APA Practice

Module 2 AssignmentNow that you’ve learned the importance of academic integrity and how to use APA style, it’s time to put your skills into motion! For this assignment, you will read the chapterQuoting, Paraphrasing, and Avoiding Plagiarismand create a short summary on the reading. Within your summary, you will need to cite appropriately using in-text citations.Your assignment must meet the following requirements in order to pass with a 100%:Cite information appropriatelyWrite a signal phraseCreate a parenthetical in-text citationQuote and paraphrase the eBook correctlyMust include a cover and references pageFollow APA 7 Guidelines

 
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An example of an evidence-based practice (EBP) projectHow EBP projects can improve patient careYou should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. All citations must be in APA format.

 
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Cognitive behavior therapy (CBT)

Student 1: JudyWhat medications are considered first-line best practices for treating anxiety? How long can they expect these medications to take full effect? Alternative to use?Selective serotonin reuptake inhibitors (SSRIs) are recommended as a first-line treatment for anxiety disorders (Bandelow et al., 2017). They increase serotonin levels by blocking the serotonin transporter (SERT) which helps to reduce anxiety (Stahl & Muntner, 2021). These drugs can be used long-term due to better tolerability, less sedation, and less chance of abuse or withdrawal (Bandelow et al., 2017). A study that was conducted by Jakubovski et al (2018), also reported that serotonin-norepinephrine reuptake inhibitors (SNRIs) are also the first-line pharmacological treatment for anxiety disorders, but higher doses of these medications are not needed to relieve anxiety. Therefore, the pharmacotherapeutic treatment is somewhat a matter of professional expertise and what the provider is comfortable with prescribing.What therapy would be indicated for someone with anxiety?Cognitive behavior therapy (CBT) can be indicated for someone with anxiety. It can be used to examine negative thoughts that contribute to anxiety symptoms and replace those thoughts with more positive realistic thoughts. This type of therapy approach is to help clients identify irrational thoughts and help them analyze their negative beliefs. Furthermore, the use of an SSRI with CBT can reduce the activity in the amygdala and insula which is responsible for pain and emotional perception, and addictive behaviors (Gorka et al., 2019).What do you need to assess before prescribing a benzodiazepine? What special considerations should be given and discussed with the patient?Benzodiazepines may be used in the management of diseases such as insomnia or anxiety. However, the use of benzodiazepines can result in respiratory depression due to its effects on the central nervous system hence patients should be educated on its use and contraindications. Benzodiazepines are recommended for short-term pharmacotherapeutic treatment use due to the significant risk of dependence. Long-term benzodiazepines should be avoided if possible due to the risk of dependence, possible abuse, and cognitive decline (Stahl, 2017). Moreover, patients should be tapered off long-term use if they can tolerate the discontinuation without severe withdrawal. According to Takaesu et al (2019), patients taking benzodiazepines are at increased risk of cognitive function decline, falls, as well as dependence, and tolerance. That being said, benzodiazepines should not be considered first-line due to their high potential for abuse.Last Name: I-NBody Dysmorphic Disorder (F45.22)How would you define the disorder?Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) (2013), defines body dysmorphic disorder (BDD) as a preoccupation with one or more flaws in physical appearance that others do not see that causes social anxiety and avoidance. Individuals who have BDD excessively look at themselves in the mirror, and they are always grooming themselves. These types of behaviors cause a significant amount of distress which affects one’s everyday functioning. The person with BDD cannot control these behaviors and therefore has a high level of anxiety. They are always concerned about their appearance and try to compare themselves with others. Their preoccupation is not related to their weight or body fat therefore they do not have an eating disorder (American Psychiatric Association, 2013). Some individuals with this disorder have beliefs that their body is built too thin with insufficient muscles. Additionally, individuals have compulsions and obsessions that are mainly focused on their physical appearance, and they are usually time-consuming as well as difficult to control (American Psychiatric Association, 2013). According to Nicewicz and Boutrouille (2021), BDD was first recognized as an atypical somatoform disorder.What signs/symptoms would one see in the patient that demonstrate the disorder?The signs and symptoms that one would see that demonstrate body dysmorphic disorder are individuals engaging in repetitive behaviors, such as excessive mirror checking, compulsive skin picking, camouflaging, participating in excessive grooming, excessive weightlifting, or pervasive mental acts that involve them comparing themselves to other people (Field, 2018). These perceived physical flaws most commonly occur on the skin, hair, or nose, but any body part can be involved. An individual is hyper-focused on his/her appearance which makes them believe that they are ugly and unattractive. They are usually concerned about their