2 Comments References And Citation Each One 150 Words 2025

Comment (1) 150 words references and citation Health Issues of Middle Age that Exercise can Prevent Prevalence of the Problem in the US Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation Obesity- Obesity is defined by the CDC as having a body mass index of 30 or more. Those with a body mass index of 25.0 to <30 are considered overweight and at-risk for obesity (CDC, 2019). 42.8% of middle-aged adults in the U.S. are obese. For patients who are already obese, the likelihood that they are getting enough physical activity is low. When developing a health promotion plan, the nurse should include the patient in formulating that plan. Activities should be based upon patient’s current level of fitness. It is not realistic that someone who is already obese would be able to go out and run a mile every day. The Physical Activity Guidelines for Americans recommends starting with low expectations and slowly increasing physical activity as tolerance is built (Department of Health and Human Services, 2018). Activities such as swimming, biking, walking, playing sports and even gardening are good ways to start. If someone’s current health state or physical fitness does not allow for much exercise, it is important to remind them that any activity is better than none. They can start as low as they need to, once their small goals are attained, they move on to bigger ones. They should continue doing this until they can meet the recommendations for physical activity. 150 minutes per week of moderate-intensity aerobic activity is the recommended amount of physical activity for adults (CDC, 2020). Moderate-intensity aerobic activity is any activity that causes an increase in heart rate. Allowing for patient to slowly increase activity over time is a good approach to increase their cooperation. Diabetes Mellitus Type II- Diabetes is a chronic disease in which your body either does not produce enough insulin which is Type I, or your body’s cells have become resistant to insulin which is Type II. The most common form of Diabetes is Type II. 90-95% of Diabetics are Type II (CDC, 2019). 9.4% of people in the U.S. have Diabetes, 33.9% have prediabetes. One of the leading risk factors for Type II Diabetes is Obesity. Given that, recommendations the nurse should make for activity to prevent Diabetes Type II are the same as those to someone who is obese. One difference would be the education needed regarding blood sugars. Patient’s with diabetes need to be educated on the effects exercise can have on blood sugar levels and the need to monitor levels more closely when increasing activity levels in order to prevent hypoglycemic episodes. This is extremely important if the patient is utilizing insulin. They may need to plan to exercise during specific times of day depending on how it effects their blood sugar levels (Colberg, 2008). References Centers for Disease Control (CDC). (2019, December 23). Diabetes. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/diabetes/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fdiabetes%2Findex.htm Centers for Disease Control and Prevention (CDC). (2019, November 21). Overweight and Obesity. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/obesity/index.html Centers for Disease Control and Prevention (CDC). (2020, January 9). Physical Activity. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/physicalactivity/basics/adults/index.htm Colberg, S. (2008, December 30). Timing of Exercise and Your Insulin Levels. Retrieved from Diabetes in Control: http://www.diabetesincontrol.com/timing-of-exercise-and-your-insulin-levels/ Department of Health and Human Services. (2018). Physical Activity Guidelines for Americans. Retrieved from Department of Health and Human Services: https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf comment (2) 150 words references citation Health Issues of Middle Age that Exercise can Prevent Prevalence of the Problem in the US Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation Type 2 Diabetes Diabetes have increased as well. In 2017, the CDC reported that more than 100 million Americans have diabetes (CDC, 2017d). Type 2 diabetes can be reversed with weight loss and diet modification. Develop a healthy eating and activity plan Drinking more water and fewer sugary drinks Eating more fruits and vegetables Making favorite foods healthier Making physical activity more fun Hypertension (HTN) Per centre of disease control the prevalence of hypertension has been increased in middle age from 18 to 39 from 7.2% to 33.2%, also the report says that 74 millian people is suffering from hypertension (2020), it is overall 54% that means 1 out of 3 adult does hav HTN For health promotion and prevention of hypertension i will suggesst my patient that High blood pressure increases your risk for heart disease and stroke, two leading causes of death in the United States. No matter your age, you can take steps each day to keep your blood pressure in a healthy range. By living a healthy lifestyle, you can help keep your blood pressure in a healthy range and lower your risk for heart disease and stroke. A healthy lifestyle includes: Eating a healthy diet. Maintaining a healthy weight. Getting enough physical activity. Not smoking. Limiting alcohol use. As an example of health eating habit considers prevent salt on top of the food, try to follow ' B ' diet that mean baked, boiled, broiled, Also help to eucatate the patient by adding green vegetable, fruit, fibers,in regular basis we sould encourage patients to maintain healthy weight by having a healthy choice in eating, early habits of eating, avoid junk food, soda, sweets, oily food. I would also introduce to manage or prevent HTN is 30-60 minutes of aerobic activity, specifically a brisk walk, 3-4 times a week with a long-term goal of 60 minutes, four time a week.start going to the gym do cardio exercise, running. quit smoking is also very healpfull in decreasing hypertension rate Referance Centers for Disease Control and Prevention. (2017d). New CDC report: More than 100 million Americans have diabetes or prediabetes. Retrieved from https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html center of disease contro and prevention(october 2018) nach data Nursing Assignment Help 2025

