Nursing  public health Lab

i need this done

 
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Nursing  power point

Select one of these ethical dilemmas. There is a lot of information on the internet about each of them.Withholding/Withdrawing Life Support – Terri Schiavo, was in a persistent vegetative state when her life-sustaining treatment was withdrawn (2005)Withdrawing Life Support/Resource Allocation – Jahi McMath, was a teen who was declared brain dead but remained on life support for almost 5 years (2013)Right to Die – Dan Crews, had been a quadriplegic since childhood and wanted his ventilator removed to allow for death to come (2011)Religion/Culture/Rights of Minor and Parental Rights – Daniel Houser, was a teen with Hodgkin’s Disease who refused life-sustaining chemotherapy for religious reasons (2009)Withdrawing Life Support/Rights of the Unborn Child – Marlise Munoz, was a brain-dead woman kept on life support because of her unborn child (2013)your PowerPoint Presentation will be on your selected case and you will need to address:EACH component/step of the Framework for Ethical Decision Making as outlined on the Worksheet for Ethical Decision Making Framework; refer to these document (Course Modules/Materials >>Supporting Documents).Spirituality and Religion. Describe how spirituality and / or religion may have been a factor in the actions and outcomes.At a minimum, you will want the following topics included (some may be more than 1 slide):Cover slide with project title and your nameIndividual and situation (introduction a)Ethical dilemma (introduction b)Step 1: Ethical issuesStep 2: FactsSteps 3 and 4: Option 1 and Arguments for/againstSteps 3 and 4: Option 2 and Arguments for/againstStep 4a: Ethical Theory and WhyStep 5: Decision and WhyStep 6: Assess outcomeImpact of Spirituality and / or ReligionReferences; at least 3 scholarly referencesOther:You will need in-text citations where necessaryThe Power Point Presentation can be bullets.Speaker notes and/or narration are NOT required.There is NO document required; only the PowerPoint presentationThese are real people! Make them “come alive” with some pictures in your presentation. Pictures are a requirement without making your presentation too large

 
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Nursing  Healthcare Informatics response

I have to respond to 2 of my peers post. APA format, 450 words for each reponse

 
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Nursing  Nursing Discussion

To support your work, use your course and text readings and also use resources from the university.  As in all assignments, cite your sources in your work and provide references for the citations in APA format.TASKPost your initial response to one of the scenarios below.Scenario 1You  are admitting a 27-year-old woman to your unit for work-up of weight  loss. While conducting an admission interview, you learn that she has  recently lost her job and has a strong family history of depression and  suicide.How would you construct your interview?What measures would you take with the information you have gathered? Why?Scenario 2You  are admitting a 12-year-old child to your unit. The mother states that  the child has a history of unexplained blackout episodes, headaches,  sleep disturbances, and is presently exhibiting tremors.What is the most likely cause of these symptoms?What actions would you take during the interview process? Explain.Scenario 3A  young 33-year-old man is admitted to your unit with a chief complaint  of “tiredness and morning headaches” even after sleeping.How you would perform a comprehensive analysis of symptoms?What are the possible causes of the symptoms?

 
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Nursing  Group Processes and Stages of Formation

PLEASE FOLLOW THE INSTRUCTIONS BELOW4 REFERENCESIn your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.Learning ObjectivesStudents will:Analyze group processes and stages of formationAnalyze curative factors of groupsAnalyze the impact of curative factors on client progressRecommend strategies for managing intragroup conflictTo prepare:Review this week’s Learning Resources and reflect on the insights they provide on group processes.View the media, Group Therapy: A Live Demonstration, and consider the group dynamics.The AssignmentIn a 2- to 3-page paper, address the following:Explain the group’s processes and stage of formation.Explain curative factors that occurred in the group. Include how these factors might impact client progress.Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature

 
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Nursing  Flyer

Create an educational item about dangerous drug interactions. Choose two drugs from different categories of drugs that we have studied thus far in the course that can have a dangerous reaction if taken incorrectly. Research the drugs’ interactions with other drugs, including OTC medications, and alcohol. Please note that you may not choose the same drug that you are using for your medication research paper for this assignment.Medications: ANTIDEPRESSANTS escitalopram (Lexapro)▶ BENZODIAZEPINES ,lorazepam (Ativan)▶ BARBITURATES   ▶NONBENZODIAZEPINE, NONBARBITURATECNS DEPRESSANTS ,zolpidem (Ambien, Edluar, Intermezzo), Antiseizure Medications, Beta Blockers, Melatonin Receptor ,Orexin Receptor BlockerFor this assignment:Create an educational item that describes/displays the dangers associated with the chosen drugs.This educational item can be in any format, so be creative. For example, you can create a pamphlet/brochure, a flyer, an infographic, a newsletter, etc. (at least one page)Also include a one page summary as to why you chose the drugs and how you would use this educational item in practice. Make sure to cite your sources using APA formatting. You should include at least two scholarly sources.Websites with free software for building creative items that you can then download as a PDF:CanvaMy Creative ShopVengageLucidpress

