Nursing  Assignment 2

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Direction: Minimum 250 words, APA 7 format, use scholarly article within the last 5 years, 0% turnitin if possible.assignment prompt:Conduct an internet search focusing on alternative methods of preventative care, i.e spiritual care, pet care, music therapy, etc. Compile a minimum of three (3) internet resources that address preventative health care .Discuss the benefits and limitations to each resource, how these resources can be incorporated into patient care, and what population would benefit most from these.

 
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Nursing  Homework-7

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unemployment is one of social determinant that affecting health statusArticle Review Guide: Regular formatArticle Review #____________ Name ___________________ Date _____________________ReferenceAuthor or authors, (year), Title of Article. Name of Journal. Date of journal and volume, page numbers. page numbers.Points to Cover1. Main idea of article and how it relates to class topics. This is a summary of the article. (4 points)2. Your personal reactions to the article. What new information did you learn? What was the most interesting thing about this article? (4 points)3. Overall organization, spelling, punctuation, and quality of work. (2 point)points to cover:1-main idea of article and how it relates to topic ( summary of article)2-your personal reaction to the article. what new information did you learn, what was the most interesting thing about the article3- free pilgrims and high qualityI need total of 4-5 new articles ( max 4 years ) to answer this assignment.APA style 7th Edition  minimum of 4 pages without the ( cover page and references pages )kindly attached the articles  as pdf to keep it with me

 
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Nursing  mission and philosophy of a healthcare organization

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Select a healthcare organization in South Florida (i.e Baptist Health, Memorial, Broward Health, etc.). The one you work for is a good choice because you have knowledge, access and experience with its inner workings. You may need to talk with managers in your facility to obtain information. In a 2-3 page paper, APA format including headings, analyze the following:1. Discuss the mission and philosophy of a healthcare organization in relation to its strategic plan. (Another way of thinking about it – What is the organization’s mission and philosophy and how is this seen in its strategic plan?)2. Describe methods used to meet the goals of a strategic plan using best practices. (Another way of thinking about it- What methods are being used by the organization to meet the goals of its strategic plan? Are these methods based on best practices?)3. Critique evaluative effectiveness of a strategic plan. (Another way of thinking about it – How well is the strategic plan working? How is the organization evaluating what is being done? Are changes to the methods or plan being made based on results achieved?)

 
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Nursing  Advanced Pharmacology

