Posts in category: Uncategorized

Q1-Information system is most important in disaster management, what do you think about performance of communication system in response for and management of covid-19 outbreak in KSA?) CLO2?.

Q2- If you were the head of health communication unit at Saudi MOH, how will you improve the health communication strategies used now during COVID-19

· Give suggestions and/or recommendations

· Briefly discuss the importance of citizen engagement in health communication 

Q3-Write short notes about : Risk factors for car crashes among teenagers in KSA?

 Submission Instructions

Submit your Word document according to the following guidelines for each Question :

· Use attached Word Document.

· Fill in student’s information on the first page of this attached document.

· Start your writing from page 2

· Word limit: 500 words (about 1.5 pages)

· Font should be 12 Times New Roman

· Headings should be Bold

· Color should be Black

· Line spacing should be 1.5

· Use reliable references (APA format)

· AVOID PLAGIARISM (you will get ZERO when there is plagiarism)

· You should use at least 2 references

answer the attached assignment 

Welcome to Maternal Nursing & Women Health Practice.

Please respond to these questions appropriately citing your references if necessary.

#1) Identify 2020 National Health Goals related to home care during pregnancy or childhood that nurses can help the nation achieve.

#2)  Describe what family centered care is.

#3) Identify common areas or concerns of cultural diversity and apply these to nursing practice.

#4)  Formulate 2 nursing diagnoses related to family health and what would be some interventions.  How would you evaluate your interventions?

Respond to your colleague by providing at least two ways that their strategies may be expanded or improved.  

NOTE: Positive comment

                                                         Main Post

Treating Childhood Abuse

Psychiatric  Nurse Practitioners who work with children are mandatory reporters  (Child Welfare Information Gateway, 2019). Each state enacts specific  statutes that will clarify the guidelines/requirements about reporting  suspected child abuse, and it is the obligation of the PMH-NP to know  the law in his/her praciting state (Child Welfare Information Gateway,  2019).

Assessing for Abuse

Sadock,  Sadock & Ruiz (2014) identify certain vulnerability factors for  PTSD, including the presence of childhood trauma, inadequate support,  genetic predisposition to psychiatric illnesses, and recent stressful  life changes, all of which the patient in the case study displays. I  would keep those facts in mind as I assess any patient for the  possibility of abuse/trauma.

First  and foremost, establishing a therapeutic alliance is paramount; there  can be no self-disclosure without trust (Wheeler, 2014). I’m not sure if  this is a “strategy,” per se, but it is the foundation of any  relationship between the PMH-NP and her clients. 

As  I researched this topic, and I researched for hours because of the  gravitas of this topic, I found little conclusive evidence for specific  strategies. What I did find was a study from the WHO’s Mental Health Gap  Action Programme (2015) that concluded with, 

“Evidence  supporting the efficacy of strategies for detecting maltreatment of  children and youth within the context of mental health and developmental  assessment is sparse and inconclusive. No studies have evaluated the  performance of measures in predicting referrals and health outcomes.  However, it is generally agreed that it is important for health care  providers to detect child maltreatment. It is recognised that assessment  of child maltreatment requires a clinician who is competent enough to  ask the right questions and to respond appropriately’ (p. 17). 

While  this is disheartening, it is also a call to action. Not only do we need  to be attentive and alert with our younger patients, it is also clear  that we can and should be doing more to establish evidence-based  protocols for these situations. 

With  this particular case, considering this is a nineteen year old adult  presenting with a history of abuse versus current abuse (at least that  has been disclosed thus far), establishing trust and normalizing the  feelings of the client will be my priority. Also, I think it’s  imperative that we know our limits as clinicians and, while I might feel  competent to prescribe medications for this client, I am well aware  that bad therapy can worsen trauma for those with PTSD. I used to work  closely with our Trauma Stress Center at work and they consistently  drove home the importance of shoring up coping skills for these patients  before ever delving into the trauma, itself. I think too often some  clinicians overestimate their ability to help without taking into  consideration the possibility of doing harm.

Exposure to Social Media

As  with most things in life, exposure to social media has both pros and  cons, particularly when it comes to mental health/awareness/illness. On  the one hand, good information and resources are readily available;  however, there is also a glut of bad information. While there does seem  to be some evidence that social media can increase depression and/or  loneliness (Healthline, 2018) due to the tendency to compare oneself to  others, there are other studies which have not reached that same  conclusion. Instead, a study by Berryman, Ferguson & Negy (2018)  seem to suggest that the way social media is utilized is more important  than the mere use of social media. Certainly, at times social media can  increase connection with others.

Mandatory Reporting

As  previously referenced, the mandatory reporting requirements vary from  state to state (Child Welfare Information Gateway, 2019); however, in  the particular case, the client is nineteen years old. In the case of  adults, unless this is a elderly adult or adult with disabilities  (National Adult Protective Services Association, 2020). If Morgan is not  being currently abused and does not have a disability, mandatory  reporting is not required.

As  a side note, per the ANCC IQ practice questions for certification  (American Nurses Association, 2020), even if you suspect that an elderly  patient is being abused, if that patient is competent, you must respect  his/her wishes if they explicitly forbid you from reporting the abuse  to anyone. That surprised me but the rationale states, “The patient is  an adult. He has the right to make decisions for himself. Not all states  have mandatory elder abuse statutes or mandatory domestic abuse  statutes” (https://learning.ana-nursingknowledge.org/

d2l/le/content/8482/viewContent/40740/View, 2020). I would obviously double-check with state statutes to clarify state law. 

