Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers. 

Marijuana or cannabis is the leaves of the plant called Cannabis Sativa. It is a form of drug due to its chemical composition. The legalization of the marihuana has been an intense debate over the years. Even though there are an enormous amount of people that consider marihuana to be a very dangerous type of drug, It has been proven that cannabis also has some benefits in some aspects of society. 

I can anticipate the legalization of marihuana in in come states of the USA will bring positive and also negatives effects within the youngest population. Some of these negative impacts will be social problems and criminal issues. School dropouts, family miscommunication are some of these common social problems. According to MacCoun (2010) it has been proven that marihuana reduces the ability to concentrate since it will produce distorted thoughts leading to alienation. Marihuana reduces stress, leading to a sense of relaxation and dissociation and there will be a considerable increase of school dropouts as has already happened in some states (2010)

Marijuana or cannabis has also been linked to an increase in crime. The reason is because marijuana will change the individual’s reality perception, right from wrong and alters the mental functions, specially within the young population that are still growing up. (Green et al., 2010). A study by Bennett et al. (2008), confirms the theoretical link between cannabis use and crimes. In addition, the addictive components of cannabis, could engage children and adolescents to perform crimes in order to obtain money to buy marijuana. 

References

Harley, M., Kelleher, I., Clarke, M., Lynch, F., Arseneault, L., Connor, D., … & Cannon, M. (2010). Cannabis use and childhood trauma interact additively to increase the risk of psychotic symptoms in adolescence. Psychological medicine, 40(10), 1627-1634. Retrieved from http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=7878597&fileId=S0033291709991966 

Green, K. M., Doherty, E. E., Stuart, E. A., & Ensminger, M. E. (2010). Does heavy adolescent marijuana use lead to criminal involvement in adulthood? Evidence from a multiwave longitudinal study of urban African Americans. Drug and alcohol dependence, 112(1), 117-125. Retrieved from http://www.sciencedirect.com/science/article/pii/S037687161000205X 

86 Years Old Asian Male Annual Physical Test and Results

Specific Socioeconomic, Spiritual, Lifestyle, and other Cultural Factors that are related to the Health of our Patient 

The patient comes from a low socio-economic background. This is proven by the fact that the patient depends on his daughter for his survival. This type of background negatively affects the patient type of medication and diets taken. On the spiritual background, the patient comes from an Asian country where most people are Muslims. The religion dictates some aspects of diets and health practices to be done on their people (Ball et al., 2015). The patient has a simple lifestyle on his lifestyle, considering he does not have the capital capability, and the culture dictates so. Many patients about his age are demanded by their religion to be role models and look after their own families. Lastly, the health of our patients may be dictated by the facts of his social organization. The patient seems to have no other people who can support him apart from his daughter, thus worrying more about his life. Patients about his age are supposed to have a family that is taking care of him. 

The Domain I would utilize on my Patient when Conducting a Comprehensive Nutritional Assessment.

When conducting a comprehensive nutritional assessment, the best domain to utilize to my patient is better communication and questionnaires. Other domains are health, behavior, and mental state (Ball et al., 2015). Many patients feel free to answer written questions rather than face to face questions. I would consider presenting my patient with a questionnaire and giving them quality time to answer. Also, when communicating, I would avoid maintaining a firm gaze since the patients may feel uncomfortable. 

More so, I would research my patient language preference and try to speak to them accordingly. Many people prefer to come open to nurses who understand them better. On other matters, as a nurse, I would consider knowing my patient’s environment as it impacts their health (Sullivan, 2012). As a nurse, I would consider knowing all the patients’ diets to create a comprehensive nutritional assessment table for my patient. Lastly, a good nurse researches the health history of the patient. This dearly helps the nurse to know the drugs to administer to the patient. For example, a patient history clearly outlines the effects of a certain medicine; thus, the nurse will avoid administering it. 

Discussion of the Functional Anatomy and Physiology of a Psychiatric Mental Health Patient Together with the Key Concepts, a Nurse must know to Assess Specific Functions.

The patient’s functional anatomy seems to be out of normal, with bruises on his upper arm and back. Also, there is chronic prostatitis, frequent falls, unexplainable weight loss, and elevated blood pressure (Ball et al., 2015). In my opinion, the patient may be undergoing physical abuse or an unpleasant environment. These symptoms may also point to malnutrition or much medication as the patient is enlisted to various medications types. 

