Anemia

Create a discussion about anemia related to right sided colon cancer, What patient education would you provide for a patient recently diagnosed? what recommendations would you give him?  400 words and at least 2 scholarly references not older than 5 years. 

nursing

 Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research. 

week 4 discussions

   

Week 4 Discussion Forum

      

Complete your week 4 required discussion prompt.

 Links to an external site.  Consider where your research proposal most closely fits within or  aligns to the listed statements. Choose one or two and explain in detail  why you feel it aligns with the NLN’s vision.

Unit 12 Discussion Impulsivity and Compulsivity. 800w. 4 references. Due 11-13-23.

Unit 12 Discussion Impulsivity and Compulsivity. 800w. 4 references. Due 11-13-23.

1. Please describe the role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors. 

2. Please provide two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction. 

3. Summarize the following article “Behavioral Functions of the Mesolimbic Dopaminergic System: an Affective Neuroethological Perspective” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2238694/

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

1. Role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors. The mesolimbic pathway is the dopamine pathway. This pathway extends from the “VTA of the brainstem (mesencephalon) to the nucleus accumbens in the ventral striatum which is part of the limbic system (Stahl, 2021, p. 90). This pathway is important as it is involved in the regulating motivation and reward. Hyperactivity of the mesolimbic pathway called hyperdopaminergia, is significant in the display of positive symptoms seen in psychosis, schizophrenia, and depression and can result in impulse, agitation, hostile, and aggressive symptoms. In addition, the hyperactivity of the DA pathway can be because of various psychostimulants. Such as, cocaine and methamphetamine (Stahl, 2021, p.90). In terms of impulsivity and compulsivity Stahl (2020, p.541) states, “Impulsivity can be thought of as the inability to stop the initiation of actions and involves a brain circuit centered on the ventral striatum, linked to the thalamus (T), to the ventromedial prefrontal cortex (VMPFC), and to the anterior cingulate cortex (ACC). Compulsivity can be thought of as the inability to terminate ongoing actions and hypothetically is centered on a different brain circuit, namely the dorsal striatum, thalamus (T), and orbitofrontal cortex (OFC). Impulsive acts such as drug use, gambling, and obesity can eventually become compulsive due to neuroplastic changes that engage the dorsal habit system and theoretically cause impulses in the ventral loop to migrate to the dorsal loop.” 2. Two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction. According to Hartney (2021), compulsions are considered obsessions with repeated thoughts that create a feeling of distress (Hartley, 2021). The person’s behavior reduces anxiety and fear. An example to consider is obsessive compulsive disorder. In this disorder, the obsession revolves around the need to wash their hands. In the case of addiction, the desire to use will far outweigh the reality that there may be negative consequences. Such as financial strains, health issues, social problems, legal problems and/or decreased self-esteem (Hartney, 2021). Hartney (2021), suggests for treatment of the OCD behavior should include antidepressant medications like serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). These medications may be augmented with antipsychotics at the discretion of the provider. In terms of impulsivity, Kozak and her colleagues (2018) denote there are strong overlaps in the neural circuitry and functional mechanisms between impulsivity traits and addiction, which has directed treatment approaches. Therefore, it has been recommended, SUD treatment should include subjective and objective data and target the pharmacological, behavioral, and neurophysiological areas to individualize the patient’s care (Kozak et al., 2018). This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 17:11:39 GMT -05:00 https://www.coursehero.com/file/139195954/Discussion-12-ImpulsivityCompulsivitydocx/ For example: Alcohol use disorder – Naltrexone, Aripiprazole, and Topiramate were successful in decreasing impulsivity behaviors and Problem gambling – paroxetine was found to be successful in impulsivity (Kozak et al., 2018). References: Hartney, E. (2021). The difference between an addiction and a compulsion. Retrieved on March 30, 2022, from https://www.verywellmind.com/the-difference-between-an-addiction-and-acompulsion-22240 Kozak, K., Lucatch, A. M., Lowe, D., Balodis, I. M., MacKillop, J., & George, T. P. (2019). The neurobiology of impulsivity and substance use disorders: implications for treatment. Annals of the New York Academy of Sciences, 1451(1), 71–91. https://doi.org/10.1111/nyas.13977 Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.). p. 90 & 54, Cambridge: Cambridge University Press.