eyes, teeth, lips, breasts, stomach, genitals, and legs among others (American Psychiatric Association, 2013). They compare themselves with other people, they think other people are taking note of their negative appearance and they might repeatedly apply makeup to try to cover flaws. Some individuals end up seeking medical procedures, excessively tanning their skin, and changing their clothes excessively (American Psychiatric Association, 2013). They also tend to seek reassurance from others about how they look and sometimes avoid social situations due to fear of being judged or maybe people will notice their imperfections.What are the main DSM-5 criteria for this disorder?According to the DSM 5, body dysmorphic disorder is classified under obsessive-compulsive and related disorders. An individual exhibits the four of the following features to meet the diagnostic criteria:Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable by others or others slightly notices them (American Psychiatric Association, 2013, p.242).The person performs repetitive behaviors such as checking mirrors, excessive grooming, skin picking, reassurance-seeking, or mental acts that are concerning to their appearance (American Psychiatric Association, 2013, p.242).The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. (American Psychiatric Association, 2013, p.242).The appearance preoccupation is not explained by concerns with body fat or weight that one meets the criteria for an eating disorder. (American Psychiatric Association, 2013, p.242).What is the top 3 differential diagnosis for this disorder from the DSM-5?The three top differential diagnoses from the DSM-5 include Obsessive-compulsive disorder whereby there are preoccupations and repetitive behaviors. However, in BDD they are more focused on their appearance hence the skin picking to improve how they look. The second is an eating disorder this can be comorbid. Thirdly is anxiety disorders which are common in body dysmorphic disorder. However, in BDD the anxiety is appearance-related and not social or avoidance (American Psychiatric Association, 2013).What medications would you use? Why? Black box warnings?Before prescribing any medications, I would first obtain consent for treatment. It is important to explain to the patient all the risks versus benefits of the medication. The medication class that is preferred for patients with BDD is selective serotonin reuptake inhibitors (SSRIs). According to Nicewicz and Boutrouille (2021), Fluoxetine is the recommended drug to treat BDD. The dosage will be 20mg daily as it is important to start low and see how the patient might tolerate the drug. The goal will be to reduce the symptoms. The onset of action is usually delayed 2-4 weeks and if it is not working within 6-8 but the patient is tolerating the drug then it should be increased. The side effects that need to be discussed with the patient include nausea, diarrhea, headache, drowsiness or activation, sexual dysfunction, or desire. Serious adverse effects include suicidal thoughts and/or behaviors, mania, and seizures (Stahl, 2021). While waiting on the therapeutic effects to take effect, the patient can also be started on a small dose of benzodiazepine short-term to give some relief to the distressing symptoms.What type of therapy would you recommend for this patient?The types of therapy that have shown to be beneficial for patients with BDD include cognitive-behavioral therapy (CBT) and metacognitive therapy (Phillipou et al., 2016). CBT is the recommended first line of treatment for BDD. These types of therapy will help the patient to work on his/her self-confidence. Also, help in identifying the behaviors and triggers that cause these feelings.What do you see as the possible outcomes for this patient?Clinicians need to communicate realistic expectations to patients who are diagnosed with BDD at the beginning of treatment and explain that their disorder might not be cured but the goal is a reduction of symptoms. The outcome for the patient would be to continue taking fluoxetine until the symptoms of BDD have resolved or have been significantly reduced. Also, for the patient to participate in cognitive behavioral therapy to manage negative thoughts and modify behaviors.What are the 5 components of a suicide risk assessment that the patient needs to be asked?The five components of the suicide risk assessment that the patient needs to be asked are do you have current thoughts of killing yourself, what are your intentions, do you have a plan, have you ever tried to kill yourself in the past, what is keeping you alive, or what might decrease the chances of you trying to kill yourself as suicidality is high within individuals with body dysmorphic disorder. Furthermore, 80% of individuals with body dysmorphic disorder think about suicide while approximately 26% of those individuals have attempted suicide (Koenig et al., 2021).In addition to the suicide risk assessment questions, the clinical can conduct a physical assessment of an individual who has body dysmorphic disorder, he or she might notice some skin lesions secondary to skin picking. Most patients with BDD have a history of self-inflicted injuries. Although clients might not want to share with the clinicians about their disorders, it is important to ask them questions about any cosmetic procedures, or surgical interventions. Also find out how they feel about their appearance, how much time they spend worrying about their appearance, and ask whether their condition affects their quality of life. Find out if the patient has other dermatologic issues. Find out the onset and duration of symptoms. Ask if the patient has mental