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Staffing in Behavioral Healthcare FacilitiesThere are different types of behavioral healthcare facilities. Some are stand-alone facilities while others are part of a larger healthcare system. Many larger healthcare systems include a department or behavioral health unit as part of their comprehensive set of services. In these large healthcare systems, there is integration and sharing of services at all levels.Describe the similarities and differences between staffing for a stand-alone behavioral healthcare facility and a behavioral healthcare unit that is a part of a larger healthcare system. What are the reasons for these differences? Does behavioral healthcare have unique staffing needs or is it similar to the staffing needs of a hospital in general? Why or why not?Provide specific examples of both types of healthcare facilities. You may also refer to information shared on the Internet. Which healthcare system among these two would you prefer more and why? Justify your answers with appropriate research and reasoning.Referral Process in Behavioral Healthcare ServicesBehavioral healthcare, like most healthcare services, has seen a change in focus from a didactic relationship between the physician and the patient to that of a group effort involving an interdisciplinary team of professionals as well as active participation by the consumer.The team concept stems from several factors but mainly from the comorbidity of diseases and conditions. In most instances, the consumer is not just faced with mental illness but psychosocial issues such as family and work challenges, as well as other medical issues such as addictions and overall poor health. This is when a team operating in a disease management capacity is the best course of action, especially for individuals with persistent mental illness and comorbidity.How does a primary care physician integrate the need for further behavioral health services such as referring to a psychiatrist or psychologist for therapy or counseling?Search the Internet to look for a hospital system providing behavioral healthcare services. Review the information shared on the hospital’s Web site regarding the functioning of the department providing behavioral healthcare services. Explain the referral process and the protocol followed in hospitals when a patient requires behavioral healthcare services. Justify your answers with appropriate research and reasoning.

 
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see attached

Review the Mnemonics’ in Psychiatric Mental health Care article:Caplan, J. P., MD., & Stern, T. A., MD. (n.d.).Mnemonics in a mnutshell: 32 aids to psychiatric diagnosis (Links to an external site.). Current Psychiatry, 7(10), 27-33. http://mcmasterpa.weebly.com/uploads/1/2/7/3/12737575/0710cp_article2.pdfWrite a brief summary of how you will utilize these in practice. Are there any others you have used in your nursing career in the past that you still recall? What other tips are helpful to you in clinical practice to retain information?Tip: Choose 1 to memorize and implement it into practice each week for the remainder of the term. Create a memory notecard with the mnemonic information on one side and the NAME on the other to help you recall them.Example: DIGFAST; Distractibility, Indiscretions, Grandiosity, Flight of Ideas, Activity Increase, Sleep deficits, Talkative

 
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SOAP NOTE 5 PEDIATRICS/ IRON DEFICIENCY ANEMIA

Faculty Comments:  Faculty Comments: Points DescriptionSubjective5 Chief complaint stated in patient’s own words.10 HPI, PMH, PSH, Family History, Social Habits,10 Contains all systems relevant information to make assessment with normal and abnormal findings.20 Objective present and contains all pertinent objective information available (drug allergies, physical findings, drug list, etc)20 Assessment presents justification for Main or Primary diagnosis15 Assessment rules out other potential disorders5 Plan contains discussion of therapy options with pros and cons of each. Also10 Plan stated as directives (start, stop, non-pharmacologic and pharmacologic treatment etc)5 Plan include monitoring and follow up.

 
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Phamarcology

Choose the correct answer with solution if possible:1.Consider a woman BD who has liver disease and cannot metabolize the drug as effectively so that the half-life in her is doubled. The half-life of the drug is typically 4 hours in an individual with normal liver function. If BD stopped taking the drug after 48 hours of administration, estimate the total time that the drug was in her body.(Options: 48 hours, 52 hours, 62 hours, 70 hours, 88 hours).2.Consider BD again and that the drug dose was not adjusted based on her liver condition. She is given 100mg of the drug every 4 hours, as would typically be done for a normal individual with her weight and age. What would be steady state concentration of the drug in BD’s plasma in that case? (The concentration normal individual at steady state is typically 3mg/ml.)(Options: 1.5 mg/mL, 3 mg/mL, 4.5 mg/mL, 6 mg/mL, 12 mg/mL)3.Glipizide is an antidiabetic drug that has a pKa of 5.9. Approximately what percentage of the drug would be in the lipid soluble form in the duodenal lumen which has a pH of 7?(Options: 1, 7, 14, 28, 90)4.Passive diffusion through the cellular membranes of gastric cells can lead to very high concentrations of the drug inside gastric cells if the drug has which of the following characteristics?  Basic: larger pKb weaker base(Options: It is a base with pKa of 7, It is an acid with pKa of 3.5, It is a base with pKa of 5.2, It is an acid with pKa of 8.5, It is non-ionizable).

