Discussion week 9

 

Forum Wk9

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Five decades after the murder of Civil Rights leader the Rev. Dr. Martin Luther King, Jr., America finally had its first Black President in Barack Obama.  But many see among the forces that elected Donald Trump as our current President a reactionary regression to white nationalism and fanning the flames of racism.  They see America as more divided today than it has been in some time.  Others see it differently and say it’s all about “making America great again.”

Whatever your politics may be, let’s ask ourselves about racism and other forms of discrimination in America today.

Consider the 2012 case of the 17 year old unarmed Trayvon Martin who was shot and killed by George Zimmerman who regularly watched for suspicious persons in the Sanford Florida neighborhood where Trayvon lived. Zimmerman was later acquitted of all criminal charges in this killing.  Or consider another case that same year of the 47 year old software engineer Michael Dunn who confronted four Black teens about their loud rap music in their SUV at a Florida convenience store. Dunn claimed he felt threatened and fired 10 shots into the SUV killing 17 year old Jordan Davis. Dunn fled the scene but later reported the incident to the police, claiming self-defense. On February 15, 2014, Dunn was convicted of attempted murder against the three surviving teens but the jury could not reach a verdict on the charge of his murdering Jordan Davis.  He was later retried and sentence to life without parole for the killing.

For this week’s discussion on equality and discrimination, please answer just ONE of the following two questions and then post at least two reply postings to others in the discussion:

[1] What do you see as the difference between individual racism and systemic racism and which if any are at work in the killings of Trayvon Martin or of Jordan Davis? Explain your position. Discuss the case you choose with two different people, preferably at least one of them being a person of color. Do they see racism at work in this case, and, if so, do they see it as individual racism or systemic racism or both? 

Another appalling form of discrimination and abuse is sexism.  Many thought that the access Hollywood tape that came out last fall showing the sexism of Donald Trump would sink his chance of becoming President but it did not.  Sexism is widespread today.  One would hope we have made progress against sexism but now we have the news of the accusations against the filmmaker Harvey Weinstein, which many are saying is not news because his alleged history of sexual harassment and abuse against women was known.   And others say this is only the tip of the iceberg regarding what is all too common today in many places.  Here’s a news clip on the accusations against Weinstein: LINK (Links to an external site.).

[2] Do you believe that sexism, sexual discrimination, and sexual abuse are systemic problems in today’s world or can they be viewed and judged on an individual basis as individual problems of certain people?  And if one concludes they are systemic problems, does this mitigate the individual responsibility of those who practice it?  Or if it is purely an individual problem, how can we explain its prevalence around the world and in so many parts of our own society? 

Health assessment

  

ABDOMINAL ASSESSMENT

Subjective:

  • CC: “My stomach hurts, I      have diarrhea and nothing seems to help.”
  • HPI: JR, 47 yo WM, complains      of having generalized abdominal pain that started 3 days ago. He has not      taken any medications because he did not know what to take. He states the      pain is a 5/10 today but has been as much as 9/10 when it first started.      He has been able to eat, with some nausea afterwards.
  • PMH: HTN,      Diabetes, hx of GI bleed 4 years ago
  • Medications: Lisinopril 10mg, Amlodipine 5      mg, Metformin 1000mg, Lantus 10 units qhs
  • Allergies: NKDA
  • FH: No hx of colon      cancer, Father hx DMT2, HTN,      Mother hx HTN, Hyperlipidemia, GERD
  • Social: Denies tobacco use;      occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 99.8; BP 160/86; RR      16; P 92; HT 5’10”; WT 248lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall      symmetrical
  • Skin: Intact without      lesions, no urticaria
  • Abd: soft, hyperactive bowel      sounds, pos pain in the LLQ
  • Diagnostics: None

Assessment:

  • Left lower quadrant pain
  • Gastroenterit

With regard to the Episodic note case study provided:

  • Review this week’s Learning Resources, and consider the      insights they provide about the case study.
  • Consider what history would be necessary to collect      from the patient in the case study.
  • Consider what physical exams and diagnostic tests would      be appropriate to gather more information about the patient’s condition.      How would the results be used to make a diagnosis?
  • Identify at least five possible      conditions that may be considered in a differential diagnosis for the      patient.

The Assignment

  1. Analyze the subjective portion      of the note. List additional information that should be included in the      documentation.
  2. Analyze the objective portion      of the note. List additional information that should be included in the      documentation.
  3. Is the assessment supported by      the subjective and objective information? Why or why not?
  4. What diagnostic tests would be      appropriate for this case, and how would the results be used to make a      diagnosis?
  5. Would you reject/accept the      current diagnosis? Why or why not? Identify three possible conditions that      may be considered as a differential diagnosis for this patient. Explain      your reasoning using at least three different references from current      evidence-based literature.

need help with a term paper

Term Paper 

o Topic: Interviewing a Professional Nurse 

o Interview a nurse professional with years of experience. 

o Provide examples for: 

o Teamwork 

o Patient-care 

o Adaptability 

o Time management 

o Communication style 

o Motivation and core values o 3-5 pages (excluding title page and reference page) APA style paper with at least 3 references within 5 years 

Obesity and Weight Management Programs

Write a 6 page research paper about Obesity and Weight Management Programs.

Answer the following questions:

– What causes obesity?

– How can obesity affect our health?

– Can obesity shorten life expectancy?

Include an introduction and a conclusion.

3 references within the last 5 years.

APA style.

Comprehensive Integrated Psychiatric Assessment

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

Learning Objectives

Students will:
  • Evaluate comprehensive integrated psychiatric assessment techniques
  • Recommend assessment questions

To Prepare for the Discussion:

  • Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.
  • Watch the Mental Status Examination video.
  • Watch the two YMH Bostonvideos.

 

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

  • What did the practitioner do well?
  • In what areas can the practitioner improve?
  • At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
  • What would be your next question, and why?

Nursing and the aging family week 4 Part One

 APA

less than 10 % similarity

Week 4 Discussion Question: Chapter 13, Comfort and Pain Management

With the realization that pain is highly prevalent among older adults, please answer the following questions:  

Part One: What are some ways you as the nurse can utilize to determine pain in the older adult?

                  : What are some of the potential barriers related   to self-reporting of pain in the older adult?