Chapter 6, Case 1

Chapter 6, Case 1Trisha is a 28-year-old, unemployed white female. She is no stranger to therapy, having seen counselors for most of her teen and adult years. Her friends would describe her as a “wild woman” who takes no crap from anyone. She has held various part-time jobs for the last few years because she usually gets angry at her boss or coworkers and quits. While she has had a string of boyfriends over the years, she has been seeing one man for the last year or so. He too is unemployed and has both an alcohol and methamphetamine problem. She describes the relationship as “addictive and dysfunctional, yet exciting and hot.” Trisha is back in treatment at the urging of her parents, who describe her behavior as erratic and unpredictable. They also claim that she has periods where she “sleeps little and parties lots.” There were also several occasions in the last five years when she was so depressed she didn’t eat or want to leave the house. Her father also admits to periods of depression, and Trisha’s grandfather was diagnosed with manic depression, resulting in numerous hospitalizations in the 1950s and 1960s. Trisha’s only brother died in a car accident several years ago. He was drunk at the time, but she claims he had a long history of depression. Recently Trisha was arrested for disorderly conduct at a friend’s party. She had not slept for nearly 24 hours and was drunk and combative. When she was first approached by police, she solicited them for sex. They report that she was rather hyperverbal and hyperactive. They later had to investigate a complaint from local storeowners for bad checks she wrote in excess of $7,000.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:at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed  with support from at least 3 academic sources which need to be journal articles or books from 2018 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.

 
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Module 3 Discussion Pathological Conditions in Older Adults

Pathological Conditions in Older AdultsAfter studyingModule 3: Lecture Materials & Resources, discuss the following:Describe and discuss the pathological conditions that might affect the sexual responses in older adults.How and why do you think Nutritional factors, psychological factors, drugs and complementary and alternative medications affect the immune system in older adults.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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assistance

Can someone reply to these

 
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DNP-825A-POPULATION MANAGEMENT

MOCK IRB SUBMISSION PROCESSAssessment DescriptionThis purpose of this assignment is to increase familiarity with the IRB submission process.In this assignment, you will create a mock GCU Quality Improvement (QI) IRB submission. You will be required to submit your actual DPI-Committee-Approved DPI Project Proposal to iRIS in the DNP-960 course, and so to prepare, you will begin reviewing the submission process and all requisite IRB documents in this assignment. However, you will not be submitting an IRB proposal for your DPI Project at this point in time. This assignment is a practice opportunity to ensure you are aware of the QI-IRB submission process at your clinical/practicum site and that you are familiar with the types of documents required.General Requirements:Use the following information to assist you in executing the correct procedures for timely, successful completion of the assignment:Doctoral learners are required to use APA style for their writing assignments.You are required to submit this assignment to LopesWrite.Procedures:Use the following information to ensure successful completion of the assignment:Work with your preceptor/mentor at your clinical/practicum site to understand the DPI Project approval process for IRB and quality improvement projects. This includes timelines, committees      involved (IRB, Nursing Research, Quality Improvement), and the authorizing signatures required. Ensure you address timeframes and submission documents required in addition to the approval process for a quality improvement DPI Project to be conducted at your clinical/practicum site.Review the resources within the IRB Documents folder, located in the DC Network. Navigate to the IRB Documents folder by selecting DNP Community, DNP Program Documents, DNP-960, and then the IRB Documents folder.Read the “IRB Documents Checklist for DNP Learners,” located in the DNP-960 folder.Review the IRB Submission Training Videos for iRIS.With your instructor, determine which documents you will need to submit for your IRB application based on the “IRB Documents Checklist for DNP Learners,” located in the DNP-960 folder.Use the following document templates as needed: informed consent, site authorization letter, recruitment script, confidentiality statement, conflict of interest form, and HIPAA authorization form, located in the DNP-960 Folder/IRB Documents folder.Directions for Submission:Construct a 250-500-word Clinical/Practicum Site QI-IRB Report that outlines the steps in the DPI Project approval process for IRB and quality improvement projects at your clinical site.

 
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Your Experience & Weekly Research Articles

Describe your experience with locating and reading weekly research articles. Share an example of an article that has been useful and applicable to your practice. Share an example of an article (or information) that was not helpful. Provide rationale.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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Nursing

Serious inquiries only. $50 is the set price.

