discussion 1

discuss150 wordsapa referenceshurches and Religious Leaders Assisting Healthcare WorkersChurches and religious leaders play an important role in the communities that they serve. They serve their communities by teaching them faith, by leading services, leading acts of worship and reading from sacred texts.  In most cases they provide counsel, support, advice and comfort to the men, women, children, and family units of those communities. They are trusted and are held in high regard and what they say is usually what the members of the community will do or believe. With this level of leadership and stature, it is only right that the church and its religious leaders play a pivotal role in assisting healthcare providers in education the members of their communities.  One role that would be easiest is to become a liaison for the healthcare workers and between them and the community members. The leaders can convey the messages about prevention, health promotion, wellness, illness, and disease to their congregations while putting emphasis on the importance of the topics. They can have the healthcare workers come and speak during or after services or bible study which are times when there are a great amount of the community members present.  The religious leaders can also collaborate with the healthcare workers by hosting a healthcare event and/or clinic on the church grounds after services which will be another way of allowing the members of the community to be in a space of comfort. Being proactive and assisting with handing out flyers or informational pamphlets with the weekly church newsletters would be beneficial and supportive of the healthcare workers also.When one think about it, churches and religious leaders are like gatekeepers to their communities. They hold all the pertinent information, they know all the people, they know everyone’s secrets and confessions, and they pretty much know everyone’s business. To penetrate a community, you have to build a rapport with the gatekeepers. You have to form a transparent relationship so that when you need them, they are able to present you to the community.  This is what the healthcare workers will have to do.  Health services can thus be tailored that meet the specific needs of the population by drawing on the expertise of members of the community e.g., faith leaders. Such interventions have the potential to be more meaningful and to have a higher likelihood of resulting in behavioral change (Heward-Mills et al, 2018). This is especially helpful since most people depend on or reflect on their religious beliefs in times of crisis or needs.  The healthcare workers should be aware and follow the lead of the religion or the religious leaders.  Healthcare providers must remain mindful, respectful, and empathetic of a patient’s cultural or spiritual needs because a number of individuals are calmed and comforted when they turn to their faith during major healthcare trials (www.culturelink.com).  The collaboration between the church and healthcare workers extends far beyond the community. The leaders are often present right in the hospitals also. This is an unspoken partnership that can open healthcare professionals’ eyes and minds to understanding more about the actions and words from their patients.ReferencesHeward-Mills, N. L., Atuhaire, C., Spoors, C., Pemunta, N. V., Priebe, G., & Cumber, S. N. (2018). The role of faith leaders in influencing health behaviour: A qualitative exploration on the views of Black African christians in Leeds, United Kingdom. Pan African Medical Journal, 30.

 
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role of sensitivity and specificity in screening test accuracy

400 words, APA 7 style and 2 references less than 5 years

 
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Critical Thinking and Clinical Judgment Scenario

You have been assigned 4 patients on an Intermediate Medical Care Unit.

 
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Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of HTN. She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago.

 
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Social Support

Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.Please use APA 7th Edition.Minimum 450 words with 2 scholarly references (Within 5 years). Citation in text.Also include 2 replies to the same discussion post you are providing with one references. (So, essentially you are replying to your own reply)   Please only original work that you have not submitted before to other users and with less than 10% plagiarism.

 
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homework

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. Incorporate the following into your responses in the template:Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?Objective: What observations did you make during the psychiatric assessment?Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.2022.docx NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx

 
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Pharmacology

Prepare 5 to 6 slides of PowerPoint on RESPIRATORY DRUGS including the following:Summary of the Unit/ClassificationMinimum of three types of drugs or supplementsTypical routes of administrationCommon side effects and adverse effectsSpecial considerationsCommon Nursing interventionsYou must distill the material to only key points. Use your textbook and Davis’s Drug Guide as your resources.