ASTHMA AND STEPWISE MANAGEMENT

 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.

Reflection Scenario Template

 

 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario.

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

This if for HIV/AIDS prevention scenario reflection.
For this assignment you need to watch a video which a 5 minute scenario. And then complete the attached template. First, watch the full 5 min video. Don’t make on your own you need to watch it in order to complete the template. Then fill out the template. The last question on the template is your reflection that needs to be 1-2 pages.

https://wetransfer.com/downloads/c45731992d3b4141daa3f20f7b9430e420231007014856/ebac8b?fbclid=IwAR3eQCkU8LTMEt6SjbvZkKInZ5EPP2G9YXpmZzlX7FaHLtnoTJb7qjhPKec
Here is the link to the video
download it

 

nursing

 

This week, you are going to participate in a discussion on a novel or movie.  Please choose one of the stories below and read the novel or watch the movie.  You’ll participate in the discussion thread below related to the story you choose. 

  1. Fault in Our Stars novel by Green (2012) or Fault in Our Stars movie (2014)
  2. Still Alice novel by Genova (2009) or Still Alice movie (2014)

This family story discussion has two parts:

Part 1:Construct Grid (ALL)

Using the blank construct grid, choose 8 constructs relevant to the family in the novel/movie and complete those rows of the grid.  Share your completed constructs with your discussion group and explain why you chose them. 

Part 2:  Family Story Discussion Fault in Our Stars

The rest of the focus for this week is the Fault in Our Stars book or movie discussion. I am providing the following list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

  1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have been different if he had told the story from a different voice? How does voice relate to family nursing practice?
  2. What does the title, Fault in Our Stars, mean?
  3. How would you describe the two main characters, Hazel and Gus?
  4. How do Hazel and Gus relate to their cancer?
  5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
  6. How do Hazel and Gus change, in spirit, over the course of the novel?
  7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
  8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
  9. What do you think about the author Peter Van Houten?
  10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

Part 2:  Family Story Discussion Still Alice

The rest of the focus for this week is the Still Alice book or movie discussion. Below, you’ll find a list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

Participate in a book discussion by choosing and answering one of the questions below. 

  1. Why do you think the author named the book “Still Alice?”
  2. How is Alzheimer’s not only Alice’s diagnosis but also her family’s?
  3. How does Alzheimer’s affect roles in a household? 
  4. Why do you think the author wrote the book from third person narrative, taking away from the personal connection? 
  5. Or, write your own question related to the novel and answer it.

Health Promotion: Prevention of Disease

 Screening is the administration of measures or tests to distinguish individuals who may have a condition from those who probably do not have it.  Discuss the advantages and disadvantages of screening.   

Nursing Cultural APA Assignment 2

Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition while implementing evidence-based standards of care.

Sections of the assignment must include:

  • Introduction
  • Focus points covered in the discussion posts 
  • Any arguments and rationales for your stance
  • Conclusion or Summary

The components of your APA  Assignment includes the following:

  • Your APA Assignment must include a title pg (Refer to Purdue OWL). 
  • All in-text citations must be used when paraphrasing or quoting a previous author.
  • All references must reflect the in-text citations used. 
  • All reference sources must be within the past 5 years unless it is the works of a nurse theorist or a significant reference material. 
  • The length of the assignment must be 750-1000 words. Please pay attention to spelling and grammar. Points will be deducted for repeat offenders. 
  • Upon completion of the assignment, you must submit it via Turnitin.com, and please note that your plagiarism score should be no more than 20%.  If you score higher, please make adjustments.