Nursing  Chapter 4: Global Health: A Community Perspective

1. What health factors can nurses address to work with young males of a community to improve overall health? (mention at least 3 health factors). What can you do as a nurse to improve those health factors and overall health in that community?At least 400 words. Minimum of three references, not older than 2015.All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

 
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Nursing  reply to both comment

Topic 2 DQ 2 reply to  KhurshidaSpiritual health is that aspect of our well-being which organizes the values, the relationships, and the meaning and purpose of our lives. Patients and healthcare professionals alive have experienced a growing recognition of the importance of spiritual health as a foundation for physical health and well-being. As a reformed healthcare system places greater emphasis on etiology and prevention as opposed to relief of symptoms, creative and holistic partnerships between the medical profession and spiritual care givers can and will emerge. The opportunities for fusing the causes of scientific medicine and spiritual enlightenment have never been stronger (Falvo, 2011). Nurses should be open to discuss psychological aspects with patients who are strictly believe religion. Open communication can help patients to get effective care.ReferencesFalvo, D. R. (2011). 4-6. In Effective patient education a guide to increased adherence(4th ed. (pp. 81-159). Retrieved from https://viewer.gcu.edu/RQBKXWTOPIC 2 DQ2 reply to DianeA health care professional could have reservations about many things when carry for Sister Mary.  I know I did the fist time I cared for a nun and a priest!  They are so calm, quiet and pious its almost awkward.  I cared for the absolutely sweetest nun that had pancreatic cancer.  She refused pain meds and never missed a day of mass or saying the rosary.  They are very private and a male nurse or caregiver is out of the question for women.  I have no had that experience with the priests however. Health care professionals may feel as though they are being judged by the nun as well; a lot of nuns were nurses as well.  The health care professional could feel uncomfortable with the holy articles as well.  I feel like a lot of these issues are due to lack of education and it can and does happen.  I feel like hospital orientation should go over a quick religious education for their particular facility demographics for all staff.

 
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Nursing  NLMdisc7

Discussion:Have you ever worked with someone who caused problems with you or others? (Explain how the problem manifested itself and how it was managed).What are the common signs of bullying in nursing?What are common stressors in the nursing workplace? What are some strategies to manage personal and professional stress?400 words. APA 7th edition

 
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Nursing  whether or not bipolar disorder can be diagnosed

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact.In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.AssignmentYou will engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.*  YOU WILL ARGUE FOR THE DIAGNOSIS· Based on the position you were assigned, justify that pediatric bipolar depression disorder should be diagnosed.Support your position with evidence and examples.At least 3 creditable references

 
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Nursing  DQ#8NRNP

To prepare for this Discussion:Post:1=Explain the Diagnostic Criteria for your assigned Neurocognitive Disorder (Alzheimer’s Disease).2=Explain the Evidenced-Based Psychotherapy and Psychopharmacologic Treatment for your assigned Neurocognitive Disorder (Alzheimer’s Disease).3=Identify the risks of different Types of Therapy andExplainHOWthe Benefits of the Therapy that might be achieved might outweigh the risks.4=Support your rationale with references to the Learning Resources or other academic resource.

 
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Nursing  Journal Entry

art 1: Progress NoteUsing the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:Treatment modality used and efficacy of approachProgress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)Modification(s) of the treatment plan that were made based on progress/lack of progressClinical impressions regarding diagnosis and or symptomsRelevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)Safety issuesClinical emergencies/actions takenMedications used by the patient, even if the nurse psychotherapist was not the one prescribing themTreatment compliance/lack of complianceClinical consultationsCollaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)The therapist’s recommendations, including whether the client agreed to the recommendationsReferrals made/reasons for making referralsTermination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)Issues related to consent and/or informed consent for treatmentInformation concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reportedInformation reflecting the therapist’s exercise of clinical judgmentNote: Be sure to exclude any information that should not be found in a discoverable progress note.Part 2: Privileged NoteBased on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.In your progress note, address the following:Include items that you would not typically include in a note as part of the clinical record.Explain why the items you included in the privileged note would not be included in the client family’s progress note.Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