His body seems to be normal on our patient’s physiology, with his various parts functioning normally. His pupils seem well-positioned and normal. Also, his extraocular movements are intact and well-positioned. More so, his arcus senilis seems high, with this disorder been common with older adults. Moreover, his conjunctiva and scleral have inflammation. Furthermore, his bowels sound normal, and his objective data are ranging correctly. His blood pressure, pulse, temperature, and his body mass index all ranging normally.

For a nurse to assess a patient well, they should familiarize themselves with the following key factors; firstly, the nurse should know the systems of administering medications. Secondly, the nurse should create a better relationship with the patient (Sullivan, 2012). The nurse should also learn the art of knowing all given symptoms and coming up with a precise treatment.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th edition.). St. Louis, MO: Elsevier Mosby.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd edition.). Philadelphia, PA: F. A.  Davis.

• Discuss at least two precautions and infection control methods for the protection of both the patient and the examiner. Why are the two precautions you selected important? Your initial response should be between 250 to 350 words.

ional Resources

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
 

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
 

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

Assignment: Practicum – Week 5 Journal Entry (Due Week 7)

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of therapeutic approaches for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

Module 2 – Case

HEALTHY PEOPLE 2020: UNDERSTANDING AND IMPROVING HEALTH

Case Assignment

Healthy People 2020: Understanding and Improving Health

For this assignment, I would like for you to expand your knowledge and understanding of the goals and mission of Healthy People 2020 and its predecessor Healthy People 2010.

Please answer the following questions:

1. Discuss whether or not you believe that the mission and goals for Healthy People 2020 are reasonable given the major health concerns facing our communities. Of the 2020 topics, choose one and discuss its impact on public health—support your discussion with at least 2 articles using ProQuest.
2. Please compare and contrast the focus areas for Healthy People 2010 with the topics for Healthy People 2020. What are their similarities? Are there any differences? In your opinion and given the current health trends, what might be a single most important health priority or topic for Healthy People 2020?
3. Briefly discuss how a commitment by a state and/or local health department to meet the objectives of Healthy People 2020 can affect public policy. Use one of the assigned readings as a reference.
4. What is the role of “Healthier US” and what are the policy and environmental changes that are directed toward achieving a healthier lifestyle? Identify a policy of environmental change that you believe will result in actually achieving a healthier lifestyle. Justify your position.
5. Do you consider it to be appropriate for a state or county health department to set objectives which are not compatible with CDC’s Healthy People 2020 topics and objectives? Please support your position. Use one of the assigned readings as a reference.

Please submit your Case Assignment by the end of Module 2. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: Your paper should be 4-6 double-spaced pages (800-1,300 words) in length, excluding title page and references.

Note: Wikipedia is not an acceptable source of information. 

Hello 

Your assessment presented a pertinent summary of the ethical issue related to the Smiths and their decision not to vaccinate. This document provided a sound explanation of how the three components of the ethical decision-making model were demonstrated in the case study. Likewise, you successfully discussed the effectiveness of the communication approach used by Dr. Kerr as well as the approach to resolve the ethical issue. However, you neglected to propose how this ethical dilemma could be resolved as well as how ethical principles support your suggested solutions. Please review the “Helpful Tips” posting on the announcement page and the sample paper under assessment one for additional support. Lastly, please ensure that you highlight all areas of revisions in yellow.

Elements of Medical Malpractice

Medical malpractice is the word which medical professions dread the most. The unfortunate thing is that medical malpractice happens frequently, and recovering from the condition is a costly and lengthy procedure for both the individuals and the facility involved. While the matter is mort often linked with physicians, it is also prevalent in nursing. Medical malpractice in nursing has increased in recent times and is likely because the issues are not discussed extensively in nursing. The standard care set by institutions is expected to be adhered to by all employers of the facility. That includes taking caution while handling patients to avoid the occurrence of medical malpractice. The four medical malpractice elements are duty, breach of duty, damages, and causation. Duty must be owed to the patient by a medical professional charged with the care of the patient. The doctor-patient connection is a typical instance where the obligation exists. The medical professional who had the duty of care for a patient must have failed in her/his duty by not exercising the medical skill or care level that another medical professional in a similar specialty would have exercised in the same situation. An example is when a fellow medical professional is called to attest as to the proper standard of care. Breach of Duty example, the patient is owed a safe environment, and a nurse has a duty to follow physicians’ orders for the patient. The specific duty owed to the patient has been breached, meaning that the duty has not been met. In terms of the safe environment, perhaps a nurse forgets to put the bed rail up and the patient falls. The nurse’s failure to maintain the patient’s safe environment would constitute a breach of duty.

