Monthly Archives: May 2023

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

Write a 5 page research paper about the benefits of a healthy diet. Include:

– Introduction.

– Benefits.

– Recommendations.

– Conclusion.

– References (at least 5 within the last 5 years)

Week 5

This week discussion involves a 37-year-old European female seen in the clinic for frequent and watery bowel movements for three days.  The patient has no prior medical history besides an appendectomy at the age of 14. Blood pressure is elevated, and she denies taking any home medications.  There can be many causes that leads up to loose stools.  Your diet, medications, chronic conditions, etc. Loose stools often occur after eating but can also happen at other points in the day. When loose stools occur consecutively on multiple occasions throughout a day, this is described as diarrhea.

This female appears normal and overall healthy.  Sometimes, the body can have problems digesting certain types of sugars, such as  alcohol and lactose (Rhodes, 2021). The subjective data that I would obtain will be: Prior to the three days, how often do you have bowel movements? What form did the bowel movements appear, for example, hard, soft, formed or loose? What did you eat differently this week than normal? Did you take any over the counter medications? If so, what did you take?

            The objective findings that I would look for is already displayed in assessment such as good skin turgor, active bowel sounds, moist mucus membranes, no cyanosis, etc. The diagnosis test that I would order will be a KUB, A kidney, ureter, and bladder (KUB) X-ray may be performed to assess the abdominal area for causes of abdominal pain, or to assess the organs and structures of the urinary and/or gastrointestinal (GI) system.  A stool sample will be collected to test for bacterium or parasite.

Furthermore, the diagnosis that the patient can possibly have is irritable bowel syndrome (IBS), ulcerative colitis or food poisoning. IBS occurs when a properly functioning immune system attacks foreign organisms, such as viruses and bacteria, to protect the body. The cause is unknown. To rule out IBS, combination of endoscopy or colonoscopy, and imaging studies, such as contrast radiography, magnetic resonance imaging (MRI), or computed tomography (CT) will be used (CDC, 2014).

 Chronic causes of colitis include inflammatory bowel diseases like ulcerative colitis and Crohn’s disease.  Ulcerative colitis (UC) is a chronic condition causing inflammation in the colon and rectum. People with UC often experience loose stools and diarrhea. Other symptoms of UC include abdominal pain, frequent bowel movements, fatigue, appetite and weight loss. While ulcerative colitis is not caused by the foods you eat, you may find that once you have the disease, particular foods can aggravate the symptoms. It’s important to maintain a healthy and soothing diet that helps reduce your symptoms, replace lost nutrients, and promote healing (CDC, 2014). Loose stools can also be caused by diets high in alcohol rich and spicy foods, coffee and magnesium.

Food poisoning invades the body with Viruses, bacteria or parasites can cause inflammation in the stomach and intestines. This can cause loose stools and diarrhea, along with other symptoms including abdominal pain, vomiting, and nausea (Kornbluth, 2010). When someone is assessed with frequent diarrhea, we tend to draw labs and evaluate their electrolytes to ensure nothing is abnormal. If hospitalized, fluids will be administered. Broad spectrum antibiotics will be started, and blood cultures will be obtained.   

References:

   Kornbluth A, Sachar DB; Practice Parameters Committee of the American College of Gastroenterology. Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee. Am J Gastroenterol. 2010 Mar;105(3):501-23. http://gi.org/guideline/ulcerative-colitis-in-adults/external icon

            Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284105377

The Facts About Inflammatory Bowel Diseases. New York, NY: Crohn’s and Colitis Foundation of America; center for disease control ( CDC)  2014 .http://www.crohnscolitisfoundation.org/assets/pdfs/updatedibdfactbook.pdf pdf icon[PDF-2.32MB]external icon.

Upon reviewing the multiple facilities offering healthcare administration support and services, discuss the following:

· What are the healthcare administrative/management job opportunities in these organizations?

· How are these organizations interrelated?

· What type of support do these organizations offer direct care facilities?

at least 3 peer reviewed sources in APA format not more than 5 years ,400 words .

Q1-Information system is most important in disaster management, what do you think about performance of communication system in response for and management of covid-19 outbreak in KSA?) CLO2?.

Q2- If you were the head of health communication unit at Saudi MOH, how will you improve the health communication strategies used now during COVID-19

· Give suggestions and/or recommendations

· Briefly discuss the importance of citizen engagement in health communication 

Q3-Write short notes about : Risk factors for car crashes among teenagers in KSA?

 Submission Instructions

Submit your Word document according to the following guidelines for each Question :

· Use attached Word Document.

· Fill in student’s information on the first page of this attached document.

· Start your writing from page 2

· Word limit: 500 words (about 1.5 pages)

· Font should be 12 Times New Roman

· Headings should be Bold

· Color should be Black

· Line spacing should be 1.5

· Use reliable references (APA format)

· AVOID PLAGIARISM (you will get ZERO when there is plagiarism)

· You should use at least 2 references

answer the attached assignment 

Welcome to Maternal Nursing & Women Health Practice.

Please respond to these questions appropriately citing your references if necessary.

#1) Identify 2020 National Health Goals related to home care during pregnancy or childhood that nurses can help the nation achieve.

#2)  Describe what family centered care is.

#3) Identify common areas or concerns of cultural diversity and apply these to nursing practice.

#4)  Formulate 2 nursing diagnoses related to family health and what would be some interventions.  How would you evaluate your interventions?

Respond to your colleague by providing at least two ways that their strategies may be expanded or improved.  