health history in his or her family or if he/she is experiencing any significant life changes or stressors. It is also imperative for the clinician to assess and rule out disorders and other comorbidities like social anxiety disorder and obsessive-compulsive disorder (American Psychiatric Association 2013).Student 2: KlausWhat medications are considered first line best practice for treating anxiety? How long can they expect these medications to take full effect? Alternative to use?To treat social anxiety disorder, health care providers may prescribe medications. This disorder can be effectively treated with a variety of medications, including selected serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are antidepressants (SNRIs); this class of medications may take several weeks to reach their effect usually four to six weeks; alternatively, benzodiazepines can also be utilized and these usually take a shorter time to take effect but long term use is contradicted as it can be addictive (Mayo Foundation for medical Education and Research, 2021).What therapy would be indicated for someone with anxiety?Most patients with social anxiety disorder benefit from psychotherapy. In therapy, you will learn how to recognize and modify negative beliefs about yourself as well as build skills to help you achieve social confidence; CBT (cognitive behavioral therapy) is the most successful type of psychotherapy for anxiety, and it can be used either individually or in groups (Mayo Foundation for medical Education and Research, 2021).What do you need to assess before prescribing a benzodiazepine? What special considerations should be given and discussed with the patient?Examine the patient for signs of addiction and abuse. Benzodiazepines should not be used by patients who have a history of substance abuse, particularly prescriiption drug abuse; If the patient has other risk factors, use cautious, such as: a background of chronic pain, a history of substance abuse and behavioral addictions in the family (Mayo Foundation for medical Education and Research, 2021).Social Anxiety DisorderHow would you define the disorder?In situations where they may be inspected, assessed, or judged by others, such as speaking in public, meeting new people, answering a question in class, or having to chat to a cashier in a store, a person with social anxiety disorder experiences anxiety or terror; commonplace activities such as eating or drinking in front of people or using a public lavatory, might generate anxiety or dread of being embarrassed, judged, or rejected (Mayo Foundation for medical Education and Research, 2021).What signs/symptoms would one see in the patient that demonstrate the disorder?Unlike ordinary uneasiness, social anxiety disorder include fear, anxiety, and avoidance that interfere with relationships, daily routines, job, school, or other activities (Mayo Foundation for medical Education and Research, 2021).What are the main DSM-5 criteria for this disorder?Several criteria are involved when diagnosing someone with social anxiety disorder (DSM-5 definition of social anxiety disorder, n.d).persistent anxiety of being exposed to unfamiliar people or being scrutinized by others in one or more social or performance circumstances. The person is afraid that he or she may do something embarrassing and humiliating (or show anxiety symptoms).Being exposed to the feared situation nearly always causes worry, which can manifest as a situationally bound or predisposed Panic Attack.The individual recognizes that his or her fear is irrational or excessive.Fearful circumstances are avoided or endured with a great deal of anxiety and distress.The avoidance, nervous anticipation, or distress in the dreaded social or performance situation(s) severely interferes with the person’s usual routine, occupational (academic) functioning, social activities, or relationships, or the person feels distressed by having the phobia.The fear, worry, or avoidance is long-term, usually lasting six months or more.4.What are the top 3 differential diagnosis for this disorder from the DSM-5?panic disorderagoraphobiaatypical depression5.What medications would you use? Why? Black box warnings?Though there are a variety of drugs available, selective serotonin reuptake inhibitors (SSRIs) are frequently used to treat chronic social anxiety symptoms. Sertraline or paroxetine (Paxil) may be prescribed by your doctor (Zoloft); Venlafaxine (Effexor XR), a serotonin and norepinephrine reuptake inhibitor (SNRI), may also be used to treat social anxiety disorder (Mayo Foundation for medical Education and Research, 2021).What type of therapy would you recommend for this patient?Most patients with social anxiety disorder benefit from psychotherapy. In therapy, you will learn how to recognize and modify negative beliefs about yourself as well as build skills to help you achieve social confidence; CBT (cognitive behavioral therapy) is the most successful type of psychotherapy for anxiety, and it can be used either individually or in groups (Mayo Foundation for medical Education and Research, 2021).What do you see as the possible outcomes for this patient?Combination of an appropriate therapy and medications as last resort should be helpful to this patient to a high degree and go a long way in increasing the prognosisWhat are the 5 components of a suicide risk assessment (From the PowerPoint/Kaltura in Week1) that the patient needs to be asked?I’ll as if the patient has any plans of killing themselvesAsk what the plan isSeek to know if they has any access to the planSeek to know their intentionSeek to find out what is keeping them from executing the plan so far

