Discussion reply 2

Completing an infant or child health history always comes with the need for resources. Using the patient’s parent or guardian would be the first instinct to get a full health history. If the patient’s parent is not with them in person, I would call them to work to get the full history. If the patient is adopted or in state custody, I would try to get records to complete the history. Sometimes elderly patients cannot recall all their health history. Using a family member or caretaker is an option, also having the patients’ records sent from other offices, and using their medication list. Many times, in the area I work getting the patients medication list can help them to remember some of their health history. Also making sure to use language they understand as well as recalling all the systems. Asking them specific questions instead of generalized. For example: have you had any surgeries? Very general. “let’s start at the top have you had any head or face surgeries? Neck or shoulder? Thyroid or throat? “And continuing down. You can ask if the patient has a patient portal of history that you can see. But it is always important to ask the patient and then include the family or care giver in on the conversation. Patients with cognitive delays I would treat like a child or elderly making sure to ask them the questions but if they do not know refer to parent or guardian. Completing a history on a patient who speaks another language it is important to have a translator or language line. This is to make sure the patient can give the most accurate information and understand everything. Another useful tool is using a health history form. This could be given at the office or sent prior to the patients visit. The health history can be in multiple languages as well. The Agency for Healthcare Research and Quality (2020) has health literacy universal precautions tool kits that have forms for health histories. These could be helpful to help the patient, or their family get all the information prior to the visit also it maybe helpful to fill one out and just keep a copy if the patient can’t communicate or has memory problems. Another tool is asking questions and using verbal and non-verbal communication skills (U.S. Department of Health and Human Services, 2017).

 
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Chapter 11, Case 1

Goal: To analyze and apply critical thinking skills in the pharmacokinetics and pharmacodynamics of psychopharmacological agents for patient treatment and health promotion while applying evidence-based research.Chapter 11, Case 1Lotus is a 36-year-old Asian American female who recently started a new executive position with an advertising firm. While she loves her new job and the field of advertising, she admits that the new schedule is grueling and that she often doesn’t get home until quite late. She has noticed that it is difficult for her to relax before getting to bed and her mind often wanders to the many tasks she needs to complete when she returns to work in the morning. These “racing thoughts” result in significant initial insomnia, causing her to be alert for nearly an hour or more before she is able to fall asleep. When questioned about these symptoms, she claims that she has never seen a therapist before, doesn’t consider herself to be anxious or depressed, and has never had a problem with sleeping in the past. There are no worries of money or health-related issues, and she claims to enjoy her job and the people with whom she works. She even does not find these thoughts unpleasant, as she uses the time to plan her next day. She admits that they are just a bit intrusive and that she really needs to wind down and get more rest.Questions:Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.Summarize the clinical case.What is the DSM5 diagnosis?  Identify the rationale for your diagnosis using the DSM5 diagnostic criteria.According to the clinical guidelines, which one pharmacological treatment is most appropriate to prescribe? Include the medication name, dose, frequency and rationale for this treatment.According to the clinical guidelines, which one non-pharmacological treatment would you prescribe? (exclude psychotherapy modalities)  Include the risk and benefits of the chosen rationale for this treatment.Include an assessment of medication’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.Use a local pharmacy to research the cost of the medication. Use great detail when answering questions 3-5.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.

 
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Fetal Development and Genetics (Part 1)

1. Create a flowchart that depicts the flow of blood through the fetus.2. Write a report that describes the process of fertilization through implantation.Clinical Assignments1. Interview several nurses working in clinical setting who have been involved with preconception or prenatal genetic screening and testing and describe their roles and responsibilities. Explore any ethical or legal issues that were encountered.Web Assignments1. Search the internet for information available about fetal development. Create a list of reputable websites that would be helpful for pregnant women and their families.

 
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Nursing leadership: Ethical issues (Due 24 and 48 hours)

