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NOLA PENDER ASSIGNMENT

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

Purpose of Assignment:

These case studies are real-life scenarios that will help you explore the concepts of the nervous and endocrine systems, diagnostic tests, and treatments.

Instructions:

Download MEA2203 Case Study Assignment Module 03

and read each of the patient scenarios. Then, use the lesson content from this module, your textbook, and perhaps additional research to answer the questions. Upload your completed document by following the instructions below. 

 Post a clinically relevant research question using the PICOT format.  How did you arrive at this topic and question?  Why is it important?  ( “what are the new and appropriate wound care methods?”  This question’s uniqueness is to develop an evidence-based practice supported with current knowledge about a proper and new way of wound care, treatment ) 

 P: Population/patient – elderly patient with pressure ulcers I: Intervention/indicator- The main intervention is the use negative pressure wound therapy C: Comparison/control – standard moist wound therapy O: Outcome – the expected result or outcome would be based on the quality and duration of wound healing based on the intervention and comparison .T: Time – two weeks’ stay in hospital

Expectations

Initial Post:

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Please read below for  guidelines and instructions.See USU NUR Discussion Board Rubric for additional details and point weighting.PICOT stands for:

• Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)
• Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)
• Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)
• Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)
• Time:  What is the time frame? (This element is not always included.)

Your PICOT question will fall under one of these types:

• Therapy/Prevention
• Diagnosis
• Etiology
• Prognosis

Use the PICOT format to break down your question into smaller parts and identify keywords:

P

I

C

O

T

Patient / Population

Intervention / Indicator

Compare / Control

Outcome

Time / Type of Study or Question

Who are the relevant patients? Think about age, sex, geographic location, or specific characteristics that would be important to your question. What is the management strategy, diagnostic test, or exposure that you are interested in? Is there a control or alternative management strategy you would like to compare to the intervention or indicator? What are the patient-relevant consequences of the intervention? What time periods should be considered?  What study types are most likely to have the information you seek?  What clinical domain does your question fall under? If you have questions, let me know Attachment(s):   563 PICO and determing the evidence to answer y… (346.59 KB) 563 Approved Clinical Question For PICOt Develo… (65.78 KB) The clinic questions are very doable capstone projects. Prior students have pursued both. 

An interesting blog on wound care in 2020: https://www.todayswoundclinic.com/articles/how-wound-care-may-change-better-and-worse-2020  

Document your clinical practice hours using the Lopes Activity Tracker (LAT) in your student portal. Once you have opened the app, click on the link for your class to record your hours. Clinical practice hours should be documented and submitted within 48 hours of the clinical experience. After the hours have been submitted, the preceptor will verify the hours, which are then reviewed by the faculty.

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it through the assignment dropbox for faculty approval.

This report is to be submitted in every topic.

 PLEASE THE INSTRUCTION BELOW

5 REFERENCES

ZERO PLAGIARISM

When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.

Learning Objectives

Students will:

• Evaluate psychotherapeutic approaches to group therapy for addiction

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.
• View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

• Identify the psychotherapeutic approach that the group facilitator is using and explain why she might be using this approach.
• Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group and justify your decision.
• Identify an alternative approach to group therapy for addiction and explain why it is an appropriate option.
• Support your position with evidence-based literature.

This assignment should only be completed after you have posted the video: SEE ATTACHED VIDEO LINK: Therapeutic Video Case Self-Injurious Client.

VIDEO LINK: https://youtu.be/xBrP0GoDyXE

Your reflection should address all of the following questions between 750 to 950 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on number of references to include. Be sure to use APA format.

SEE VIDEO in order to complete this assignment, and also see the attached assignment example for references.

1. Which skills did you use in the session? How?
2. How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.
3. What were your strengths in the interview?
4. What were your weaknesses/areas in need of further development in the interview?
5. How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
6. Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
7. How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?
8. What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
9. What was the quality of your engagement, your empathy?
10. If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

In relation to your partner:

1. What were your partner’s strengths in the interview?
2. What were your partner’s weaknesses/areas in need of further development in the interview?
3. How could your partner improve his/her interviewing skills?

Please, see also the attached assignment example for references.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership). (the topic should be Lack of adherence with after discharge planning, patients do not follow instructions after discharge, do not go to follow up appointments, no support system, most of these patients are homeless with history of substance abuse. This is a longterm/rehabilitation facility (Jackson Memorial Perdue Medical Center located in Miami) Interventions will be under community

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

All Case studies /assignments must be done in APA format with a separate sheet for references. 

Managing care in a Culturally Considerate manner

 CASE STUDY 2

Patient Profile
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

• Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness
• Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated
• His father died of a heart attack at age 62
• Denies alcohol or drug use
• Smokes one pack of cigarettes per day
• Describes his lifestyle as sedentary

Objective Data

Physical Examination

• Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20
• Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2
• Alert and oriented to person, place, and time
• Skin diaphoretic and clammy
• Heart rhythm regular, no murmurs or extra heart sounds
• Lungs are clear to auscultation

Diagnostic Studies

• Hemoglobin 14 g/dL
• Chemistry panel is normal
• Cardiac markers – pending
• Electrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI)

Collaborative Care

• 9% NaCl infusing into IV catheter at 75 mL/hr
• Nitroglycerin and morphine given with relief of pain

1. What are F.M.’s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors?
2. What is the difference between chronic stable angina pain and pain associated with myocardial infarction?
3. What are diagnostic studies indicated for F.M.?
4. F.M. is diagnosed as having a myocardial infarction (MI).
5. What is the priority nursing care for F.M.?
6. What other interventions do you anticipate for F.M. at this time?

Write  a PICO question based on a scenario you choose from the list of  scenarios attached below.  Use the templates in the EBP Step by Step 3  article to help create your questions. You may need to do a pre-search  to finding an intervention (the “I”) that has been studied and published  to solve the problem.

• Identify the PICO elements for each question. 
• Develop  a search strategy using at least 3 keywords from the P, I, and O parts  of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one  of your keywords. 
• Locate 4 articles that help answer your PICO question.  The articles must meet the following requirements:  
• must be primary source quantitative research articles.  
• No article can be older than 2016. 
• Obtain  pdfs of the four articles you selected from the ResU database.  If not  available for the ResU database, you may request access from  the ResU Library, or you can email me the citation for the article, and I  will attempt to locate a pdf of it. 
• On  a Word document, include your scenario; write your PICO question as a  sentence; identify the P, I, C, and O for each question; and list the  search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use  the template attached here. See also the link to the MeSH terms website  below.
• Provide  a properly formatted APA reference page for your selected articles from  Step 4 of these instructions. See the link to the APA and Writing  LibGuide below.