Monthly Archives: May 2023

 I need the following for this article.

1. Appraise and debate the sampling methods. Consider the following questions:
   • Was the sampling method and inclusion/exclusion criteria adequate to reduce sampling bias?
   • Do the sample characteristics representative of the target population?
   • Was the sample size adequate?
   • Was there a decrease in sample size?  If so, did the researchers identify decreases early and attempt to reduce the impact?  Was a decrease, if any, adequately explained by the researchers?
   • How would you rate the quality of the sampling procedures and your confidence in drawing inferences to the target population?

WORK MUST BE ORIGINAL!   

Paper will be checked for plagiarism. 

WORK MUST MEET ALL OF ASSIGNMENT DESCRIPTION.

ALL ASPECTS OF THIS ASSIGNMENT MUST BE COVERED. 

MUST BE A CLEAR DISTINCTION OF EACH POINT MADE  

INSTRUCTIONS TO BE FOLLOWED IS ATTACHED.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.

Learning Objectives

Students will:

• Recommend psychopharmacologic treatments based on   therapeutic endpoints for clients with depression disorders
• Recommend psychotherapy based on therapeutic endpoints      for clients with depression disorders
• Identify medical management needs for clients with      depression disorders
• Identify community support resources for clients with      depression disorders
• Recommend follow-up plans for clients with depression      disorders

To prepare for this Assignment:

• Select an adult or older adult client with a depressive      disorder you have seen in your      practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

• Describe the HPI and clinical impression for the      client.
• Recommend psychopharmacologic treatments and describe      specific and therapeutic endpoints for your psychopharmacologic agent.      (This should relate to HPI and clinical impression.)
• Recommend psychotherapy choices (individual, family,      and group) and specific therapeutic endpoints for your choices.
• Identify medical management needs, including primary      care needs, specific to this client.
• Identify community support resources (housing,      socioeconomic needs, etc.) and community agencies that are available to      assist the client.
• Recommend a plan for follow-up intensity and frequency      and collaboration with other providers.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 8, “Mood Disorders” (pp. 347–386)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

· Chapter 12, “Psychotherapy of Mood Disorders”

· Chapter 14, “Pharmacological and Somatic Treatments for Major Depressive Disorder”

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Depressive Disorders”

· Major Depressive Disorder

· Persistent Depressive Disorder (dysthymia)

· Premenstrual Dysphoric Disorder

· Substance/Medication-Induced Depressive Disorder

· Depressive Disorder Due to Another Medical Condition

· Other Specified Depressive Disorder

· Unspecified Depressive Disorder

Stahl, S. M. (2017). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (6th ed.). New York, NY: Cambridge University Press.

 

Grieve, S. M., Korgaonkar, M. S., Koslow, S. H., Gordon, E., Williams, L. M. (2013). Widespread reductions in gray matter volume in depression. NeuroImage: Clinical, 3, 332-339. doi:10.1016/j.nicl.2013.08.016

Lach, H. W., Chang, Y-P., & Edwards, D. (2010). Can older adults with dementia accurately report depression using brief forms? Reliability and validity of the Geriatric Depression Scale. Journal of Gerontological Nursing, 36(5), 30–37. doi:10.3928/00989134-20100303-01

Steffens, D. C., McQuoid, D. R., & Potter, G. G. (2014). Amnestic mild cognitive impairment and incident dementia and Alzheimer’s disease in geriatric depression. International Psychogeriatrics, 26(12), 2029–2036. doi:10.1017/S1041610214001446

Drug Enforcement Administration. (n.d.). Drug schedules. Retrieved June 14, 2016, from https://www.dea.gov/druginfo/ds.shtml 

Required Media

Classroom Productions (Producer). (2015). Depressive Disorders [Video file]. San Luis Obispo, CA: Microtraining Associates.

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

• Reflect on the concepts of informatics and knowledge work as presented in the Resources.
• Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

QUESTION….

 Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience? 

Microbiology discussion two separate papers same topic. 

You will interview a non-family member, geriatric patient age 65 years or older. You can interview a patient at clinical, a neighbor, someone from church, the local nursing home or Assisted Living facility.

You will need to:

• Obtain verbal permission from your interviewee
• Complete the interview packet
• Write a reflective paper about your interview and experience less than 3 pages
• Perform a minimum of 2 geriatric assessment tools during your interview and include the results in your paper.

