Module 08: GI poster

Competency

Select appropriate nursing interventions for clients with upper and lower gastrointestinal disorders. SIGN UP FOR YOUR TOPIC HERE: https://docs.google.com/spreadsheets/d/1a9aocm6ahrPHEhRBuFtYaXiR19DmdkmDTdYLacyj0Es/edit?usp=sharing

Scenario

Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office.

Instructions

Please be sure to include the following in your poster design.

• Overview of the disorder
• Causes of the disorder
• Diagnostic tests to diagnosis the disorder
• Assessment findings
• Multidimensional nursing care interventions for the disorder

Resources

For assistance with research, refer to the Nursing Research Guide.

For assistance creating a poster, refer to the following FAQ.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. (Minimum 200 words in each reply, build on their presentation with something you found in your research) Please check the Course Calendar for specific due dates.

 Discuss any “take-away” thoughts from the articles.
• How do you plan to make a positive impact on the care of LGBT patients when you become a NP?
• What attitudes/behaviors/communication/understanding is important for the NP to have?
• What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient? 

Using MLA format and scholarly article, please answer the following questions. Please no plagiarsm.

1. Compare and contrast acute pain and chronic pain in the pediatric patient
2. Distraction involves having the child focus on another stimulus. Identify 5 methods of distraction for the pediatric patient
3. Identify 2 indications for the use of EMLA cream on the pediatric patient
4. Describe  the 5 different pain scales for infants and children. What are the  benefits to using the same pain assessment tool when evaluating pain in  the pediatric patient
5. Identify  3 behavioral characteristics associated with pain in the infant and 3  physiological characteristics associated with pain in the infant and  child 

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Attention Wizard Kim. 

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

Rubrics 

 Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references  

Yvonne Amune 

Week 5 discussion

COLLAPSE

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NURS 6660 Week 5 Clinical Supervision Discussion Video Transcript

           Anxiety disorders are psychiatric conditions that share characteristics of excessive fear of real or perceived imminent threat. According to Thibaut (2017), anxiety disorders are the most prevalent psychiatric disorders- accounting for 7.3% of all psychiatric disorders worldwide. Anxiety disorders are distinguished from one another by the triggers that induce the anxiety, fear, or other associated behavior and may include generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, selective mutism, separation anxiety disorder, medication/substance-induced anxiety disorder, and social phobia (American Psychiatric Disorder, 2013; Thibaut, 2017).

           A client I observed is N.B, a 15-year old male Caucasian presented to the clinic by his mother, who was concerned about his anxious behavior. The client’s mother described him as a shy person with little friends. For this reason, N.B spends most of his time playing video-games in his room. The client’s mother also revealed that N.B has always had problems meeting new people. During the interview, N.B looked uncomfortable. He could not keep eye contact and was fidgeting. N.B’s mother also revealed that he has always struggled in the presence of his peers. N.B has severally turned down his peer’s invitations to hang out and often engages in avoidance behaviors. After assessing the client, a diagnosis was made for social anxiety disorder (Social phobia) 300.23 (F40.10) (American Psychiatric Disorder, 2013).

           The DSM-5 diagnostic criteria for social anxiety disorder (Social phobia) involves marked fear or anxiety of one or more social situations where an individual is exposed to scrutiny by others- (in peer settings for children). The social situations always provoke fear or anxiety and must have been lasting for six months or more. In the given case, the client met the diagnostic criteria for social anxiety disorder.

Therapeutic Approach and perceived Effectiveness

           The most appropriate treatment for N.B is cognitive behavioral therapy (CBT). CBT is regarded as the approach with the highest level of evidence in the treatment of social anxiety disorder (Bandelow et al., 2017). CBT’s goal in treating social anxiety disorder is to enable the client to gain self-consciousness by changing maladaptive behaviors and negative thoughts that make oneself uncomfortable in social situations. In their study, Pinjarkar et al. (2015) examined the effectiveness of CBT in treating social anxiety and found a clinically significant improvement in the subject’s self-consciousness and avoidance behavior (63.79%). In another study, David et al. (2014) concluded that cognitive therapy resulted in better outcomes than wait-list in the treatment of social anxiety disorder patients (78% of the subjects did not meet avoidant personality criteria at the end of treatment). The study also showed that cognitive-behavioral therapy was more superior to expressive and art therapy in the treatment of social anxiety disorder (71%) (David et al., 2014).

Thank you for listening to me.

I look forward to hearing from you on alternate therapeutic approaches.

References

Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety             disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107.

David M., C., Anke, E., Ann, H., Freda, M., Melanie, F., Nick, G., Louise, W., & Jennifer,          W. (2014). Cognitive therapy versus exposure and applied relaxation in social   phobia: A Randomized controlled trial. Journal of Consulting and Clinical             Psychology, 74(3), 568–578.

Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for anxiety disorders:        an update on the empirical evidence. Dialogues in Clinical Neuroscience, 17(3), 337–      346.

Pinjarkar, R. G., Sudhir, P. M., & Math, S. B. (2015). Brief cognitive behavior therapy in         patients with social anxiety disorder: A preliminary investigation. Indian Journal of       Psychological Medicine, 37(1), 20–25. https://doi.org/10.4103/0253-7176.150808

Thibaut F. (2017). Anxiety disorders: A review of current literature. Dialogues in Clinical           Neuroscience, 19(2), 87–88.

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Module 4 – Case

GLOBAL HEALTH REGULATIONS, PARTNERSHIPS, AND GOVERNANCE

Assignment Overview

Policy and Global Health

The United States is working with other countries on the “Global Health Security Agenda” which was launched in February 2014 with goals to strengthen countries’ public health capacity to prevent, detect, and respond to infectious disease threats. For more details, please review: https://www.kff.org/global-health-policy/issue-brief/the-u-s-government-and-global-health-security/

Case Assignment

In this video, we see world leaders address global health challenges in relation to health policies/regulations among other factors: https://www.youtube.com/watch?v=4jUIDNoAdk0 

More specific to global health security as a policy, Dr. Price, U.S. Secretary for the Department of Health and Human Services discusses the role of the U.S. in fostering this policy agenda: https://www.youtube.com/watch?v=5giVuNKPil0

1. Discuss how global policy can impact health programs and services as it relates to environmental sustainability. Conduct an additional literature search as needed to support your perspective.
2. Take the Global Health Policy Quiz at http://kff.org/quiz/global-health-policy-quiz/. In at least 1 page, please discuss how well you did (or didn’t do). Which answers surprised you? What did you learn? How will you use your new level of awareness?

Length: 2–3 pages (excluding the cover page and reference list), double-spaced.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

N492 Assignment Mod 3:

Assignment:

· Create a PowerPoint with the intended audience to be a community health department.

· Focus on a real or fictional disaster that has or could affect your area. For example, if you live on the Florida coast you might choose potential hurricane.  

· Discuss the role of the Community Health Nurse in each stage of disaster. You should include a few slides on each stage of disaster: preparedness, response, recovery with specific activities and resources that the public health nurse would use in each stage.

· Identify other agencies that might be involved.   

The assignment should be submitted in PowerPoint format, with at least 10 content slides (in addition to a title slide and reference slide) and include at least two scholarly sources other than provided materials.

 Your school district is interested in opening up a school-based health center, but the superintendent needs more data to help sell the idea to the school board. Using a search engine on the internet (ie. Google, Foxfire, Bing), enter “school-based health centers”. Recommend 5 websites to the superintendent that would be useful. For each website, include a paragraph summary of how it is different from other sites. 

Need APA FORMATE

Need proper citation and references in APA formate

#1.  The mother of a 10-year-old girl has brought her to the clinic based on concerns expressed by the school nurse.  The teacher has noted times when the girl appears to be daydreaming; however, after the nurse witnessed a few of these incidents, she has recommended the child be evaluated for absence seizures.  The mother is not totally convinced that is true, however, is willing to find out.

     A.  How would you respond to this mother?

     B.  What patient centered care will be appropriate here?

     C.  What safety measures should the parents be encouraged to follow?

#2. You are assessing a child’s vision and notice the child is unable to correctly answer her questions when shown the Ishihara color plates.  When questioning the mother, you discover that the child has not understood the colors but the mother has just assumed the child was slow.

     A.  How would you proceed?

     B.  What care would you provide in this case?

     C.  How will you know the nursing care plan was effective for this child?

#3.  The parents have brought their 3-year-old son to the clinic for an evaluation.  They are concerned something is wrong because he cannot seem to move like he used to and is having difficulty climbing up and down the stairs.

     A.  How would you respond?

     B.  What patient-centered care should you develop?

     C.  You recognize that this patient will need assistance from other departments.  Which additional team members will be able to assist this patient and his family?

#4.  A mother has brought her 4-year-old daughter to the emergency department.  She didn’t realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard.  She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

     A.  How would you respond?  What are you initial interventions?

     B.  How can you help the family?

     C.  What are some nursing diagnoses that would be appropriate for this situation?

#5.  The parents are in denial demanding a second opinion.  The physician has just informed them their 2-year-old son has a glioblastoma.  Devastated, they ask the nurse, “How can this happen to us?”

     A.  How would you respond?

     B.  What are some nursing diagnoses you would identify in this situation (more than 1 please)

     C.  What are some expected outcomes related to your nursing diagnoses? (should have an outcome for every diagnoses)