Monthly Archives: May 2023

• Within your community, there has been a large increase in teenage smoking, and community leaders are developing a plan to decrease the incidence of smoking. To help them, you will:

A) Develop a research question to address the problem.
B) Determine what kind of study should be undertaken.
C) Design a study to decrease the incidence of smoking in teenagers.

How do best practices contribute to quality and safety?

 Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Case Study for Evaluation (This is all the in the SOAP note)

GENITALIA ASSESSMENT

Subjective:

• CC: “I have bumps on my bottom that I want to have checked      out.”
• HPI: AB, a 21-year-old WF college student reports to your      clinic with external bumps on her genital area. She states the bumps are      painless and feel rough. She states she is sexually active and has had      more than one partner during the past year. Her initial sexual contact      occurred at age 18. She reports no abnormal vaginal discharge. She is      unsure how long the bumps have been there but noticed them about a week      ago. Her last Pap smear exam was 3 years ago, and      no dysplasia was found; the exam results were normal. She      reports one sexually transmitted infection (chlamydia) about 2 years ago.      She completed the treatment for chlamydia as prescribed.
• PMH: Asthma
• Medications: Symbicort 160/4.5mcg
• Allergies: NKDA
• FH: No hx of breast or cervical cancer,      Father hx HTN, Mother hx HTN, GERD
• Social: Denies tobacco use; occasional etoh, married, 3      children (1 girl, 2 boys)

Objective:

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Genital: Normal female hair pattern distribution; no masses      or swelling. Urethral meatus intact      without erythema or discharge. Perineum intact. Vaginal mucosa      pink and moist with rugae present, pos for firm,      round, small, painless ulcer noted on external labia.
• Abd: soft, normoactive bowel sounds, neg rebound,      neg murphy’s, negMcBurney
• Diagnostics: HSV specimen obtained

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List      additional information that should be included in the documentation.
• Analyze the objective portion of the note. List      additional information that should be included in the documentation.
• Is the assessment supported by the subjective and      objective information? Why or why not?
• Would diagnostics be appropriate for this case, and how      would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or      why not? Identify three possible conditions that may be considered as a      differential diagnosis for this patient. Explain your reasoning using at      least three different references from current evidence-based literature.

The importance of understanding the advantages and limitations of  breast screening

Create a profile and track your fitness for a week to submit your report

Even if you do not exercise, track your walking, climbing stairs, cleaning, walking the dog etc

This will be for your assignment submission. You turn in what you tracked for the week.

Watch video and review links for assistance

Then write 1 page on how you are or are not meeting physical activity guidelines.

What barriers are you experiencing?

What tips would you give others?

Do you think your culture plays a role in your activity levels?

How is your activity influenced by the ecodevelopmental model (domains of active living)?

Please discuss all three of these questions regarding eating disorders. 

1.)  Compare and contrast the symptoms of anorexia nervosa and bulimia nervosa.  

2.)  What role does media/or society plays in the development of these disorders?  

3.)  What  are some important nursing considerations regarding the treatment of a  client with eating disorders during inpatient hospitalization? 

Choose  between week 6: class discussion one and two to discuss.  Please note,  you will not be able to see other students’ posts until you post your  initial post.

For this assignment, you will present the topic to the rest of the class in the form of a PowerPoint Poster. This is ONE slide, in the format of a poster. A second slide will be used for references only. Get creative! 

Individual Poster Presentation Topic Choice: FAMILY THERAPY 

The presentation must include brief background/overview of the topic, reference a minimum of 3 evidence-based articles they used to provide treatment guidelines/recommendations. 

Please utilize the poster presentation template (PPT) to get started. (SEE ATTACHED TEMPLATE FORM) 

Title sections should be: Abstract, Overview (definition of the therapy modality, main points or guides), Background (background of therapy modality, theories, developers), Evidence (EBP for use), Populations, Current Trends, and Tx Guidelines/Recommendations. 

Background: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse, and I work in a Psychiatric Hospital

Discussion – Week 6-THIS IS REPLY TO AN STUDENT TO THE INFORMATION BELLOW

COLLAPSE

Top of Form

          Walden University’s web-based learning has information that is fairly easy to locate by searching their website for assistance. Searching for scholarly, peer review articles on the main Internet can be tedious and tasking and sometimes pertain to inadequate information. In order to successfully find these particular articles, I went to the Academic Skills Center (ASC) on Walden University’s website and searched how to obtain said articles (Walden University Academic Answers). The ASC recommended using the Walden Library and researching by the subject. Once you decide on your subject in which you are searching, you then check the box that says Peer-Reviewed Scholarly Journals Only on the page.

           Since I work in a critical care setting, I chose Nursing as my subject then searched for ICU nursing and burnout. COVID-19 has been the main struggle for us, as nurses, and we are emotionally, physically, and mentally exhausted in the critical care setting. Intensive care employees are subject to many liabilities on a day to day basis, which in turn can have an effect on patient care. Fortunatti & Palmeiro-Silva define burnout as emotional fatigue that is job-related, detached relationships and defiance toward clients and colleagues, and a decrease in professional achievements and worth (2017). This study used nurses (RNs) and nurse assistants (NAs) to determine whether or not there was a relationship between unrewarded work, burnout, and patient care were correlated. The researchers found that positive work appreciation showed not only a decrease in burnout but also an increase in an exceptional level of patient care (Fortunatti & Palmeiro-Silva, 2017).

           Walden University’s online Library was very straightforward and timesaving, which seems to be the most effective way for me to find scholarly, peer-reviewed articles when searching for them.  Walden University’s Library Database (Academic Guides) was another simple way to research certain articles in alphabetical order in which you can distinguish peer review articles versus articles that are not peer-based. In my opinion, I would highly recommend both of these resources to all of my classmates due to the user-friendliness and ease in order to find their  

PLEASE ANSWER THE QUESTIONS ABOUT THE DISCUSSION BELLOW

QUESTIONS

 What is the differential diagnosis?

 What would be any further screening  or treatment options? 

What is her risk of developing breast cancer?  

A 37-year-old woman G2P2 presents with a lump in her left breast. Her  husband noticed it recently and she is concerned, especially as she had  an aunt that had breast cancer and thinks that a great-grandmother or  some other ancestor may have died of breast cancer as well. Both of her  children (9 and 7) were delivered without complication and she breastfed  “for well over a year” with each. She has no other significant PMH or  allergies. She is 5’ 6” tall, weighs 144 pounds and has a BMI of 22 and  works as an office manager. She is a non-smoker, considers herself to be  an “almost” vegetarian and has a glass of wine many evenings with  dinner. She has regular physicals and is up to date on pap smears which  have always been normal. Meds include a daily multi-vitamin and  occasional acetaminophen for tension headache or ibuprofen during her  period. Upon examination, the lump is discovered. It is firm and near  the surface and no other masses are discovered. The lump is aspirated,  and an opaque liquid is removed. Following this procedure, the lump has  vanished.  

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