 
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Nursing  Nursing 304

NEEDING HELP WITH WEEK THREE DISCUSSION ONE. CHAPTERS 9 & 10

 
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Nursing  Quess2

Instructions: Response must be at least 300 words written in current APA format with at least two academic references cite. References must be within the last five years. Response must refute/correct, or add additional nuance.Unfortunately for J.R. “fever blisters” are not as innocent as many would believe.  The two types of viruses that are responsible for vesicle like lesions on the skin are HSV-1 and HSV-2.  Typically, HSV-1 herpes is associated with infections of the face and skin above the waist while HSV-2 is associated with the genitals and skin area below the waist (Arcangelo et al., 2017).  According to Jaishankar & Shukla (2016), the prevalence of HSV-1 occur on the genital region is becoming more common place.  One reason stated is that a younger generation of people are engaging more in oral sex (Jaishankar & Shukla, 2016).Many misconceptions lay behind the pathology of these two herpes viruses.  The general notion is that HSV-2 can only be transmitted through sexual contact while HSV-1 can only occur on the lips and is transmitted through kissing (Jaishankar & Shukla, 2016).  This misconception allows infected people to engage in risky activity that can spread the viruses to other areas like the lips or genitals without them realizing (Jaishankar & Shukla, 2016).  Though HSV-2 is harder to transmit to the lips, it is possible.  HSV-1 is now thought to be the cause of most genital herpes outbreaks reported (Jaishankar & Shukla, 2016).Drug therapy to treat this disease is dependent on patient income statues and preference.  The first line treatment for a genital herpes outbreak would begin with acyclovir 400 mg, orally three times a day or acyclovir 200 mg, orally five times a day for seven to ten days (Arcangelo et al., 2017).  Acyclovir would be chosen if the patient preferred a lower costing medication as it is the cheapest drug for this treatment (Arcangelo et al., 2017).Valacyclovir 1.0 g, orally two times a day or famciclovir 250 mg, orally three times a day for seven to ten days would be the preferred treatments if they are within the patient’s budget (Arcangelo et al., 2017).  In order to continuelly treat this disease recurrent, second line therapy should be used in the prodromal phase or within one day of visible appearance of blisters (Arcangelo et al., 2017).  To accommodate for scheduling and patient compliance acyclovir 800 mg, orally two times a day for 5 days, famciclovir 1,000 mg, orally twice a day for one day or valacyclovir 1.0 g, orally once a day for 3 days can be taken to possibly shorten the duration and severity of the outbreak (Arcangelo et al., 2017).Parameters for monitoring success of therapy aim to control the symptoms of herpes episodes as well as reduce the frequency and severity of future outbreaks (Arcangelo et al., 2017).  If J.R. experiences more than six outbreaks in a year, she can be started on third-line, suppressive therapy of oral antivirals (Arcangelo et al., 2017).  As this disease cannot be eradicated the main focus of treatment is the reduction in symptoms.Education should focus on treatment of this disease reducing symptoms and not curing the illness.  J.R. should be instructed to inform her sexual partner of her infection and abstain from sexual activities until the outbreak has been resolved (Sauerbrei, 2016).  She should be instructed about the different treatment programs and how each one controls symptoms differently.  J.R. should be counseled on the stigma of this disease and presented the statistics that many Americans have this disease and live meaningful lives that includes a safe, but active sex life (Sauerbrei, 2016).J.R. should inform their partner that if their fever blister moves to another location on their body or if they begin to experience the same symptoms as her on his genitals to seek medical attention.  Lastly, J.R. should be informed that if she plans on or becomes pregnant to discuss continued medication with her provider in order to prevent any contraindications (Arcangelo et al., 2017).

