Write a 500-750-word essay on the Stages-of-Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested questions:

1. Do you feel that your stage-of-life had any effect on your interaction with health care professionals?
2. Which areas of the hospital or clinic were most concerned with your well-being and feelings?
3. Was your family with you during this hospital stay or outpatient visit?
4. Was your family included in your treatment, such as post-procedure instructions?

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

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

 The work is about  disorders of hormonal regulation.  The following questions need to be discussed with your classmates. APA stile 4 pages minimum 10 references  2 for each question. due next Tuesday October 6. please follow the instruction carefully.

1. A patient having renal surgery suddenly develops massive hypertension and dies during surgery. An autopsy shows the presence of a pheochromocytoma. In your own words, explain how this incident might have happened, provide ten (10) bulleted points.
2. Your favorite cousin, who is 20 years old, has just been diagnosed with type 2 diabetes. He is overweight and spends most of his time playing computer games or watching television. He asks you what he should do to take care of his diabetes. As a health professional, provide ten (10) bulleted points on the advice will you give him?
3.  Your patient has just been diagnosed with SIADH. His mother is asking you what this condition is and what she should expect next. Kindly provide ten (10) bulleted points regarding what you will tell her?
4. Your patient has been admitted to the hospital in preparation for a subtotal removal of her thyroid gland to reverse her hyperthyroidism. She suddenly develops thyroid storm. What manifestations will you find? Please list at least five (5) and what is the pathophysiologic basis of thyroid storm?

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Please see required reading in the attachment

Also the MAP-IT Framework is in the 5th required reading content in the attachment.

MAP-IT FRAMEWORK AS APPLIED TO PUBLIC HEALTH PROGRAMMING

1. Using all of the information you have gathered so far in regard to your community and public health issue, develop a logic model for your proposed program. Make sure to read the required readings on logic model development.
2. Describe where the development of logic model fits in the MAP-IT framework.
3. Discuss why it is important to have a logic model in program planning.

Length: 3 pages double-spaced, excluding the cover page and the reference list.

1. (300 words) Compare and contrast internal and external validity of research designs. 

2. (300 words) What is the pros and cons to internal and external validity of research designs. 

3. (300 words) How can internal and external validity of research designs benefit evidence base practice and the healthcare industry? 

4. (500 words)  Find a study evidence base practice study related to the PICOT question below, and examine it to see which of the threats to internal and external validity is present in that study and why?

Use APA 7th edition and at least four reference including the text book. 

For immobile post-surgical client who are at an increased risk for deep venous thrombosis (P) how effective is the application of sequential compression devices (SCDs) (I) in comparison to leg exercises (C) in reducing the prevalence of deep vein thrombosis (O) within one month time (T)?

The primary goal of this course was for you to create a personal definition of leadership and identify the strengths and skills necessary to develop as a leader. On the way to this goal you have had the opportunity to analyze leaders you have known or admired in the context of different leadership styles. As you developed your personal leadership philosophy, we discussed the models and philosophies of leadership so you could align your strengths and preferences with one model best that best supports your leadership skills. Through practical case studies, you demonstrated your understanding of the best use of effective leadership in different situations. I hope you feel accomplished, as you did all of this in five weeks!

One aspect of leadership that we have not delved into deeply is metacognition, which most simply put is thinking about your thinking. Metacognition also refers to the process of assessing your understanding and performance. In this instance, you will reflect on the objectives of the course, select one, and assess how well you understand that aspect of our course. 

 Please follow the instruction

Zero plagiarism

4 references

Although experiential therapy and narrative  therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.

Learning Objectives

Students will:

• Compare experiential family therapy to narrative family therapy
• Justify recommendations for family therapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on experiential and family therapies.

