June week 3 2025

Do you agree with the following post? Why or why not? Find an online resource related to health promotion and disease prevention of mental health issues for families that you think would be helpful to those who are struggling. This resource should focus on families and their needs, not the person with mental illness. POST 1 Suicide is the 10th leading cause of death in the United States (Chesnay and Anderson, 2020). Suicide does not discriminate between age, sex, race/ethnicity, and geographical location however, it is 4 times more likely in males than females. The National Action Alliance for Suicide Prevention has put in place an act called, “Zero Suicide”. It is a program used to provide information about suicide risk screening tools and steps to take when a patient screens positive for suicide risk. Healthcare settings have a significant role in preventing suicide when screening during routine appointments. This is due to the large number of patients they see from a variety of backgrounds (King, Horwitz, Czyz, and Lindsey, 2017). There are many tools used to assess for mental health concerns and suicide that is encouraged to be utilized by healthcare providers during routine appointments. These screenings include PHQ-9, PHQ-2, SBQ-R, C-SSRS, and ED-SAFE Patient Safety Screener. The PHQ-9 is the most common and incorporates DSM-IV depression diagnostic criteria into a tool for screening, diagnosing, monitoring, and measuring the severity (King, Horwitz, Czyz, and Lindsey, 2017). Theses screenings would pertain to John because if the provider would have assessed him with a PHQ-9 exam, they would have been able to further determine severity of his mental health and suicidal risk. This would have helped them formulate a better discharge plan other than returning “home”. What events in John’s life created a “downward spiral” into homelessness and hopelessness? Which events were related to social needs, mental health needs, and medical needs, and which could health care have addressed? Events that lead to John’s “downward spiral” in my opinion started when he was young growing up with two alcoholics and having an abusive dad. This situation created a high risk for John to abuse alcohol, engage in abusive behavior, and to have mental health issues. His “downward spiral” into homelessness and hopelessness began when he lost his job. The stress this caused him to begin drinking more frequently. With a history of growing up in an alcoholic home, increased stress later in life puts John at a higher risk for developing alcoholism. His alcohol usage then created tension between him and his wife, which lead to arguments and eventually abusive behavior. “Alcohol abuse and alcoholism within a family is a problem that can destroy a marriage or drive a wedge between members. That means people who drink can blow through the family budget, cause fights, ignore children, and otherwise impair the health and happiness of the people they love. Of married couples who get into physical altercations, some 60-70 percent abuse alcohol. In time, family members may even develop symptoms of codependency, inadvertently keeping the addiction alive, even though it harms them” (Watkins, 2020). Events that were related to his social needs stem from when he was younger growing up with two alcoholic parents and an abusive father. He was neglected of socialization and stability of healthy parents and family life from a young age. His mental health needs were neglected when he was younger as well as through out his adult life. Events that are related to his mental health needs are his childhood, stressor of losing job, engaging in more frequent alcohol use, and becoming angrier and arguing with his wife. At any point, these events could have been evaluated and he could have received help in dealing with these situations rather than letting them progress. Events related to his medical needs did not really develop until after he began engaging in risky behavior and increase in stressors. He was otherwise healthy, other than smoking a ½ pack of cigarettes a day as well as occasional drinking. Health care could have addressed all of these needs in any appointment whether scheduled or an emergency visit through routine examination questionnaires. utilizing at least two scholarly references per peer post. APA format POST 2 Do you agree with the following post? Why or why not? Find an online resource related to health promotion and disease prevention of mental health issues for families that you think would be helpful to those who are struggling. This resource should focus on families and their needs, not the person with mental illness. What events in John’s life created a “downward spiral” into homelessness and hopelessness? Which events were related to social needs, mental health needs, and medical needs, and which could health care have