Damages: The breach of duty must have caused injuries that result in damages. The injuries the patient suffered when falling out of bed are the damages that can be claimed. If the patient was not injured, there are no damages.

Causation: This is generally the most difficult element to prove in a medical malpractice lawsuit. There must be a direct cause-and-effect link between the breach of duty and the injury. The breach of duty must have caused the injury. In the example, if the nurse had not left the bed railing down, the patient would not have fallen. The nurse’s breach of duty caused the injury.

A patient needs to have suffered a physical or emotional injury while in the medical practitioner’s care. The injury might be a fresh one or a worsening of a present injury. Solid proof must exist that the breach of duty by the medical professional caused a patient’s injury. An effective medical malpractice suit must prove that all four elements are present. If the medical professional being sued or defendant demonstrate that one or more of the four elements is missing, the suit will not prevail. There are several ways in which medical malpractice might be avoided in the future. Medical professionals need to ensure that they make referrals with patients to prevent patients from following through on instructions. Doctors to sufficiently document patient visits and treatment schedules, which will help illustrate their competency should any issue arise. The medical professionals can strive for an open and trusting relationship with patients, encouraging patients to disclose all the information that might be necessary for effective treatment.

References

Aparna Srinivasa Babu,M.L ( 2015, March 12). The Malpractice Lability of Radioloy Reports: Minimizing the Rik. Practice Policy and Quality Initiatives, XXXV(2). doi:https:/doi.org/10.1148/rg.352140046

Collin J. Larkin, A.G.(2020). Overview of medical malpractice in neurosurgery.Journal of Neurosurgery.doi:https://doi.org/10.3171/2020.8 FOCUS20588

 Assignment:Write a 800-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be four sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

• There are various types of families discussed in Chapter 10. What type of family do you come from? Explain using all the factors in the chapter.
• Imagine you are the leader of a religious organization. Give nine examples – one for each characteristic ­– of what your organization’s beliefs are and what you believe each does for the religion.
• Attending primary and secondary school is not an option in the United States up to the age of 18. If you were a teacher, how would you use the Functionalist Perspective to make the most of your classroom educational experience?
• There are four models/explanations to Patterns of City Growth. What are the models? Give an example of each from the time period to which each model refers.

1) What is a keto diet really?

2)  How could it benefit or not benefit specific types of athletes?  (Get it?  BE SPECIFIC)

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

• At each decision point stop to complete the following: 
  • Decision #1 
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2 
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3 
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients.

BACKGROUND INFORMATION

The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse. 

SUBJECTIVE

During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work. 

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression).

RESOURCES

§ Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.

Decision Point One

Select what the PMHNP should do:

Begin zoloft 25 mg orally daily

Begin Effexor XR 37.5 mg orally daily

Begin Phenelzine 15 mg orally TID

Decision Point One

Begin zoloft 25 mg orally daily

RESULTS OF DECISION POINT ONE

• Client returns to clinic in four weeks
• Reports a 25% decrease in symptoms
• Client is concerned over the new onset of erectile dysfunction

Decision Point Two

Select what the PMHNP should do next:

Decrease dose to 12.5 mg orally daily 

Continue same dose and counsel client

Add augmenting agent such as Wellbutrin IR 150 mg in morning

Decision Point Two

Add augmenting agent such as Wellbutrin IR 150 mg in morning

RESULTS OF DECISION POINT TWO

• Client returns to clinic in four weeks
• Client stated that depressive symptoms have decreased even more and his erectile dysfunction has abated
• Client reports that he has been feeling “jittery” and sometimes “nervous” 

Decision Point Three

Select what the PMHNP should do next:

Discontinue Zoloft altogether and continue with Wellbutrin 

Change Wellbutrin to XL 150 mg orally daily in AM

Add Ativan 0.5 mg orally TID/PRN for anxiety

Decision Point Three

Change Wellbutrin to XL 150 mg orally daily in AM

Guidance to Student
The PMHNP should be aware that Zoloft or Wellbutrin could be responsible for the client complaints of Jitteriness. This feeling is usually temporary with SSRIs, however. The cause of the client’s complaint of “jitteriness” is most likely related to the Wellbutrin immediate release. As a result, the most appropriate answer would be to change the Wellbutrin to an extended release formulation. It would not be appropriate to add Ativan as the PMHNP should never add an additional medication to treat the side effect of another medication without first attempting to modify/change the medication causing the side effect.