All posts by : chebby

 Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous 

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

In a 2-page paper, address the following: 

• Summarize the key points of both experiential family therapy and narrative family therapy. 
• Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
• Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers. 

Marijuana or cannabis is the leaves of the plant called Cannabis Sativa. It is a form of drug due to its chemical composition. The legalization of the marihuana has been an intense debate over the years. Even though there are an enormous amount of people that consider marihuana to be a very dangerous type of drug, It has been proven that cannabis also has some benefits in some aspects of society. 

I can anticipate the legalization of marihuana in in come states of the USA will bring positive and also negatives effects within the youngest population. Some of these negative impacts will be social problems and criminal issues. School dropouts, family miscommunication are some of these common social problems. According to MacCoun (2010) it has been proven that marihuana reduces the ability to concentrate since it will produce distorted thoughts leading to alienation. Marihuana reduces stress, leading to a sense of relaxation and dissociation and there will be a considerable increase of school dropouts as has already happened in some states (2010)

Marijuana or cannabis has also been linked to an increase in crime. The reason is because marijuana will change the individual’s reality perception, right from wrong and alters the mental functions, specially within the young population that are still growing up. (Green et al., 2010). A study by Bennett et al. (2008), confirms the theoretical link between cannabis use and crimes. In addition, the addictive components of cannabis, could engage children and adolescents to perform crimes in order to obtain money to buy marijuana. 

References

Harley, M., Kelleher, I., Clarke, M., Lynch, F., Arseneault, L., Connor, D., … & Cannon, M. (2010). Cannabis use and childhood trauma interact additively to increase the risk of psychotic symptoms in adolescence. Psychological medicine, 40(10), 1627-1634. Retrieved from http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=7878597&fileId=S0033291709991966 

Green, K. M., Doherty, E. E., Stuart, E. A., & Ensminger, M. E. (2010). Does heavy adolescent marijuana use lead to criminal involvement in adulthood? Evidence from a multiwave longitudinal study of urban African Americans. Drug and alcohol dependence, 112(1), 117-125. Retrieved from http://www.sciencedirect.com/science/article/pii/S037687161000205X 

Reply to this discussion post (site sources if applicable)

For my capstone project, I will be implementing a sepsis handoff communication tool to help increase patient outcomes and decreased mortality. In my facility, we have a mortality rate of 11.2% and a compliance of only 52-58% with our sepsis protocol, which is believed to be due to poor communication. One internal method of disseminating my evidence-based change proposal can be by putting tri-fold posters in each break room for staff members to read when they have a time, whether changing or eating their meals. Here nurses and physicians will be able to see the reasoning why change is needed, background statistics and what the tool entails. It is important that this group understands the evidence-based change proposal because nurses and physicians are the two main healthcare professionals that play a role in sepsis care. Nurses and physicians work together to implement interventions and treatments to fight a septic infection. They are the one’s who will be using this sepsis tool in hopes of improving communication.

Like all aspects of nursing, sepsis is a dignosis that is rapidly changing as the years go on. Evidence-based practice (EBP) is constantly changing how we do things in our daily practice. As healthcare professionals, we rely on data from other facilities to implement new changes in our facility. The same goes from us. Data that we find can get put together in a research journal that other hospitals can use. If this quality initiative is proven to be effective in promoting communication through a sepsis handoff tool, other facilities may begin to implement this tool and save more lives. 

Looking at one’s own mind can be tricky. For example, how do we know if what we are thinking and feeling is actually normal? Or if being sad is really depression? Or being happy is really a state of complete denial of reality?

In contrast to physical health, mental health does not have the same clarity of disease as breaking a bone, rupturing an artery, or having a viral infection. No – mental health is more…well, mental. It’s more in our heads, in our minds, and in the processes we use to think about things like mental health in the first place. Is “Behavioral Health” the same as “Mental Health?” Please start with your distinctions, if any, to provide context for the rest of your post.

