Patho week 9

As providers, how can we provide substantial and effective sexual education to our patients?APA style400 wordsIn text citationsReferences

 
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Diversity Influence

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework and 12 domains. Write 750-1,000-words exploring the Purnell Model for Cultural Competence. Include the following:Explain culturally sensitive care and its application within health care.Explain the theory and organizational framework of the Purnell Model and discuss its relevance to transcultural health care.Describe Purnell’s 12 domains of culture and assess how each of these domains plays an active role in the diversity of health care in your specific field.Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.Cite at least three references, including the course textbook.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 
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case studi

Please do all case scenarios following the assignment guidelines.Please provide an example of a case studi with the provided presenting complaint specific to each of these systems. This case should present the clinical approach and decision-making process involved in diagnostic reasoning and therapeutic decision-making.You will present a Fictitious Illustrative Case presentation on the following topicsA neurological complaint of daily Migraines in a 48 yr old female.Cardiovascular – HTN- BP – 180/90 average BP for a 55 yr old man with no other medical conditions.Diabetes- HgA1c- 11.0 – first office visit for a 50 yr old obese femaleOrthopedics- Low back pain in a 45 yr old male construction workerEENT- 7 yr. old with ear painInclude the following in each case:Subjective data- questions to be askedObjective data- Expected physical findingsDifferential DiagnosisCannot miss the diagnosisFinal DiagnosisClinical Guidelines for specific diagnosisTreatmentFollow-upPrognosis

 
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Colon

You are about to perform a rectal examination of an older adult.What are the steps to examine this patient?Explain your rationale.What are some findings you can have while assessing the rectal sphincter?Describe the differences during the rectal examination of acute prostatitis and benign prostatic hypertrophy.What findings would expect on physical examination of acute prostatitis and benign prostatic hypertrophy?Submission Instructions:Your initial post should be at least 500 words, formatted, and cited in proper current APA style with support from at least 2 academic sources.

 
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Facilitative Communication and Helping Skills, Nonverbal Communication and Decision Making (Due 24 hours)

