Therapy with Older Adults – 2025 Please follow the instruction below zero plagiarism 5 references no more than 5 years Post a treatment

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Therapy with Older Adults – 2025

Please follow the instruction below

zero plagiarism 

5 references no more than 5 years

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

  • Which diagnosis should be considered?
  • What is the DSM-V Coding for the diagnosis you are considering?
  • What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis.
  • What tests or tools should be considered to help identify the correct diagnosis?
  • What differential diagnosis should be considered?
  • What Treatment Strategy would you recommend?
  • What treatment would you prescribe and what is the rationale?
  • Safety
  • Psychopharmacology
  • Diagnostic Tests
  • Psychotherapy
  • Psychoeducation
  • What standard guidelines would you use to treat or assess this patient?
  • Clinical Note: Is depression a normal part of aging? 

W#14 Health Promotion – 2025 Assignment Preventative Guidelines One Guideline and Two Scenarios Throughout this course we have looked at

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W#14 Health Promotion – 2025

Assignment: Preventative Guidelines – One Guideline and Two Scenarios

Throughout this course, we have looked at health promotion and disease prevention and focused on various vulnerable populations. This week’s discussion will focus on applying one guideline to two patients. Please select ONE of the following scenarios and then answer the questions in your initial post.

Please include at least three scholarly sources within your initial post.

Scenario A: Focus on Preventative Guidelines for Childhood Immunizations

You are working as an APRN in your local primary care office. The rural town of Maynard has 300 people, a post office, doctor’s office, and a gas station. The primary source of income is farming or driving 45 minutes to a somewhat larger town. With the blizzard coming, all your patients except two have cancelled for the morning. Jose is scheduled at 0900; he is a nine-year-old Hispanic male born in Mexico. He and his family (Mom, Dad, and six siblings, ages six months to 14 years) moved into the area just a few months ago. Jose’s mother reported that he had nearly died at two months after contracting pertussis.

Your final patient of the morning is Irena, a 15-year-old teenage female who lives with her aunt in Maynard. Irena is Romanian and barely speaks any English. Her aunt has been your patient for the past few years, and she told you that Irena had been abducted in Romania at the age of 10. Irena’s parents found her quite by accident when a sex trafficking ring dumped all their “product” in a refugee camp in Serbia just a few months ago. Irena’s parents are still in Romania, but they sent Irena here to live with her aunt.

Scenario B: Focus on Preventative Guidelines for Colorectal Cancer Screening

On a busy Thursday morning, you note on your schedule a couple of patients who routinely “take a long time” no matter what their complaint. Jimmy is a 62-year-old male who is mentally challenged and lives in a local group home. Both his parents passed away last year, and his sister has never really been in the picture. She lives at least eight hours away. Jimmy has a “genetic disorder” but actually his symptoms are more like autism that we are familiar with today. Jimmy’s caregiver states he has been having some problems with constipation but otherwise he seems okay. Jimmy is nonverbal and hates to be touched. Approaching Jimmy can be difficult, and he has taken a swing at staff a couple of times because he doesn’t understand what is going on – especially if they try to touch him to check his pulse or blood pressure.

Having finished up with Jimmy, you move on to Marvin. Marvin is a 67-year-old male here for his annual physical. Marvin is pretty healthy despite a scare with colon cancer when he was 50. He is obsessed with his bowels and even brings charts to each of his appointments as he is always concerned that the cancer will return.

Scenario C: Focus on Preventative Guidelines for Breast Cancer Screening

Volunteering once a month for a mobile clinic, you head out this Saturday morning with two other providers and staff. The mobile RV is a large motorhome retrofitted as a primary care clinic. Headed downtown where there is a large homeless population, everyone is excited to see what the day brings.

Miss Eleanor is a 72-year-old African American female who you have seen many times. Today she is complaining of some breast tenderness due to a fall she took with her grocery cart a couple of weeks ago. While examining Eleanor’s breast, you took the opportunity to do a manual breast exam. Eleanor said it had been at least 30 years since she’d had a breast exam and that she had never had a mammogram.

