Monthly Archives: May 2023

 Respond to your  colleagues .  Provide at least two additional treatment strategies that could be used  with this client and at least one additional cultural influence that you  think should be considered. Explain your responses. 

NOTE; (positive comment)

                                                     Main post

Gender Dysphoria

According  to the National Health Service, gender dysphoria describes anxiety,  unease, or dissatisfaction a person has between their assigned gender  and their gender identity. People who experience gender dysphoria may  suffer from low self-esteem, depression, anxiety, or feelings of  isolation. This can sometimes manifest in risk-taking behavior or  self-neglect. It is important to note that gender dysphoria in and of  itself is not a mental disorder, but may lead to more severe disorders  if left untreated. 

The  most effective means of treating gender dysphoria is seeing a clinician  who has specialized in gender studies and identity. These clinicians  can help a patient determine if they are experiencing gender dysphoria,  and what treatment options may be available to them. While some who  suffer from gender dysphoria may wish to change their appearance through  medical treatment, this is not universal, and speaking with a  specialized clinician may help a patient decide what course of action is  best for them. 

Treatment  options available for children and adolescents with gender dysphoria  may be more limited compared to adults. Many clinicians are hesitant to  prescribe medical treatment to younger patients with gender dysphoria  because the effects hormone therapy may have on a young person are still  not completely understood. Treatment for younger patients may include  talk therapy, or addressing the issues that may arise from gender  dysphoria, such as self-harm or depression. 

Diverse gender identities have been known in some cultures for some time, and some 

cultures  may be more accepting of those whose gender identity falls outside the  gender binary. Cultures who do not yet recognize other gender identities  may reject a person who has gender dysphoria, and this can have a  negative effect on the person.  

References

Overview -Gender dysphoria. (2020, May 28). Retrieved from 

https://www.nhs.uk/conditions/gender-dysphoria/

Parekh, R. (2016). What Is Gender Dysphoria? Retrieved from 

https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria

For  Hisfa

Prepare an outline for a persuasive speech on Has texting diminished communication skills? be sure to indicate which side you are taking

(e.g., Animal testing is moral or The U.S. should not legalize marijuana).  Otherwise, your speech will be informative and not persuasive

Template for outline is attached.

its 2 different assignments ill be paying for both , you can pick a topic common in the medical field.

I need a response to this assignment

1 page 

zero plagiarism

3 references

Cognitive-Behavioral Therapy (CBT) is one of the most studied psychotherapies. Its uniqueness stems from the use of cognitive and behavioral therapeutic approaches to fix a problem. It is a short-term, goal-oriented therapy, that focuses on fixing unwanted patterns of thinking or behavior and changes false, distressing beliefs, because it is often not only the things and situations themselves that cause problems, but the importance that we attach to them too (Institute for Quality and Efficiency in Health Care [IQWiG], 2016).

CBT use in group and family settings have some similarities. Both therapies utilize a therapist who is the main conductor towards pointing out issues that families have between each member and problems that individuals in groups may have in common with others (Landa et al., 2016). Both serve to help point out each other interpersonal problems, which has caused them to over-generalize triggers in their minds and behaviors. Also, in group and family therapies, the sessions focus on current problems, not problems from the past. There is a small insight into what could have led up to the current issue, but the main idea is to help each group or family member help themselves, in order to see positive change and combat negative stressors (Landa et al., 2016).

From my own personal experiences,  group and family CBT sessions do share these similarities. I have noticed that families are much easier at opening up about their dysfunction because everyone is familiar with each other, whereas, in group sessions, there is more hesitancy from fear of judgment. An example of this was with a group of patients who had Major Depressive Disorder (MDD), a few weeks ago that I helped lead, when asked an open question like “ What causes you all to think so negatively about your life,” most of the clients in the group session did not want to answer, or said they do not want to hear what others think. Compared to the families, I have interviewed who lay everything on the table, because they do not know what else to do. One family when asked “What do you think is causing your son, to be so distant from you.” Both the mother and father felt comfortable talking about their family because there was a set foundation already in place.

A challenge when using CBT in group therapy is the differences in personalities. Since the group’s members may not know each other personally, one may take something that is said out of context. Studies show that clashes in personalities occur often in group settings when there is a difference in viewpoints or opinions based on what an individual said, this results in disputes between group members who have different ethical morals or beliefs (Biggs et al., 2020). Another challenge is being comfortable. It can be very hard for someone to have to speak their personal business with a group of people they do not know. It leads to anxiety and a lack of return to therapy sessions. Research shows that dropout rates for group therapy are between 30-60 percent with 42 percent of dropout happening after the second session (Simon et al., 2012).

References

Biggs, K., Hind, D., Gossage-Worrall, R., Sprange, K., White, D., Wright, J., Chatters, R., Berry, K., Papaioannou, D., Bradburn, M., Walters, S., & Cooper, C. (2020). Challenges in the design, planning and implementation of trials evaluating group interventions. Springer Link, 21(116). https://doi.org/10.1186/s13063-019-3807-4

Institute for Quality and Efficiency in Health Care. (2016). Cognitive behavioral therapy. Informed Health. https://www.ncbi.nlm.nih.gov/books/NBK279297/

Landa, Y., Mueser, K., & Walkup, J. (2016). Development of a group and family-based cognitive behavioral therapy program for youth at risk for psychosis. Early Interventions in Psychiatry, 10(6). https://doi.org/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685498/

Simon, G., Ding, V., & Savarino, J. (2012). Early Dropout from Psychotherapy for Depression with Group- and Network-model Therapists. Administration and policy in mental health, 39(6), 7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708590/

See attached instruction

please original work only. and don’t forget to make the reflection letter.

one page for letter and one page for reflection. 

Must be at least 500 words with at least 2 scholarly articles within the past 5 years.  APA format, no Plagiarism. 

Identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. INCLUDE SPEAKER NOTES FOR EACH SLIDE and additional slides for the title page and references.

Include the following:

1. Describe the intervention or treatment tool and the specific patient population used in the study.

2. Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.

3. Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.

4. Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

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. 

For this assignment, answer the following questions:

• What are the Pros and Cons to telehealth?
• How will you approach and perform a telehealth assessment?
• What are the limits to telehealth?
• What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?

instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
• The paper should be formatted per current APA and 2-5 pages in length, excluding the title, abstract, and references page.
• Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

*this will be summited by turnit in.

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1. Describe the contemporary issue and explain what external stressors are associated with this issue.
2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

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. 

1- What is Policy?

2- Explain each of them:  Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was Florence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is  (ICN), and what they do?

7- What is s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this scenario represent?

Please use citations, and at least 2 credible references no older than 7 years.