Parts  1 and 2 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts  3 and 4 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts  5, 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 8 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.Part 1: minimum  1 pagePart 2: minimum  1 pagePart 3: minimum  1 pagePart 4: minimum  1 pagePart 5: minimum  1 page  and one paragraphPart 6: minimum  1 page and one paragraphPart 7: minimum  1 page and one paragraphSubmit 1 document per part2)¨******APA normsAll 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 personDon’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 3 references (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 XXXX6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Parts  1 and 2 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 1: Facilitative Communication and Helping SkillsTopic: Applying Legal & Ethical Concepts1. Explain the differences between professional and personal values (one paragraph)a. What conflicts do you have between your personal values and those of your future profession?Read the following practice caseJonna is a 16-year-old high school student who has been working with a school counselor for the past six months. Over that period of time, Jonna has improved her grades, made new friends at school, and her father, a single parent, reports her behavior has also improved at home with fewer conflicts with her 13-year-old brother and himself. During the last session, Jonna stated that she is going to start dancing at a strip club a few nights a week, using a fake ID that shows her to be 18 years old.2. Apply the Congress ETHIC model to the case (one paragraph)3. What should the counselor do?  (one paragraph)a. Include a discussion about confidentiality and what information should be revealed to parents.Part 2: Facilitative Communication and Helping SkillsTopic: Applying Legal & Ethical Concepts1. Explain the differences between professional and personal values (one paragraph)a. What conflicts do you have between your personal values and those of your future profession?Read the following practice caseJonna is a 16-year-old high school student who has been working with a school counselor for the past six months. Over that period of time, Jonna has improved her grades, made new friends at school, and her father, a single parent, reports her behavior has also improved at home with fewer conflicts with her 13-year-old brother and himself. During the last session, Jonna stated that she is going to start dancing at a strip club a few nights a week, using a fake ID that shows her to be 18 years old.2. Apply the Congress ETHIC model to the case (one paragraph)3. What should the counselor do?  (one paragraph)a. Include a discussion about confidentiality and what information should be revealed to parents.Parts  3 and 4 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 3: Nonverbal CommunicationTopic: EngageNorth America is filled with a variety of people from all over the world. While Derek’s family has lived in his hometown for generations , Derek’s boyfriend Marcus has recently emigrated from Europe and Marcus’s extended family is still learning the local language . Although Derek likes Marcus’s family quite a bit, he feels a little left out because of not knowing exactly what they are saying . Plus , there was “the incident . ” Last time he visited the house, Derek used the restroom and ran out of toilet pap3r . Coming out from the bathroom and realizing his own boyfriend had taken a quick trip to the store, Derek had a heck of a time trying to get another roll without having a shared language system . Although he was able to eventually get them to figure it out , Marcus confides that his family still makes some odd gestures every time Derek’s name comes up. Aside from being one of the more awkward moments of his life, Derek feels like an outsider as he navigates his boyfriend’s life . Recently , his best friend Sadie encouraged him to think about all the nonnative English speakers that he interacts with daily, immigrants and new citizens who don’t have his considerable English speaking skills. Derek realized that he himself has been complicit in making others feel badly when they don’t embrace the majority language, even to the point of dismissing them as people without relevant opinions or feelings1.  What is our obligation when communicating with diverse others? 2. Does that obligation change when we don’t share a common language?Nonverbal communication is often described as a “universal language.”3. Does that idea of universality impact our opinion at all when realizing that we can, in fact, send messages to one anotherand have had that shared nonverbal language system since our earliest years as a child ?Part 4: Nonverbal CommunicationTopic: EngageNorth America is filled with a variety of people from all over the world. While Derek’s family has lived in his hometown for generations , Derek’s boyfriend Marcus has recently emigrated from Europe and Marcus’s extended family is still learning the local language . Although Derek likes Marcus’s family quite a bit, he feels a little left out because of not knowing exactly what they are saying . Plus , there was “the incident . ” Last time he visited the house, Derek used the restroom and ran out of toilet pap3r . Coming out from the bathroom and realizing his own boyfriend had taken a quick trip to the store, Derek had a heck of a time trying to get another roll without having a shared language system . Although he was able to eventually get them to figure it out , Marcus confides that his family still makes some odd gestures every time Derek’s name comes up. Aside from being one of the more awkward moments of his life, Derek feels like an outsider as he navigates his boyfriend’s life . Recently , his best friend Sadie encouraged him to think about all the nonnative English speakers that he interacts with daily, immigrants and new citizens who don’t have his considerable English speaking skills. Derek realized that he himself has been complicit in making others feel badly when they don’t embrace the majority language, even to the point of dismissing them as people without relevant opinions or feelings1.  What is our obligation when communicating with diverse others? 2. Does that obligation change when we don’t share a common language?Nonverbal communication is often described as a “universal language.”3. Does that idea of universality impact our opinion at all when realizing that we can, in fact, send messages to one anotherand have had that shared nonverbal language system since our earliest years as a child ?Parts  5, 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 5:Decision MakingCommunity: Jehovah’s Witnesses1. What key historical, economic, and political forces predominantly influence this community (think about migration in and out of the community, wars, settlement, and economic recessions)?2. Which groups tend to be privileged over others in this community?3. What structural conditions and inequities are advantaging and/or disadvantaging the health and health care experiences of this person or family?4. What power dynamics are most advantaging and/or disadvantaging the health and health care experiences of this person or family?Part 6:Decision MakingCommunity: Irish women1. What key historical, economic, and political forces predominantly influence this community (think about migration in and out of the community, wars, settlement, and economic recessions)?2. Which groups tend to be privileged over others in this community?3. What structural conditions and inequities are advantaging and/or disadvantaging the health and health care experiences of this person or family?4. What power dynamics are most advantaging and/or disadvantaging the health and health care experiences of this person or family?Part 7:Decision MakingCommunity: Gay black men1. What key historical, economic, and political forces predominantly influence this community (think about migration in and out of the community, wars, settlement, and economic recessions)?2. Which groups tend to be privileged over others in this community?3. What structural conditions and inequities are advantaging and/or disadvantaging the health and health care experiences of this person or family?4. What power dynamics are most advantaging and/or disadvantaging the health and health care experiences of this person or family?