Finishing up your day on the mobile clinic, Sally, a 48-year-old female, is concerned that she has an STI. During Sally’s pelvic exam, you learn that she has been living in a tent under a bridge downtown for about a year. Sally is eager to talk to someone and tells you that she used to work in a medical office as a receptionist but that was a long time ago, before she was diagnosed with bipolar disorder. You are concerned that Sally does have an STI and you ask about her medical history. After quite a story, Sally tells you she had a mammogram about two years ago before she left Texas and there was a place the doctor wanted to evaluate further but she never went back for the ultrasound.

Scenario D: Focus on Cervical Cancer Guidelines

Working near a naval base, you see a lot of patients who are somehow connected with the military. Today, Shelesha, a 21-year-old African American female, is requesting to be seen for her annual exam before she leaves for deployment. Shelesha seems really anxious today. She is usually so excited about being on board her ship, but today she is different. You complete her annual exam, but she refuses her cervical and breast exam. After leaving the room so she can get dressed, you return to find Shelesha crying. She finally tells you that she was attacked – sexually assaulted on board her ship six months ago – and she has these “bumps” that keep getting bigger around her vagina and she is worried.

Virginia arrives for her annual well woman exam. Virginia is a 67-year-old female who has been married for 42 years. Virginia and Harrold are still sexually active with the use of medications, and like clockwork Virginia comes every year for her pelvic exam requesting a Pap smear. Virginia had breast cancer with a mastectomy when she was 52, but otherwise she is healthy, only taking medication for her cholesterol.

Scenario E: Focus on Prostate Cancer Guidelines

Ivan is a 59-year-old Caucasian male in your office today for his annual exam. He has been reading about prostate cancer and the need to have some lab work done. His wife really wants him to get his PSA drawn, but he’s not so sure. Your physical exam of Ivan is “all normal.” When reviewing Ivan’s health assessment form, you see he smokes two packs of cigarettes a day and his only complaint is a chronic cough.

Chen is 76-year-old gentleman of Chinese descent. He is here today for an annual exam and a recheck of his blood pressure. Chen tells you he just heard from his brother that his PSA (Prostate Specific Antigen) is really high, and they are concerned he may have prostate cancer. Chen’s brother is from his father’s second marriage and he is only 59 years old. Chen is asking to have his PSA drawn to make sure he doesn’t have prostate cancer.

Initial Post

Having discussed many guidelines throughout this term, consider the content you have explored. Using this knowledge, answer the following questions related to your chosen scenario. Note: please try to choose a topic for your initial post that you did not choose previously during the semester or aren’t as familiar with so you can gain additional knowledge as we finish up this course

  1. Discuss the guidelines assigned with your scenario.
  2. Will both patients be treated in the same manner? Why or why not?
  3. What would your treatment plan be for each of the individuals in your scenario?

INSTRUCTIONS

– Please include at least 3 scholarly sources within your initial post.

– APA style.

– Turnitin Assignment (No plagiarism)

Note: My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse. I work in a Psychiatric Hospital. 

Family Assessment 30 page nursing final project due 8/9/2020 – 2025 Family Assessment Purpose Holistically assessing a family and the individual family members

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Family Assessment 30 page nursing final project due 8/9/2020 – 2025

  

Family Assessment:

 Purpose: Holistically assessing a family and the individual family members in relation to family structure, developmental stages, and family relationships helps the student to understand how each individual affects the family as a whole and how the family affects each individual. The student will also gain an insight into how important a family’s health is to the health of its individual members.

 Assignment: 

Contact a family and perform a family assessment. This can be completed in-person, or via virtual or phone interview. Below are areas that must be included. This paper is to be written in APA format with a title page, introductory and conclusion paragraphs, paragraph headings and sub-headings, proper formatting, proper in-text citations and a separate reference page. The Functional Health Patterns sections can be written in paragraph form or bullet points. In the end, your final paper should be at least 30 pages.

You need to have at least 4 resources cited in your paper/care plans and referenced in the reference page. 1 can be your text book, 1 can be a care plan book, the other 2 must be Evidence Based Practice articles related to the work you did with the family.

ALL sections MUST have subheading and clearly responds to the question!

Each section should be at least 2 pages. 

section 1 FAMILY PROFILE (20) 

· This needs to include the following:

· And introduction / introducing the family and the importance of a nursing family assessment. 

· A genogram needs to be used to illustrate the following information: age, sex, and current health status of each family member. The genogram should include every member of the household and any living outside the household who is included in the assessment.

