Nursing  Reply Discussion

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Yirlem:QD1. The development of a study utilizing qualitative research design requires the choice of a specific type of research and methods of collecting data and selecting the sample. I would like to investigate a social phenomenon. Thus, the type of this study will be phenomenological research.I will research the social phenomenon from the perspective of those who have experienced it. Thus, there is a need to choose a particular population that is affected by the chosen issue. The information from participants must be collected in an effective manner as well(Crossman, 2020).In terms of sampling, I would like to use the strategy of purposive sampling. Qualitative research focuses on attributes and relationships in a population. The selected sample has to help in discovering the meanings and multiple realities (Polit, 2017). The authors of the study have to establish the eligibility criteria for their work.Yirlen:QD2. Alcohol abuse may have severe consequences for the patient’s health, leading to life-threatening conditions. Patients often dismiss the reinforcing effects of their addiction, resulting in their emergent hospitalization. Frank is one of the patients who require immediate medical intervention as his alcohol abuse caused an inflammatory process in his stomach.If I were an ICU nurse, I would primarily pay attention to his epigastric pain that radiates to his back and severe abdominal pain. These symptoms indicate the presence of acute pancreatitis that may have even more severe symptoms. The patient’s bowel sounds are hypoactive, and it also accentuates the possibility of pancreatitis as the intestinal activity is disrupted. Moreover, I would consider such conditions as hypertension, respiratory viral infection, diaphoresis, and fever may all indicate alcoholic pneumoniaRegarding treatment modalities, I would expect Frank to go through cognitive behavior therapy as alcohol addiction requires changes of his lifestyle to eliminate the inclination to alcohol abuse. Such an approach is beneficial for addictive behavior as it involves direct communication and self-analysis through it (Norris, 2021). Patients learn to analyze their thoughts and to differentiate between the positive and negative ones.

 
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Nursing  week 1

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Please read the following article: https://www.nursingwor ld.org/practicepolicy/nursingexcellence/ethics/Describe how your future practice as an advanced practice nurse can promote access to health care in your area.

 
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Nursing  Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders

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An important consideration when working with patients is their cultural background. Understanding an individual’s culture and personal experiences provides insight into who the person is and where he or she may progress in the future. Culture helps to establish a sense of identity, as well as to set values, behaviors, and purpose for individuals within a society. Culture may also contribute to a divide between specific interpretations of cultural behavior and societal norms. What one culture may deem as appropriate another culture may find inappropriate. As a result, it is important for advanced practice nurses to remain aware of cultural considerations and interpretations of behavior for diagnosis, especially with reference to substance-related disorders. At the same time, PMHNPs must balance their professional and legal responsibilities for assessment and diagnosis with such cultural considerations and interpretations.

 
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Nursing  Discussion Post

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Compare and contrast the different theories of management in healthcare. Is there one theory that is better suited than another? Why?

 
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Nursing  Review your state’s mandated reporter statute( California).

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Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.

 
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Nursing  semano 2

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Discussion 2In a Word document or PDF document, complete the following:Locate two images or advertisements: one that represents aging in a positive way and one that seems to be representing an older person in a less flattering or ageist way. Include the website link to the images or advertisements. You can use images from any source, such as greeting cards, as long as you can show the image or advertisement. (You can take a picture of the greeting card, for example, and copy and paste it onto the document, then identify the greeting card.) Include the context or target from where you found the images or advertisements. For example, if you found one of your images from the Dove campaign, indicate that.Identify what you believe to be the intended or target audience for each image or advertisement.Compare and contrast the images you found and how you think they represent society’s views about aging. Use the learning materials to support your claims.What role as a service provider for aging adults, would you have in combating ageism, and how might you achieve this?Your initial post should be 300 to 500 words, with one to two supporting references included.Discussion 1Imagine you are a senator preparing for this year’s policy agenda. You must rank, from the highest priority to the lowest priority, the following social aging concerns to determine which issue should be your major focus. Include an explanation for your ranking choices that can be understood by ordinary constituents as well as make sense to professionals in the field.Fall prevention programHIV/AIDS interventionsSocial isolationMental health services gapYour initial post should be 300 to 500 words, with one to two supporting references included.

