Discussion Board #5

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Discussion Board (DB) Posting Directions: ( See DB Rubric)Students are to be on the discussion board a minimum of four (4) days per week as evidenced by initial and response postingsAll initial and response postings are to be on separate daysSupport initial posting with two professional peer-reviewed scholarly journal referencesStudent posts one (1) initial response to the discussion board to begin each week on Monday at 12:01AM/EST and no later by 11:59 PM by Wednesday of each week (1 point).Student to post on three (3) separate days required each week which begins on Monday at 12:01AM/EST and ends by 11:59 PM/EST Sunday (0.5 points each post).  Each response to include one reference from professional peer-reviewed scholarly journal in APA format.APA clarity (up to 0.5 points) – See RubricDiscussion Board Instructions:Sickle cell disease is an adaptive response against malaria. Discuss and identify the pathogen and transmission of malaria.Where and why do you think an adaptation occurred that led to the development of sickle cell disease and what is the pathophysiology of the adaptation?Why do people who no longer live in parts of the world where malaria is prevalent still develop sickle cell disease and how and why does it occur?How can we advise families with this debilitating disease?

 
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Assignment 2: Focused SOAP Note and Patient Case Presentation

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Assignment 2: Focused SOAP Note and Patient Case PresentationFor this Assignment, you will document information about a patient that you examined during the last 3 weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. Be sure to incorporate any feedback you received on your Week 3 and Week 7 case presentations into this final presentation for the course.To PrepareSelect a child or adolescent patient that you examined during the last 3 weeks who presented with a disorder for which you have not already created a Focused SOAP Note in Weeks 3 or 7

 
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Discussion case study

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Please answer all questions listed.Your answers must be a minimum of 250 words.Use correct spelling a grammar and APA format.Use citations and references at the end of your responses.Post your original responses before the due date.You will be unable to see any posts until you submit your post for the discussion.Please respond to three (3) of your classmate’s post.Your responses must be a minimum of 200 words.Provide substantive value to the topic Include additional information from your reading or understand/experience:Pose a question, or Suggest an alternative to the response.Complete Case Studies 1, 2, 3 & 4 (pages 128-129).Create a post to share your thoughts about the case studies.Please respond to at least three (3) of your classmate’s posting.To see the grading rubric, click on the 3-dot

 
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During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule

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A patient says that she has recently noticed a lump in the front of her neck below her “Adam’s apple” that seems to be getting bigger.During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?  Explain your answer.a.  It is tender.b.  It is mobile and soft.c.  It disappears when the patient smiles.d.  It is hard and fixed to the surrounding structures.Requirements:-  Formatted and cited in current APA 7-  Use 2 academic sources. Not older than 5 years-  Not Websites are allowed.-  Plagiarism is NOT allowed

 
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Skin & Breast

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This discussion contains 2 parts:KM is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies and asthma and her mother with psoriasis. KM returns today for an increase in symptoms, and she wants to improve the appearance of her skin. Please discuss the following:What is the underlying cause of psoriasis?What are the common signs and symptoms of this disease?Define, Compare and Contrast the following conditions:Fibrocystic breast diseaseFibroadenomaMalignant breast tumorSubmission 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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patients are making poor health choices

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How do you, as a nurse, deal with knowing that patients are making poor health choices even after you have spent extensive time and effort to educate them?

 
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Cognitive Behavioral Therapy: Comparing Group, Family, and Individual Settings

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There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider the challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.To prepare:Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.THE QUESTION· Post an explanation of how the use of CBT in groups compares to its use in the family or individual settings.· Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings.· Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources.· Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.

 
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Florence Nightengale reflection

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Notes on Nursing , Florence NightengalEDover Publication

 
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Chapter 8, Case 2

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Chapter 8, Case 2Fiona is a 29-year-old woman who works in a medical factory making medical equipment. She lives with her husband and in-laws. Over the last week, she has been more isolative, saying strange things to her husband, and not sleeping due to unidentified fearfulness. The only stressor that her husband can identify is that they started talking about having children. Fiona refuses to do her ADLs, eats very little, and appears intermittently in a trancelike state. The family was becoming more and more concerned and attempted to get Fiona to see their family doctor, but she was refusing. Finally, police were called due to worsening regressed behavior and Fiona was brought to the local emergency department (ED) for evaluation. The ED physician examined her and reported after labs and neuroimaging that she was medically stable. Although the patient reported no history of psychiatric illness, she did report that her maternal grandmother was in a state hospital for most of her life. The physician recommended psychiatric hospitalization for new onset of a psychotic illness.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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ebp project

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Describe the steps of the evidence-based research process and the importance of using them. In the initial stages of an EBP project, where do nurses in your specialty go to locate sources of information that help them to determine whether or not a practice problem is appropriate for an evidence-based practice change proposal. Include two specific sources on information in your discussion.

 
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