 
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Medicaid and Medicare

The Affordable Care Act was designed to increase access to care for all Americans, regardless of income or pre-existing conditions.

But the law has come under attack by the Trump administration and congressional Republicans, who have sought to repeal or undermine it.

The Trump administration has taken several steps to weaken the Affordable Care Act, including:

– Ending the individual mandate, which required most Americans to have health insurance or pay a penalty

– Reducing funding for outreach and enrollment

– Ending subsidies for insurers that help low-income people afford coverage

– Allowing states to waive key protections for people with pre-existing conditions

These actions have led to higher premiums and fewer choices for consumers, and millions of Americans are now uninsured. The Trump administration’s efforts to undermine the law are still ongoing, and it remains to be seen what the long-term impact of these changes will be.

In the meantime, it’s important for everyone to understand how the Affordable Care Act works and what their options are for obtaining coverage. The law is complex, and there are many different ways to get covered. There are also a number of resources available to help people understand their options and make the best choices for their individual needs.

The bottom line is that the Affordable Care Act is still the law of the land, and it provides a number of important protections for consumers. Despite the Trump administration’s efforts to undermine the law, it remains an important tool for ensuring that all Americans have access to quality, affordable health care.

If you need help understanding your options under the Affordable Care Act, there are a number of resources available to you. You can contact your state’s health insurance marketplace for more information, or speak to a navigator or other trained enrollment assister who can help you understand your options and enroll in a plan. You can also find helpful information on the website of the Centers for Medicare and Medicaid Services.

No matter what happens with the Affordable Care Act, it’s important to remember that you have options for health care coverage. If you need help, don’t hesitate to reach out to a trusted enrollment assister who can help you understand your options and enroll in a plan that meets your needs.

One of the most important provisions of the ACA is the expansion of Medicaid.

Medicaid is a needs-based program that provides free or low-cost health insurance to low-income Americans. Thanks to the ACA, Medicaid was expanded to cover Americans with incomes up to 138% of the federal poverty level. This expansion has helped millions of Americans get access to quality health care coverage.

If you don’t qualify for Medicaid, you may still be eligible for financial assistance to help you pay for your health insurance. The ACA created a program called the Advanced Premium Tax Credit, which helps eligible individuals and families cover the cost of their monthly premiums. To see if you qualify for the Advanced Premium Tax Credit, you can use the Health Insurance Marketplace Calculator at healthcare.gov.

If you have any questions about Medicaid or the ACA, you can contact your state’s Medicaid office or visit healthcare.gov.

The ACA has also made it easier for people to purchase health insurance plans through the federal and state exchanges.

The exchanges offer a variety of health insurance plans, including some that cover pre-existing conditions.

If you are looking for health insurance, you can visit the Health Insurance Marketplace at healthcare.gov to shop for and compare health insurance plans. You can also contact your state’s Medicaid office or the federal marketplace call center at 1-800-318-2596 for help.

If you have questions about your health insurance coverage or costs, you can contact your health insurance company or your state’s Department of Insurance for help.

You can also visit Healthcare.gov to learn more about the ACA and find out how it may impact you and your family.

Despite these advances, there are still many people who do not have access to affordable healthcare.

If you are one of these people, there are a number of resources that can help you get the care you need.

Community health centers provide primary and preventive care to people regardless of their ability to pay.

There are also a number of programs that can help low-income individuals and families pay for healthcare. These include Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Premium Tax Credit.

If you need help paying for healthcare, don’t hesitate to reach out to your state’s Department of Insurance for help.

You can also visit Healthcare.gov to learn more about the ACA and find out how it may impact you and your family.

In addition, there are a number of resources available to help you get the care you need if you have a chronic illness or disability. These include the Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA).

There are a number of ways that we can improve access to care for all Americans, including expanding Medicaid, creating a public option, and implementing a single-payer system.

We must also work to reduce the cost of health care, increase the quality of care, and improve the delivery of care.

We hope that you will find this information helpful as you continue to explore your options for health care coverage. If you have any questions, please don’t hesitate to reach out to us. We are here to help!

The Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA) are two of the most important agencies when it comes to providing health care coverage for Americans. Medicaid is a joint federal-state program that provides health care coverage for low-income individuals and families, while Medicare is a federal program that provides health care coverage for seniors and people with disabilities.

