Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references.

Week 6 Main post

RP is a 30 y/o female baker-acted to the hospital after an attempt to overdose on Tylenol. She was medically cleared from the ER and sent to the psychiatric hospital for an inpatient evaluation. She reported that she has been depressed and hopeless about a relationship she had just gotten broken up. She felt there was no reason to live. As an adult, they will see the psychiatrist and be evaluated for competency. Once deemed competent they will have the ability to sign a voluntary form. Being competent allows them to make their own decisions about treatment options. Patient was started on Lexapro 10 mg daily and Vistaril 50 mg at bedtime to help her sleep. Group therapy and therapeutic milieu ordered. Upon discharge she was set up with out- patient services such as therapy and follow-up with a psychiatrist to monitor her medication. She gave consent for her treatment and medications.

Child/Adolescent

A child would have been treated the same way, but the parent or guardian would be more involved in the decisions for the child. The medication choice would be started at a lower dose or a different antidepressant. The child would be medically cleared before sending to psych. Because this is a minor, parents need to be involved in every aspect of the transaction. A child is considered vulnerable as opposed to a competent adult. Another difference is the separation of adults and children in a psychiatric facility. There is no blending of the two. Chapter 36 of the Code of Practice to the Mental Health Act specifies that children and adolescents receiving in-patient care for mental illness should have: appropriate physical facilities; staff with the right training, skills and knowledge to understand and address their needs as children and young people; a hospital routine that will allow their personal, social and educational development to continue as normally as possible; and equal access to educational opportunities as their peers, in so far as that is consistent with their ability to make use of them, considering their mental state (Hazel, Sprague, & Sharpe, 2016) .

Ethical/Legal

Decision-making in child and adolescent psychiatry brings with it a variety of challenges for children, parents/guardians, and child and adolescent psychiatrists. It relies on the concepts of assent and consent by proxy, which is the focus of Principle IV of the AACAP Code of Ethics (2014). Assent recognizes that minors might not, due to their developmental level, be capable of giving completely reasoned consent; however, minors might be capable of having preferences and communicating their preference. Assent recognizes the importance of the involvement of minors in the decision-making process, while also recognizing that a minor’s level of participation is less than completely competent. Parents/guardians and child and adolescent psychiatrists should not exclude minors from decision-making without clear and convincing reasons (“American Academy of Child and Adolescent Psychiatry,” 2020). Some feel that the baker-act is being abused when it comes to children and adolescents. “They want to use (the) Baker Act for any behavioral problem — anything that they don’t like,” Hilary Caskey said. “If you have any kind of outburst, if you have any kind of emotion whatsoever and you are not just an order-following automaton, they will Baker Act you.” Law enforcement officers, who have limited training in mental health issues, are usually the ones deciding whether a child should be sent to a psychiatric facility for an evaluation. This is especially true in the schools, which may or may not have an on-site psychologist (Gluck, 2019). So, for an adult to be baker-acted, it is straight forward. For a child to be baker-acted is a bit more complicated as they typically get baker-acted from school and the parents may not get notified which they are the guardians of the child. Some schools averaged multiple Baker Acts a month per school year. Many happen even at the elementary school level. The rule for the schools needs to be followed. A parent or guardian must be contacted before the baker act process.

References

Ethical Issues in Clinical Practice. (2020). Retrieved from https://www.aacap.org/AACAP/Member_Resources/Ethics/Ethics_Committee/Ethical_Issues_in_Clinical_Practice.aspx

Gluck, F. (2019). Florida kids are getting sent to psychiatric units under the Baker Act in record numbers. Retrieved from https://www.news-press.com/in-depth/news/2019/08/21/florida-children-baker-act-record-numbers-mental-health/3247904002/

Hazel, P., Sprague, T., & Sharpe, J. (2016, January 8, 2016). Psychiatric hospital treatment of children and adolescents in New South Wales, Australia: 12-year trends. US National Library of Medicine, 1-5. https://doi.org/ doi: 10.1192/bjpo.bp.115.000

John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF):

Choose 3 out of the 5 prompts and answer:

1.  What could be the possible reason for John’s chest pain? Explain your answer based on the clinical information.

2.  How do you know John’s chest pain is heart related? How do you rule out other etiologies of chest pain such as musculoskeletal, pneumonia, and gastric sources?

3.  What actions should John’s teammates have taken at the scene to help him?

4.  How do you differentiate between heart attack and myocardial infarction?

5.  What is TPA? Explain how it relieves the chest pain and how it improves the survival rate in a patient with acute myocardial infarction.

Instructions in Week 6 doc.  

Articles from Week 1, 2, and 3 attached with each weeks summary tool in order to write the paper.  

