Topic; Narcotics

Answer the following questions…providing documentation (reputable references )

1. Summarize the issue.  For instance, my topic is narcotics, what are they?  How widely are they used?  Is there a problem in the U.S.?  (Please be detailed and provide supporting documentation.)
2. What laws relate to this issue in the U.S.?  Are politics involved?  Provide a synopsis of the laws pertaining to this issue.  How is this regulated?
3. What organizations try to combat this problem in the U.S. and how?
4. How is this issue portrayed in the media (e.g. tv, online, news, print)?  Give at least two examples.
5. Choose 5 other countries and state political stances and laws pertaining to this issue (for each).  What organizations try to combat this problem in these 5 countries and how?
6. How do you think the official stances and laws of these other 5 countries affect the U.S. and vice versa?
7. Does the U.S. have an obligation to be a world leader in this area?  Why or why not?

APA Format. Proper works citation.

Each question should be answered more than half pages with reputable references.

In a 1- to 2-page paper, address the following:

· Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.

· Explain at least three differences between CBT and REBT. Include  how these differences might impact your practice as a mental health  counselor.

· Explain which version of cognitive behavioral therapy you might use  with clients and why. Support your approach with evidence-based  literature.

On my unit and in my organization, patient falls are a common and unfortunate nursing practice problem.  In the hospital setting, 9%-15% of falls result in injury and even death and are considered one the costliest preventable health conditions.  One fall with injury can total additional hospital costs of 17,500 dollars and an additional six day stay (Votruba et al., 2016).  The reality is however, that most falls are preventable.  As one of our nursing corporate objectives this year we have committed to reducing falls with injury.  For this week’s assignment, I have chosen fall intervention to improve patient outcomes. 

            First, I developed a PICO question.  In the adult inpatient unit what is the effectiveness of hourly rounding verses and individualized fall assessment to decrease falls with injury?

P – Adult inpatient unit

                        I – Purposeful hourly rounding

                        C – Individualized fall assessment

                        O – Decrease falls with injury

            Utilizing this search criteria in the CINAHL database, I found a peer reviewed article from 2019. Individualized Fall Prevention Program in an Acute Care Setting: An Evidence-Based Practice Improvement was authored by several advanced degree nurses from Northern Westchester Hospital, Mount Kisco, New York.  As per the title, you can see that the targeted audience was those practitioners who are experiencing falls in an acute care setting.  There are 12 references associated with this particular article and although some appear to be outside the 5-year window for relevant scholarly resources, fall interventions have remained fairly consistent over the years.  They appear reputable and when you review the link associated with each of the references, they are also noted to have been peer reviewed.

            This study showed a significant fall reduction impact by implementation of a multidisciplinary approach along with a video monitoring component.  As a member of the charter falls committee in my organization, I will definitely be presenting this to the group at our next meeting.

I need a comment for this post. Please use at least two sources no later than 5 years and 2 paragraphs. 

Assignment: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

• Evaluate clients for treatment of mental health disorders
• Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision #1: Differential Diagnosis

• 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: Treatment Plan for Psychotherapy

• 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: Treatment Plan for Psychopharmacology

• 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 and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Part 1: Baseline Demographic Table

– . Create a demographic table and populate the table with the results of descriptive analysis.

• Use the type of descriptive statistics most appropriate for the particular kind of data measurement level of each variable being reported.
• Include appropriate univariate statistics for the variables for each treatment group: Age, Gender, Ethnicity, Education, and current Military Status.
• Use appropriate statistics for a given data measurement level.

2.  Part 2: Interpretive Summary

1. Write a summary narrative about statistical results.
2. Prepare a properly formatted demographic table that includes appropriate univariate statistics for the variables for each treatment group.
   • Explain the practical significance of a demographic table.

Length: 2-3 typed, double-spaced pages of content plustitle and reference pages.