While both Medicaid and Medicare are vital programs, there are some key differences between them. For example, Medicaid is an entitlement program, which means that anyone who meets the eligibility requirements can enroll. Medicare, on the other hand, is a premium-based program, which means that beneficiaries must pay a monthly premium for their coverage.

Another key difference between Medicaid and Medicare is that Medicaid is managed by states, while Medicare is managed by the federal government. This means that each state has some flexibility in how they administer their Medicaid program, while the federal government has more control over the Medicare program.

Finally, Medicaid covers a wider range of services than Medicare. Medicaid covers long-term care, while Medicare does not. Medicaid also covers some dental and vision services, while Medicare generally does not.

Overall, Medicaid and Medicare are two very different programs. While they both provide health insurance coverage for individuals who might otherwise be unable to afford it, there are key differences between the two programs. It’s important to understand these differences before deciding which program is right for you.

We must also ensure that everyone has access to quality healthcare, regardless of their income or location.

This is why Medicaid is such an important program. Medicaid provides low-cost or no-cost health insurance to millions of Americans who would otherwise be unable to afford it. This includes children, pregnant women, families, people with disabilities, and the elderly.

Medicaid is a joint federal and state program, which means that each state has its own rules and regulations regarding eligibility and coverage. However, there are some general similarities between the program in each state. For example, most states cover medical expenses for low-income individuals and families, as well as people with disabilities. Medicaid also typically covers long-term care costs for elderly or disabled enrollees.

There are two main types of Medicaid coverage: traditional Medicaid and Medicaid expansion. Traditional Medicaid provides coverage for low-income individuals and families, as well as some people with disabilities. Medicaid expansion, on the other hand, is a more recent addition to the program that allows states to extend coverage to low-income adults who do not have dependent children.

As of 2019, 34 states and the District of Columbia have expanded Medicaid coverage under the Affordable Care Act. If your state has not expanded Medicaid, you may still be eligible for traditional Medicaid coverage.

To be eligible for Medicaid coverage, you must meet certain income and resource requirements. These requirements vary by state, but they are generally based on the federal poverty level (FPL).

Income requirements: In order to qualify for Medicaid, your income must be at or below a certain level. This level varies by state, but it is typically set at or below 138% of the federal poverty level (FPL).

Resource requirements: Medicaid also has resource requirements, which vary by state. These requirements are typically based on the federal poverty level (FPL).

To learn more about Medicaid eligibility requirements, contact your state Medicaid office.

You may also be eligible for Medicaid if you are pregnant, have a disability, or are 65 years of age or older. For more information about these programs, contact your state Medicaid office.

 
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Access to care among Medicaid and uninsured patients in community health centers

The percentage of Medicaid and uninsured patients who visit community health centers

The percentage of Medicaid and uninsured patients who visit community health centers has grown in recent years, as has the number of health centers that report having difficulty meeting patient needs for care.

At the same time, community health centers have been increasingly relying on Medicaid funding to support their operations, and many are struggling to maintain financial stability.

In 2015, nearly 60 percent of community health centers reported having difficulty meeting patient needs for care, up from just over 50 percent in 2014.

The number of health centers reporting difficulty meeting patient needs for care has grown even as the percentage of Medicaid and uninsured patients served by community health centers has increased.

In 2015, nearly 80 percent of community health centers said they were serving more Medicaid patients than they had in the past, and nearly 70 percent said they were serving more uninsured patients.

Community health centers are also facing challenges in recruiting and retaining staff. In 2015, nearly 60 percent of health centers said they had difficulty recruiting primary care physicians, up from just over 50 percent in 2014.

And, nearly 40 percent of health centers said they had difficulty recruiting nurse practitioners or physician assistants, up from just over 30 percent in 2014.

Despite these challenges, community health centers continue to be an important source of care for millions of Americans. In 2015, nearly 27 million people were served by community health centers, an increase of nearly 5 million people since 2010.

And, community health centers are an important source of care for low-income Americans and people of color. In 2015, nearly 60 percent of health center patients were living below the federal poverty level and nearly 40 percent were racial or ethnic minorities.

Looking ahead, community health centers will continue to play a vital role in providing high-quality, affordable care to millions of Americans.

The barriers that these patients face in accessing care

Community health centers are uniquely positioned to provide care to these vulnerable populations.

Community health centers provide a safety net for our most vulnerable citizens, and they will continue to be an essential part of our healthcare system.

As we move forward, we must work to ensure that all Americans have access to the high-quality, affordable care that they need and deserve. Thank you.

Community health centers will continue to play an important role in providing care to millions of Americans, especially those who are living in poverty or are otherwise vulnerable.

