Please see the attachment for the instructions

Case Study:

https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_05/index.html

Examine
 Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References:

· Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 8,  “Anxiety, Trauma, and Treatment” (pp. 359-378)

· American Psychiatric Association. (2010a). 

Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder
Links to an external site.
. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/acutestressdisorderptsd.pdf

· American Psychiatric Association. (2010c). 

Practice guideline for the treatment of patients with panic disorder
Links to an external site.
 (2nd ed.). https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/panicdisorder.pdf

Hum Ecology & Environment

Peers response

Your responses should consist of your informed input. One or two-sentence peer responses will not fetch full points. Do not merely recite the content you read in the unit; don’t simply give your opinion.

Your input should be in your own words (to avoid plagiarism), demonstrating your understanding and comprehension of the topic. Be sure to support all your posts (initial post + responses) with specific references to the assigned readings, lecture material, and other relevant research you find appropriate in APA format.

1st peees response

Octavia Dykes

Food insecurity and food scarcity by definition are different. Food Insecurity is caused by a lack of means to obtain food with the leading cause being income. Food scarcity is the lack of food available this could be caused by location or production. Both situations create hunger.  A person with food insecurity could be near a market with available goods but have limited or no money to buy food.  A person with food scarcity may have the money for goods at the market but the closest market with goods available is an hour's drive away or the market close by has limited goods available for sale. 
 These would be densely populated areas without an adequate grocery source or areas of very low population where there are no grocery stores until the next major city (The Annie E. Casey Foundation, 2021).  “
It is not confined to one single sector, sub-system (e.g. value chain, market) or discipline, and thus broadens the framing and analysis of a particular issue as the result of an intricate web of interlinked activities and feedbacks. It considers all relevant causal variables of a problem and all social, environmental, and economic impacts of the solutions to achieve transformational systemic changes” (Food and Agricultural Organization of the United Nations. (2018). Sustainable food systems.).

As nurses, we can assess our patients for having signs of being malnourished, and be observant of those that tend to hoard every scrap left on their tray for “later”, these are in my experience the patients having food security issues outside of the hospital. We can provide resources before they discharge, such as their closest food banks and food drive locations so that they may receive these resources. The hospital I work for does monthly community service events, it’s usually a food bank so that we can collect and give food out to those in need. As nurses, we can get involved within these communities. I’m not saying use all your free time but a few hours one weekend a month is such a great help with soap kitchens, food drives, food banks, etc.

 

References: 

Food and Agricultural Organization of the United Nations. (2018). 
Sustainable food systems. 

http://www.fao.org/3/ca2079en/CA2079EN.pdf

The Annie E. Casey Foundation. (2021). 
Food Deserts in the United States. 


https://www.aecf.org/blog/exploring-americas-food-deserts

2nd peer response

Zoe Snider

Food insecurity refers to the lack of consistent access to food. Chronic food insecurity can lead to various health problems among vulnerable populations such as children, the elderly, and those with pre-existing health conditions (Nord, Coleman-Jensen, Andrews, & Carlson, 2020, p. 1). Food insecurity can be on the individual level or the community level. Food scarcity on the other hand is more of a systemic issue, affecting the population. Multiple factors can cause food scarcity including adverse weather conditions, population growth, and political climate (Kanter, Redmond, & Wansink, 2013). When looking at what impacts food security the most I quickly thought consumption would play the largest role. Food production cannot keep up with the amount of food that humans are consuming. This could be from overpopulation. The relationship between food and race takes a look at the community's access to healthy, sustainable food. These communities may only have convenience stores and fast food supplying them with their weekly food intake. Not only would they have to travel farther for healthy food, but it also is much more expensive than a fast food dinner. Nurses can detect food insecurities in a multitude of ways. A basic assessment would tell a nurse a lot. Direct questioning can go a long way! This is why rapport with patients is important. 

 

Kanter, D. R., Redmond, L., & Wansink, B. (2013). Food scarcity and obesity: A view from behavioral economics. American Journal of Preventive Medicine, 45(5), 651-658.

Nord, M., Coleman-Jensen, A., Andrews, M., & Carlson, S. (2020). Household Food Security in the United States in 2019. U.S. Department of Agriculture, Economic Research Service. 

Instructions:

1.
Topic Selection: Select a topic that interests you and that is relevant to nursing Pediatric practice. Your topic should be broad enough to allow for an in-depth exploration but narrow enough to be manageable within the scope of a 
500-650 word research paper. You may select a topic related to patient care, nursing education, health promotion, or any other area of nursing practice that interests you. 

2.
Searching for Literature: After choosing a topic and 
obtaining my approval for the topic, use the Library page at the FNU.edu website to search for scholarly sources related to your topic. You must utilize 
at least 3 scholarly sources that have been published 
within the last 5 years. You may use databases such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Be sure to use appropriate keywords and to apply search filters to limit your search to 
scholarly, peer-reviewed articles.

3.
Evaluating Sources: Once you have identified potential sources, be sure to identify if they are relevant to your topic, written by credible authors, and based on rigorous research methods.

4.
Writing the Paper: Your research paper should follow 
APA 7 guidelines and include an 
introduction and 
conclusion. Be sure 
references are cited throughout the paper and included in a 
reference list at the end of your paper.

5. Please keep in mind that the paper will be checked for plagiarism, and 
similarity above 25% that is not cited will not be accepted for submission. 

6. Please refer to the evaluation rubric for evaluation criteria 

Topic: breastfeeding vs formula feeding.

 

1. When taking care of patients, why do you think it is important to utilize the appropriate resources?
2. How do you think evidence from nursing journals affects patient care?
3. What role does using the right evidence play in being a professional nursing student?
4. What role does understanding plagiarism and academic integrity play in being a professional nursing student?