But despite its lack of clarity, mental health is a real thing nevertheless. For example, the National Institute of Mental Health (NIMH) has noted that: “Everyone occasionally feels blue or sad. But these feelings are usually short-lived and pass within a couple of days. When you have depression, it interferes with daily life and causes pain for both you and those who care about you. Depression is a common but serious illness.” See: NIMH

But it’s not just depression that is at issue. According to the Anxiety and Depression Association of America (AADA), It’s not uncommon for someone with depression to also suffer form an anxiety disorder or vice versa. Further:

• Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older (18% of U.S. population).
• Anxiety disorders are highly treatable, yet only about one-third of those suffering receive treatment.

 So, bottom line is that mental health issues like excessive anxiety and depression are no joke – either at a personal level or at the macro level of the US healthcare system.

But while millions of people suffer from mental health issues, it is also noted above that millions of suffering people are left undiagnosed and untreated.

So what should we do? How can we significantly improve our ability to help people in need of mental health treatment?  

What should we do about the stigma that some attach to seeing a mental health professional?

What about the equal stigma of being labeled as someone who is “mental?”

How do we, as healthcare professionals, best reach out to those that desperately need assistance –without making anyone think we are looking for “crazy” people?

Overall – what is the best way to address the large and underserved need for mental health care? 

HA3300D – Healthcare Policy and Ethics

 Discussion 05: Ethical Development

Imagine you’re the CEO of a major hospital system that’s recently come into a large endowment from a recently deceased philanthropist. The conditions on the endowment are that the hospital must use it for the ethical development of its staff members. You decide to use the money to create a professional development seminar that “fills the gaps” you see in your staff’s ethics education.

.What ethical issues or topics will your seminar address? Write 3 – 5 sentences describing it and the ethical questions at stake.

.Why is this the most important issue or topic to address? How will this “fill the gaps” in your staff’s training?

Your initial post should be 8 – 10 sentences in length and include an APA-style references list.

You may wish to get ideas for your presentation from these websites:

.National Center for Ethics in Health Care

.“Five Top Ethical Issues in Healthcare”

Discussion: Professional Nursing and State-Level 

Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

1. What advice did Maverick, Starr’s father give her as a young child if she was ever pulled over by the police? 

2. Did Starr follow her father’s advice when Khalil was pulled over by the policeman? 

3. How did you feel when the shots rang out in the first few scenes (book or movie)? 

4. How does Starr describe her adaptation to Williamson high school? Is the transition easy for her? 

5. What were your feelings after Khalil was pulled over by the policeman? What was the trigger that the policeman reacted to? Did the policeman do the right thing? That’s a difficult question to answer. You may feel conflicted at this point. Just describe your feelings. 

6. How does this book mirror the current events in our society? Provide recent examples of civil unrest. 

7. Do you believe the current pandemic has fostered a more volatile society? Provide rationale. 

I need a paper done. Plagiarism free. I have uploaded files on how it needs to be done. I also up an example of how it should look. I need it done by midnight tonight 

By Wednesday, 11:59 PT of week 6, provide a rebuttal to at least two peers.

By Sunday, 11:59 PT, provide a rebuttal to at least two more videos.

You should have a minimum of 4 rebuttal posts by Sunday.

Rebuttal Rules

• In your rebuttals, argue against the position they have taken. Provide evidence in your rebuttals- why do you oppose their viewpoint?
• You can choose a text or a video response. Do not create new thread. Go into a thread and respond to the video by clicking Reply.
• No personal attacks or name calling. Add emojis if needed. 
• Remember that tone comes across differently online and in text.
• Do not use all CAPS, and remember that the person’s stance may not be their personal views.
• Argue the evidence, not the person.
• Don’t forget to respond to comments on your own videos.
• Review the board and reply to students that do not have rebuttals yet. It is your job to keep your peers engaged and the debate lively with rebuttals!