The Assignment

In a 2- to 3-page paper, address the following: 

• Summarize the key points of both experiential family therapy and narrative family therapy. 
• Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
• Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at  http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 5, 6, and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

               Part 5 : minimum 1 page 

              Part 6: minimum 1 page 

              Part 7: minimum 1 page 

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

1. Jeff is 11 years old and slightly overweight. His father is a truck driver who was recently diagnosed with type 2 diabetes. His mother is a licensed practical nurse at the local hospital. At a recent health science fair at his school, a student-led screening clinic documented Jeff’s blood pressure at 140/92 mm Hg.

a. Is Jeff at risk? If so, for what?

b. Utilizing the Guidelines for High Blood Pressure in Adults (American College of Cardiology, 2017), what is Jeff’s future risk from adolescence through adulthood?

c. How does epidemiologic data define hypertension in a child of Jeff’s age?

d. Are there health promotion activities that you would recommend?

Part 2:   Cognitive Behavioral Therapy (CBT)

There are different treatments used for the diagnosis of PTSD. 

Please, select one of them (Cognitive Behavioral Therapy (CBT) 

1. Discuss it. 

2. Explain why you selected that particular treatment.

Part 3:   

The gerontological nurse is responsible to conduct a complete “head-to-toe” physical assessment. There are several considerations of common changes in late life during physical assessment discussed in your textbook. 

1. Mention at least 3 common changes in late life that the gerontological nurse needs to have in consideration during a physical assessment.

2. Explain each one of them.

Part 4:   

Case Study, Chapter 8, Unlicensed Assistive Personnel and the Registered Nurse 

The increased use of unlicensed assistive personnel presents both opportunities and challenges for the American health care system. The nurse manager has to deal with the challenge that unlicensed assistive personnel only be used to provide personal care needs or nursing tasks that do not require the skill and judgment of the RN.

1. The nurse manager reviews the national effort to define the scope of practice for unlicensed assistive personnel. In 2007, the American Nurses Association made recommendations for a national and/or state policy for nursing assistive personnel. What are the six actions that should be taken to create a national and/or state policy agenda about the educational preparation of unlicensed assistive personnel and the competencies they should have for safe practice?

2. The need in health care today is for today’s nurses to have highly developed delegation skills in working effectively and efficiently with unlicensed assistive personnel. This is critical to ensure the clients’ needs are met and their safety is not jeopardized. What are the key general principles that the nurse manager needs to review with professional registered nurses in delegating to unlicensed assistive personnel?

Part 5:   

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Part 6:   

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Part 7:   

Select the state (Florida) where you plan to practice as a nurse practitioner and/or nurse leader and

1. Investigate the state’s policies on access to maternal health resources such as contraceptive care including abortion for women with and without health insurance coverage. 

2. Identify what are the state’s infant and maternal mortality rates and discuss the possible relationship between these factors. 

Case Study #1

Gastrointestinal Disorders. 

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a “sedentary job with lots of emotional moments,” he has smoked a pack of cigarettes a day for 30 years, and he had “two or three mixed drinks in the evening” until 2 months ago. He states, “I haven’t had anything to drink in 2 months.” He denies having regular exercise: “just no time.” His diet consists mostly of “white bread, meat, potatoes, and ice cream with fruit and nuts over it.” He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products.

. 1. Identify four general health risk problems that T.H. exhibits.

 2. Identify a key factor in his family history that might have profound implications for his health and present state of mind.

3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him.What is diverticulitis? What are the consequences of untreated diverticulitis?

4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?

5. What is the rationale for ordering bed rest?

T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg  4 tomes per day for 5 days.

6.For each medication, state the drug class and the purpose for T.H.

 7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale

8.What is a disulfiram reaction?

9. What are the signs and symptoms of an allergic reaction

Answer All questions in APA format with a separate reference page.

The following exercise will give you the opportunity to experience phenomenology from the perspective of a participant. Share your thoughts, feelings, and perceptions. Please indicate how much time this assignment took you.

Question.

Please describe your experience of caring for ONE SPECIFIC COVID positive patient during the height of the COVID pandemic. Share all your thoughts, feelings, and perceptions you can remember until you have no more to write.