We must work to ensure that all Americans have access to the quality, affordable care they need and deserve.

The impact of the Affordable Care Act on these patients

The impact of the Affordable Care Act on these patients and their families has been profound.

Thanks in part to the ACA, more than 20 million previously uninsured Americans now have health coverage.

And thanks to the ACA’s expansion of Medicaid, millions of low-income adults have gained coverage as well.

Community health centers have also seen a dramatic increase in the number of patients they serve, thanks to the ACA.

In total, the ACA has helped to improve access to care for millions of Americans.

But we know that there is still more work to be done.

We must continue our efforts to ensure that all Americans have access to quality, affordable health care.

We must also work to reduce the cost of health care for all Americans.

The ACA has made great progress in these areas, but there is still more work to be done.

How community health centers are working to ensure that all patients have access to care

Community health centers (CHCs) are an important part of the ACA’s effort to improve access to care for all Americans.

CHCs are non-profit organizations that provide primary and preventive care to underserved populations.

The ACA has helped to increase funding for CHCs, which has allowed them to expand their services and reach more patients.

CHCs provide care for patients regardless of their ability to pay, and they offer sliding-scale fees for those who cannot afford to pay the full cost of care.

In addition, CHCs often provide services that go beyond primary care, such as mental health services, dental care, and vision care.

CHCs are an important part of the health care safety net, and they play a vital role in ensuring that all Americans have access to quality care.

Ways that you can help support your local community health center

Donating money to help with operating expenses

Volunteering your time to help with tasks such as administrative work, patient education, or fundraising

Serving on the board of directors or another advisory committee

Spreading the word about the importance of CHCs and the services they provide.

Health centers depend on the support of the communities they serve. Show your support by keeping health center services top of mind.

Your local community health center is a vital resource for ensuring access to quality health care. There are many ways you can support your local center, including:

Donating money to help with operating expenses

Volunteering your time to help with tasks such as administrative work, patient education, or fundraising

Serving on the board of directors or another advisory committee

Spreading the word about the importance of CHCs and the services they provide.

Keeping health center services top of mind is a great way to show your support for your local community health center. By doing this, you can help ensure that everyone has access to quality, affordable health care.

 
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Nurse Practitioner Professional Career Planner

Week 10: Post-Assessment and Career Planning

In Week 3, you completed a certification exam study plan based on your practice exam results. Now that you have implemented the plan throughout the quarter, do you feel more prepared for the certification exam? Hopefully, you do. This week, it is time to test your hard work and dedication and take your final exam. If there are still areas for which you want to improve your score, note those areas and create an updated study plan to use after this course is over. This week, you also submit your Career Planner, which includes a cover letter, resume, philosophy statement, and letters of recommendation that you can use as you pursue your next professional role.

Learning Objectives

Students will:

  • Create a nurse practitioner career planner
  • Identify resources that support personal career development
  • Evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

Assignment: Nurse Practitioner Professional Career Planner

As you approach the end of your Master of Science in Nursing program and prepare for a career as a nurse practitioner, you will want to create a cover letter, resume, and portfolio that best represent your knowledge, skills, and abilities as a professional in the field of nursing.

For this Assignment, you will create a Career Planner that you can use as you pursue your next professional role.

To Prepare:

  • Review the Career Planner Guide.
  • Seek out resources on cover letters, resumes, and other professional resources, as needed. The Walden University Career Planning and Development site has information on many topics of relevance.
  • Develop a cover letter, resume, philosophy statement, and other professional resources that meet the requirements outlined in the Career Planner Guide.

By Day 7

Submit Cover Letter, Resume, Personal Philosophy Statement and Long/Short term goals.

Submission and Grading Information

 
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Preventative Health and Assessing, Diagnosing, and Treating Special Populations

Week 9: Preventative Health and Special Populations

Edwardo

Edwardo is a 42-year-old man who is about to embark on a rigorous exercise program to lose weight. He hopes to lose at least 30 pounds by working out at the gym. He goes to visit his personal trainer for the first session and is surprised to hear his trainer suggest that he go to his primary healthcare provider for a checkup first.

Annalise

Annalise is a 22-year-old woman who has just graduated from college. Her mother has Stage 4 colon cancer. Even though Annalise’s friends do not routinely get colonoscopies, Annalise decides she will ask about getting a screening test the next time she goes for a checkup.