                                                                   References

American Nurses Association. (2020). Psychiatric Mental Health Nurse Practitioner 

Certification Practice IQ. Retrieved from https://learning.ana-nursingknowledge.org/d2l

home/8482

Berryman, C., Ferguson, C.J. & Negy, C.  (2018). Social Media Use and Mental Health 

Among Young Adults. The Psychiatric Quarterly 89(2), 307–14. doi:10.1007/s11126-017-9535-6.

Child Welfare Information Gateway. (2019). Mandatory reporters of child abuse and 

neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.

Healthline. (2018). The FOMO is Real: How Social Media Increases Depression and Loneliness.

Retrieved from https://www.healthline.com/health-news/social-media-use-increases-

depression-and-loneliness

National Adult Protective Services Association. (2020). What is Adult Protective Services?

Retrieved from https://www.napsa-now.org/get-help/how-aps-

helps/#:~:text=In%20most%20states%20in%20the,professionals%20to%20report%20their%20concerns.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of 

psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Wheeler, M. (Ed.) (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to

guide for evidence-based practice. New York, NY: Springer.

World Health Organization (WHO). (2015). Effective strategies for detecting maltreatment of 

Children and youth within the context of mental health and developmental assessment.

Retrieved from https://www.who.int/mental_health/mhgap/evidence/resource/child_q15.pdf

Cultural competency and advocacy are listed as skills necessary for effective case management. Define cultural competence and advocacy, and then provide an example from your practice that demonstrates your skill level in that area.

your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook

no more than 21% plagiarims

i need an essay about obesity. Minimum 10 pages, APA stile plus ten reference

See attached instructions.  The instructions must be followed correctly. 

Please use the attached paper and revise based on instructions. 

I NEED a RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

The Importance of Developmental Assessments

            Developmental assessments are crucial when assessing children and adolescents. These assessments allow healthcare professionals to track and trend the mental and physical health of their clients. It is also used to help identify any delays in a client’s development and ensure developmental milestones are reached. Developmental assessments are also key components that assist in accurately diagnosing and treating clients with evidence-based procedures (CDC, 2020).  

Two Assessments

            Two assessments used in children and adolescents, but not adults, are the CRIES (Children’s Revised Impact of Event Scale) and PEDS (Pediatric Emotional Distress Scale) scale. The CRIES scale is given to children eight years old and older, and it can assist the provider in diagnosing and treating post-traumatic stress disorder (PTSD) depending on the client’s score (Verlinden et al., 2015).  There are two forms of this scale, which come in an eight or 13 item questionnaire. CRIES aims to provide a look into how a traumatic event has impacted a child (Verlinden et al.).  

PEDS is a parent-report scale that consists of 21 items and is used in the pediatric population (National Child Traumatic Stress Network, (n.d.). PEDS helps to identify specific symptoms and behaviors in children ages 2 to 10 following stressful or traumatic events (National Child Traumatic Stress Network). The scale encompasses 17 general behavior items, four items specific to trauma, and each item corresponds to being anxious or withdrawn, fearful, and acting out (National Child Traumatic Stress Network). 

Both scales are geared towards measuring the child’s emotional distress related to traumatic events. They are specific to children, and to use the CRIES scale, the child must read and comprehend well enough for the scale to yield accurate results. These scales are not intended for adults as the questions within them are more for assessing child-like behaviors, which are not typically seen in adults.

Two Treatment Options

Positive parenting program and play therapy are two forms of treatment options used for treating issues related to children and adolescents. Positive parenting program is a comprehensive, evidence-based program designed for family and parental support (Ashori et al., 2019). The positive parenting program assists the parents of children in managing behaviors in a safe and healthy manner while promoting positive relationships within a family (Ashori et al.). This program also destigmatizes children with behaviors and increased the parents’ confidence, helping with assertive discipline (Ashori et al.).

           Play therapy is an effective form of psychotherapy used to treat mental illness and behavioral problems in children and adolescents. During play therapy, the child leads the therapist through play (Senko and Bethany, 2019). This allows the therapists to create an environment where the client feels safe, promoting communication of difficult topics and allowing for a therapeutic alliance (Senko and Bethany). These two treatment options are not suitable for treating adults as positive parenting focuses on strengthening the parent’s ability to manage their children’s behavior, and play therapy uses recreational time as an outlet to encourage communication.

The Role of Parents

            Parents are essential to the interviewing, assessment, and treatment process of children and adolescents. They provide and validate information given by the client, ensure treatment outside of the facility, and assist the practitioner is decision making and monitoring. Parents provide an environment that is conducive to healthy progression and living. This helps with the implementation of treatment. Young clients whose parents are actively involved in their care are more likely to have positive health outcomes and be more compliant (Ashori et al.).  

References

Ashori, M., Norouzi, G., and Jalil-Abkenar, S. (2019). The effect of positive parenting program

on mental in mothers of children with intellectual disability. J Intellect Disabil. Vol

23(3): 385-396. doi: 10.1177/1744629518824899.

Centers for Disease Control and Prevention. (2020). Developmental Monitoring and Screening.

            Retrieved on December 6, 2020, from

https://www.cdc.gov/ncbddd/childdevelopment/screening.html

National Child Traumatic Stress Network. (n.d.). Pediatric Emotional Distress Scale. Retrieved

December 6, 2020, from https://www.nctsn.org/what-is-child-trauma/trauma-types

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry:

            Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Senko, K. and Bethany, H. (2019). Play Therapy: An illustrative case. Innov Clin Neurosci. Vol

16(5-6): 38-40.

Verlinden, E., Opmeer, B. Van-Meijel, E., Beer, R., Roos, C., Bicanic, I., Lamers-Winkelman,

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

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.

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. Refer to the LopesWrite Technical Support articles for assistance.

Summary and Descriptive Statistics 

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

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 not required to submit this assignment to LopesWrite.