APA format1) Minimum 21 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.The number of words in each paragraph should be similarPart 1: minimum  4 pages (24 hours)Part 2: minimum  4 pages (24 hours)Part 3: minimum  4 pages (24 hours)Part 4: minimum  4 pages (48 hours)Part 5: minimum  5 pages (48 hours)Submit 1 document per part2)¨******APA normsThe number of words in each paragraph should be similarMust be written in the 3 personAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted responses are not acceptedDon’t write in the first personDo not use subtitles or titlesDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites)Part 5:  Minimum 10 references (six references from literature review and 4 references for the data solicited) (APA format) per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXXQ3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Part 1: Nursing LeadershipTopic/Issue:   In vitro fertilizationPurpose: Address an ethical issue associated with the practice of nursing.1. Introduction2. Describe the topic (One paragraph)3. Define the scope of the ethical issue (One paragraph)4. Describe the scope/impact of the issue on nursing (One paragraph)5. How the issue relates to and principles identified in nursing codes of ethics.(One paragraph)6. According to two different experts, explain two pros arguments based on principles from identified codes (Two paragraphs)7. According to two different experts, explain two cons arguments based on principles from identified codes (Two paragraphs)8. Describe the issue’s future as it relates to the nursing profession (One paragraph)9. Describe the issue’s future as it relates to  clinical practice (Paragraph)10. ConclusionPart 2: Nursing LeadershipTopic/Issue: Surrogate mothersPurpose: Address an ethical issue associated with the practice of nursing.1. Introduction2. Describe the topic (One paragraph)3. Define the scope of the ethical issue (One paragraph)4. Describe the scope/impact of the issue on nursing (One paragraph)5. How the issue relates to and principles identified in nursing codes of ethics.(One paragraph)6. According to two different experts, explain two pros arguments based on principles from identified codes (Two paragraphs)7. According to two different experts, explain two cons arguments based on principles from identified codes (Two paragraphs)8. Describe the issue’s future as it relates to the nursing profession (One paragraph)9. Describe the issue’s future as it relates to  clinical practice (Paragraph)10. ConclusionPart 3: Nursing LeadershipTopic/Issue:  Childbearing after menopausePurpose: Address an ethical issue associated with the practice of nursing.1. Introduction2. Describe the topic (One paragraph)3. Define the scope of the ethical issue (One paragraph)4. Describe the scope/impact of the issue on nursing (One paragraph)5. How the issue relates to and principles identified in nursing codes of ethics.(One paragraph)6. According to two different experts, explain two pros arguments based on principles from identified codes (Two paragraphs)7. According to two different experts, explain two cons arguments based on principles from identified codes (Two paragraphs)8. Describe the issue’s future as it relates to the nursing profession (One paragraph)9. Describe the issue’s future as it relates to  clinical practice (Paragraph)10. ConclusionPart 4: Nursing LeadershipTopic/Issue:  Assisted suicidePurpose: Address an ethical issue associated with the practice of nursing.1. Introduction2. Describe the topic (One paragraph)3. Define the scope of the ethical issue (One paragraph)4. Describe the scope/impact of the issue on nursing (One paragraph)5. How the issue relates to and principles identified in nursing codes of ethics.(One paragraph)6. According to two different experts, explain two pros arguments based on principles from identified codes (Two paragraphs)7. According to two different experts, explain two cons arguments based on principles from identified codes (Two paragraphs)8. Describe the issue’s future as it relates to the nursing profession (One paragraph)9. Describe the issue’s future as it relates to  clinical practice (Paragraph)10. ConclusionPart 5: Literature reviewPICOT question:  IN POST-SURGICAL BARIATRIC PATIENTS, HOW THE IMPLEMENTATION OF DVT PROPHYLAXIS VERSUS  THE NON-USE OF PROPHYLACTIC METHODS, DECREASE THE RISK OF PULMONARY EMBOLISM DURING 15 WEEKS?Population: POST-SURGICAL BARIATRIC PATIENTSHealth problem: RISK OF PULMONARY EMBOLISMTime: 15 WEEKSIntervention: IMPLEMENTATION OF DVT PROPHYLAXISComparison: THE NON-USE OF PROPHYLACTIC METHODS1. Introduction (Two paragraphs)a. Introduce the topic of the paper.b. Describe the health problemc. Describe data and statisticsi. Nationalii. Regional (Miami)d. Purpose statemente. What will be addressed in the proposed program2. Describe the vulnerable population including  (One paragraph per each request: 2, 2a, and 2b=  Total of Three paragraphs) :a. Describe the impact of social determinants on health for your selected population.b. Describe the risk factors that make this a vulnerable population3. Literature review of  six research attached (one paragraph per paper= Total of six paragraphs)a. Literature reviewb. Source titlec. Problem/purposed. Samplee. Methodf. findingsg. limitations4. Make a review that evaluates the strengths and weaknesses of all papers (one paragraph).5. Proposal (Three paragraphs)a. Make a proposal addressing the health problem using an evidence-based intervention in your literature search to address the problem in the selected population/settingb. Include thorough information on the specifics of this intervention which includei. Resources necessaryii. Professionals involvediii. Feasibility for a nurse in an advanced role.iv. Timeline for the intervention proposed.

 
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Evidence based practice (EBP) used in nursing

How is evidence based practice (EBP) used in nursing and how does the EBP influence Quality Improvement?

 
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Knowledge assignment end of lifecare

E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration.Use the assigned readings to guide you in the development of five discussion pointsDiscussions points should reflect best practices that you will include as you speak with E. L.’s daughter regarding her mother’s end-of-life care.Cite your references in proper APA Style.Review the rubric for more information on how your assignment will be graded.Submit as an attachment to the assignment area.

 
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Wit Movie reflection

The purpose of this assignment is to observe and reflect on psychosocial nursing communication with a focus on end-of-life care as well as interprofessional communication and collaboration.Review the WIT movie reflection instructions and rubric prior to watching the movie and use the rubric as an outline to help with the assignment.https://www.youtube.com/watch?v=2s4ozvI_hzY

 
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Theorical Week 4

400 words2 scholarly referencesAPA style only for the references.Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

 
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Artificial Intelligence, Machine Learning and Predictive Analytics write up

Overview: In this assignment, you will write a (3 pages) addressing artificial intelligence according to the prompt below.Instructions:Read and review the material attachedDiscern the similarities and differences between artificial intelligence, machine learning, and predictive analytics.Explain the relationship between artificial intelligence, machine learning, and predictive analytics.

 
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Healthcare Policy and Delivery Systems

Week -14I need  a  Reply to each discussions separately.See attached documents200 words each reply

 
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