• Describe major changes that occurs on the neurological system associated to age. Include changes on central nervous system and peripheral nervous system.
• Define delirium and dementia, specified similarities and differences and describe causes for each one.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Supplemental Materials & Resources

• Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below:
  1. Wolf, L. A., Perhats, C., Delao, A. M., Altair, M., Moon, M. D., Clark, P. R. & Zavotsky, K. E. (2016). “It’s a burden to carry.” Describing moral distress in emergency nursing. Journal of Emergency Nursing, 41(1) 37-46.
  2. Johnstone, M. J. (2011). Nursing ethics and informed consent. Australian Nursing Journal, 19(5), 29-30.
• Moral Distress, Moral Courage (Links to an external site.)
  Savel, R. H. & Munro, C. L. (2015). Moral distress, moral courage. American Journal of Critical Care, 24(4), 276-278. doi: 10.4037/ajcc2015738 at http://ajcc.aacnjournals.org/content/24/4/276.full.pdf+html

Supplemental Materials & Resources

• Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below:
  1. Wolf, L. A., Perhats, C., Delao, A. M., Altair, M., Moon, M. D., Clark, P. R. & Zavotsky, K. E. (2016). “It’s a burden to carry.” Describing moral distress in emergency nursing. Journal of Emergency Nursing, 41(1) 37-46.
  2. Johnstone, M. J. (2011). Nursing ethics and informed consent. Australian Nursing Journal, 19(5), 29-30.
• Moral Distress, Moral Courage (Links to an external site.)
  Savel, R. H. & Munro, C. L. (2015). Moral distress, moral courage. American Journal of Critical Care, 24(4), 276-278. doi: 10.4037/ajcc2015738 at http://ajcc.aacnjournals.org/content/24/4/276.full.pdf+html

POWER POINT   I want talk about ( injury and violence prevention.)   no plagiarist 

component of the presentation   

1-introduction

 2- identification of the problem and the population

3-  project question,(IN PROJECT QUESTION WE CAN USE PICOT)

  P = patient population

I = intervention or question of interest

C = comparison of interest

O = result

T = time frame

4-description of the proposed solution,

5-literature that supports the project, in recommend:

 (https://www.healthypeople.gov/2020/topics-objectives/topic/injury-and-violence-prevention

6-implementation of the plan (step by step),

7-theory of change to use,

8-plan evaluation,

9-practical recommendations,

10-conclusions,

11-references.

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

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.

Part 11

Work with your preceptor to assess the organization for the required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

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, which can be found in the APA Style Guide, located in the Student Success Center.

1. Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.

Research shows that the U.S. spends the most money on health care compared to other high-income countries. Although the United States spends more money, United States citizens’ health quality is lower.

The United States is the lowest ranking for overall quality of health out of the eleven high income countries. Canada is ranked number 9 out of 11. The United States and Canada are similar when comparing aspects of their healthcare system. For example, both countries are ranked below average for access to health care, equity, and health care outcomes. Additionally, Canada and the United States are ranked above average for care processes related to prevention, safety, and engagement from patients and doctors. For administrative efficiency, Canada ranks above the average while the U.S. remains below average. (The Commonwealth Fund 2017)

One major difference between Canada and the United States is that Canada provides universal health care and the U.S. does not. Non-citizens living in the United States may not qualify to receive health care. As for Canada, temporary visitors and immigrants are eligible for limited health care benefits. (American Institute of Medical Sciences & Education 2018)

References

American Institute of Medical Sciences & Education. (2020, June 24). US vs Canadian Healthcare: What Are the Differences? Retrieved September 21, 2020, from https://aimseducation.edu/blog/us-vs-canadian-healthcare-differences

The Commonwealth Fund. (2017). Mirror, Mirror 2017: International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. Retrieved September 21, 2020, from https://interactives.commonwealthfund.org/2017/july/mirror-mirror/

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 3 & 4 S Inflammatory Bowel Disease and Urinary Obstruction 

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.  

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study