The scenarios above are representative of the transformative shift the healthcare field is undergoing, from the treatment of individuals with acute diseases and chronic conditions to one that addresses prevention and health behavior motivations in populations. Nurse practitioners in family settings are well positioned to promote holistic care and prevention to patients.

This week, you explore preventative health and conditions seen in special populations. You will practice assessing, diagnosing, and treating patients by completing a SOAP Note. You also will complete a Knowledge Check to gauge your understanding of this week’s content.

Learning Objectives

Students will:

  • Evaluate conditions related to special populations
  • Develop differential diagnoses for special population patients
  • Develop treatment plans for special population patients
  • Identify key concepts related to preventative health and special populations

Assignment: Preventative Health and Assessing, Diagnosing, and Treating Special Populations

Certain groups of patients have concerns that may be specific to their particular population. Conditions related to men’s or women’s health, pregnancy, pediatrics, older adults, college students, LGBTQ individuals, athletes, those with particular cultural beliefs or concerns, or those undergoing palliative or end-of-life care would all fall under this category. Individuals may identify with more than one category.

For this Assignment, you practice assessing, diagnosing, and treating disorders seen in special population patients.

To Prepare:

  • Review this week’s Learning Resources. Consider preventative health and assessing, diagnosing, and treating special populations.
  • Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider each patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a preventative health treatment plan for the patient that includes health promotion and patient education strategies for special populations.

Complete:

Use the Focused SOAP Note Template to address the following:

  • Subjective: What details are provided regarding the patient’s personal and medical history?
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.
  • Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
  • Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
  • Reflection notes: Describe your “aha!” moments from analyzing this case.

By Day 7

Submit your focused SOAP note.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

 


Knowledge Check: Preventative Health and Special Populations

This Knowledge Check consists of 10 short-answer and true/false questions that focus on preventative health and conditions related to special populations.


 
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Dermatological Conditions and Mental Health

Skin conditions and mental health

There is a strong link between skin conditions and mental health. People with skin conditions are more likely to experience anxiety, depression, and other mental health issues. The way our skin looks can impact our self-esteem and the way we see ourselves. This can lead to social isolation, which can further exacerbate mental health issues.

Skin conditions can also be physically painful and uncomfortable. This can make it difficult to concentrate or participate in activities that we enjoy. The itching, burning, and pain can be all-consuming.

If you are struggling with a skin condition and mental health issues, it is important to seek help. Talk to your doctor about your symptoms and ask for referrals to a mental health professional and a dermatologist.

There are many effective treatments for both skin conditions and mental health issues. With the right treatment, you can feel better and improve your quality of life.

How skin conditions can affect mental health

Itching, burning, and pain from skin conditions can be very distressing. They can make us feel anxious, depressed, or even suicidal. In fact, people with skin conditions are at higher risk for developing anxiety and depression.

Skin conditions can also affect our body image and self-esteem. We may feel embarrassed or ashamed of our appearance. This can lead to social isolation and make it hard to form relationships.

How mental health problems can affect skin conditions

Mental health issues can make skin conditions worse. For example, stress can worsen psoriasis and eczema. Depression can make acne worse. And anxiety can make hives worse.

People with skin conditions may also have a hard time sticking to their treatment plan. This can make their condition worse and lead to more mental health problems.

What you can do

If you have a skin condition, it’s important to get help from a doctor or other medical professional. They can help you manage your condition and find the right treatment.

You should also think about getting help from a mental health professional if you’re having trouble dealing with your skin condition. They can help you manage your stress, anxiety, and depression. This can make it easier for you to stick to your treatment plan and improve your overall health.

The link between dermatological conditions and mental health

If you have a skin condition, it’s important to get the help you need to manage both your physical and mental health.

This article was originally published on Dermatology Times. It is republished with permission.

Treatment for dermatological conditions and mental health

If you have a skin condition, the best thing you can do is get treatment. This will help improve your symptoms and quality of life.

There are many different treatments for dermatological conditions. Some people may need medication, while others may benefit from light therapy or other treatments.

It’s also important to manage your stress levels and mental health. This can be done with therapy, relaxation techniques, or support groups.

If you have a skin condition and are struggling with your mental health, it’s important to get the help you need. There are many resources available to help you manage both your physical and mental health.

Resources for people with skin conditions and mental health issues

American Academy of Dermatology: https://www.aad.org/

National Eczema Association: https://www.nationaleczema.org/

Eczema Foundation: https://eczemafoundation.org/

Atopic Dermatitis Association: http://atopicdermatitis.org/

The National Psoriasis Foundation: https://www.psoriasis.org/

Psoriasis and Psoriatic Arthritis Alliance: https://www.papa-info.org/

Sensitive Skin Care: https://www.sensitiveskincare.co.uk/

Skincare by Alana: https://alana.com/pages/sensitive-skin-care

 
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Endocrine Conditions

What are endocrine conditions and what do they do in the body?

