Adolescent runaways

Question 1

Healthy People 2020 include the following targeted national health objectives for mental health and mental disorders: (Select all that apply)

a. increase the proportion of persons with co-occurring substance abuse and mental disorders who receive treatment for both disorders

b. decrease the number of children with mental health problems who receive treatment

c. reduce the suicide rate

d. reduce the proportion of persons who experience major depressive episodes

Question 2

Poverty refers to: (Select all that apply)

a. having insufficient financial resources to meet basic living expenses

b. belonging to a homogenous population group

c. people who are more likely to live in dangerous environments

d. people who work in high risk jobs, and eat less nutritious foods

Question 3

At present, the following groups often constitute the homeless in both rural and urban areas: (Select all that apply)

a. single women

b. adolescent runaways

c. substance abusers

d. mentally-ill individuals

Role of the Nurse Leader and Manager in Regulatory and Practice Standards

Directions:

Role of the Nurse Leader and Manager in Regulatory and Practice Standards

As a nurse leader or manager, you will be required to support the nurses on the unit to understand their role with regulation, practice standards, and mandatory reporting.

First Post

Describe one of the current issues identified by State Boards of Nursing in the state you will be applying for your nursing license. Discuss how the nurse leaders and managers would educate the unit within the organization.

Reply Post

Respond to at least one of your peers. Expand on your peer’s ideas.

 

Directions:

 

Role of the Nurse Leader and Manager in Regulatory and Practice Standards

 

As a nurse leader or manager, you will be required to support the nurses on the unit to understand

their role with regulation, practice standards, and mandatory reporting.

 

First Post

 

Describe one of the current issues identified by State Boards of Nursing

in the state you will be

applying for your nursing license. Discuss how the nurse leaders and managers would educate the

unit within the organization.

 

Reply Post

 

Respond to at least one of your peers. Expand on your peer’s ideas.

 

 

Directions:

Role of the Nurse Leader and Manager in Regulatory and Practice Standards

As a nurse leader or manager, you will be required to support the nurses on the unit to understand

their role with regulation, practice standards, and mandatory reporting.

First Post

Describe one of the current issues identified by State Boards of Nursing in the state you will be

applying for your nursing license. Discuss how the nurse leaders and managers would educate the

unit within the organization.

Reply Post

Respond to at least one of your peers. Expand on your peer’s ideas.

Nodular Hyperplasia and Cancer of Prostate

ase Study 7.2 – Nodular Hyperplasia and Cancer of Prostate

Irving Olson, a 75-year-old man presented with urinary hesitancy, frequency, and nocturia. Digital rectal examination revealed a large, nodular, and rubbery prostate gland with no hard regions. The serum PSA was 6 ng/mL (reference range 0-4 ng/mL). Transrectal ultrasound examination was performed, and prostatic biopsy specimens were obtained, which were negative for tumor, followed by a transurethral resection of the prostate gland.

Fifteen years later, he presented with low back pain of several month duration. Further questioning revealed recurrent urinary hesitancy with recent onset of dysuria. Digital rectal examination revealed a hard and irregular prostate gland. Laboratory data included alkaline phosphatase 386 U/L (reference range 38-126 U/L) and PSA 103 ng/mL (reference range 0-4 ng/mL). A transrectal biopsy of the prostate gland was performed. A radionuclide bone scan revealed widespread hot spots, and an x-ray of the spine revealed numerous radiodense bony lesions.  A repeat transurethral resection of the prostate gland and bilateral orchiectomy were performed.

1. What type of cell produces bone in osteoblastic metastases?

Creating a Plan of Care

Creating a Plan of Care

Utilizing the information you have gathered over the last four weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

 (this page requirement includes the holistic care plan). Include the following in your plan:

  • Provide a brief introduction describing the chronically ill group you selected and rationale for selecting this illness and the participants.
    • Clearly identify the Healthy People 2030 topic chosen and why this topic was selected.
  • Develop a holistic plan of care including patient, family and friends acceptance of the diagnosis, coping and impact on plan of care.
  • Summarize the information gathered in each week (Weeks 1–4) over 2 to 3 pages. This is should not to be copied and pasted from previous assignments.
  • Create a care plan for your chronic illness group organized using the following headings:
    • Nursing Diagnoses (at least 3 related to topic and interview results)
    • Assessment Data (objective and subjective)
    • Interview Results
    • Desired Outcomes
    • Evaluation Criteria
    • Actions and Interventions
    • Evaluation of Patient Outcomes
  • Identify strategies for the family or caregiver in the care plan and provide your rationale on how they will work.

Support your responses with examples and information from library resources, textbook and lectures.

Planning for sustainable change

This week you will be creating an Implementation Plan that will be attached to your final Evidence-Based Project. In the article read last week, “EBP Step by Step Following the evidence: Planning for sustainable change” an Implementation Plan is provided for an example.  In your text (4th ed) the ‘ARCC Model Timeline for an EBP Implementation Project” (Appendix I) template is available for guidance.

