SOCIOLOGY

  Three topics I found interesting in Chapter 11 were patrilineal descent,  matrilineal descent, and bilateral descent.

Overview: This purpose of the week 9 discussion board is to examine family and intimate relationships. Answer prompt 1. Then select and answer one prompt from prompts 2-4. Refer to Chapter 11 to answer the prompts.

Instructions: Respond to prompts in paragraph form (200-400 words) 

Prompt 1: Describe 3 topics from Chapter 11 that you found interesting.

Prompt 2: Apply structural functionalism, conflict theory, and symbolic interactionism to family.

Prompt 3: Discuss 3 family or relationship types.

Prompt 4: Discuss the effect of patriarchy on a global scale.

Prompt 5: Discuss demographic social changes, such as birth rates, age of first child, and single parents.

week 7

Focused SOAP Note and Patient Case Presentation

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.For this Assignment, you will document information about a patient that you examined during the last three weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. 

To Prepare
  • Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
  • Select a patient of any age (either a child or an adult) that you examined during the last 3 weeks.
  • Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations. Please Note:
    • All SOAP notes must be signed, and each page must be initialed by your Preceptor. Note: Electronic signatures are not accepted.
    • When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page that is initialed and signed by your Preceptor.
    • You must submit your SOAP note using SafeAssign. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.
  • Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.
  • Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.
  • Ensure that you have the appropriate lighting and equipment to record the presentation.
The Assignment

Record yourself presenting the complex case study for your clinical patient. In your presentation:

  • Dress professionally with a lab coat and present yourself in a professional manner.
  • Display your photo ID at the start of the video when you introduce yourself.
  • Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
  • Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.
  • Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
  • Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide:
    • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
    • Objective: What observations did you make during the psychiatric assessment? 
    • Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms.
    • Plan: What was your plan for psychotherapy? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also be sure to include at least one health promotion activity and one patient education strategy.
    • Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.

Interprofessional leadership

 

Assignment: Developing Organizational Policies and Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Christianity Part 2

 Read section on Christianity and answer one of the questions at the end or one of the following bonus questions. (Be sure to indicate which question you are answering.) 

Bonus Questions:

1. Describe 1-2 primary doctrines or key beliefs about Jesus. How does this make Christianity unique among the world religions?

2. What makes Christianity unique among the world religions? Be sure to mention 2-3 characteristics in your response.

3. The resurrection of Jesus is a highly debated topic among religion scholars. In what ways does the Christian message hinge on the resurrection? Please explain your answer.

 

Submission Instructions:

  • Your response must be at least one substantive paragraph and must demonstrate evidence of reading . formatted and cited in current APA style. 
  • Your response should be clear and concise. The one paragraph limit dictates that the point of the exercise is not to give a final answer to the question posed. You have a single paragraph to write for each question; make it a great one. 

Assignment

  

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

  • Reflect on drugs used to treat asthmatic patients,      including long-term control and quick relief treatment options for      patients. Think about the impact these drugs might have on patients,      including adults and children.
  • Consider how you might apply the stepwise approach to      address the health needs of a patient in your practice.
  • Reflect on how stepwise management assists health care      providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

  • Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
  • Explain the stepwise approach to asthma treatment and management for your patient.
  • Explain how stepwise management assists health care providers and patients in gaining      and maintaining control of the disease. Be specific.

Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes

 
2 postsRe: Topic 1 DQ 2

Some many theories and models are frequently used for promoting health and disease prevention programs. One of these theories is the Social Cognitive Theory by Albert Bandura. This theory states that learning happens in a social setting with different interactions between the person, environment, and behavior. This theory is used to promote health and does not necessarily maintain a behavior; instead, it focuses more on initiating new behavioral patterns in a person. For example, children likely learn complex applications such as language by watching and listening to others speak (Bandura, 1986).

This theory’s central concept is Reciprocal Determinism, and it refers to the interactions formed between the person, his environment, and his behavior. Another aspect is behavioral learning, which presumes that a person who witnesses and observes others’ behavior will then also reproduce this set of behavior. Reinforcements are the responses to a person’s behavior that can influence whether they decide to continue or stop the newly acquired behavior. Altogether, these aspects ultimately predict whether or not a person can acquire new behavioral patterns.

There are many barriers to a patient’s ability to learn. Obtaining new information does not necessarily mean that the patient learns because of these barriers. Barriers may be external or internal. External barriers include socio-cultural factors and environmental factors. Environmental factors refer to the surroundings where the learning process takes place. Another factor is in the socio-cultural aspect, include language barriers and educational background. For example, for someone who does not understand and speak the English language very well, it may be difficult for them to learn written topics in the English language. On the other hand, internal barriers are those that are self-initiated. They may be psychologic or physiologic. Health knowledge can be described as “the degree to which individuals can obtain, understand basic health information, process, and services needed to make appropriate health choices” (Nielsen-Bohlman, Panzer, & Kindig, 2004, p. 32).

A patient’s learning readiness refers to how likely an individual can perceive new information and how likely they are to seek new information that is big enough to precipitate behavioral changes., there are four types of learning readiness: Physical, Emotional, Experiential, and Knowledge Readiness. Learning outcomes are more likely to be obtained when the patient is receptive and is willing to participate in the process. By assessing the patient’s readiness to change, the nurse can create appropriate behavioral objectives for the patient’s current stage (Edelman et al., 2014).

