All posts by : chebby

1.)  Read the monologue regarding patient Jenny Brown’s PTSD case study.

Monologue:  

“Jenny is a patient in a short stay, emergency psychiatric facility.  She voluntarily agreed to admission yesterday following an acute episode of agitation and anxiety that occurred after she was told that her ultrasound revealed that her fetus has a cleft lip and palate.  When the nurse comes to Jenny’s room, Jenny provides important details about her life and reveals some of her experiences in Iraq that suggest she may have Post-Traumatic Stress Disorder (PTSD)” (National League for Nursing, 2020). 

listen to the attached video

Answer the questions below regarding Jenny’s case. 

• What is Jenny’s history?
• What are Jenny’s PTSD symptoms? 
• How is Jenny coping with her symptoms? 
• What interventions would you recommend for Jenny? 

capstone project

Discussion: Unit 3, 

Unit 3 Discussion – Which is Best: Mean or Median?

Instructions

This week you will use the Bureau of Labor Statistics website to search for income data on the occupation you are seeking.  Visit the following website:  https://www.bls.gov/bls/blswage.htm (Links to an external site.) 

The BLS has wage information for hundreds of jobs, and data can also be found by state. There is much information here, so take some time to browse around. 

Once you arrive at the site, complete the following steps to gather the data, you need to answer the discussion questions.

Part 1

• Search for information on your occupation by clicking on national wage data 800 occupations. This will take you to the Occupational Employment Statistics page.
• Scroll to the bottom of that page for a table listing the major and sub-job categories. Note in the first column; there is an occupation code. For example, accountants and auditors have the code 13-2011 and are listed under banking and financial operations.
• Click on the job title to find earnings information. There you will find mean wages as well as percentiles and the 5-number summary.
• Compare the mean and median pays. For example, the mean pay for accountants was $78,800, and the median was $70,500.
• Record the information on percentiles, the 5-number summary, the mean, and the median.

Part 2

• Above the data on the occupation page, you will find the following links:
  • National estimates for this occupation
  • Industry profile for this occupation
  • Geographic profile for this occupation.
• Select the geographic profile to view maps of the states.
• Scroll down to the map that presents mean wages by state using the color code.
• Compare the ranges of wages of the states based on the ranges presented. 
• Identify the highest paying and lowest paying states.

Step 3

Include the following in your discussion post:

• Share the information you found in steps 1 and 2.
• Discuss your interpretation of the statistics you recorded in Part 1.
  • Percentiles
  • Mean
  • Median
• How different are the salaries shown in the map of states?
  • What is the range for your state?
  • Would you move to another state based on this data?
  • What other statistics would you want to know before making that decision?
• What effect do the lowest paid and highest paid states have on calculating the mean and median for the United States?
• Suppose you were asked by a potential employer to request a salary. Which is the best measure to use to find “average” earnings for your occupation? Explain your answer.

Please review the post and response expectations. Please review the rubric to ensure that your response meets the criteria.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

For each posted discussion question, the student is expected to:

The original posts must be at least 200 words in length (100+ words for each question)

Discussion responses should demonstrate critical thinking skills and be thoughtful and respectful

Post two responses to the original posts of any other classmates (50+ words for each response)

Posting should ask for clarification, challenge (respectfully) ideas, or describe a situation that illustrates the points being made. Simply agreeing or disagreeing with a post is not adequate

Threaded Discussion:

How do you feel about the use of life-sustaining measures in the face of terminal illness? Examples: Permanent coma? Irreversible chronic illness, such as Alzheimer’s disease? Debilitating Stroke?

How do you feel about particular medical procedures? Examples: mechanical breathing (respirator), cardiopulmonary resuscitation (CPR), artificial nutrition and hydration, hospital intensive care, pain relief medication, chemo or radiation therapy, and surgery.

• The original posts must be at least 200 words in length (100+ words for each question)
• Discussion responses should demonstrate critical thinking skills and be thoughtful, promote, and respectful
• Post two responses to the original posts of any other classmates (50+ words per each response)
• Posting should ask for clarification, challenge (respectfully) ideas, or describe a situation that illustrates the points being made. Simply agreeing or disagreeing with a post is not adequate

Threaded Discussion:

1. Would you want to be placed in a nursing home if your condition warranted? Why or why not?
2. Would you want to have financial matters taken into account when treatment decisions you would make? Why or why not?

Now that you have identified the treatment for onychomycosis and labs for baseline and follow up therapy. For Week 6, please address the following:

1. Specify when to refer the patient after therapy and why? Provide rationale.
2. According to the recommended guidelines, what are the non-pharmacological approaches to Onychomycosis?
3. Provide patient education. Keep in mind the past medical history of this patient.

Aquifer Case Study

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

For this assignment, go to the Discussion Area and post a response to the given question in the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

The Aquifer virtual case-study assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate Aquifer.

Assignment

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 03: 65-year-old female with insomnia.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Discussion: Diversity and Health Assessments

  Answer Option 1 listed below

 Option 1

G. H. is a 26-year-old male who was involved in a serious motorcycle accident that fractured his vertebrae and compressed his spinal cord at the level of T8. Answer the following questions:

1. What is spinal shock? How long can it last? Why is it difficult to determine the degree of injury and impairment during this time frame?
2. Immediately after this injury, what should you expect to occur for each of the following:
   1. Range of movement for his arms? For his legs? Why?
   2. Spastic or flaccid paralysis? Why?
   3. Bowel and/or bladder dysfunction? Why or why not?
   4. Breathing difficulties? Why or why not?
3. After the period of spinal shock, what changes should you expect to see (if any) in the manifestations listed in #2 above?
4. What type of rehabilitative treatments might G. H. need to promote his recovery and return to function?
5. If G. H. has mild-to-moderate chronic back pain one year after his accident, explain the pain management medications you would suggest to improve his quality of life and why you selected those particular medications.
6. Must use scholarly sources for finding of answers and citations.

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.