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DISCUSSION 1TO.Disorder: DepressionI chose to complete the scenario on a 70-year-old male presenting with symptoms of depression.Background information:70-year-old Hispanic maleDeath of mother at a young ageOccasional back pain & stiff shouldersInsomniaPoor concentrationMontgomery Asberg Depression Rating Scale 51 I indicates (severe depression).I would not prescribe phenelzine 15mg TID because it’s an MAOI and could interact with common tyramine foods such as processed meats, cheese, & avocado commonly found in the diet of Hispanic people.Common barriers to treatment of depression in Hispanics include lack of information about mental health services, fewer linguistically & culturally trained providers representative of the Hispanic community (Camacho et al.,2018).SSRIs are the first-line treatment for major depression (McCance & Huether, 2019).I chose to treat the patient with an SNRI (Venlafaxine). I believe it would benefit the patient by treating his to major depression & chronic pain. Other benefits of Venlafaxine include it is deemed to have fewer side effects, is safe in older adults, and has fewer drug interactions.Venlafaxine (Effexor) can be used to treat major depression & chronic pain (McCance & Huether, 2019).I decided to start the patient on Effexor (Venlafaxine) 37.5mg 1 PO QD.Pathophysiology of Venlafaxine: Venlafaxine was found to be effective in managing depression by blocking Norepinephrine and serotonin reuptake. It also has weak blocking of dopamine reuptake (McCance & Huether, 2019).As a result of this, the patient returns in 4wks with no change in depressive symptoms. I later decided to increase the dose to 75mg PO QD. A second Montgomery Depression screening was completed, the patient scored a 38.Next, the Client returns to the clinic in 4wks,reports improvement of depressive symptoms.Rosenthal & Burchum (2021) explain a clinician has the following options if the first dose is ineffective: increase the dose of the first drug, switch to another drug in the same class, switch to another drug in a different class, or add an atypical antidepressant as a second drug.To prevent a relapse, I would continue the therapy for 4 to 9 mos.  I would educate the patient on continuing therapy even if there are no symptoms. I would encourage the patient to attend Behavioral Health counseling and include his family members in his plan of care. Camacho et al. (2018) suggest recruiting a bilingual psychotherapist to help promote a welcoming & safe environment for a patient to express emotions. Frequent monitoring of the patient would be necessary, to observe for s/s of suicidal ideation.References:Camacho, D., Estrada, E., Lagomasino, I. T., Aranda, M. P., & Green, J. (2018). Descriptions of depression and depression treatment in older Hispanic immigrants in a geriatric collaborative care program. Aging & Mental Health, 22(8), 1056–1062. https://doi-org.ezp.waldenulibrary.org/10.1080/13607863.2017.1332159McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.DISCUSSION 2L.The psychological disorder that was presented in my presentation was bipolar I disorder. A female of Korean decent presented with bipolar disorder in a manic state. She had been recently hospitalized and discharged on lithium for mania. Prior to her follow up in the clinic the patient had decided to discontinue the medication on her own which had exacerbated her condition. When presenting to the clinic, she was labile and euphoric. I had made the decision to start her on Risperdal 1 mg orally BID. After this decision point, she returned to the clinic accompanied by her mother and was very sedated and lethargic. The mother had stated that she had been like this for about a week after her left office visit. Though I was happy that she continued to take her medication and it was obviously controlling some of her symptoms, that obviously had been too strong of a dosage. This is most likely because of her CYP2D6*10 allele from her Korean descent, simply her genetics which led her course of treatment following differently. At the second office visit, I had decided to decrease the Risperdal to 1 mg at HS With another follow-up visit in four weeks again. When the client had returned, she was much less sedated, and showing symptoms of improvement. Her young mania rating scale had been priest from 22 for 16, which was a 25% decrease in her presenting symptoms. At this point I had advised the patient to continue the same dose of Risperdal and reassess again in another 4 weeks. I wanted to see how the patient would respond while on this same dose of Risperdal as the CYP2D6*10 allele gives her a slower clearance of Risperdal from her system which is most likely what had resulted in higher than normal levels of sedation. Puangpetch et. al. 2016 states that CYP2D6 is associated with plasma concentrations of risperidone as it is a poor metabolizer and showed more serious adverse events than those without this allele. This is why the patient’s symptoms while on this medication were of that extreme for a relatively low dose especially to start with. Vuppalaanchi also states that the metabolism of risperidone specifically is again by CYP2d6 and is also is responsible for up to 20% of drugs that undergo biotransformation and is a poor metabolizer.ReferencesBipolar Therapy. (2020). http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_04/index.htmlPuangpetch, A., Vanwong, N., Nuntamool, N., Hongkaew, Y., Chamnanphon, M., & Sukasem, C. (2016). CYP2D6 polymorphisms and their influence on risperidone treatment. Pharmacogenomics and personalized medicine, 9, 131–147. https://doi.org/10.2147/PGPM.S107772Vuppalanchi, R. (2011). Metabolism of Drugs and Xenobiotics. Retrieved from https://doi.org/10.1016/B978-0-443-06803-4.00004-6

 
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Nursing  Stages of Grief

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Write a 750-1,000 word paper analyzing Woterstorff’s reflctions in Lament For a Son. In addition, address Kubler-Ross’ five stages of grief, as they are expressed throughout Lament for a Son, and respond to the following questions:How does Wolterstorff find joy after his loss?What is the meaning and significance of death in light of the Christian narrative?How does the hope of the resurrection play a role in comforting Wolterstorff?Include three sources including the textbooks, bible and other reliable/academic sources.