addressed? What were some of the barriers John faced in accessing medical care and mental health care? The purpose of this discussion is to analyze the case study of an individual referred to as John who lost his job, which led to other cascading events and to answer the above questions. Some of the cascading effects including his health situation will be described. John was the sole breadwinner in his home. After losing his job the dynamics of his relationship with his wife who was a stay at home mother was affected. In addition to losing his job, certain events that took place forming a downward spiral for John were his negative coping strategy and losing his family. Individuals engage in either positive or negative coping behaviors to deal with stressful events in life such as divorce, death, or some other crisis. Whichever coping behavior is chosen, the individual performs these actions as a way of dealing with emotions or how they are feeling (Good Therapy, 2018). Unfortunately for John he chose to manage is stress by drinking alcohol. His situation would only worsen after fighting with his wife, which resulted in her leaving him. John was left alone in a home without a job and therefore could not afford a place to live anymore. This led to his homelessness and hopelessness particularly when he could no longer stay with family and friends due to his increased drinking and anger outbursts. At the time where John needed a place to stay, he had some support from family and friends, which served his social needs. However, a major part of the problem was the absence of his social needs from his immediate family, which contributed to his downward spiral. John was faced with depression, a mental health need, which worsened as he began to live on the street. Since depression is a common risk factor for suicide (Ng et al., 2017), John expressed hopelessness with thoughts of ending his life. Moreover, increased rates of suicidal thoughts and attempts are common in homeless individuals Substance Abuse and Mental Health Services Administration [SAMHSA], 2015). John had medical needs due to recurrent skin infections, colds, and injuries which required care. However, now that he was homeless and without a job he did not have health insurance or money, which were barriers that did not allow him to have the medical or mental health care he needed. Had the providers screened John for homelessness and mental illness, his social, mental health, and medical needs could have been addressed. According to SAMHSA (2015), homeless individuals with disorders such as mental or substance use find themselves isolated from social support. Additionally, these individuals need services that provide stable housing, financial help, food, employment, and medical and mental health care. Therefore, John could have benefitted from screening, which is generally performed at health care settings. Other services that will address John’s needs are suicide screening and preventive services, and early intervention and recovery support (SAMHSA, 2015). US Preventive Services Task Force (USPSTF) has recommended a tool that can be currently used in health care settings to screen for depression. The Patient Health Questionnaire (PHQ) is one of the tools that can allow Advanced Practice Registered nurses (APRNs) to screen for mental health disorders and provide treatment accordingly (U.S. Preventive Services Task Force, n.d.). Another widely used tool to screen for suicide is the SAD PERSONs suicide assessment tool. This tool is a scale with ten items matching the mnemonic that has been noted to enhance identification of individuals with suicidal tendencies. One point is assigned to each letter in the mnemonic which measures in order, sex, age, depression, previous suicide attempt, ethanol abuse, rational thinking loss, social support lacking, organized suicide plan, no spouse, and sickness (Ng et al., 2017). To conclude, there are many mishaps in life which can cause an individual to become homeless. A strong determining factor is the type of coping mechanism they choose to use. Some individuals engage in maladaptive coping which only worsens the situation. Receiving support from a therapist or mental health professional can help individuals cope with difficult situations and offer better coping strategies (Good Therapy, 2018). Getting this type of service early can prevent downward spiraling of any situation. However, if an individual finds themselves in a predicament of homelessness and poor health, providers can use the opportunity with repetitive acute visit encounters to screen for homelessness, mental health disorders and suicide in order to recognize patients at risk who’s situation may need interception (Ng et al., 2017), early intervention, and recovery support (SAMHSA, 2015). utilizing at least two scholarly references per peer post. APA format