 
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Anxiety in Children and Adolescents – 1.5 pages

Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating anxiety disorder in children and adolescents.Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources.

 
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NUR 4636 – DB 4.5

Answers must:·  Be 100 words or more·  Use the stand English grammar and spelling·  References are cited (if necessary)·  APA FormatRead the case study below and answer the following questionsViolence Affecting FamiliesCrisis is a temporary state of severe disequilibrium for persons who face a threatening situation. The community health nurse has been requested to follow up on domestic violence cases as part of the workload. The student nurse is accompanying the community health nurse on the visits. The community health nurse is assessing the student nurse’s current understanding of violence affectingfamilies by asking some theoretical questions concerning this critical issue.The student nurse shares with the community health nurse that a crisis is a state that individuals can neither avoid nor solve with their usual coping abilities and occurs when some force disrupts normal functioning, thereby causing a loss of balance or normalcy in life. Crises create tension; subsequently, efforts are made to solve the problem and reduce the tension. The community health nurse asks the student nurse to identify and describe the two main types of crisis. What is a brief description of the two types of crisis?The community health nurse has to follow up on an abuse case involving a child and adolescent. The community health nurse asks the student nurse what are the ages that child abuse occurs and how is shaken baby syndrome or Munchausen syndrome diagnosed?Community health nurses use three levels of prevention when working with families. What type of focus is involved in the three levels of prevention?People in crisis need and often seek help. Crisis intervention builds on these two phenomena to achieve its primary goal—reestablishment of equilibrium. What are the two major methods with a brief description of crisis intervention?

 
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IVF & NFP

After studying the course materials located onModule 4: Lecture Materials & Resourcespage, answer the following:Description and bioethical analysis of:Pre-implantation Genetic Diagnosis PGDSurrogate motherhood“Snowflake babies”Artificial inseminationWhat is Natural Family Planning (NFP)?Describe the 3 Primary ovulation symptoms.Describe the 7 Secondary ovulation symptoms.Describe various protocols and methods available today.Describe some ways in which NFP is healthier than contraception.Bioethical evaluation of NFP as a means and as an end.Read and summarize ERD paragraphs #: 38, 39, 42, 43, 44, 52.Submission Instructions:The work is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.If references are used, please cite properly according to the current APA style.

 
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Discussion board

Why are so many people skeptical about global climate change? Why are so many people reluctant to listen to public health advice? How do we get information to people in order to change their behavior or to get them to support laws that protect public health?

 
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Assessment on Evidenced based practice

A written assignment of 3500 word (excluding your reference list and any appendices). This will be a critical exploration of Evidence Based Practice and its key components within today’s healthcare arena. It will include the critical appraisal of a piece of evidence of relevance to the student’s practice. The work will utilise appropriate sources from the literature and workplace to meet programme requirements for academic level and referencing.Students should choose one piece of research literature to critically appraise as part of the assignment. Your critique will need to evaluate the method and quality of the research using an appropriate appraisal tool, and the relevance and significance of the findings.The piece of literature/evidence should be found using the search protocol developed as part of your formative assessment. The critique addresses part of the learning – outcome 2 and should be around 1500 words.The rest of the assignment should discuss the development and policy context of Evidence Based Practice. This part of the assignment addresses outcomes 1 and 3.

 
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Peer response!