 
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Nursing  lorem,ipsum

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Clinical scenario Angelo is a 19-year-old man. He lives with his parents and he is an apprentice diesel mechanic. Encouraged by his family, Angelo presented for assessment at his local hospital. As a nurse, you are part of the multidisciplinary team responsible for Angelo’s assessment. On admission Angelo appears withdrawn. His parents report that Angelo’s behaviour has changed gradually over the last 6 months. He has become moody and uncommunicative and seems to have lost interest in life. Angelo’s parents also report that in recent weeks he has started talking about his thoughts being controlled by energy waves emitted by the television. At times he has been overheard talking to himself. His parents state that Angelo has in the past used cannabis heavily. His work performance has suffered, and his colleagues have also noticed the changes in Angelo’s mood and behaviour. Clinical scenario questions 1. During your interview with Angelo, you note that he is not forthcoming with personal information. What communication techniques would you use to obtain a clinical history. (400 words) 2. Some aspects of Angelo’s history are suggestive of psychosis. Define psychosis and explain the primary features of a psychotic presentation. (400 words). 3. A provisional diagnosis of schizophrenia is made, and Angelo is admitted to the mental health unit for observation and further assessment. Explain the concept of positive and negative symptoms in schizophrenia treatment. (400 words) 4. Explain the potential role of neurotransmitters in the development of schizophrenia. (400 words)

 
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Nursing  Roles and Responsibilities in Leadership and Management

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Select a topic for your Topic 3 Executive Summary assignment. Post your idea and basic thoughts about the topic using the assignment details from Topic 3. You should provide thoughts to your peers about their topics and ideas that may assist them in completing their projects.Nurse shortage topic selected.Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

 
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Nursing  Advanced Pharmacology

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DISCUSSION 1TO.Disorder: DepressionI chose to complete the scenario on a 70-year-old male presenting with symptoms of depression.Background information:70-year-old Hispanic maleDeath of mother at a young ageOccasional back pain & stiff shouldersInsomniaPoor concentrationMontgomery Asberg Depression Rating Scale 51 I indicates (severe depression).I would not prescribe phenelzine 15mg TID because it’s an MAOI and could interact with common tyramine foods such as processed meats, cheese, & avocado commonly found in the diet of Hispanic people.Common barriers to treatment of depression in Hispanics include lack of information about mental health services, fewer linguistically & culturally trained providers representative of the Hispanic community (Camacho et al.,2018).SSRIs are the first-line treatment for major depression (McCance & Huether, 2019).I chose to treat the patient with an SNRI (Venlafaxine). I believe it would benefit the patient by treating his to major depression & chronic pain. Other benefits of Venlafaxine include it is deemed to have fewer side effects, is safe in older adults, and has fewer drug interactions.Venlafaxine (Effexor) can be used to treat major depression & chronic pain (McCance & Huether, 2019).I decided to start the patient on Effexor (Venlafaxine) 37.5mg 1 PO QD.Pathophysiology of Venlafaxine: Venlafaxine was found to be effective in managing depression by blocking Norepinephrine and serotonin reuptake. It also has weak blocking of dopamine reuptake (McCance & Huether, 2019).As a result of this, the patient returns in 4wks with no change in depressive symptoms. I later decided to increase the dose to 75mg PO QD. A second Montgomery Depression screening was completed, the patient scored a 38.Next, the Client returns to the clinic in 4wks,reports improvement of depressive symptoms.Rosenthal & Burchum (2021) explain a clinician has the following options if the first dose is ineffective: increase the dose of the first drug, switch to another drug in the same class, switch to another drug in a different class, or add an atypical antidepressant as a second drug.To prevent a relapse, I would continue the therapy for 4 to 9 mos.  I would educate the patient on continuing therapy even if there are no symptoms. I would encourage the patient to attend Behavioral Health counseling and include his family members in his plan of care. Camacho et al. (2018) suggest recruiting a bilingual psychotherapist to help promote a welcoming & safe environment for a patient to express emotions. Frequent monitoring of the patient would be necessary, to observe for s/s of suicidal ideation.References:Camacho, D., Estrada, E., Lagomasino, I. T., Aranda, M. P., & Green, J. (2018). Descriptions of depression and depression treatment in older Hispanic immigrants in a geriatric collaborative care program. Aging & Mental Health, 22(8), 1056–1062. https://doi-org.ezp.waldenulibrary.org/10.1080/13607863.2017.1332159McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.DISCUSSION 2L.The psychological disorder that was presented in my presentation was bipolar I disorder. A female of Korean decent presented with bipolar disorder in a manic state. She had been recently hospitalized and discharged on lithium for mania. Prior to her follow up in the clinic the patient had decided to discontinue the medication on her own which had exacerbated her condition. When presenting to the clinic, she was labile and euphoric. I had made the decision to start her on Risperdal 1 mg orally BID. After this decision point, she returned to the clinic accompanied by her mother and was very sedated and lethargic. The mother had stated that she had been like this for about a week after her left office visit. Though I was happy that she continued to take her medication and it was obviously controlling some of her symptoms, that obviously had been too strong of a dosage. This is most likely because of her CYP2D6*10 allele from her Korean descent, simply her genetics which led her course of treatment following differently. At the second office visit, I had decided to decrease the Risperdal to 1 mg at HS With another follow-up visit in four weeks again. When the client had returned, she was much less sedated, and showing symptoms of improvement. Her young mania rating scale had been priest from 22 for 16, which was a 25% decrease in her presenting symptoms. At this point I had advised the patient to continue the same dose of Risperdal and reassess again in another 4 weeks. I wanted to see how the patient would respond while on this same dose of Risperdal as the CYP2D6*10 allele gives her a slower clearance of Risperdal from her system which is most likely what had resulted in higher than normal levels of sedation. Puangpetch et. al. 2016 states that CYP2D6 is associated with plasma concentrations of risperidone as it is a poor metabolizer and showed more serious adverse events than those without this allele. This is why the patient’s symptoms while on this medication were of that extreme for a relatively low dose especially to start with. Vuppalaanchi also states that the metabolism of risperidone specifically is again by CYP2d6 and is also is responsible for up to 20% of drugs that undergo biotransformation and is a poor metabolizer.ReferencesBipolar Therapy. (2020). http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_04/index.htmlPuangpetch, A., Vanwong, N., Nuntamool, N., Hongkaew, Y., Chamnanphon, M., & Sukasem, C. (2016). CYP2D6 polymorphisms and their influence on risperidone treatment. Pharmacogenomics and personalized medicine, 9, 131–147. https://doi.org/10.2147/PGPM.S107772Vuppalanchi, R. (2011). Metabolism of Drugs and Xenobiotics. Retrieved from https://doi.org/10.1016/B978-0-443-06803-4.00004-6Edit question’s attachments..