 
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Nursing monolog

Julia Morales, age 65, and Lucy Grey, age 73, are partners who have been together for more than 25 years. They are retired and have spent the past several years traveling together. Julia has lung cancer, which has been treated with chemotherapy and radiation, and now she wishes to stop treatment. Lucy is supportive and feels she will be able to care for Julia in their home. Lucy’s past medical history includes a knee replacement. Their support system includes Julia’s son, Neil, and Lucy’s niece, Nora.My name is Julia Morales and I just turned 65-years-old. My life has not been a traditional one. I have always believed in following your dreams and being true to yourself, that’s what my parents taught me. When I look back over my 65 years on this earth, I feel happy and proud with what I have accomplished, and I don’t need any pity. Of course I was shattered when I learned I had lung cancer four years ago. But I fought a good fight. I followed all the recommendations my doctor had for me. I did the radiation and all the chemotherapy. I even got complementary treatment from a naturopathic doctor. It’s just that we all know it’s not doing any good anymore. I’m ready to stop all the treatment and just let go. It hurts to breathe, it hurts to move. Everything hurts. But like I said, I don’t need any pity. I’ve had a really great life. Would have liked to stick around a little longer, but I know it’s not to be. Still, I think my folks would be pretty proud to see what I’ve done. They got married young, right out of high school, and my Dad left Ohio to go off to war. He left Mom behind and fought in Europe for two years. My Dad was a strong person, he landed on the beach at Normandy and lived to tell about it. My mom worked hard in a factory while he was gone, and when he got back they had me, their only child. They did so much for me. Whatever I was interested in, they encouraged. We were a close family, took a lot of trips together, that’s how I got the traveling bug. They wanted me to go to college to be a nurse, or a teacher. I went because they saved money and encouraged me. But I never really wanted to be a nurse or a teacher. I got a degree in business instead, and ran a small nursery. My folks were happy because I was happy. Then when I was about 50, I got tired of the business end of it, so I sold it to a young couple, and continued to work for them. I loved the place and the job. Still do. Just haven’t had the strength to work for the past six months. I had a few relationships in college, got married for a short time right after I graduated. Had my son, Neil, he’s 42 already.But that didn’t last. We got divorced when Neil was little, I raised him on my own. I still talk to my ex on occasion. He remarried, though I never did. I had a few relationships, and always lots of friends. I met Lucy over 20 years ago when she moved in next door. We’ve been together ever since. We’ve traveled all over in the past 20 years. She would never have gone without me doing the planning, but she’s enjoyed it as much as I have. We’ve been to Japan, Italy, Ireland, and all over the US. She has a bad knee and had surgery, she’s a little unstable and I worry about that.We had to stop taking the long trips. I’ve been pretty healthy too, until this cancer. I smoked for about 10 years, after college. Then I quit. We didn’t really know then that it was dangerous.Nobody knew. I was surprised when I got lung cancer. At first we thought I had pneumonia. But it never got better, and after the bronchoscopy they found lung cancer. I did the radiation treatment and the chemotherapy. For some of it I had to be in the hospital a few days, which just about killed me. Never did like hospitals, ever. But the treatment makes you so sick you want to die. And the bad thing is, it didn’t cure the cancer. We tried a few different treatments but no more. Nothing good came out of it. I just felt weak and sick, and the cancer got worse. I’m ready to stop all this. I just want to be here in this house that I love. I’m comfortable here. Lucy is here, and she understands. She doesn’t like to see me so sick either. She does a good job taking care of me, and we’re doing OK. My son Neil would like me to try more treatment, but even the doctor says there’s not much more they can do, besides keep me comfortable. I’m tired, and I’m just ready to let things happen naturally. Do you think that’s giving up?”Discussion Questions1. What are Julia’s strengths?2. What are your concerns for this patient?3. What is the cause of your concern?4. What information do you need?5. What are you going to do about it?6. What is Julia experiencing?

 
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social support versus enhancement of social support

Discussion Topic: Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.Select one Student Learning Outcomes from the following list:1- Critique nursing’s conceptual models, grand theories, and mid-range theories.2- Examine the influence that nursing models and theories have upon research and practice.Provides an explanation of how the selected Student Learning Outcomes is explored or related to the Discussion Topic.Requirements:Formatted and cited in current APA 7Use 3 academic sources. Not older than 5 yearsNot Websites are allowed.Plagiarism is NOT allowed

 
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Advocate for Improved Systems To Address Health Inequities

Critical thinking assignment:Listen to one of the 8 podcasts:https://nam.edu/the-future-of-nursing-podcast/Identify how you would proactively use your nursing knowledge and expertise to advocate for improved systems to address health inequities and overall better the health and wellbeing of the nation.Write a scholarly APA 7, 4 to 6 pages in length (excluding your title/reference pages) answering the above question.

 
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