Assessing and Treating Patients With Anxiety Disorders

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Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy.TO PREPARE· As you examine the patient case study consider how you might assess and treat patients presenting with anxiety disorders.Reflect on the psychopharmacologic treatments you might recommend for the assessment and      treatment of patients requiring anxiolytic therapy.THE SCENARIO/CASE STUDY: A Middle-Aged Caucasian Man With Anxiety.THE QUESTION: 5 pagesMake three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient      factors that may impact your decision-making when prescribing medication for this patient.Decision #1 (1 page)Which decision did you select?Why did you select this decision? Be specific and support your response with clinically relevant      and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your      response with clinically relevant and patient-specific resources including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and      references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with      patients. Be specific and provide examples.Decision #2 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant      and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your      response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and      references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with      patients. Be specific and provide examples.Decision #3 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant      and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your      response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and      references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with      patients. Be specific and provide examples.Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

 
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Question 1

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Discuss how your research inquiry relates to evidence-based practice. What practice improvement outcomes do you expect your inquiry to accomplish? How do you intend to evaluate your capstone project?

 
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Learning Style

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Does an instructor’s own learning style preferences affect the way the instructor teaches? Does it matter?Support your point of view with citations from two sources.  One must be a peer-reviewed source (textbooks are not peer-reviewed sources), and the other may be any credible source, including educational websites. Please include APA-style (7th edition) references for your two sources within your post. Hanging indent for your references is not required.

 
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assignment

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Select one of the grand or middle-range nursing theories. How does the theory demonstrate evidence of the utilization of social, behavioral, or bioscience theories?

 
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Module 06 Discussion – Multidimensional Care for Sarah

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DirectionsSarah is a 69-year old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 2 L via nasal cannula NC. Sarah’s chest x-ray reveals bilateral pneumonia. Her arterial blood gas result are below:pH: 7.30PaCO2: 58 mm HgPaO2: 78 mm HgHCO3: 26 mEq/LSarah is admitted to a general medical floor. You are the nurse assigned to Sarah.What potential problems can occur based on the above findings?How would you provide multidimensional care for Sarah?Describe the roles of other departments in Sarah’s treatment plan.

 
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Course Help

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The community health RN is caring for a family with a child who has significant developmental delays. The child is 9-years-old and exhibits the development of a 6-month old infant.  She can move her extremities spontaneously, hold her head up and cry out occasionally. She has a gastrostomy tube for her medications and she receives continuous tube feeding via pump.  She was discharged 2 days ago after a 5-day hospitalization for failure to thrive.  During the hospital stay, the child’s tube feeding formula was adjusted to meet her growing needs. The community health RN is monitoring the child after discharge, following up on the child’s weight and the parent’s knowledge of the new feeding formula type, amount, and schedule. Today the child weighs 64 pounds.The RN has chosen the nursing diagnosis of imbalanced nutrition, less than body requirements r/t insufficient nutritional intake AEB an 8-pound weight loss over 2-month periodInitial Discussion Post:Choose one (1) documentation format (Narrative, PIE, SOAP/SOAPIE/SOAPIER, or Focus Charting).Explain your choice and include information about why this format is appropriate for this scenario.Compose a documentation entry to describe the community health nurse’s first visit based on this scenario using your chosen documentation format.Students can create additional data elements to include in the documentation

 
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H.A3

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Be sure they give you permission. Using the interviewing techniques learned in Module 2, gather the following information. Use your textbook as your guide.Present HealthPast Medical HealthFamily HistoryReview of SystemsWhile this is only a partial health history, summarize in 3 -5 pages the information you gathered.Include your answers to the following questions in the summary:Was the person willing to share the information? If they were not, what did you do to encourage them?Was there any part of the interview that was more challenging? If so, what part and how did you deal with it?How comfortable were you taking a health history?What interviewing techniques did you use? Were there any that were difficult and if so, how did you overcome the difficulty?Now that you have taken a health history discuss how this information can assist the nurse in determining the health status of a client.Your assignment needs to be completed in APA format & have accurate spelling and grammar. There is an APA template located in the library.Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

 
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reply 1 and 2 by 04/21/2022 at 5 pm

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reply 1Drugs affecting the hematopoietic system can be categorized three classes: oral anticoagulants such as warfarin, antiplatelets such aspirin, and hematopoietic growth factors such as filgrastim. Oral anticoagulants inhibit the synthesis of vitamin K-dependent clotting factors X, IX, VII, and II. Antiplatelets inhibits cyclooxygenase, interferes with platelet aggregation; reduces platelet aggregation by inhibiting adenosine diphosphate pathway; protease-activated receptor-I antagonist, inhibits thrombin. Hematopoietic growth factors stimulate erythropoiesis and is used for the treatment of anemia; stimulate granulocyte formation and is used for neutropenia secondary to bone cancer and chemotherapy (Woo &Robinson, 2020).Warfarin is one of the most widely used oral anticoagulant medications which is reduces the formation of blood clots. Warfarin is used to treat deep vein thrombosis and pulmonary embolism or prevent blood clots in veins or arteries which can reduce the risk of stroke, heart attack in the patients who have high risk of having them in the future. Warfarin dosing regimen will be calculated or individualized for the patient by the clinician using warfarin dosing calculator (warfarindosing, n.d.). Warfarin should be taken at the same time every day, never take a double dose. INR/PT test should be monitored, the patients who take warfarin must remain under the doctor care while taking it (Drug.com, 2022).Aspirin is in a group of medications called salicylates; it is one of the antiplatelets. Aspirin works by stopping the production of certain natural substances that cause fever, pain swelling and blood clots. Aspirin is widely used as antiplatelet medication in secondary prevention to prevent heart attacks or stroke and can be consumed 81 mg, 1 p.o. daily. Statistical analysis of aspirin in patients after myocardial infarction was done by Stolarek et al. (2022)., they state that routine test should be done as well as anti-plate treatment effects. If missed the dose and it is almost time for the next dose, skip the missed dosed and continue the regular schedule. Do not take double dose to make up missed dose. A salicylates level test is most often used to evaluate aspirin poisoning, CBC should be monitoring too (Woo & Robinson, 2020).Filgrastim usually given SQ, the brand name is neupogen. It is man-made form of granulocyte colony-stimulating factor(G-CSF). G-CSF is a substance produced by the body. It stimulates the growth of neuropils which is one of white blood cells fighting against infection. Filgrastim used myelosuppressive chemotherapy give through subcutaneous (300mcg/ml ) 5mcg/kg/d no earlier than 24 hours before next dose of chemotherapy, dose given  daily for up to 2 weeks, discontinue if ANC >10000 mm3 after expected nadir or chemotherapy. CBC counts must monitored closely (Woo & Robinson, 2020).

 
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Focused SOAP note on psychiatric patient: PTSD (POST TRAUMATIC STRESS DISORDER)

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1-Select a psychiatric patient of any age (either a child or an adult) with POST TRAUMATIC STRESS DISORDER (PTSD)2- Create a Focused SOAP Note on this psychiatric patient using the template and exemplar provided3- Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.

 
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Discussion 4

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Using your own community as a frame of reference, develop examples illustrating the concepts of: community, community client, community health and partnership for health. Discuss community cohesion, available resources and motivation to fix identified problems in your community. 250-300 words, APA intext citation 7 edition. Two professional references APA 7the edition

 
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