Endocrine conditions are disorders that affect the endocrine system. The endocrine system is a group of glands that produce and release hormones into the bloodstream. These hormones help regulate many important body functions, including metabolism, growth, reproduction, and mood.

Endocrine conditions can be caused by a variety of factors, including genetics, infections, tumors, and autoimmune disorders. Treatment for endocrine conditions often involves medication, surgery, or hormone therapy.

Endocrine conditions can be complex and potentially life-threatening. If you think you may have an endocrine condition, it is important to see a doctor as soon as possible for diagnosis and treatment.

What are some common endocrine conditions?

There are many different types of endocrine conditions. Some of the more common endocrine conditions include:

There are many different types of endocrine conditions, each with its own set of symptoms. Some common endocrine conditions include:

Diabetes mellitus – Diabetes is a condition that affects the body’s ability to produce or use insulin, a hormone that helps regulate blood sugar levels. People with diabetes often have high blood sugar levels, which can lead to various complications such as heart disease, stroke, and kidney damage.

Hypothyroidism – Hypothyroidism is a condition in which the thyroid gland does not produce enough of the hormone thyroxine. This can lead to symptoms such as fatigue, weight gain, and depression.

Hyperthyroidism – Hyperthyroidism is a condition in which the thyroid gland produces too much of the hormone thyroxine. This can lead to symptoms such as anxiety, irritability, and weight loss.

Cushing’s syndrome – Cushing’s syndrome is a condition caused by high levels of the hormone cortisol in the body. This can lead to symptoms such as weight gain, fatigue, and weakness.

Addison’s disease – Addison’s disease is a condition caused by low levels of the hormone cortisol in the body. This can lead to symptoms such as fatigue, weight loss, and muscle weakness.

Pituitary disorders – Pituitary disorders are conditions that affect the pituitary gland, which is responsible for producing hormones that regulate the body’s growth, metabolism, and reproduction. This can lead to symptoms such as growth problems, infertility, and hormone imbalances.

Hypopituitarism – Hypopituitarism is a condition in which the pituitary gland does not produce enough of the hormones that it is supposed to. This can lead to symptoms such as fatigue, weight loss, and muscle weakness.

How can you treat an endocrine condition?

The treatment for an endocrine condition will depend on the specific condition that you have. In some cases, hormone replacement therapy may be necessary. In other cases, surgery may be required to remove a tumor or correct a birth defect. Sometimes, simply managing your symptoms and making lifestyle changes (such as eating a healthy diet and exercising regularly) is all that is necessary.

What are the complication of an endocrine condition?

Endocrine conditions can sometimes lead to serious complications, such as diabetes, osteoporosis, and heart disease. Therefore, it is important to work with your healthcare team to manage your condition and prevent these complications.

What are the possible side effects of treatment for an endocrine condition?

The side effects of treatment for an endocrine condition vary depending on the type of treatment. For example, surgery may cause scarring, while medication may cause nausea or headache. It is important to discuss the potential side effects of your treatment with your healthcare team so that you can be prepared.

How can you prevent an endocrine condition from developing?

There is no guaranteed way to prevent an endocrine condition from developing, but there are some things that may help lower your risk. For example, maintaining a healthy weight, exercising regularly, and eating a healthy diet can all help to reduce your risk of developing an endocrine condition. If you have a family history of an endocrine condition, you may be at a higher risk for developing the condition yourself. In this case, it is important to talk to your healthcare team about ways to lower your risk. Finally, avoiding certain environmental toxins, such as mercury, can also help reduce your risk of developing an endocrine condition.

Where can you find more information about endocrine conditions?

If you are interested in learning more about endocrine conditions, there are a few good resources that can provide you with more information. The Endocrine Society is a professional organization dedicated to promoting research and education on endocrine disorders. They have a website that provides information on various endocrine conditions, as well as resources for patients and caregivers. The National Institutes of Health also has a website with information on endocrine disorders. Finally, the American Association of Clinical Endocrinologists is another good resource for information on endocrine conditions.

You can also reach us for any help you need.

 
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Change Implementation and Management Plan

Assignment: Change Implementation and Management Plan

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

By Day 2 of Week 11

Submit your narrated Change Implementation and Management Plan.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
 
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