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Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

answer the question in 1 page 

 PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

5 REFERENCES

 New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies. 

Nurse informatics and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 4 peer-reviewed research articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

• Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
• In your conclusion, synthesize the findings from the 4 peer-reviewed research articles

You are a project manager at a food agricultural organization and you are assigned to review nutritional policies.

1). Write the nutritional policies

2). Identify five stakeholders and their roles in the implementation of the nutritional programs at the community level.

SOAP Note Case , I uploaded an example, you can create your own case, with a person older than 40 years  . Including patient name initials , date of birth and all the examples of personal and medical history provided in the example uploaded, use my example just for guide. I need all the information wrote  in the example, No require references, PLEASE everything must be related because is the same case. 

PLEASE DON’T USE THE FOLLOWING DIAGNOSIS :

NO HYPERTENSION

NO CERVICITIS

NO TUBERCULOSIS EXACERBATION

NO ASTHMA EXACERBATION

NO ACUTE PERICARDITIS

NO Bronchioectasis

Will be a TOTAL OF 4 SOAPS, PLEASE WHEN DONE WHICH EACH ONE, POST IT BY CASE # , NOT TOGETHER , IN SEPARATE DOCUMENTS.

FOR EXAMPLE: SOAP 8, SOAP 9 AND LIKE THAT.

BE AWARE OF THE DEADLINE BECAUSE I HAVE A END TIME FOR SUBMIT IT , IF TIME PASS IM SORRY BUT I WILL NOT NEED THE WORK AND THEN I HAVE TO DISPUTE.

THANKS FOR HELP AND SUPPORT AND DEDICATION

 PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

4 REFERENCES

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of motivational interviewing techniques for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether motivational interviewing would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

This is the week to really see where technology and healthcare are connecting. Select ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology).

• Nanotechnology
• Consumer health informatics (CHI)
• Social media healthcare applications
• Health-focused wearable technology
• eHealth
• Artificial Intelligence
• Simulation
• Computerized provider order entry (CPOE)
• Bar Code Medication Administration (BCMA)
• Creative measures in healthcare for use with 3D printers
• Smart Pumps
• Smart Rooms
• Robotics in healthcare
• Mobile technology in outpatient care
• Web-based tools and software technology
• Risk Management tools
• Chatbots or Bots in healthcare
• Telenursing
• Telemedicine
• Telepharmacy
• Telerehabilitation
• Teleconsultation
• Telehospice
• Technology advancement from your clinical practice
• Palm Vein Technology
• Microchip use in healthcare
• Optical head-mounted computer glasses (Google Glass)
• Smart hospital beds

  2-3 pages

· Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother

· An explanation of the health issues and risks that are relevant to the child you were assigned.

· Describe additional information you would need in order to further assess his or her weight-related health.

· Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

· Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

· Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

· Body-mass index (BMI) using waist circumference for children

Grief

Grief is basically a natural response to losing a close person you care about. The emotional expression of grief can be physical, psychological, social, and spiritual. The physical symptoms of grief that include literal heart aches, digestive problems, headaches, nausea, dizziness, heart races, lack of sleep, and tiredness (Jakoby, 2012). The psychological symptoms of grief include; increased irritability, bitterness, numbness, preoccupation with loss, inability to show or experience joy, and detachment (Jakoby, 2012). The social impacts of grief include; isolation, withdrawal, unrealistic prospects of others, and conflict due to different grieving styles by others. The spiritual aspects of grief include; questioning one’s spiritual beliefs, loss of meaning and seeking new meaning, and strengthening one’s spiritual beliefs. 

There are various types of grieves, and they include anticipatory grief, which occurs when the person the family is caring for gets a considerable diagnosis and their health starts to worsens. During this moments, an individual experiences difficulty to talk with others since their care is still alive and may have feelings of guilt or confusion due to the kind of grief they are experiencing (Jakoby, 2012). Normal grief is when a person is able to move towards acceptance of the loss. Delayed grief occurs when the emotions and reactions of death are postponed to later on time. Complicate grief refers to normal grief that deteriorates in the long-term and impairs someone’s ability to function. Disenfranchised grief is felt when a person experiences a loss, yet others do not recognize the significance of the loss in that person’s life (Jakoby, 2012). Chronic grief is expressed in different ways that include; feelings of hopelessness, situation avoidance, and a sense of disbelief regarding the reality of the loss. Cumulative grief is occurs when someone suffers several losses usually within a short period of time. Masked grief is expressed through physical symptoms or behaviors resulting from character that are negative. Distorted grief is presented with severe feelings of anger or guilt, being hostile to others and through self-destructive characters. Exaggerated grief occurs when normal grief responses intensify, and inhibited grief occurs when a person does not externally exhibit any normal signs of grief. 

Every culture has unique set of beliefs about the meaning and purpose of life and life after death. This defines how different people from different cultures approach death. For instance, people may bear with death if they believe in life after death. Others may consider the spirit of their loved one who has died directly influences the living family members. Family members will be comforted that their loved one is watching over them. Generally, beliefs about the meaning of death assist people of a given culture to make sense of it and how to deal with the mystery. 

Depending on the cause of death and the age of a person, specific cultures perform different rituals. For instance depending on the age of the deceased person, specific cultures may define who is to present during the death ritual and the kind of ceremonies that need to be performed to the deceased. Besides, if the cause of a person’s death is suicide, some cultures perform rituals that intend to appease the gods so that the bad spirit does not come back to the community and cause more deaths (Aramesh, 2016). When a person dies from a chronic illness, some cultures perform specific rituals before death that will allow him or her to be welcomed to the spiritual world. To others loss of a child would mean wailing quietly, while that of an adult is done publicly. Additionally, the age of the deceased would define the duration the family members are expected to grieve for the deceased (Aramesh, 2016). In general, specific cultures have different cultural considerations on how they approach death. 

