see attachment W 6 Project Phase 3

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in the attached files you will see the document that explains how to make the template, you will also find the template document for this week, and you will find project 2 that you did for me last week from the conversation with the nurse in which you have to guide yourself in making the template

 
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Cultural equity project

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https://docs.google.com/document/d/1ac5mDz5i7csi27gn6Zg4GczIe5lf1Flz97SZoLflL3o/edit?usp=sharing

 
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Discussion

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Why do you feel as though ethics are important within the medical field?  What are some ethical issues you may have in the field?

 
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Healthcare III

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PPT with script notes

 
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Schizophrenia and Bipolar Clinical

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Answer using APA style

 
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Discussion reply 1

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As a future advanced practice registered nurse specializing in PMHNP it is important to understand the magnitude of diagnostic and medical errors that are made. Cantey (2020) noted that “Recent research has identified several dimensions in which a diagnostic error can occur, including patient-provider encounter, interpretation of diagnostic tests, follow-up, communication and coordination of specialist referrals, and patient’s behavior to recommended treatment” (p. 582). In the provider role it is important to always stay up to date with ongoing changes in healthcare. Whether it be regulations, screenings, evidence-based practice guidelines, and CDC guidelines. In the role of a PMHNP I can take part in decreasing diagnostic errors by making sure me and my staff are up to date with the DSM-5. The last published DSM-5 was in 2013 sense then there had been updates. These updates include new references, updates to the ICD-10-CM codes and clarification to diagnostic criteria. Therefore, reviewing the DSM-5-TR and having staff review such changes is important to preventing diagnostic errors. Also, as a future APRN it is vital to establish great rapport with patients and other providers. This ensures that we establish the best treatment plan for our patients and provide patients with additional support from other professionals. Cantey (2020) noted that “The large majority of diagnostic errors are not due to knowledge deficits but are related to cognitive biases, failed perception, and failed heuristics (i.e., mental shortcuts)” (p. 582). According to Cantey there have been several procedures that were conducted by using cognitive debiasing to reduce diagnostic errors with nurse practitioner students. Cantey (2020) noted that “Understanding the causes of errors can help nurse practitioners develop increased awareness of their own biases and therefore reduce the influences on clinical reasoning. Experts acknowledge that there is not a “one size fits all” strategy for debiasing, but with increased awareness and development of new strategies, the cognitive process can be improved” (p. 583). I do agree that when NP’s or physicians understand this concept this can lead to better treatment for patients and will decrease malpractice suits.

 
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Written reflection

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Written reflection

 
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Varicocele and infertility

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A 23-year-old healthy man has been unable to father a child. He and his wife have a workup for infertility. His wife’s reproductive function is normal. On physical examination both his testes are palpable in the scrotum and the testes and scrotum are normal in size, with no masses palpable. However, the spermatic cord on the left has the feel of a ‘bag of worms’. Laboratory studies show oligospermia. Which of the following conditions is this man most likely to have? Explain your answer with at least 450 words, 2 scholarly references in APA format within the last 5 years of published.A HydroceleB Testicular torsionC SpermatoceleD VaricoceleE Seminoma

 
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Theory of Self-Efficacy

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Assignment: Critique the theory of Self-Efficacy using the internal and external criticism evaluation process.* This is a Discussion post pertaining to Nursing!*410-420 words*APA 7th* 3 SCHOLARLY REFERENCES from journals within the past 5 years.* Less than 10% Plagiarism* 100% Original work not previously sold; I don’t want to post the same work another student may have posted!Remember, this is a discussion reply. Please also provide 2 discussion replies. 150-200 words each with 1 scholarly reference.

 
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NSG 550 response 12

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Discussion 12The likely diagnosis for this 65-year-old man is shingles, otherwise known as herpes zoster viral infection. Varicella zoster virus reactivation results in the secondary illness known as shingles, which affects nearby nerves and skin. (Sly & Harris, 2018). The dermatomal rash is typically unpleasant yet self-limiting accompanied by pain along the afflicted dermatome, which is usually the first symptom, followed in 2–3 days by a vesicular eruption(Janniger, 2021).Clinical presentation can be grouped into three stages: preeruptive phase, acute eruptive phase, and the chronic phase. Early signs and symptoms include:Tingling or burning where the lesions arefeverheadachemyalgiamalaise (Sly & Harris, 2018)The acute eruptive phase consists of:development of painful rashtingling in the vicinity of the injured nervefluid filled blisters ariseblisters that were liquid-filled rupture and crust in 7-10 days (Shingles (Herpes Zoster), 2021)The history and physical findings are the main factors used to make a diagnosis. In immunocompromised patients, labwork may be ordered such as:vesicular fluid or a corneal lesion being tested with direct fluorescent antibodies (DFA)polymerase chain reaction (PCR) of blood, vesicular fluid, or a corneal lesionvesicular fluid tzanck smear (Janniger, 2021)Differential Diagnoses include:Acne Keloidalis Nuchae (AKN)acneiform Eruptionsallergic Contact Dermatitiscellulitischickenpoxdermatologic Manifestations of Herpes Simplexacneiform Eruptionsinsect Bites (Janniger, 2021)Antivirals are employed in the treatment of shingles to lessen the duration and intensity of the condition. They ought to be started as soon as the rash shows for the best outcomes. These drugs include acyclovir, valacyclovir, and famciclovir as examples (Shingles (Herpes Zoster), 2021).ReferencesJanniger, C. K. (2021, August 21). Herpes Zoster. Medscape. https://emedicine.medscape.com/article/1132465-overviewShingles (Herpes Zoster). (2021). CDC. https://www.cdc.gov/shingles/index.htmlSly, J. R., & Harris, A. L. (2018). Recombinant zoster vaccine (shingrix) to prevent herpes zoster. Nursing for Women’s Health, 22(5), 417–422. https://doi.org/10.1016/j.nwh.2018.07.004

 
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