Onwu,Practice Question: In adult patients aged 18 years and older with a diagnosis of depression, will implementing the National Institute for Health and Care Excellence (NICE) Guidelines for exercising impact depression scores over 8-10 weeks?Which DNP Essentials could be demonstrated in your scholarly project?The DNP essential I demonstrate in my scholarly project is essential V1, interpersonal collaboration for improving patient outcomes.The aim of my project is to decrease symptoms of depression in patients with the diagnosis of mild to moderate depression using routine physical exercise such as walking.  Numerous studies have demonstrated the effectiveness of exercise in reducing depression and depression symptoms (Bigarella et al., 2021; Hu et al., 2020; Lok et al., 2017; NICE, 2009).  In some studies, the effects of exercise in reducing depression symptoms were comparable to the effects of antidepressant medications on depression (Blumenthal et al., 2007). In others, exercise was used as an intervention or treatment ally for the management of depression and depressive symptoms (Bigarella et al., 2021; Hu et al., 2020; Lok et al., 2017; NICE, 2009).Exercise or physical activity is evidence-based, non-pharmacologic, affordable, cost-effective, highly tolerable, and easy to perform without significant adverse effects (Bigarella et al., 2021; Hu et al., 2020; Lok et al., 2017; NICE, 2009). The DNP student cannot successfully single-handedly implement the project rather its success requires a team-based approach. The successful implementation of my project requires great interpersonal collaboration between the DNP student, practicum site leadership, staff, therapists, nurses, and providers. The DNP student collaborates with the rest of the mentioned team members to help recruit participants, educate, collect data, implement, evaluate, and sustain the change. Together, the team implements the change so patients’ outcomes can be improved.Does your project idea consist of breadth and depth of knowledge within a defined area? Is there the potential for innovation and creativity to affect an outcome?Yes, my project idea consists of breadth and depth of knowledge within a defined area of mental health. Walking exercise is implemented to help patients with the diagnosis of mild to moderate depression improve their quality of life, improve mood, and live a well-fulfilled life worthy of celebrating. Patients are equipped with creative and innovative ways to help improve their lives. Participants are encouraged to use applications such as MyFitnessPal which they already have in-built unto their phones to help them track and record their walks.What areas of expertise and passion do you bring that you can build on? What skill sets do you need to develop to successfully implement your DNP project?As a Certified Registered Nurse Anesthetist, I must successfully collaborate with other members of the team daily as I provide anesthesia so patients will have positive outcomes. I must communicate and collaborate with my anesthesiologist, the surgeon, nursing staff, and the patients to deliver safe and effective anesthesia. These are great skills I must bring on for the successful implementation of my project.What skill sets do you need to develop to successfully implement your DNP project?The ability to delegate and let go is an area I’m continuing to develop. For the successful implementation and sustenance of my project, I must educate and delegate the project to the practicum site staff so they can join in the implementation of the project. I am not at the site daily and must leave the site at the end of my DNP program. I must therefore educate and delegate the project tasks to the staff so they can successfully carry out the project with or without me.Please provide your instructor and student colleagues with an update on the implementation phase of your DNP Project. Share any successes, challenges, or barriers you experienced this week.This week I revised and completed the final draft of my literature synthesis and the evidence-based portion of my DNP proposal. I look forward to successful advancement into the final week of this course.ReferencesBigarella, L. G., Ballotin, V. R., Mazurkiewicz, L. F., Ballardin, A. C., Rech, D. L., Bigarella, R. L., & Selistre, L. d. S. (2021). Exercise for depression and depressive symptoms in older adults: An umbrella review of systematic reviews and meta-analyses. Aging & Mental Health, 1-11.https://doi.org/10.1080/13607863.2021.1951660 (Links to an external site.)Hu, M. X., Turner, D., Generaal, E., Bos, D., Ikram, M. K., Ikram, M. A., Cuijpers, P., & Penninx, B. (2020). Exercise interventions for the prevention of depression: A systematic review of meta-analyses. BMC public health, 20(1), 1255.https://doi.org/10.1186/s12889-020-09323-y (Links to an external site.)Lok, N., Lok, S., & Canbaz, M. (2017). The effect of physical activity on depressive symptoms and quality of life among elderly nursing home residents: Randomized controlled trial. Archives of gerontology and geriatrics, 70, 92–98.https://doi.org/10.1016/j.archger.2017.01.008 (Links to an external site.)National Institute for Health and Care Excellence. (2009). Depression in adults: Recognition and management. Clinical guideline [CG90]. Retrieved March 13, 2021, fromhttps://www.nice.org.uk/guidance/CG90 (Links to an external site.)

 
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