 
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Nursing  Discussion ch

I NEED A RESPONSE FOR THIS ASSIGNMENT2 REFERENCESNRNP-6660, WK6-Discussion, Initial Post (Treatment of Psychiatric Emergencies in Children Versus Adults)Psychiatric EmergenciesWhen an individual’s behavior is out of control that the person is a danger to self and others, the situation is referred to as a psychiatric emergency. According to Newman and Ravindranath (2010), psychiatric emergencies entail situations in which individuals cannot refrain from putting themselves or others in danger. It is critical to recognize signs of psychiatric emergencies and be aware of how the situation can escalate if immediate actions are not taken to diffuse or address the situation. Signs of psychiatric emergency include agitation, screaming or yelling, throwing, or banging on objects, and lashing out.The Case SelectedA psychiatric emergency that one witnessed was a dangerous situation. The patient is a 53-year-old African American female in a secured/locked down unit. The patient has a history of schizophrenia, Bipolar Disorder, Diabetes, and Hypertension. The patient is ambulatory with a walker.For three days, the patient talked about going home, but her request was not granted. Her older sister, the only family member, refused to have the patient back home because she could not care for the patient. The patient got angry and refused to take her medications. The primary care physician and the patient’s sister were made aware. The primary care physician referred the patient for a psychiatric consult. By the time the psychiatrist saw the patient, two days later, it was too late. The psychiatrist witnessed the patient being aggressive. She was screaming and yelling. She hit her roommate in the face with her walker and attempted to hit staff. She was moving up and down the hallway attempting to hit anything and anyone in her way. She even tried to bite staff and spat at some of the staff. The police were called with a request for a backup. It took four police officers and four other staff members to restraint the patient. The patient was put on four-point restraint on the stretcher and was taken to the hospital for further evaluation.How one Would Treat the Client Differently if he or she Were a Child or AdolescentThe patient could have been treated differently if she was a child or adolescent. The adolescent would have been assessed and determined that being in a lockdown/secured unit in a long-term care facility would not be the best option for admission. A comprehensive, integrated psychiatric assessment is required to diagnose emotional, behavioral, or developmental disorders. According to Johns Hopkins Medicine (2020), an integrated psychiatric assessment of a child, adolescent, or adult is conducted based on behaviors present and concerning physical, genetic, environmental, social, cognitive, emotional, and educational parts that may be affected by the result of these behaviors (Lawal, 2020). One of the challenges of adolescents’ psychiatric emergency assessment is that collateral data are often necessary to clarify the clinical picture (Gerson & Havens, 2015). With a comprehensive assessment, the adolescent patient would have been given the appropriate treatment in the right environment. According to Sadock et al. (2009), a comprehensive assessment is essential for making an accurate, culturally appropriate diagnosis and developing a specific, culturally sensitive, and effective treatment plan (Wheeler, 2014, pg. 96; Lawal, 2020).Other than a comprehensive assessment, the child or adolescent’s parents would be involved in the treatment plan, be notified about getting the police involved, being retrained for safety, and transferring to the hospital for evaluation. The parents would be informed about the hospital that the adolescent patient will be transferred to, the information given to how they could have access to resources during the hospital stay and beyond.Legal or Ethical Issues one Would have to Consider When Working with a Child or Adolescent Emergency CaseConfidentiality is one of the ethical obligations of every psychiatric mental health nurse practitioner. Confidentiality is the right to privacy of every client with specific statutes involving psychotherapist-client privilege (Lymberis, n.d; Lawal, 2020). While confidentiality could be achieved in long-term care facilities, it could be challenging with an adolescent patient who is 19 years old with parents involved in his or her care. The right thing to do would be to obtain consent from the patient before involving the parents in any care or decision-making.Ethical decision-making is required for appropriate and compassionate clinical care. Therapists or counselors must identify and reflect on the ethical aspect of their practice. Therapeutic boundaries could be maintained by seeking consultations from experts when caring for clients who are challenging to treat or have complex conditions in safeguarding against danger in high-risk situations, and in endeavoring to understand more about mental illness, which are signs of professionalism and ensure ethical rigor in clinical practice (Yang, Schneider, Wynn, & Howe, 2017; Lawal, 2020). Therapists or counselors can effectively manage and resolve ethical dilemmas and challenges by understanding their clients’ ethical obligations and responsibilities.ReferencesGerson, R., & Havens, J. (2015). The Child and Adolescent Psychiatric Emergency: A Public HealthChallenge. Psychiatric Times, 32, 11. Retrieved from https://www.psychiatrictimes.com/view/child-and-adolescent-psychiatric-emergency-public-health-challengeJohns Hopkins Medicine. (2020). Comprehensive Psychiatric Evaluation. Retrieved fromhttps://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/comprehensive-psychiatric-evaluationLawal, M. (2020). Legal and ethical considerations for group and family therapy. Unpublishedmanuscript. Walden UniversityLymberis, M. T. (n.d). Ethical and Legal Issues in Group Psychotherapy. Retrieved fromhttps://www.jurispro.comNewman, M., & Ravindranath, D. (2010). Managing a Psychiatric Emergency. Psychiatric Times, 27, 7.Retrieved fromhttps://www.psychiatrictimes.com/view/managing-psychiatric-emergencySadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters KluwerWheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to-guide forevidence-based practice (2nd ed.) New York, NY: Springer Publishing CompanyYang, S., Schneider, B., Wynn, G. H., & Howe, E. (2017). Ethical Considerations in the Treatment ofPTSD in Military Populations. The Journal of Lifelong Learning in Psychiatry, 15(4), 435-440. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519518/

 
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Nursing  Health Care Financing

The purpose of this assignment is to evaluate the framework and various dimensions of access to care, including delivery, and quality among the health care models.Choose two models from the Topic 3 assignment that you feel are most effective in providing quality care. In a 1,250-1,500 word paper, answer the following questions:How is quality monitored?What are the qualifications for each of the plans?How do these plans reimburse health care providers?How much are prevention and wellness emphasized?What are the primary drivers of health care financing?Explain what component you feel requires the most reform in order to finance a health care system that covers all, or most, people. Justify your rationale.Support your writing with three to five scholarly peer-reviewed resources.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 
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