NOTE: Positive comment

                                                         Main Post

Treating Childhood Abuse

Psychiatric  Nurse Practitioners who work with children are mandatory reporters  (Child Welfare Information Gateway, 2019). Each state enacts specific  statutes that will clarify the guidelines/requirements about reporting  suspected child abuse, and it is the obligation of the PMH-NP to know  the law in his/her praciting state (Child Welfare Information Gateway,  2019).

Assessing for Abuse

Sadock,  Sadock & Ruiz (2014) identify certain vulnerability factors for  PTSD, including the presence of childhood trauma, inadequate support,  genetic predisposition to psychiatric illnesses, and recent stressful  life changes, all of which the patient in the case study displays. I  would keep those facts in mind as I assess any patient for the  possibility of abuse/trauma.

First  and foremost, establishing a therapeutic alliance is paramount; there  can be no self-disclosure without trust (Wheeler, 2014). I’m not sure if  this is a “strategy,” per se, but it is the foundation of any  relationship between the PMH-NP and her clients. 

As  I researched this topic, and I researched for hours because of the  gravitas of this topic, I found little conclusive evidence for specific  strategies. What I did find was a study from the WHO’s Mental Health Gap  Action Programme (2015) that concluded with, 

“Evidence  supporting the efficacy of strategies for detecting maltreatment of  children and youth within the context of mental health and developmental  assessment is sparse and inconclusive. No studies have evaluated the  performance of measures in predicting referrals and health outcomes.  However, it is generally agreed that it is important for health care  providers to detect child maltreatment. It is recognised that assessment  of child maltreatment requires a clinician who is competent enough to  ask the right questions and to respond appropriately’ (p. 17). 

While  this is disheartening, it is also a call to action. Not only do we need  to be attentive and alert with our younger patients, it is also clear  that we can and should be doing more to establish evidence-based  protocols for these situations. 

With  this particular case, considering this is a nineteen year old adult  presenting with a history of abuse versus current abuse (at least that  has been disclosed thus far), establishing trust and normalizing the  feelings of the client will be my priority. Also, I think it’s  imperative that we know our limits as clinicians and, while I might feel  competent to prescribe medications for this client, I am well aware  that bad therapy can worsen trauma for those with PTSD. I used to work  closely with our Trauma Stress Center at work and they consistently  drove home the importance of shoring up coping skills for these patients  before ever delving into the trauma, itself. I think too often some  clinicians overestimate their ability to help without taking into  consideration the possibility of doing harm.

Exposure to Social Media

As  with most things in life, exposure to social media has both pros and  cons, particularly when it comes to mental health/awareness/illness. On  the one hand, good information and resources are readily available;  however, there is also a glut of bad information. While there does seem  to be some evidence that social media can increase depression and/or  loneliness (Healthline, 2018) due to the tendency to compare oneself to  others, there are other studies which have not reached that same  conclusion. Instead, a study by Berryman, Ferguson & Negy (2018)  seem to suggest that the way social media is utilized is more important  than the mere use of social media. Certainly, at times social media can  increase connection with others.

Mandatory Reporting

As  previously referenced, the mandatory reporting requirements vary from  state to state (Child Welfare Information Gateway, 2019); however, in  the particular case, the client is nineteen years old. In the case of  adults, unless this is a elderly adult or adult with disabilities  (National Adult Protective Services Association, 2020). If Morgan is not  being currently abused and does not have a disability, mandatory  reporting is not required.

As  a side note, per the ANCC IQ practice questions for certification  (American Nurses Association, 2020), even if you suspect that an elderly  patient is being abused, if that patient is competent, you must respect  his/her wishes if they explicitly forbid you from reporting the abuse  to anyone. That surprised me but the rationale states, “The patient is  an adult. He has the right to make decisions for himself. Not all states  have mandatory elder abuse statutes or mandatory domestic abuse  statutes” (https://learning.ana-nursingknowledge.org/

d2l/le/content/8482/viewContent/40740/View, 2020). I would obviously double-check with state statutes to clarify state law. 

                                                                   References

American Nurses Association. (2020). Psychiatric Mental Health Nurse Practitioner 

Certification Practice IQ. Retrieved from https://learning.ana-nursingknowledge.org/d2l

home/8482

Berryman, C., Ferguson, C.J. & Negy, C.  (2018). Social Media Use and Mental Health 

Among Young Adults. The Psychiatric Quarterly 89(2), 307–14. doi:10.1007/s11126-017-9535-6.

Child Welfare Information Gateway. (2019). Mandatory reporters of child abuse and 

neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.

Healthline. (2018). The FOMO is Real: How Social Media Increases Depression and Loneliness.

Retrieved from https://www.healthline.com/health-news/social-media-use-increases-

depression-and-loneliness

National Adult Protective Services Association. (2020). What is Adult Protective Services?

Retrieved from https://www.napsa-now.org/get-help/how-aps-

helps/#:~:text=In%20most%20states%20in%20the,professionals%20to%20report%20their%20concerns.

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.

Wheeler, M. (Ed.) (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to

guide for evidence-based practice. New York, NY: Springer.

World Health Organization (WHO). (2015). Effective strategies for detecting maltreatment of 

Children and youth within the context of mental health and developmental assessment.

Retrieved from https://www.who.int/mental_health/mhgap/evidence/resource/child_q15.pdf

Cultural competency and advocacy are listed as skills necessary for effective case management. Define cultural competence and advocacy, and then provide an example from your practice that demonstrates your skill level in that area.

your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook

no more than 21% plagiarims