 
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Phar 6

You will be pre-assigned as a team to one of the following Units: Unit Fourteen: Eye, Ear, and Skin Drugs; Unit Fifteen: Endocrine Drugs; Unit Seventeen: Reproductive and Gender-Related Drugs; Unit Eighteen: Emergency Drugs.This is a 4 week activity. You will stay in your team for each of the weeks that follow.Prepare a 15 minute Summary Presentation for class to include the following:Summary of the Unit/ClassificationMinimum of three types of drugs or supplementsTypical routes of administrationCommon side effects and adverse effectsSpecial considerationsCommon Nursing interventions

 
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Module 2 Discussion Ethical Issues

Ethical IssuesIdentify and discuss at least two potential ethical issues that could be of concern for nurses with telehealth delivered care.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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Capital budget item

Goal:To assess the need for a capital budget item. I picked (hospital beds)To investigate the information needed to prepare a budget proposal.Content Requirements:Identify the cost of the piece of equipment and if there are any alternative funding sources.Submission Instructions:The PowerPoint presentation is original work and logically organized. It should consist of 5 slides excluding the title and reference.The PowerPoint presentation should be clear and easy to read. Speaker notes expanded upon and clarified content on the slides.Incorporate 1 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

 
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Clinical Skills Self-Assessment

Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.The Psychiatric-Mental Health Nurse Practitioner (PMHNP) Clinical Skills List and Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experiences.Just as you did in PRAC 6635, for this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.To PrepareReview the resources and clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.Review the resources on nursing competencies and nursing theory and consider how these inform your practice.Download the Clinical Skills Self-Assessment Form to complete this Assignment.AssignmentUse the PMHNP Clinical Skills Self-Assessment Form to complete the following:Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.Based on your ratings, summarize your strengths and opportunities for improvement.Based on your self-assessment and theory of nursing practice, develop 3–4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.

 
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Disucssion

NSG 3370The Role of the Nurse in Quality and Patient Safety DiscussionGuidelinesThe Role of the Nurse in Quality and Patient Safety Discussion should focus on the utilization of Evidence-Based Practice to improve quality and safety of patients. It should be supported by the 2020 National Patient Safety Goals and literature. The discussion should be objective, and not opinion based.Choose one clinical problem from the list below that could use improvement. Describe the clinical problem and provide support from the literature. Do not write about personal experiences of you or personnel (coworkers, supervisors, etc.) in your practice or of ongoing project in your facility.Catheter Associated Urinary Tract Infection (CAUTI)Central Line Associated Blood Steam Infection (CLABSI)Patient identification errors – medicationPatient identification errors – blood/blood productsMedication administration errorsFalls/injuriesBedside report issuesAllergiesVentilator Acquired Pneumonia (VAP)Surgical Site Infection (SSI)DVT prophylaxis injuryStaff communicationAlarm FatigueAlarm SafetyMedication reconciliationA literature search should be performed using the Troy Online Library. Locate at least 3 articles of studies published in peer-reviewed, scholarly journals and published within the last 5 years.DO NOT use unpublished Master’s theses or unpublished doctoral dissertations, as these sources are not published in a journal but available from a repository.The published journal articles should be studies related to the topic, which should be used as resources to support the clinical problem, the National Patient Safety Goal and the Process Improvement Tool. Use the journal articles to write and give support to the discussion. A chapter from text may also be used as anadditional resourceto support the information but IS NOT included in the review of the literature. However, the specific chapter author must be cited and referenced according to APA guidelines.Choose a specific 2020 Nation Patient Safety Goal that applies to the clinical problem. Identify the specific NPSG by number as given by the Joint Commission (see document below). Describe and relate how the specific NPSG applies to the clinical problem.Choose a Process Improvement Tool listed below that would be appropriate for implementation. Describe the tool, and how the tool could/should be implemented. You will find more information on each Tool in Chapter 22.flowchartsPareto chartcause and effect diagramsrun chartsFollow APA 7th Edition Guidelines for formatting.

 
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