 
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Nursing  need monday 11am

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This is an assignment with a length of ten to twelve pages that should integrate the reading, multi-media and class discussion boards.  It is mandatory to have research from the classroom text, as well as three sources from the internet or online library to support your views.Consider the validity of your resources carefully before using them in academic papers.  It is recommended to use examples from your professional experience where possible, or build from your learning in the discussion boards.  Use at least one project you have been a team member or a project manager as an example to describe the topics below:The following topics must be reviewed in order for the paper to be complete:The definition of procurement and contract management and the importance to the business world.RFP selection tools and how to improve the assessment of proposals.The concept of procurement planning and various strategies necessary for project success.How to select the most qualified vendor in a proposal.Evaluation of the contract and the legal aspects of procurement in a project.Comparisons of the critical elements of a contract including relationships between the client, supplier, completion terms and payment terms.The final Research Paper for the course must be submitted by to the instructor by 11:59 p.m. of the time zone in which you reside on the last day of the class.Writing the Final PaperThe Final Paper:Must be ten to twelve double-spaced pages in length, and formatted according to APA style as outlined in the Ashford Writing Center.Must include a title page with the following:Title of paperStudent’s nameCourse name and numberInstructor’s nameDate submittedMust begin with an introductory paragraph that has a succinct thesis statement.Must address the topic of the paper with critical thought.Must end with a conclusion that reaffirms your thesis.Must use at least five scholarly sources, including a minimum of two from the Ashford Online Library.Must document all sources in APA style, as outlined in the Ashford Writing Center.

 
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Nursing  The premature twins

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In a five paragraph essay, apply ONE ethical theory to decide the moral course of action in the medical case of the premature twins studied in class. Apply the ethical theory to support your arguments. Not using the ethical theory results in an automatic zero. Using more than one ethical theory results in an automatic zero. Before June 20,

 
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