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Alteration in cellular processes 2025

Week 1 Discussion Scenario: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L. Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response.

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Differential Diagnosis for Skin Conditions 2025

Also, for the skin disorder, you will chose a skin disorder, You will give CC one sentence. HPI example:  A 75 yo woman presents today with itchy red rash. Give location, description, onset, assorciating or alleviating factors. You can also use the soap note template that is attached as guide, PMH, allergies, meds. ROS ect. Please let me know if you have any questions or concerns. Your soap note template can also be found in the resource under week 4 which is to the right of the page. One can chose which ever picture. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Also, please access your grading rubric.. By Day 7 of Week 4 soap note template.docx Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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Framework or Model for Change 2025

ATTACHED INSTRUCTIONS! Applying a model or framework for change ensures that a process is in place to guide the efforts for change. 500-750 words , discuss a model or framework to use to implement an evidence-based practice proposal project . Include the following: 1. Identify the selected model or framework for change and discuss its relevance to the project. 2. Discuss each of the stages in the change model/framework. 3. Describe how to apply each stage of the model or theoretical framework in the proposed implementation. 4. Create a concept map for the conceptual model or framework selected to illustrate how it will be applied. Add this as an appendix. minimum of four peer-reviewed recent sources.

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Discussion: Using Emotional Intelligence and Appreciative Inquiry to Promote Quality 2025

Discussion: Using Emotional Intelligence and Appreciative Inquiry to Promote Quality Through communication—inquiry and dialogue—every person makes a contribution, and by being involved in the process, people can shift their attention and action away from a problem-oriented focus to dreams that are worthy to them and to productive possibilities for the future. —Watkins & Mohr, 2001 Without a doubt, promoting health care quality and patient safety presents a meaningful aim. To achieve this goal, nurse leader-managers need to be able to evaluate a situation from many different viewpoints and frame questions that elicit valuable insights. They must be able to promote skillful problem solving and interdisciplinary teamwork. In this Discussion, you examine how you can use emotional intelligence and appreciative inquiry to facilitate positive changes that lead to improved quality and safety. To prepare: Review the information on emotional intelligence and appreciative inquiry presented in this week’s Learning Resources. If you have not already done so, follow the instructions in the course text, Emotional Intelligence 2.0 to complete the online assessment. Consider the results of the assessment. Review your strengths and opportunities for growth related to self-awareness, self-management, social awareness, and relationship management. What insights, questions, or concerns arise as you think about these results? Think about how your identified emotional intelligence strengths and opportunities for growth relate to your current role as a leader-manager and to the professional contributions that you hope to make now and in the future. Give focused attention to patient safety and health care quality. How and why is emotional intelligence valuable for promoting optimal patient outcomes and creating systems-level change? As indicated on pages 53–55 of the Bradberry and Greaves text, develop a plan for improving your skills in one area of emotional intelligence. Evaluate strategies for applying your strengths in the workplace. Identify at least two that you can use to add value to a team or workgroup to improve quality and safety. Also review the information on appreciative inquiry in this week’s Learning Resources. Have you used appreciative inquiry before? If so, how? How does the application of appreciative inquiry relate to your role as nurse leader-manager and/or to efforts to promote health care quality? Reflect on your experiences working in health care and identify an issue or problem that required, or requires, a change. Consider how you could apply emotional intelligence and appreciative inquiry strategies to this situation to facilitate positive results that lead to improved quality. By Day 3 Post a brief description of an issue or problem in a health care setting that required, or requires, a change. Explain how you, as a nurse leader-manager, could apply both emotional intelligence and appreciative inquiry strategies to address this issue and facilitate positive results that lead to improved quality. Read a selection of your colleagues’ responses. Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Bradberry, T., & Greaves, J. (2009). Emotional intelligence 2.0 . San Diego, CA: TalentSmart. Chapter 1, “The Journey” (pp. 1–12) Chapter 2, “The Big Picture” (pp. 13–22) Chapter 3, “What Emotional Intelligence Looks Like: Understanding the Four Skills” (pp. 23–50)The first three chapters of this book introduce foundational concepts related to emotional intelligence, and provide the background for the online assessment that you will take in preparation for this week’s Discussion. In addition to these chapters, you should read the rest of the book once you have completed the assessment. Note: You must purchase a new, unopened copy of this book in order to acquire the access code that you will need to complete the online assessment. Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations , Burlington, MA: Jones & Bartlett Publishers. Chapter 1, “Understanding the U.S. Healthcare System” (pp. 1–30) This chapter sets the context for understanding quality-related issues within the U.S. health care system (macroenvironment). The authors discuss health care access and costs, which may be viewed as part of a triad with quality. Ingram, J., & Cangemi, J. (2012). Emotions, emotional intelligence and leadership: A brief, pragmatic perspective. Education, 132(4), 771–778. Retrieved from the Walden Library databases. Nel, H., & Pretorius, E. (2012). Applying appreciative inquiry in building capacity in a nongovernmental organization for youths: An example from Soweto, Gauteng, South Africa. Social Development Issues, 34 (1), 37–55. Retrieved from the Walden Library databases. This article examines how appreciative inquiry can be used to foster meaningful change in organizations. It outlines the principles of appreciative inquiry and the four phases: discovery, dream, design, and delivery. Sadri, G. (2012). Emotional intelligence and leadership development. Public Personnel Management, 41 (3), 535–548. Retrieved from the Walden Library databases. Emotional intelligence has been proposed as a key element of leadership. This article examines that argument, with attention to how and why it has been challenged. Copperrider, D. L., & Godwin, L. N. (2010). Positive organization development: Innovation-inspired change in an economy and ecology of strengths . Retrieved from http://appreciativeinquiry.case.edu/intro/comment.cfm The authors present a framework for Innovation-Inspired Positive Organization Development (IPOD), which draws from appreciative inquiry.

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