· Description of family stage (Duvall’s) and individual members’ current developmental stages/tasks (Erickson’s at the least) 

· Family type? (i.e., nuclear, extended…..) and why you chose this type

Section 2 – FAMILY AND NURSING THEORIES (10)

This needs to include the following:

· Using the nursing theories or family theories described in your book choose one theory that best fits this family.

· Describe the theory chosen. Example the family systems theory 

· Apply this theory to the family you assess and describe how this family fits into the concepts and ideas presented by this theory.

Section 3 –Gordon’s Functional Health Patterns

As it applies to the family 

Section 4– HEALTH PERCEPTION–HEALTH MANAGEMENT PATTERN (5)

Subjective Data

• Describe your family’s general health during the past few years.

• Has your family been able to participate in its usual activities (work, school, sports)?

• Describe what your family does to try to stay healthy (diet, exercise, etc).

• From whom does your family seek health care? When?

• Describe how your family members check their health status (ex. eye exams, dental exams, breast exams, testicular exams, medical checkups).

• Describe any behaviors in your family that are considered unhealthy.

• Who cares for family members who are or who become ill?

• How would you know if a family member were ill? 

· Description of beliefs about health and illness including complementary, alternative, and culturally-based values. 

· Environmental assessment for safety in the home relevant for the age and characteristics of family members

Section 5 NUTRITIONAL–METABOLIC PATTERN (5)

Subjective Data

• Describe typical breakfast, lunch, supper, and snacks that you eat as a family.

• What type of drinks do you usually have during the day and at night?

• How would you describe your family’s appetite in general?

• How often does your family seek dental care? Are there any dental problems in your family?

• Does anyone in your family have skin rashes or problems with sores healing? Explain.

• Who usually prepares the family meals? Who shops for groceries?

Section 6— ELIMINATION PATTERN (5)

Subjective Data

• How often do family members have bowel movements? Urinate?

• Are laxatives used in your family? Explain.

• Are there problems with disposing of waste or garbage?

• Describe any recycling you do.

• Does your family have pets (indoor or outdoor)? How are their wastes disposed?

• Do you have problems with insects in your home? Explain.

Section 7— ACTIVITY–EXERCISE PATTERN (5)

Subjective Data

• Describe how your family exercises. Frequency?

• How does your family relax?

• What does your family do for enjoyment?

• Describe a typical day of activities in your family (work, school, play, games, meals, hobbies, house cleaning, yard work, cooking, and exercise).

Section 8—- SLEEP–REST PATTERN (5)

Subjective Data

• When does your family generally go to bed and awaken? Do family members go to bed and arise at different times? Explain.

• Does your family seem to get enough time to sleep? To rest and relax?

• Do any family members work at night? How does this affect other family members?

Section 9—-SENSORY-PERCEPTUAL PATTERN (5)

Subjective Data

• Are there any hearing or visual problems that affect your family members?

• Are there any deficits in a family member’s ability to taste and smell that affect how food is prepared for the family?

• Does pain seem to be a family problem? Explain. How is this managed?

• What is the usual form of pain relief used by family members?

Section 10— COGNITIVE PATTERN (5)

Subjective Data

• Who makes the major family decisions? How?

• Describe the highest educational level of all family members.

• Does your family understand any illnesses and treatments that affect any of your family members?

• How does your family enjoy learning (ex. reading, watching television, attending classes)?

• Are there any problems with memory in the family? Explain.

Section 11– SELF-PERCEPTION–SELF-CONCEPT PATTERN (5)

Subjective Data

• Describe the general mood of your family (ex. sad, happy, eager, depressed, anxious, and relaxed).

• Do you consider yourselves to be a close family? How do you spend time together? Is this time satisfying?

• Do family members share any common goals? Explain.

• What does the family enjoy doing most together?

• How does your family deal with disagreements?

• How do your family members express their affection, feelings, and/or concerns? Are they allowed to do so freely? Explain.

• Does your family seem to discuss problems that affect individual members?

• How does your family deal with change?

Section 12— ROLE–RELATIONSHIP PATTERN (5)

Subjective Data

• Describe how your family members support each other, show affection, and express concerns.

• Describe any problems with relationships between family members.

• Describe your family resources (financial, community support systems, family support systems).

• How active is your family in your neighborhood and/or community?

• Explain family responsibilities for various household chores (washing, cooking, driving, lawn maintenance, etc).