 
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Nursing  respondo weeko uno

Include  whether or not you believe demographic factors, such as geography, population, age, or ethnicity, will (or should) influence the disciplines that your classmates chose. Why? Your reply posts should be 100 to 150 words, with a minimum of one supporting reference included.Response 1The purpose of this post is to discuss why a multidisciplinary approach to gerontology is needed and to identify and provide a rationale for the top five disciplines that should be included on a multidisciplinary team. All stakeholders can benefit from a multidisciplinary approach to any field, but especially gerontology. Alkema and Alley (2006) explain that a multidisciplinary approach highlights the ability of different disciplines to cooperate. This can lead to better patient care, healthcare cost reduction, and overall job satisfaction for providers. Kung et al. (2019) found that when providers have adequate resources for their patients they are less likely to experience burnout. Gerontology is not a well-defined discipline, in part because every discipline has to incorporate gerontology, as Alekam and Alley (2006) suggest, gerontology is an integrative study area where it is essential to understand the interconnections of multiple disciplines. Instead of being looked at a small part of each discipline, I think gerontology should be seen as an umbrella of which all other disciplines are a part. For example, an Advanced Practice Registered Nurse Program specializing in geriatrics, and so other disciplines should also offer specialization in geriatrics. Eventually, they will be specialized and educated providers and different disciplines that can come together and enrich the field of Gerontology.One provider alone cannot know all there is to know about Gerontology. However, one provider can know where to find resources for their geriatric patients. Some disciplines that are essential to the collaborative care of geriatric patients include physical therapy, occupational therapy, medical social workers, home health aides, and pharmacists. Physical therapy and occupational therapy are two disciplines that can be provided at home and can focus on improving or maintaining the elderly’s independence, mobility, safety, and fall prevention. From my own experience as a Home Health Nurse, medical social workers can help a patient navigate insurance coverage, facility placement, identifying and obtaining basic resources such as food, utilities, health insurance, caregivers, and transportation. Another important discipline, especially in Gerontology is the pharmacist, who can be an incredible resource for both the patient and the provider in making sure drug safety and polypharmacy are addressed. To provide all of these services alone would be nearly impossible for one provider, but a multidisciplinary approach to care can improve the quality of care delivered to the patient and ease the burden on providers.Response 2As people become older, many people can experience different chronic illnesses and psychological complications. In addition to simply becoming older, it is important to highlight that a person’s level of health is influenced by social and environmental factors (Alkema & Alley, 2006). For example, the early death of children and poverty are common risk factors that can negatively impact people as they age (Stowe & Cooney, 2015). As a result of these elements, this discussion will highlight why a multidisciplinary approach is needed when caring for older adults and identify five different disciplines that can be included in this team.When focusing on the topic of gerontology, a multidisciplinary approach and team are needed to satisfy the variable needs of each individual. In the article by Alkema and Alley (2006), gerontology is best defined as the study of the ageing population. As people age, they will encounter a higher risk of developing multiple comorbidities (Verwijs et al., 2020). In many cases, musculoskeletal changes can decrease bone density and lead to the development of osteoporosis (Gould et al., 2018). In addition, women will begin to experience menopause and can encounter emotional changes. Many chronic illnesses can also negatively affect people’s physical function and even decrease appetite (Verwijs et al., 2020). Due to the abundant numbers of unique changes that are happening to the body, a multidisciplinary approach is needed to quickly diagnose and effectively treat the multiple complications.When creating a multidisciplinary team to care for older adults, many different disciplines can be integrated. My top five disciplines to be included in the team are psychiatrists, nurses, social workers, nutritionists, and physical therapists. To better understand how this multidisciplinary team can work together, a patient’s example will be provided to highlight the important role of each discipline. For example, in the year 2014, people age 85 and older were among the highest risk group to commit suicide (Gonyea et al., 2018). Due to the increased sickness and change in living conditions, these cause many people to experience the feeling of depression (Gonyea et al., 2018). To better help treat these individuals, psychiatrists and nurses can use empathy to better understand the patient’s problem (Yang et al., 2020). Then, psychiatrists can provide counseling services and prescribe medications. With the use of the multidisciplinary team, the social worker can then use the learned knowledge to offer supports for patients in the community (Kim et al., 2020). As the feeling of depression can decrease appetite, a nutritionist can be consulted to help patients develop a healthier eating plan (Gould et al., 2018). Lastly, if the increased sickness impacted people’s mobility, physical therapists could help patients regain their strength and independence (Kim et al., 2020). As people regain their strength, they are also more likely to become happier.In conclusion, each discipline was chosen based on their ability to help patients better cope with the new changes. Rather than working separately, the psychiatrist was able to collaborate with the social worker to provide effective care quickly. Due to the multiple complications of aging, a health care provider must understand the important role of collaboration when treating patients.

 
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Nursing  PICOT Question and Literature Search

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.Use the “Literature Evaluation Table” to complete this assignment.Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. ( Problem: staff shortage in nursing)Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.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 not required to submit this assignment to LopesWrite.

 
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Nursing  Nursing

A 16-year-old female high-school student is receiving treatment for Addison’s disease. The student confided in the school RN that she is going to stop taking her prednisone because it makes her feel “ugly.” She states she is depressed and embarrassed to be at school because of the side effects caused by the medication. After further review of the situation, the RN determines an interprofessional team should be convened to address the student’s needs.Initial Discussion Post:Address the following:Describe three (3) significant side effects of corticosteroid treatment for Addison’s disease.Which factors make having Addison’s disease especially problematic for adolescents and why?Discuss why an interprofessional team is appropriate for this situation, who should be included on the team, and the role of the RN on the team.350 words APA formatNo older than 5 years references

 
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Nursing  Discussion Question Skit-Nursing

Details attachedMinimum 1 page AMA response to discussion board questionsDue 4/7 by 6 pm US EST

 
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