Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash on her face that has been present for 1 week. She denies new soaps, detergents, lotions, environmental exposures, medications, and foods. The rash is across her face and the bridge of her nose. She states that she first noticed it after spending a week hiking and camping in the Appalachians. The lesions itch and are painful. She has not tried anything to make it better, but she has noticed that going outdoors makes it worse. She denies any spread of the rash to other areas. She has never had this rash before.

She has noticed some increased fatigue, fever, and weight loss. She denies headache, sore throat, ear pain, nasal or sinus congestion, chest pain, shortness of breath, cough, abdominal pain, and pain with urination, constipation, or diarrhea. She does have mouth soreness. She has noticed some increased muscle aches and pains, which are worse in the hand and wrist. She denies early morning joint stiffness or difficulty with being able to move in the morning. She denies temperature intolerance, polyuria, polydipsia, or polyphagia.

She had a tonsillectomy at age 9 for chronic strep throat infections. She has been healthy as an adult. She has never had children. She has never been hospitalized for any reason.

Her family history is significant for a mother with rheumatoid arthritis. Her father is healthy.

She does not smoke; she drinks a glass of wine nearly every night with her dinner; she denies illicit drug use. She completed a master’s degree in engineering. She has lived with her boyfriend for the past 5 years.

Patient is an alert young woman, sitting comfortably on the examination table. BP 112/66 mm Hg; HR 62 BPM and regular; respiratory rate 12 breaths/min; temperature 100.3°F. Several erythematous plaques scattered over the cheeks and the bridge of nose, sparing the nasolabial folds. Normocephalic, atraumatic. Sclera white, conjunctivae clear; pupils constrict from 4 mm to 2 mm and equal, round, and reactive to light and accommodation. Oropharynx moist with erythema in the posterior pharyngeal wall; no exudates; shallow ulcers in the buccal mucosa bilaterally. Neck supple without cervical lymphadenopathy or thyromegaly. Full range of motion; no swelling or deformity; muscles with normal bulk and tone.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

           Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

   Teaching plan and nursing care plan per each nursing diagnosis on this case.

Requirements.

           1- All written assignment and documentations must be  in APA 6th edition format.

           2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: you can use your test book as bibliography too, bibliography have to be written in APA format.

 
Find a program (provide a link to the program) which was developed to provide health promotion and education to a specific population. Evaluate this program on its ability to identify with the specific population, on its implementation of effective intervention methods, and on its program planning strategy. This evaluation will be very broad in scope and not as in-depth as your research assignment 

There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.

To prepare:

• Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings. 

Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.

TOPIC- California Assembly Bill AB-32 Strengthening Telehealth During the Pandemic

THIS IS A GROUP ASSIGNMENT SO ONLY 3 SLIDES ARE NEEDED:

Slide 8 Outline of Lobbying Remarks

Slide 9 Target Audience

Slide 10 Bill’s Intent

(An outline of lobbying remarks, appropriate for the target audience, bill’s intent, and goal of supporting or not supporting its passage)

This is a Collaborative Learning Community (CLC) assignment.

As an advanced registered nurse leader, you have an opportunity to be a catalyst for change and lend your voice to important health care issues. One of the ways you can do this is through lobbying and engaging with the legislative process as both participant and patient advocate.

In this assignment, you will work in a group to identify a current health care legislative issue and prepare a PowerPoint presentation with slide notes. This health care issue can impact your role, the setting, the scope of practice, or the population in the community you serve. Refer to the website of your state legislature to research current legislative issues and identify appropriate steps.

Include the following in a 12-15 slide PowerPoint submission:

1. A description of the health care issue, and how it relates to your role, setting, scope of practice, or community population.
2. A description of the proposed legislation and your group’s stance on whether it should be passed.
3. Methods to track a bill and participate in lobbying efforts.
4. An outline of lobbying remarks, appropriate for the target audience, bill’s intent, and goal of supporting or not supporting its passage.
5. Implications if lobbying efforts do not succeed.

Make sure to include slide notes of 100-250 words for each slide.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Develop a program and write a funding proposal in 2500 words. you may choose to focus on one of these health issues(dementia) in a specific population group such as Aboriginal and Torres Strait Islander people. For this health issue, write a funding proposal which addresses the points below. You should structure your plan using headings and subheadings. Your proposal should include the following project details:

1. Project name
2. Expected length of the project
3. Population target
   • A brief description of the characteristics of your target population (e.g., CALD, Indigenous, disability, other)
4. A project summary or abstract

• Briefly outline who the program is designed for, the goals and objectives of the project, the strategies and the evaluation plan.

1. Background
   • Describe the rationale for your intervention and how you determined what is needed. In this section you will also identify the determinants for this particular issue.
2. Project objectives and goals
3. Project plan
   • Outline the program objectives and the key strategies and activities you are proposing.
4. Evaluation plan
   • Describe each phase of evaluation for your program.