 
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Discussion M1

As I plan, develop, implement, and evaluate your Nursing Education practicum project, reflect on how this project and your graduate education have prepared you to meet the growing needs of healthcare and the diverse populations we serve.“ the project will focus on Bariatric -Weight-Loss surgical patients: Pre-Post education to minimize complication after surgery”

 
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reply

Reply to the following post (2 different post) with at least 200 words and 1 reference within 5yrs.1. OrdelisThe theory of unpleasant symptoms is consequential in-patient assessment and remains valuable to nursing. Out of the many tenets of nursing care, a comprehensive review of symptoms is important, as nurses are deeply involved in evaluating or quantifying them, assessing what alleviates or aggravates them, and monitoring them for patient progress. Thus, the theory of unpleasant symptoms, which has three main sections, was advanced to shed light on the features of symptoms and facilitate nursing practice (Lenz, 2018). According to the theory, the presentation of a symptom results from the reciprocal influence of the proceeding psychological, situational, and physiological factors (Blakeman, 2019; Gomes et al., 2019). The theory further explains how multifaceted and interrelated symptoms are and focuses on how this relationship affects the ultimate performance of the patient. As established, the review of presenting symptoms and knowledge of the parameters that cover their subsequent management is important in the delivery of nursing care. Hence, the theory of unpleasant symptoms is crucial in patient assessment, especially in nursing. This article aims to use it as a blueprint in explaining what an ideal or effective assessment tool should look like.An effective assessment tool should consistently apply information from the theory. Drawing from the first part of the theory (symptom), an assessment tool should comprehensively survey the severity of the presenting symptom (Lenz, 2018). Along the same lines, the tool should also go to the lengths of evaluating the timeliness and specific attributes of the symptom in relation to the level of the affliction of the patient. Ultimately in this section, the tool should assess for other symptoms which may not be related to the condition whose impression has been made. In line with the second section of the theory (influencing factors), an assessment tool should holistically survey for any situational, environmental, psychological, and physiological factors influencing the occurrence of the presenting symptoms (Lenz, 2018). This should be done regularly and progressively to alleviate the effects of these factors and monitor for changes in the patient’s condition. Lastly, in the performance outcomes section, the assessment tool should evaluate how well a patient can function on parameters such as daily activities. The incorporation of all this would ensure that the assessment tool is effective.To conclude, symptoms are indeed one of the cores of nursing care. The theory of unpleasant symptoms is important as it facilitates a better understanding of the intricacies of symptoms. The theory contains the following sections: Symptom, Influencing Factors, and Outcome of performance. These can be used to build an assessment tool in nursing that is not only comprehensive but also effective. Hence, the theory of unpleasant symptoms is crucial to nursing care.2. YilenaHealth care providers tend to play a significant role in analyzing the symptoms which are experienced by the patient. Therefore, nurses should focus on examining patients’ symptoms in order for the best medical intervention to be applied. When the symptoms are evaluated, nurses are able to assess various factors that result in the development of such symptoms, thus establishing devise management as well as prevention strategies in dealing with symptoms (Mikšić et al., 2019). Besides, nurses help their clients in with self-management based on the symptoms indicated hence being able to conduct ongoing monitoring. One vital approach to assist nurses in assessing the patient systems is the Theory of unpleasant symptoms. This approach is significant since it identifies crucial characteristics of the symptoms. As a result, these guide the nursing practice as well as research. In addition, the theory of unpleasant symptoms tends to provide details regarding the nurse’s interest in an assessment tool while assessing patient symptoms (Kalantar-Zadeh et al., 2022).There are several aspects which nursing practitioners focus on when searching for the tool to assess the patient’s symptoms. For instance, the patient’s self-reported symptoms should be contained as it is explained in the assessment tool. After this, the nurse derives the effects of the illness, thus the most favorable treatment for self-reported symptoms. Furthermore, the assessment tool which the nursing practitioner selects should determine various factors which influence the symptoms reported by the patient. This theory also focuses on the patient’s symptoms, thus defining them subjectively as the patients have reported them. Another aspect which is vital to evaluate the tool to assess the patient’s symptoms is the ability to evaluate factors influencing certain symptoms due to gender, variables allied to the health conditions, and age (Blakeman, 2019). These factors might affect the patient’s perception of the symptoms.Also, the theory considers the physical and social environment outside the patient, which may affect the reported symptoms. As a result, the assessment tools need to address child development, growth, physiology, and situational issues, among others. All these issues are essential since they allow the nurse to have a better comprehension of the patient’s condition. Therefore, the Theory of unpleasant symptoms helps the health care provider select the best assessment tool to examine the patient’s symptoms for the establishment of a treatment care plan to be provided (Seo, Ryu & Ham, 2018). Nevertheless, the assessment tool selected should describe key elements such as the identity of the patient’s symptoms, factors that influence the symptoms, and the performance outcome.

 
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Developing a Portfolio

Developing a Portfolio

 
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PathW2

In this work, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.CASE STUDY:Scenario : A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.To prepare:By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment.The work (1- to 2-page case study analysis)Develop a 1- to 2-page case study analysis in which you:Explain why you think the patient presented the symptoms described.Identify the genes that may be associated with the development of the disease.Explain the process of immunosuppression and the effect it has on body systems.

 
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