Must be in APA format and no plagarism. 

Community Health Promotion Project

In a Microsoft Word document of 5-6 pages formatted in APA style, you will focus on health promotion for a population of your choosing. Please note that the title and reference pages should not be included in the total page count of your paper.

Include the following in your paper:

• Identify the population you chose and analyze relevant information pertaining to the chosen population.
  • demographics
  • socioeconomics
  • environmental hazards
  • access to healthcare
• Analyze and discuss four mortality and morbidity risk factors for your selected population.
• Suggest a health promotion activity for each health issue identified from your analysis.
• Utilize the textbook and library resources to support your findings and recommendations in relation to your chosen population.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Submission Details:

• Name your document SU_NSG4074_W4_Project_LastName_FirstInitial.doc.
• Submit it to the Submissions Area by the due date assigned.

Topic: Cultural Assessment

1. Assess and include transcultural beliefs including language, religious practices, socioeconomic status, end-of-life practices, dietary preferences, risky behaviors

2. Identify healthcare behaviors (i.e. nontraditional therapies)

3. Identify challenges and barriers to healthcare and outcomes related to these challenges

4. Develop an evidence-based plan that can be used to improve healthcare outcomes and access to healthcare (including use of IT systems, interdisciplinary members, etc.) for your selected culture. Provide supporting data from peer-reviewed articles.

APA 7th edition formatted, 4-page paper (excluding title and reference pages)

Minimum of 3 references within 5 years

Post  an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature. Some of the resources this week are applicable to William as a veteran.

Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case study [Multimedia file]. Baltimore, MD: Author. 

Ochberg, F. (2012). Psychotherapy for chronic PTSD [Video file]. Mill Valley, CA: Psychotherapy.net.

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

see attachment

Incorporate topic discussion into clinical judgment and decision making within the setting

Scenario: Abuse
• Mr. CO is a 75, year old male. He was admitted to your unit with Pulmonary Fibrosis. As you are walking towards his room to administer medications you hear his son say to him in a nasty tone of voice: “Stop being so stubborn. I need you to give me access to your bank accounts. You’re going to die alone unless you start cooperating”. As you enter he room, the son leaves quickly and you notice the patient has tears in his eyes. You ask “Is everything okay?” Mr. CO shakes his head yes, but remains nonverbal and does not make eye contact. You administer his medications and leave the room.

Directions:

•What types of elder abuse did you notice in the scenario? (give examples and explain)
•What signs, (in the scenario) if any suggest that the nurse should ask some follow up questions?
•As a nurse in this scenario what is your next action?
•How can older adults protect themselves from ever becoming victims of abuse or mistreatment?

1) Minimum 13 full pages (Follow the 3 x 3 rule)

             Part 1: minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 3 pages

              Part 4: minimum 4 pages

             Part 5 : minimum 2 pages  (48 hours)

             Part 6 : minimum 2 pages  (48 hours)

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:  Blood pressure 

1. Choose one of the following conditions ( Blood pressure) and explain it in elderly people

2. Discuss the implications and potential solutions nurses can offer to the older adult.

Part 2:  

Change proposal Issue:  Infection control and prevention in University Plaza Nursing and Rehabilitation center

Topics: cleaning and desinfection; standard precaution and cross contamination

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

1. Write a word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

Part 3:  

Research the health-illness continuum and its relevance to patient care. Discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.

3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.

4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Part 4:  

Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.

History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).

Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS – Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.

Directions:

1. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.

2. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.

3. Describe community resources (using your own community) currently available in your state/city  (Florida)  to support this patient.

4. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.

3. Describe community resources (using your own community) currently available in your state/city (florida)  to support this patient. use patient-facing sources or general nursing texts. 

Part 5:  (48 hours)

L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication.

1. Would you recommend a herbal supplement in L.L’s case?

2. If so, what herbal supplement would he take?

3. What is the recommended dosage?

4. What are possible side effects of the herbal supplement?

5. What warnings should you give L.L. before he starts the herbal supplement.

Part 6:  (48 hours)

Virginia Henderson: Definition of Nursing

Dorothy Johnson: Behavioral Systems Model

Imogene King: Interacting Systems

Madeleine Leininger: Culture Care Diversity and Universality

 After watching one of the theorist videos, reflect about what you have learned.

Compose a paper that addresses the following:

1.Explain why you chose to watch this particular theorist’s video.

2.Describe the parts of your personal philosophy where you agree or disagree with this theorist.

3.Is there anything that surprised you in the video? If so, what surprised you?

4. Would you recommend this video to another student? If so, why would you recommend it?

1. What value did you receive from watching it?