Patient Interview Project [Document]

Interview Worksheet [Document]

Please see attached document.   Please answer the discussion question thoughtfully and thoroughly.  Also, The discussion questions should be answered in APA format with citations.  Please do not hesitate to contact me with any clarifying questions about the assignment.   Thank you for your time.

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Identify two operating indicators and explain how they may supplement a ratio analysis using financial data.  How would you interpret the operating indicators? 

2 paragraphs

Female Genitourinary & Musculoskeletal

As a clinician in one of the hospitals, it is first important for me to evaluate the information given by a patient before coming up with a diagnosis. In the case study provided, the patient complains of a tumor on her left breast and denies any chills or fever. However, to confirm her fears, I need to obtain more subjective information to correct the diagnosis. Such personal data may include whether the patient has noticed any changes in the lump’s size. Moreover, I would also want to know if she has noticed any thickening of the skin around her left breast, and if there has been any discoloration (Andsoy & Gul, 2014). The reason for obtaining this information is to diagnose the patient correctly. 

In terms of objective findings, I would examine if there has been puckering or dimpling of the skin around her left breast. I will also check if the lump has a different texture or appearance than the rest of the breast and axillary masses on her left breast (Andsoy & Gul, 2014). On the other hand, I would also assess if the patient’s bones are affected. Here, I would ask the woman whether she is experiencing joint pain or decreased sensitivity in her hands or legs due to low calcium levels. Finally, I would observe if the patient is experiencing extreme fatigue, swelling of the feet, or extreme abdominal girth. 

Once I have conducted and obtained both objective and subjective findings, the next step is to order various diagnostic tests. I would first order a biopsy test since it helps make a definite diagnosis compared to others. The test involves taking a small sample of tissue from the left breast for testing in the laboratory. It will help me confirm if some sample of the tissue taken is abnormal. The next test is conducting diagnostic mammography, which involves taking pictures of the affected breast, especially if the nipple has some discharge (Andsoy & Gul, 2014). Ultrasound is another diagnostic exam that I might order since it involves soundwaves to create an image of the breast tissue. It is essential since it distinguishes between a solid mass, cancerous, and a fluid-filled cyst, which may not be cancerous. Lastly, I will order an MRI test to use magnetic fields to produce detailed images of the body.

After conducting the diagnostic tests, I will evaluate different diagnoses based on the patient’s present symptoms. The first differential disease will be circumscribed breast lesions. It is a cancerous lump illness that affects the breast. Masses are made up of connective and glandular tissues that appear like a small, round sandstone in the breast. Circumscribed breast lesions are similar in breast cancer characteristics since the lump is moveable under the skin (Chalasani, 2020). The next differential diagnosis is benign breast disease, which comprises a cyst that grows in the breast milk duct (Chalasani, 2020). The tumor causes the breast to produce a discharge, leading to breast swelling and a lump behind or close to the nipple. Lastly, metastasis is another differential diagnosis that involves cancer cells spreading to other areas of the body. Metastatic cancer comprises soft, movable lumps that do not cause any pain but can be confused with breast cancer since they have similar characteristics.

Once I have evaluated differential diagnoses, the next step is to educate the patient on preventing and managing breast cancer. I will recommend the woman maintain a proper diet and exercise in the context of teachings often (Farma et al., 2017). I will also advise her to attend breast cancer screening regularly and do yearly mammogram screening.

References 

Andsoy, I. I., & Gul, A. (2014). Breast, cervix and colorectal cancer knowledge among nurses in Turkey. Asian Pacific Journal of Cancer Prevention, 15(5), 2267-2272. https://doi.org/10.7314/apjcp.2014.15.5.2267 (Links to an external site.)

Chalasani, P. (2020). Breast cancer differential diagnoses. Medscape. https://emedicine.medscape.com/article/1947145-differential (Links to an external site.)

Farma, K. K. F., Jalili, Z., Zareban, I., & Pour, M. S. (2014). Effect of education on preventive behaviors of breast cancer in female teachers of guidance schools of Zahedan city based on health belief model. Journal of Education and Health Promotion, 3, 77. https://doi.org/10.4103/2277-9531.139240