STATE: IOWA

 In 2–3 pages, address the following:

• Explain Iowa’s state laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
• Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state.
• Explain the difference between capacity and competency in mental health contexts.
• Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
• Identify one evidence-based suicide risk assessment that you could use to screen patients.
• Identify one evidence-based violence risk assessment that you could use to screen patients.

References:

 Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.

• Chapter 7, “Negligence and Malpractice”
• Chapter 8, “Risk Management”
• Chapter 16, “Resolving Ethical Dilemmas”
• National Institute for Health and Care Excellence (2019). Brøset violence checklistLinks to an external site.. http://riskassessment.no/
• Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 
  • Chapter 25, “Consultation to Other Disciplines”
  • Chapter 26, “Level Of Care”
  • Chapter 27, “Ethics and Professionalism”
• Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.  
  • Chapter 19, “Legal Issues in the Care and Treatment of Children With Mental Health Problems”
  • Chapter 64, “Suicidal Behavior and Self-Harm”

Signature Assignment: Literature Review

Conducted a literature review on the use of integrative theory in clinical practice or research studies.  Use a minimum of six articles.  See Moodle for additional information

Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg. He is now also having toe pain. Symptoms started after the weekend when he attended a BBQ where he had 4 beers with his meal. He denies fever, rash or injury. BMI is 32. History of HTN, takes Hydrochlorothiazide, and works as a floor installer.

Aspiration of synovial fluid:

Monosodium urate (MSU) crystals positive

Lab results

Lab Result Reference Range

Uric Acid 8 3.5 and 7.2 mg/dL

ESR 65 0-15 mm/hr

CRP 10.5 <0.3 mg/dL

Questions:

Identify key symptoms presented that will help to determine the diagnosis.

– Swollen, painful red knee joint

– No related injury

– Recent alcohol consumption

– Labs support acute gout flare

Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.

– Excess uric acid in the bloodstream from renal issues, purine-rich diet, alcohol, etc

– Urate crystals travel to and stay in the joint spaces

– The accumulation of crystals in the joints causes inflammation and severe pain

Explain how obesity plays a role in the progression of osteoarthritis/gout in the knee joints.

– Hx of installing flooring can lead to osteoarthritis

– Excess weight leads to more stress on the joints

– Excess weight shown to be directly related to higher serum urate levels

– Obesity can stress the kidneys, which makes it more difficult for the body to eliminate uric acid

Explain risk factors that may contribute to the development of the disease.

– Obesity

– Diet high in purines

– Male

• Medication

 Wk7 – COPD
• Dear Writer pls answer the following questions below in a discussion essay form and follow the RUBRIC thank you.
• Pls cite 2 resources no less than 5 years in APA format thankyou.
• Dear writer I chose COPD as the disease to be discussed.

•  *** Please avoid using websites written for the lay audience (ex. Mayo  Clinic, John Hopkins). These are considered patient-level resources and  should not be used for assignments.

• I will also attach the week 2 and week 5 assignments that has a case study, so that you the basis of my assignment.

**** NEEDS SPEAKER NOTES on each slides I need to have my presentation minimum 3 mins to discuss,

General Instructions
This  discussion represents the third and final step in a three-step  discussion series where you will choose your pathophysiology adventure  to analyze and present to the class. You will continue to explore the  disease process that you chose in Week 2. In this final step of the  discussion series, you will present the case study that you created in  Week 5 on your chosen disease process from Week 2 to the class using the  to the class using the required template. Your presentation should be  presented as if you are teaching the client who was just diagnosed with  your chosen condition from Week 2 and their family.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
a.  Prepare a presentation using the required template. The presentation  should incorporate the case study you created in Week 5 and the:
 Pathophysiology
 clinical manifestations
 diagnosis of your selected condition as if you are teaching it to the client in the case study.

For images of the client for the case study, free stock images are available from Adobe StockLinks to an external site..
b. After posting your presentation link, watch the presentation of one of your classmates with a different

Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation. 
5. Reference Citation: Use current APA format to format citations and references free of errors.