelo et al., 2017).  Unlike type 1 diabetes, type 2 is reversible and can be treated with oral medication and lifestyle changes (Galicia-Garcia et al., 2020).Glyburide (Glynase) is a hypoglycemic agent apart of the first-generation sulfonylureas.  The main mechanism of action with this drug is closing of ATP-dependent potassium channels on pancreatic beta cells (Arcangelo et al., 2017).  This in turn opens calcium channels and allows for increased cytoplasmic calcium to occur.  This stimulates the release of insulin which can then reduce serum glucose levels throughout the body (Arcangelo et al., 2017).Some of the key teaching points for Ms. Jones taking oral antidiabetic agents is that this does not necessarily mean she will have to give herself “shots”.  Type 2 diabetes main goal of treatment is weight loss through diet and exercise (Arcangelo et al., 2017).  It is also necessary to explain that this medication works best with proper adherence to a prescribed diet that controls the patient’s weight.  Though this medication may cause a weight gain of about 2 to 3 kg in patients.The main concern with glyburide is the complication of hypoglycemia.  The patient should be educated on what to look for such as: dizziness, shakiness, sweating, confusion, hunger, and irritability to name a few (Arcangelo et al., 2017).  The patient should be instructed to drink high sugar drinks like apple juice or consume glucose tablets if this occurs.  A careful review of Ms. Jones medication list and medical history should be reviewed as drugs with active metabolites increase hypoglycemia in patients with renal impairment.  This drug should not be given if Ms. Jones has an allergy to sulfa drugs.  Lastly renal and hepatic functional levels should be drawn before starting this drug (Arcangelo et al., 2017).  The last education to be given is that this medication will start off at a low dose and be titrated up as needed to target blood glucose levels.

 
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Nursing  I need two responses per each discussion total 6 responses. Attached are the discussions please follow them. Posts will be a minimum of 100 words, APA format.

I need two responses per each discussion total 6 responses.  Attached are the discussions please follow them. Posts will be a minimum of 100 words, APA format.

 
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Nursing  Essay

“What led to the opioid epidemic in West Virginia and what are the consequences?

 
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Nursing  Financial healthcare management

Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).Using the same CPT code, 99214, determine the be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.Assess the information for areas of improved reimbursement of at least 20% or more.Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.Propose a best strategy with justification and rationale based on effective decision-making tenets.Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.

 
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Nursing  Opinion 2 D and E

some clarification on assignment questions as needed it, please Different due dates for both

 
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Nursing  Door door

1.EBP (PowerPoint Slides 7 and 8)  assignment number 12. Resume and Cover Letter. ssignment number 2 & 3Each student will submit a copy of his or her resume and cover letter to the assignment area in BrightSpace. The goal of this assignment is to allow the student to begin preparing for their professional nursing career.  Grading will focus on the student’s ability to professionally present themselves. Please utilize career services for assistance. Gear your resume and cover letter toward the specialty that interests you.Resume Grading Rubric and CriteriaOpening/IntroIncludes name, address, telephone, professional email address. ALL page(s) must have header with name and page number.Summary of QualificationsSummary of Qualifications are focused, targeted, and concise. Uses action verbs in the same tense.Education section emphasizes relevant coursework, GPA if better than average (3.5 or greater), what degree student expects to attain.Education is put before employment unless student has extensive career-related job experience (LPN, EMT, MA).Education is listed in reverse chronological order and all institution/degrees earned are listed.Do not include High School experience after attaining a college degree.Do not include colleges or universities that were attended but no degree was awarded.Work experience includes job titles, locations, list of duties/ accomplishments. Experience listed in resume parallels position applicant is applying for.1OR2 full pages; Balanced, white space, good font choices, pleasing design; Single spaced; 1-inch margins.Begin each bullet with an action verb. Approved action word list provided. No spelling errors. No grammatical errors. Word processing mechanics are perfect.Cover Letter Grading RubricOpening ParagraphThe opening paragraph arouses the interest of the employer by stating why you are interested in the organization, names the specific job applied for and states where you heard of the job.Middle ParagraphThe middle paragraph is neatly written and creates a desire for an employer to know more about you.  It emphasizes the resume pointing out achievements and qualifications that meet the job description.Closing Paragraph  The closing paragraph paves the way for an interview by offering to call in the future.Layout  The letter is organized.  It includes all the required components in the correct order with the correct spacing between elements.

 
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Nursing  TB3

Needs at least one citation in each box, each reference must have an in-text citation.Interventions for each disease process should have at LEAST:3 things you would monitor/reassess,3 things you would do or action,3 things you would teach your patient,Medications you would administerYou must use citations throughout these sections to receive credit.All references listed must be used as citations somewhere in your assignment

 
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Nursing  Older American Act

First, what is the Older American’s Act (OAA)? What is  the significance of the OAA? How are funds distributed? What kinds of  services are offered? Who benefits?Not less than 250 words.APA formatAtleast 3 sources

 
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