WEEK 6 Discussion Prompt 2 Assessment

 

A 22-year-old female complains of 3 days of watery diarrhea with 7 to 8 stools per day. She is drinking approximately “3 sodas a day” because she is “trying not to get dehydrated.” She has had very little other intake because “eating makes me have to go to the bathroom.” She denies other symptoms or allergies.

  • From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

Discussion #3

Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, Africanamericans and Prostate Cancer,etc).

This an example of an student Posting:

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

Reference

U.S. Department of Health and Human Services. Health Promotion. Retrieved 20 March 2020, from https://www.ihs.gov/communityhealth/hpdp/

4 page essay

  

A. Choose a current medical procedure, medication, or therapy. Discuss the scientific/medical rationale for its effectiveness, history of its development, the research related to its safety and effectiveness, and any controversies over its use.

.

REQUIREMENTS: 

Your essay must cite at least 3 sources (all independent: none from the class reading list).

— No Wikipedia or general encyclopedias (on-line or print)

— Try to find articles designed for the general reader, as opposed to articles in professional medical journals.

–Be sure to consistently (in every paragraph) document your sources (APA Style) as we have learned to do throughout our work during the semester.

–All sources must be listed on the References page according to standard APA guidelines.

–Note the proper formatting for direct quotations in your text.

–Paraphrase and quote accurately. All drafts will be screened for plagiarism. Plagiarism on this project will result in your failing this course (as noted on the syllabus).  Be especially scrupulous in using Internet sources. Websites offering ready-made research papers are absolutely off-limits; using them in any manner will be considered plagiarism.

–You may be required to submit links to your source materials.

–Use the Model Research Essay, “Are Organic Foods Healthier Than Conventional” (on Canvas/Files) as a model to your writing, documentation, and formatting.

THE COMPLETED PROJECT: The final draft is expected to display writing skills worthy of a second-semester college student, including competence with APA style of documentation and formatting. (For a guide to APA Style, see your handbook or a website such as the Purdue Owl). The finished essay should be 4-5 pages of text, not including the References page. 

Group therapy

I need a response to this assignment

1 page 

zero plagiarism

3 references

Cognitive-Behavioral Therapy (CBT) is one of the most studied psychotherapies. Its uniqueness stems from the use of cognitive and behavioral therapeutic approaches to fix a problem. It is a short-term, goal-oriented therapy, that focuses on fixing unwanted patterns of thinking or behavior and changes false, distressing beliefs, because it is often not only the things and situations themselves that cause problems, but the importance that we attach to them too (Institute for Quality and Efficiency in Health Care [IQWiG], 2016).

CBT use in group and family settings have some similarities. Both therapies utilize a therapist who is the main conductor towards pointing out issues that families have between each member and problems that individuals in groups may have in common with others (Landa et al., 2016). Both serve to help point out each other interpersonal problems, which has caused them to over-generalize triggers in their minds and behaviors. Also, in group and family therapies, the sessions focus on current problems, not problems from the past. There is a small insight into what could have led up to the current issue, but the main idea is to help each group or family member help themselves, in order to see positive change and combat negative stressors (Landa et al., 2016).

From my own personal experiences,  group and family CBT sessions do share these similarities. I have noticed that families are much easier at opening up about their dysfunction because everyone is familiar with each other, whereas, in group sessions, there is more hesitancy from fear of judgment. An example of this was with a group of patients who had Major Depressive Disorder (MDD), a few weeks ago that I helped lead, when asked an open question like “ What causes you all to think so negatively about your life,” most of the clients in the group session did not want to answer, or said they do not want to hear what others think. Compared to the families, I have interviewed who lay everything on the table, because they do not know what else to do. One family when asked “What do you think is causing your son, to be so distant from you.” Both the mother and father felt comfortable talking about their family because there was a set foundation already in place.

A challenge when using CBT in group therapy is the differences in personalities. Since the group’s members may not know each other personally, one may take something that is said out of context. Studies show that clashes in personalities occur often in group settings when there is a difference in viewpoints or opinions based on what an individual said, this results in disputes between group members who have different ethical morals or beliefs (Biggs et al., 2020). Another challenge is being comfortable. It can be very hard for someone to have to speak their personal business with a group of people they do not know. It leads to anxiety and a lack of return to therapy sessions. Research shows that dropout rates for group therapy are between 30-60 percent with 42 percent of dropout happening after the second session (Simon et al., 2012).

References

Biggs, K., Hind, D., Gossage-Worrall, R., Sprange, K., White, D., Wright, J., Chatters, R., Berry, K., Papaioannou, D., Bradburn, M., Walters, S., & Cooper, C. (2020). Challenges in the design, planning and implementation of trials evaluating group interventions. Springer Link, 21(116). https://doi.org/10.1186/s13063-019-3807-4

Institute for Quality and Efficiency in Health Care. (2016). Cognitive behavioral therapy. Informed Health. https://www.ncbi.nlm.nih.gov/books/NBK279297/

Landa, Y., Mueser, K., & Walkup, J. (2016). Development of a group and family-based cognitive behavioral therapy program for youth at risk for psychosis. Early Interventions in Psychiatry, 10(6). https://doi.org/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685498/

Simon, G., Ding, V., & Savarino, J. (2012). Early Dropout from Psychotherapy for Depression with Group- and Network-model Therapists. Administration and policy in mental health, 39(6), 7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708590/

Week 9 discussion comment.

A

Make a comment using your own words in each discussion but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

Reflect on the need to improve outcomes in healthcare and consider the following.

Reflect on the need to improve outcomes in healthcare and consider the following.

  • How might a large cadre of nursing practice and research scholars’ impact change?
  • How might the work of this cadre translate evidence to change practice?
  • How might this cadre lead clinical innovation?
  • In influencing improvement outcomes at your workplace, what strategies can you implement to inspire others to embrace change? 

legislative bill

  

Select three bills of interest to you. Track the progress of one on the Internet and Do a brief legislative analysis of one of the bills. Document results in journal form. Include contact with your representative in the Illinois General Assembly. 

3.Discuss analysis of bill in class

4. Legislative analysis:

• written clearly, succinctly, using correct grammar, punctuation, sentence structure 

•organized

•includes a summary of the highlights of the bill.

•includes your thoughtful and critical analysis on the content of the bill

The Role of the RN/APRN in Policy Evaluation

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

  

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and policies than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

Write an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in the policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

Advanced Pharma Discussion 1 – 300 words

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Must use 3 references with an in-text citation for each.