Clinical Standard Of Practice Presentation 2025

Clinical Standard of Practice Presentation Each student will present a Clinical Practice Presentation . The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. See syllabus Be focus on a power point based in a SOAP clinical/medical note, with a patient assisted in a family practice ofice. Clinical Standard of Practice Presentation Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed. Presentations must be no more than eight slides in a PowerPoint format with a Reference List in APA format, will be no more than 15 minutes in length. Topics will be listed, and students must sign up for presentation by the second week of the course. Topics may include pneumonia, COPD, Parkinson’s, pancreatitis, cholecystitis, Asthma, joint replacement, psoriasis, and others. Criteria Points Criteria Points 1 Presents the case including CC, HPI, Hx, ROS and PE findings concisely 2 List possible differential diagnosis with supporting/excluding criteria. 10 3 What labs or tests are typically ordered concerning this condition? What results should the Does NP expect to see with this diagnosis? 4 What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs. 5 What are the outcomes expected or unexpected for this specific condition? Moreover, What patient outcomes will trigger a referral? 6 Provide patient teaching materials specific to their condition Reference : You can use MERCK manual All references not older than 2015 American Psychological Association [APA]. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art and science of advanced practice nursing. 4th ed. FA.Davis. Philadelphia, PA. ISBN-13: 978-0803638013 Fenstermacher, K., & Hudson, B. T. (2019). Practice guidelines for family nurse practitioners (5th ed.). Elsevier. St Louis, Ms. ISBN-10: 0323290809 Goroll, A. H., & Mulley, A. G. (2014). Primary care medicine: office evaluation and management of the adult patient. 7th ed. Wolters Kluwer Health: Philadelphia, PA. ISBN-13: 978-1451151497 Kennedy-Malone, L., Fletcher, K. R. & Martin-Plank, L. (2014). Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company. Philadelphia, PA. ISBN 13: 978-0803624917 Rhoads, J., & Jensen, M. M. (Eds.). (2014). Differential Diagnosis for the Advanced Practice Nurse. Springer Publishing Company. New York, NY. ISBN-10: 0826110274 Other Resources 1. Agency for Health Care Research and Quality (October 2017). Put prevention into practice. A step-by-step guide to delivering clinical preventive services: A systems approach. Available at http://www.ahrq.gov/clinic/ppipix.htm 2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org 3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/ 4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a wealth of access to various sites that can be found here, including evidence-based links and patient education links. 5. University of California, San Diego: A Practical Guide to Clinical Medicine At https://meded.ucsd.edu/clinicalmed/ 6. Journal of Family Practice POEMs web site. Available at http://www.essentialevidenceplus.com/ 7. U.S. Preventive Services Task Force (USPSTF). Available at http://www.preventiveservices.ahrq.gov 8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health library 9. National Center for Complementary and Alternative Medicine. Available at http://www.nccam.nih.gov/ 10. Nurse Org. https://nurse.org/resources/nurse-practitioner/#-what-is-a-nurse-practitioner

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Assignment: Assessing And Treating Clients With Impulsivity, Compulsivity, And Addiction 2025

The Assignment: Examine Case Study: A Puerto Rican Woman With Comorbid Addiction . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: · Decision #1 · o Which decision did you select? o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? · Decision #2 · o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? · Decision #3 · o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Note: Support your rationale with a minimum of three academic resources no more than five years old. Co-morbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female BACKGROUND Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.” SUBJECTIVE Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health. She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money. MENTAL STATUS EXAM The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation. Diagnosis: Gambling disorder, alcohol use disorder Decision Point One: Select what the PMHNP should do: Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeks RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Mrs. Perez said that she felt “wonderful” as she has not “touched a drop” to drink since receiving the injection Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling) Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also have her concerned Decision Point Two: Select what the PMHNP should do next: Add on Valium(diazepam) 5 mg orally TID/PRN/anxiety RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Mrs. Perez reports that when she first received the valium, it helped her tremendously. She states “I was like a new person- this is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her valium early Client is asking today for you to increase the valium dose or frequency Decision Point Three: Select what the PMHNP should do next: Continue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issue Guidance to Student Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never initiate benzodiazepines in a client who already has issues with alcohol, or other substance dependencies. Additionally, benzodiazepines are not to be used long-term. Problems associated with long-term benzodiazepine use include the need to increase the dose in order to achieve the same therapeutic effect. This is what we are seeing in Mrs. Perez’s case. The most appropriate course of action in this case would be to continue the current dose of Vivitrol, while decreasing the Valium with the goal of discontinuation of the drug within the next two weeks. At this point, we need to evaluate whether or not the side effect of anxiety associated with Vivitrol persists. Increasing the dose of Valium would not be appropriate, neither would maintaining her on the current dose of Valium. Additionally, the client should be referred for counseling to help with her gambling addiction, as there are no FDA approved medications gambling disorder. Medication should never be added treat side effect of another medication, unless that side effect is known to be transient (for instance, benzodiazepines are sometimes prescribed to overcome the initial problem of “activation” associated with initiation of SSRI, or SNRI therapy). However, in a client with multiple addictive disorders, benzodiazepines should never be used (unless they are only being used for a limited duration of therapy such as acute alcohol detoxification to prevent seizures). Additionally, it should be noted that Mrs. Perez continues to engage in problematic gambling, at considerable personal financial cost. Mrs. Perez needs to be referred to a counselor who specializes in the treatment of gambling disorder and should also be encouraged to establish herself with a local chapter of gamblers anonymous. The PMHNP needs to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.

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Critical Decision Making For Providers 2025

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media ( https://lc.gcumedia.com/hlt307v/allied-health-community/home.html ). In a 750‐1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions: What were the consequences of a failure to report? What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments? As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes? A minimum of three academic references from credible sources are required for this assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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PICOT Question And Literature Search 2025

NOTE: Literature Evaluation Table attached. There will be a continuation of this homework as stated ( Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses. Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.) The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the “Literature Evaluation Table” to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment. 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. You are not required to submit this assignment to LopesWrite

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