References

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice.

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). Health promotion throughout the life span (8th ed.). St. Louis, MO: Elsevier Mosby.

Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

Nielsen-Bohlman, L., Panzer, A., & Kindig, A. (2004). Health literacy: A prescription to end confusion (p. 32). Washington, DC: National Academies Press.

Respond to the above student’s post using a 200-250 APA format with references by engaging in discussions supporting the post

advanced pharmacology

 Endocrine System Disorders and the Treatment of Diabetes 

Eco8

One method to investigate gene-environment interactions is to study monozygotic twins. Identify an example of a twin study not listed in the textbook used to examine the gene-environment interaction of a specific disease or condition. Briefly summarize the gene-environment interaction investigated, the methods, and the results. What are other possible methods for studying gene-environment interactions as they relate to improving population health?

Genetic testing

  • Investigate the available genetic testing options
  • How they are used by individuals and medical professionals to develop treatment and preventative medicine strategies.

Reply 1 and 2 159 words each one by 03/19/2021 at 6:00 pm

Re: Topic 2 DQ 2

Stroke (Cerebrovascular accident)

Stroke is a term used to describe the cessation of blood supply to an area of the brain due to ruptured blood vessels or thrombus in the blood vessels. This results in loss of brain function or diminished brain function in that area. It can either be a hemorrhagic stroke or an ischemic stroke. With a hemorrhagic stroke, the blood vessels rupture and disrupt the blood supply to the area of the brain affected. However, with ischemic stroke, there is a thrombus in the blood vessels that cuts the blood supply to areas of the brain affected leading to the death of brain cells (Grand Canyon University, 2018). The characteristics findings for stroke include facial drooping, slurred speech, weakness in one arm and/ or leg. The factors contributing to stroke include:

  1. Uncontrolled high blood pressure: this increases the pressure in the blood vessels, especially the blood vessels in the brain, and this could lead to rupture of the blood vessels, resulting in a stroke.
  2. High cholesterol: the high cholesterol in the blood vessels forms plaques that occlude the blood vessels in the brain causing ischemia and stroke.
  3. Diabetes: Diabetes increases the level of glucose in the bloodstream and this forms plaques in the blood vessels leading to occlusion and stroke.
  4. Smoking: smoking tends to form plaques in the blood which can result in a stroke.
  5. Atrial fibrillation: this can result in a buildup of blood clots in the blood vessels thus causing a stroke.

A stroke usually impacts the lives of patients and family, as they are unable to perform activities of daily living and other family responsibilities. Nurses have a role to play in helping patients and their family members by providing resources that include community resources, spiritual, and psychological resources to enable the patient and family to cope during the process. The nurse can also encourage patients and their family members to participate in rehabilitation sessions that may include speech therapy, physical therapy, and occupational therapy to improve patient’s compliance with the treatment plan. It is also important that the nurse encourage the patient to monitor predisposing factors to stroke. The nurse should also provide necessary education that will provide adequate knowledge to the patients. The nurse should:

Educate the patient on eating a heart-healthy diet to manage high blood pressure.

Educate the patient on eating a diet low in cholesterol to manage hyperlipidemia.

Educate on the importance of smoking cessation.

Educate on the importance of regular exercise

Educate on the importance of maintaining a healthy weight.

References

Flint Rehab. (2018). What causes a stroke? Understanding the leading factors. https://www.flintrehab.com/what-causes-a-stroke/

Grand Canyon University (Ed). (2018). Pathophysiology: Clinical applications for client health.
Reply 2

1 postsRe: Topic 2 DQ 2

Common characteristic findings for a stroke include numbness or weakness in the face, arm, or leg, especially on one side of the body, confusion, trouble speaking, or difficulty understanding speech, trouble seeing in one or both eyes, trouble walking, dizziness, loss of balance, or lack of coordination, and severe headache with no known cause. The long-lasting effects of a stroke depends on rapid recognition and quick interventions. Quick intervention is needed with a stroke, preferably within 3 hours of the first symptoms. Acute care of a stroke includes stabilization and aggressive treatment if indicated. Once patient is stabilized then the patient will begin supportive services such as physical, occupational, and speech therapies to help with restoration of function to any areas of deficit. (Falkner & Green, 2018). When a patient has a stroke, it does not just affect the patient, it affects the whole family. A stroke is something that can leave a person severely disabled physically and cognitively depending on the severity. The patient may no longer be able to take care of themselves and may no longer be able to dependently feed, dress, or perform their activities of daily living alone, and may no longer be able to provide for their family. Stroke patients often develop depression and recovery from stroke requires physical, social, and emotional aspects of life. The nurse’s role in supporting patient’s psychological and emotional needs is to offer support by listening, using touch, being present, using silence when appropriate, offering encouragement and observing the patient for signs of distress. (Falkner & Green, 2018). An example of this is when a patient is unable to communicate then the nurse should do his/her best to try to comfort the patient, and try to address all of the patient’s possible needs and to just be there for him/her.

References:

Falkner, A., & Green, S. Z. (2018). Pathophysiology clinical applications for client health: Neurological, Perceptual, and Cognitive Complexities. Retrieved March 15, 2021, from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/2