In conclusion, grief is an expression of someone’s feelings following dead of a loved one. Grief is expressed in different forms including; psychological, physical, social, and spiritual. Depending on the feelings and attitudes people of a specific culture hold concerning death of their loved one, they hold different death rituals in honor of the deceased. 

References

Aramesh, K. (2016). History of attitudes toward death: a comparative study between Persian and western cultures . J Med Ethics Hist Med , 9, 20-32.

Jakoby, N. (2012). Grief as a Social Emotion: Theoritical Perspectives. Death Studies , 36 (8), 679-711.

REPLY 2

 Grief

  Grief? What is it? What are the causes of grief and how does it affect somebody wholly? The simple definition of grief is the pain, sorrow of being through a sorrowful situation or experience for instance mourning the demise of a loved one or some other misfortunes that have resulted in personal loss. The loss of a loved one brings with it a lot of emotional pain as the attachments one had with deceased will have to be erased forever and not to be retrieved. After the death of a family member, there are so many transitions the ones left behind must go through to adapt to new norm. There are different symptoms that one shows when going through grief which may vary from physical, psychological, spiritual, and social responses.

 There are 8 different types of grieves that people experience. The anticipatory grief is one that begins to build when a member has got a chronic disease like cancer that got no known cure. The normal grief is the less displayed type of grief. One seems to hold up well from the outside but suffers from the inside which is completely different from the complicated grief where the bereaved may end up not going on with normal activities. The delayed grief is one that does not show up at the instance when they fall to grief but displays later even after the grieving period is over. On the hand, inhibited grief is one that a person goes tries not show their grief and tries to keep themselves busy to distract themselves from the grieving while disenfranchised is the most unique where one grieves over things other people may not find grievable like loss of a non-family member. Absent grieving on the other is one that the affected still hold up as if nothing happened to them and stay in denial while exaggerated grief is one that may seem unrealistic as even the normal functioning is not restored as fast as is supposed to.

 According to (Osterweis et al., 1984) at adulthood is when most bereavements occurs, and grieving is most at that stage of life. At the stage is when there are more life events that one goer through and that increases the rate of people they interact, and they may tend to have a large scale of people whom they are emotionally connected with. With the occurrence of the incident for instance death of a loved one, the close members will have to go through an emotional bereavement just before the symptoms being displayed physically. The most known and common response to death either if it was looked forward to or not is the disbelief, numbness  and in shock. Although some members of the family may tend to behave like they are in control but that is probably because they are yet to come face to face with the reality of the loss. Some feel like they are embroiled in a void place not knowing what to do and often not wanting to talk or interact with anybody and remain the whole time. Hallucinations and illusions tend to be the few symptoms they display. Some even go on to say that they had seen the deceased in the streets or even had appeared to them in their dreams. 

In general, the loss of a loved one tend to bring emotional and psychological torture to the kin of the deceased than even the even the physical responses. The process of coming to terms with the new situation proves to be the most traumatizing. (Utz et al., 2011) “The death of a spouse is one of the most common, yet most distressing, transitions faced by older persons.” The loss of an intimate partner proves to be the most difficult and causes a huge gap in the life of a person as they will have to fill the gap left by the deceased. For instance, the death of a wife, the man will have to take up the roles that were previously being taken care by the wife and that might be the hardest task of their lives. The few symptoms witnessed is the people lack any sense of humor when talking, they tend to avoid conduct with people and even stop doing things they had previously doing jovially but now they do not find them of any use.

One’s physical health is determined by their emotional and psychological stability. Any malfunction of either of them directly affect a person’s physical health. The bereavement period sees the bereaved may tend to stop eating. That will translate to loss of appetite and even they end reducing in weight and at some extent develop complications like intestinal ulcers. Their social life deteriorates to the extent they avoid talking to people and prefer sitting by themselves and weep all through the period. Some situation people tend to avoid public gatherings and even at transitional stage still it wots be realized as much and at times it develops into a lifetime complication

In children, toddlers display their separation f from their parents through restless ness, crying and irritability as they feel some loss in attachment. Those at the age to understand what death is experience some gap in their lives as they had personal relationship with deceased and that affects them both emotionally. It is displayed through lack of concentration ta school or even may display behaviors of insolence and violence. The trauma they go through with lack of full parental love brings out the worst in them as they lose purpose in life. As a result, some start abusing drugs to stay out of the reality remain in the world of fantasy.

As far as treatment is concerned, there is no specific biotics to be prescribed to deal with grief as the already happened incident cannot be reversed. Common and the effective therapy is by supporting yourself emotionally, psychologically by accepting the situation at hand and moving on. Acceptance is the beginning of healing process. At extreme cases one is advised to seek psychotherapist who might be help with situations as in the cases of trauma and convulsions.

REFFERENCES

Utz, R., Caserta, M., & Lund, D. (2011). Grief, Depressive Symptoms, and Physical Health among Recently Bereaved Spouses. The Gerontologist, 52(4), 460-471. https://doi.org/10.1093/geront/gnr110

Osterweis, M., Solomon, F., & Green, M. (1984). Bereavement: Reactions, Consequences, and Ca.: National Academies Press (US);.

 Your assignment will be graded according to the grading rubric.

200 words for each reply

  The objective of assignment is to provide a power point presentation about vaccines including the Flu vaccine and other vaccines in the pediatric population. Your primary goal as an FNP is to educate parents about the importance of vaccination, and understanding their beliefs and preference by being cultural sensitive in regards this controversial topic.  This presentation must include at least 13 slides and the following headings: Introduction, Clinical Guidelines EBP per CDC, Population and Risk Factors, Education, Conclusion.