 
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Nursing  100 word reply three refernces due at 8pm

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The case study I chose this week was the young patient, Katie, who presents with symptoms of attention deficit hyperactivity disorder (ADHD), predominantly inattentive presentation. Her teacher describes her symptoms as inattentive, easily distracted, forgets things she already learned, and is poor in spelling, reading, and arithmetic. ADHD is the most common neurodevelopmental disorder diagnosed in childhood and is characterized by chronic symptoms of inattention, impulsivity, and/or hyperactivity leading to functional impairment in multiple settings (Danielson, Bitsko, Ghandour, Holbrook, Kogan & Blumberg, 2018).The first decision I made in Katie’s plan of care was prescribing Ritalin chewable tablets 10mg orally in the morning. Katie and her parents returned to the clinic four weeks later stating that the medication did improve her symptoms in the morning and overall academic performance, but by the afternoon Katie became easily distracted again. She also was tachycardic from the medication. My next decision was to discontinue the Ritalin and prescribe Adderall XR 15mg orally daily. The extended release helped maintain her attention throughout the day, but Katie still was tachycardic. At this point, my next decision was simply to reduce the dose to 10mg. Unfortunately, tachycardia is a main side effect from Adderall, but Katie’s could have been worse because she was started at a higher dose. It is important to initially start at 10mg and increase to 5-10mg once the patient is tolerating the medication well.The administration of the associated pharmacotherapeutics I recommended may impact the patient’s pathophysiology in different ways. For example, the drugs Ritalin and Adderall are both stimulants causing a possible increased heart rate, which is the main side effect this patient presented with. This is why it is important to start the patient on a low dose and gradually increase the dose as needed. In addition, these drugs may also impact the patient’s sleep and cause eating problems, which has commonly been reported but can be managed by making adjustments to the medication regimen or daily routines (Hennissen, Bakker, Banaschewski, Carucci, Coghill, Danckaerts, Buitelaar, 2017). However, these types of drugs are highly effective in the treatment of ADHD by improving attention and focus causing the impulsiveness and hyperactivity to decline because the child is now able to concentrate on the specific task (Rosenthal & Burchum, 2021).ReferencesDanielson, M. L., Bitsko, R. H., Ghandour, R. M., Holbrook, J. R., Kogan, M. D., & Blumberg, S. J.(2018). Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016. Journal of clinical child and adolescentpsychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 47(2), 199–212. https://doi.org/10.1080/15374416.2017.1417860Hennissen, L., Bakker, M. J., Banaschewski, T., Carucci, S., Coghill, D., Danckaerts, M., . . .Buitelaar, J. K. (2017). Cardiovascular Effects of Stimulant and Non-Stimulant Medicationfor Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis ofTrials of Methylphenidate, Amphetamines and Atomoxetine. CNS Drugs,31(3), 199-215.doi:10.1007/s40263-017-0410-7Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practicenurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

 
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Nursing  Database search

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Choose a topic related to health that has meaning to your personal health, interests, and well-being. This may be a disease, such as diabetes, or healthy fitness activity.Conduct a database search comparing one of the following database directories with Google Scholar.CINAHL and Google ScholarPubMed and Google ScholarExplain how you were able to narrow down the number of articles hits you had initially, and present within your post a summary of the credible article you chose as your resource. How do you know your article choice is credible? Which database do you prefer and why?How will using a database search facilitate your:scholarly work;nursing work (evidence-based practice); andpersonal self-development?

 
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Nursing  process map

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Within a process map, distinct shapes are used for different purposes; for example, a rectangle denotes a process, a diamond is used where a decision needs to be made, and arrows indicate movement from one step to another. Oval shape is used to illustrate the beginning and end of a process. Rectangular shape is considered a process box. This is the action that needs to be done at that step in the process, for example, collect data, analyze data, or use a form. The diamond demonstrates decision points. Multiple directions (yes/no) to illustrate distinct pathways based on which option occurs. Directional arrows help the user follow the flow of the process. It is helpful to keep the arrows going in the same directions as much as possible to simplify the map. A process box is a place where there are multiple steps that need to be further defined. Two kinds of process maps: Basic, cross-functional or swim lane format. Basic is simple, illustrates the decisions, starting and end points, and processes. It has a maximum number of steps with a limited number of options. Cross-functional or swim lane format have more than fifteen steps and/or a need for separate rows (swim lanes) for different disciplines or parallel activities. Examples are listed in the textbook on page 529, Figure 21.3 and page 532, Figure 21.6. For this assignment do not submit an organizational chart which is a process map but only identifies reporting structures and hierarchy. They demonstrate who reports to whom and do not have define steps.

 
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Nursing  Nursing Evolution PNH

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Can you reply to this

 
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