PSYCHOTHERAPY FOR CLIENTS WITH ADDICTIVE DISORDERS

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See attachement for instructions 

MSN 5400 week 2

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The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health.  Discuss a time where you influence health care through advocacy.

The discussion must address the topic with 400 words and with 2 scholarly references. 

Attached you can find the rubric to following the do the work.

R1.2 see attachment

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Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Theresa Dinard

     Here, in the state of Florida, one of the main barriers was the clause that nurse practitioners must work on the sponsorship of a physician or within close proximity of a physician. That has been relaxed by legislation that says only nurse can work in most sectors of healthcare, without oversight of a physician, this allows APRNs autonomy in a medspa, primary care clinics and/or even telemedicine when working independently and as an entrepreneur.

    Since June of 2020, Florida operates under “Full practice”policy, which allows nurses that have proof of at least 3000 clinical hours of experience and graduate level pharmacology and differential diagnosis courses, the privilege to operate autonomously in primary care, med spas and even telemedicine under this regulation. This is considered to be the gold standard as APRNs are now able to register as an Autonomous Advanced Practice Registered Nurse and practice to the full extent of their role (Fla. BON, 2023) 

     With just just three short years ago, APRNs had to work under the supervision or sponsorship of a physician that was either either working in the practice or had a vested interest in a clinic where the APRN is practicing. Some states may also hold a prescriptive regulation or the APRN whereas they can only order certain schedules and medications. In some instances there may be pushback from physicians who do not co-sign the concept of nurse practitioners and or having the privileges that they are allowed believing that they are not trained like physicians. In some communities nurse practitioners may not be a choice of patients to be examined by and may just prefer their doctor instead.

     For midwives in Florida, some of the barriers include the need to have a supervisory agreement with a Florida licensed physician for post graduate supervisory hours A lack of recognition as primary care providers on Medicaid and Medicare and private insurance company provider panels and other restrictions. (Hastings, et al, 2018)

     CRNAs have barriers such a lack of fair reimbursement by third-party, payers,  stating that they are not trained on the same skill level as physicians and failure of some of the other surgical groups or colleagues to recognize CRNAs as board certified to administer anesthesia. (Toney, 2023)

     Rep. Cary Pigman (R-Sebring) and Sen. Jeff Brandes (R-St. Petersburg) joined members of the interest groups for APRNs the Florida Association of Nurse Anesthetists (https://www.fana.org/)and the Florida Nurse Practitioner Network (https://fnpn.enpnetwork.com/) in making new legislation that forwards, the causes nurse practitioners and pushes for more independence for them as well.

References 

Toney-Butler TJ, Martin RL. Florida Nurse Practice Act Laws and Rules. [Updated 2023 Jan 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 

Hastings-Tolsma M, Foster SW, Brucker MC, Nodine P, Burpo R, Camune B, Griggs J, Callahan TJ. Nature and scope of certified nurse-midwifery practice: A workforce study. J Clin Nurs. 2018 Nov;27(21-22):4000-4017. doi: 10.1111/jocn.14489. Epub 2018 Jun 20. PMID: 29679403; PMCID: PMC7992184.

Diagram

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    Scenario 1
    You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. 

Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word.

  • Include the additions made in Week 4.
  • Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count.

In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative.

  • Explain how your diagram articulates your planned design.
  • Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence.
  • Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research.
  • List the tables in the database that you would need to include when answering your question.

SOAP note rc

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SOAP note renal colic

sociology discussion 7

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Respond to two (2) of the following prompts:

  1. Describe formal and informal education. From your experiences with schooling, provide specific examples of each and explain how they are built into the curriculum or culture of the school. (USLO 6.1)
  2. Reflecting on your own experience (or your child’s) with schooling, explain one sociological theory that best relates to your (or your child’s) academic journey. Describe two examples of how this theory applies to your schooling. (USLO 6.4)
  3. What do you think is the most significant concern with the education system today? Provide a suggestion for how this issue could be improved. (USLO 6.3)
  4. What is the difference between mainstreaming and inclusion? Which do you think is the optimal way to include people with disabilities in the classroom and why? (USLO 6.2)
  5. Karl Marx studied the social impact of religion and believed religion reflects the material base, which is comprised of the means and modes of production and the relations of production. Marx argued that religion maintains inequality and perpetuates the status quo. Is Marx’s argument that religion maintains inequality and perpetuates the status quo true? Present an example that supports your assessment of Marx’s argument. (USLO 6.8)
  6. Emile Durkheim argued that religion promotes social cohesion, and social control, as well as offering meaning and purpose to human life. Is Durkheim’s argument true? Present an example that supports your assessment of Durkheim’s argument. (USLO 6.8)
  7. What is required of a society for its political structure to be considered democratic? While this question might seem straightforward, it is not and is a topic of contentious debate in current political philosophy circles. The Democracy Index lists 60 different indicators that must be considered when discerning whether a nation is a democracy. While you in no way will be expected to discuss all indicators, please talk about a few of the conditions that must exist for a government to qualify as a democracy. Include textual evidence to support your view. (USLO 6.5, 6.6)
  8. In recent years in the United States, citizens have increasingly made claims that our judicial system is institutionally racist. Evidence provided for these claims has pointed toward unfair drug sentencing laws, stop and frisk policies, the use of police force, and the overwhelming number of black men in prisons and jails in comparison to the rest of the population. Select one claim and discuss whether these claims have merit, presenting specific examples to support your position. Include textual evidence to support your view. (USLO 6.7)

advance directives

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Part I

The Advance Health Care Directive  

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.Links to an external site.

 Part I: 

  1. Identify where you obtained the AD and explain its compliance with state law.
  2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.    
  3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive. 

(Cite/ reference any sources you use to explore these questions, including your texts.) 

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form 

  1. What is a Physician Orders for Life-Sustaining Treatment (POLST) formLinks to an external site.?
  2. When should this form be completed?
  3. Who can complete the form?
  4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.) 

Part III

Tie the two first sections together by writing a summary and conclusion. 

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcareinterventions the patient does or does not want.

____________________________________________

pharm

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Module 09 Written Assignment – Cultural Factors and Their Influence on Medication

In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following:

1. One impact on medication preparation. Explain.

2. Two impacts on medication administration. Explain.

3. Two potential adverse reactions. Explain with rationale.

4. One possible issue in adherence to medication regimen. Explain how this can be overcome.

The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used.

Submit your completed assignment by following the directions linked below. Please check the 
Course Calendar
 for specific due dates

Top of Form

Bottom of Form

Top of Form

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NOTE

Strictly APA, CITATION,AND REFERENCING,PLAGIARISM-CHECK

Measure of Center 'Mean,'” “Measure of Center 'Median,'” and “Measure of Center 'Mode'”

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Watch three videos (“Measure of Center ‘Mean,'” “Measure of Center ‘Median,'” and “Measure of Center ‘Mode'”) in the Calculations section of “The Visual Learner: Statistics,” located in the Topic 2 Resources.  

Go to the Random.org website, provided in the Topic 2 Resources, to generate a set of random numbers. Click on the “Get Sets’ link at the bottom left of the page to generate some data. (Note: If you are not able to access the link, you can randomly generate 10 numbers yourself for this calculation.)

Imagine these numbers are the care satisfaction scores from a recent sample of discharged patients. Randomly select one row of numbers to use for the following calculations:

  • What was the mean?
  • What was the median?
  • What was/were the mode/s?
  • Given that the range of data was between 1 and 20, what do these numbers tell you about the overall satisfaction of the patients?
  • If you were reporting these scores back to your supervisor, how would you explain or interpret these satisfaction scores?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “Discussion Question Rubric” and “Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

communication project 2

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You will interview at least two people who belong to cultural
groups other than your own and who themselves are from
different cultures so that you may reflect on and analyze your
intercultural communication competence as well as the
importance of cultural diversity awareness. As part of your
analysis, you should apply concepts from your studies.
Specifically, you should draw on your knowledge of the Five
Dimensions of Culture, as presented by Communication in the
Real World (2016), and how they affect intercultural
communication, as presented in the Communication and Diversity
lesson.

As part of your analysis, be sure to include at least three different
perspectives when analyzing the Five Dimensions of Culture.
These perspectives should include those from each of your
interviewees as well as your own, to allow for the analysis of at
least three different cultures.

You will present the results of this interview and your
communication reflection/analysis in a 4-6-page essay, following
APA documentation for any source material used as part of your
analysis, in addition to the text. Properly cite and source all
references.