The thought process includes:  Based on my review of literatures comparing the DASH diet and the low/restricted sodium diet, the DASH diet significantly reduced the blood pressure of the hypertensive patients in the studies. The effect was additive when both diets where combined.

These studies established evidence that the DASH diet in addition to pharmacotherapy is effective in reducing the blood pressure of hypertensive patients.

My objective now is to introduce this diet method (DASH diet) to all the hypertensive patients that will be seen in my place of practice. My implementation plan will involve the identification of the other stakeholders/beneficiaries of this new method or approach to management of hypertensive patients. The other stakeholders mentioned in my implementation plan were the healthcare providers (ARNPs and physicians), the insurance companies, and the owner or employer of these healthcare providers.

I intend to implement my EBP through discussion groups. These identified stakeholders will be invited to a group discussion so that barriers will be identified, and solutions will be worked out during these group discussions.

For the discussion board this week—outline your implementation plan–the early steps have been complete–the checkpoints noted in the template should guide your plan.

Diseases that disproportionately affect the poor

Diseases that disproportionately affect the poor are typically prioritized by governments and donors. Some people believe that disorders such as depression are problems of the middle class and the affluent, or represent a “medicalization of misery,” and, therefore, do not deserve a share of scarce resources. What is the evidence linking poverty with mental disorders? How might poverty interact with mental health

Nutrition

Topic 1.nutrition

Explain why focus group is a useful qualitative method of gathering information.

Having you as a moderator of a community focus group that will explore knowledge, believes, attitudes and behaviors about your selected health problem:

  1. Define your group and the setting for the activity, applying statistical principles of sample size and homogeneity.
  2. Create and share an opening question to explore perceptions of the health risks associated with your topic of interest.
  3. Create a question that should explore what are the influences related to your topic.
  4. Create a third question that will help you in understanding the perception (in group members) of roles towards improving the health problem.

Topic 2.obesity

According to your selected health problem, discuss concerning habits, behaviors and practices that should be addressed to improve the indicators related to it. You may include aspects related to dietary choices, exercising, and comorbidities, as well as contributing stakeholders and their roles to meet your goals.

Patient education.

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Define negotiation as it applies to patient education.

2. Explain how the change in the patient’s status through the years has affected patient education.

3. List the pros and cons of negotiation.

4. Describe the general conditions that would be included in a patient contract.

5. Discuss old age and the baby boomer.

6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.

7. Explain some of the barriers to patient education of the elderly and discuss their special needs.

8. List ways to best approach patient education of the elderly.

9. Discuss some cultural and religious beliefs about death that you have encountered.

10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.

11. Explain how to teach a patient with a life-threatening illness.

Creativity Presentation of an Ethical Dilemma.

Creativity Presentation of an Ethical Dilemma. With this project, Identified Ethical or Legal Issue and Significance to Nursing: Topic here is Electro Convulsive/Shock Therapy (ECT). As a 3 group presentation, please use or 1) Create 7 slides power points with 7 references to introduces your topic, what it treat (Depression), why using it and then and ethical issues behind it 2) Use animation to present this ethical issues you have experiences in your nursing field and how you handle it. Animation presentation should not be more than 18 minutes.

Case Study

Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations)

Mrs. Lyons is a 57-year-old African American female who recently developed headaches and had an elevated blood pressure reading at her work health fair. When she had her blood pressure taken at the health fair the reading was 168/99. She has gone back to the drug store 3 other times to take her blood pressure. The readings have been: 145/90, 150/89, 140/88. At the health fair she was told her BMI is elevated. Her cholesterol levels were also done at the health fair. The results were: total cholesterol level of 250, LDL 138, HDL 48, and Triglycerides 170.

She has not been to see a primary care provider in over 5 years. At her last office visit, which was 5 years ago, her blood pressure was (135/95). Her LDL and triglycerides were also elevated at that time. The patient was supposed to monitor her blood pressure at home and trial diet and lifestyle changes. She was supposed to return for a follow-up with her blood pressure log and for a recheck of her labs. She, unfortunately, did not do this.

Today in the clinic her vital signs are:  BP 146/92, HR 90, Temp 98.4, RR 12, O2 98%, Height 5’5, Weight 220 lbs, BMI 36.6

She is not currently taking any medications. She has NKDA. Family history: her brother and sister both have been diagnosed with hypertension and DM. Diagnoses for the patient are HTN, Obesity, and Hyperlipidemia.

Q1. Please briefly discuss the first-line treatment recommendations from JNC8, and the AHA/ACC for a patient with no other major comorbidities.

Q2. What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, and initial starting dose.

Q3. Please discuss the mechanism of action of each of the drugs you listed.

Q4.  Please discuss the side effect profile of each medication you listed.

Q5. Are there any interactions between any of the medications you prescribed?

Q6. What other non-pharmacological interventions would be suggested?