• Explain how discipline is used in your family. How are family members rewarded? Describe any aggression and/or violence that occurs in your family.

Section 13— SEXUALITY–REPRODUCTIVE PATTERN (5)

(Please do not skip this section. As a nurse you will have to ask uncomfortable or private questions at times.)

Subjective Data

If appropriate: Are sexual partners within home satisfied with sexual relationship and activities? Describe any problems.

• Are contraceptives used?

• Is family planning used? How?

• Are parents comfortable answering questions and explaining topics related to sexuality to their children?

Section 14— COPING–STRESS TOLERANCE PATTERN (5)

Subjective Data

• What major changes have occurred in your family during the past year (eg. divorce, marriage, family members leaving home, new members coming into home, death, illness, births, accidents, change in finances and/or occupation)? 

• How does your family cope with major stressors (ex. exercise, discussion, prayer, drugs, alcohol, violence)?

• Who in the family copes best with stressors?

• Who has the most difficult time coping with stress?

• What are the family’s strengths/weaknesses?

• What are the family resources/social supports?

• How does the family perceive their ability to problem solve and cope?

• Who outside the family (ex. friends, church, support groups) seems to help your family most during difficult times? 

Section 15— VALUE–BELIEF PATTERN (5)

Subjective Data

• What does your family consider to be most important in life?

• What does your family want from life?

• What rules does your family hold most important?

• Is religion important in the family? What religion are family members? What religious practices are important to the family? Is a relationship with God important to the family?

• What does your family look forward to in the future?

• From where do the family’s hope and strength come?

Section 17— Issues and Problems (20) 

With identified issues and problems, describe your process to develop, implement, and evaluate interdisciplinary care management plans using NANDA diagnosis, intervention and outcome measures. This includes the following criteria:

· 1-Describe the issues and problems you see this family facing based on your assessment information. Discuss why you think these are issues for the family, including the assessment data that brought you to this conclusion
•2-Provide descriptions about how you educated and/or facilitated health-related behavior changes while incorporating family’s perceived needs and interests.
• 3-Describe how you collaborated with the family in addressing complex situations and challenges. How did you all work together to come up solutions?
• 4-Describe how you coordinated referrals as well as how you ensured effective communication among services/agencies involved in providing services to family. You must provide at least 1 referral.
• 5-Periodically evaluate effectiveness of your referrals, interventions, and education. Call the family a week or more after initial assessment to see if they have made any changes. 

 Section 16— Plan of Care (20) 

• Develop two family care plans using template based on identified issues and problems. A minimum of 3 interventions with evidenced-based rationales is required for each. Also, a short and long term goal are required for each care plan. PLEASE use the template provided.

Section 17—- Final Synthesis (10)

Must include the following criteria:
1. A summary of your identified family themes, problems/issues, teaching, interventions and evaluations. Discuss your evaluation of the interventions from your care plans- Did the family do them? How have they changed? Was it positive of negative? If they didn’t follow your interventions or they had negative outcomes, explain why.
2. A summary about how your therapeutic relationship progressed with the family.
3. Your reflection on the meaning of this experience and this process of learning and describe what you learned.

 

APA Format, Grammar, and References (10)

· 10 points for proper APA format of paper, citations, and references

· Proper grammar is used throughout

· Correct amount of references cited

Total points: 150

  

Rubric for Family Assessment   Assignment

Points 120

  

Criteria 

Points Received

 

Family Profile

(20 points)

All     required narrative information present.

Genogram     includes all required information

20     points

Missing     information about developmental stages, tasks and family type.

Genogram     contains only half of the required information

10     points

No     information about stages, tasks, type included.

No     Genogram is included 

0     points

 

Theories

(10 points)

Theory     described in detail and relates to family

10     points

Theory     described fairly and minimally relates to family

5     points

No     theory described

0     points

 

Gordon’s Family Functional Health Patterns

(5 Points each)

Subjective     ()

 

Health     Perception – Health Management Patterns

 

Nutritional/Metabolic

 

Elimination     

 

Activity/Exercise

 

Sleep/Rest

 

Sensory/Perceptual

 

Cognitive     

 

Self-Perception/Self-Concept

 

Role/Relationship

 

Sexuality/

Reproductive

 

Coping/Stress     Tolerance

 

Value/Belief

 

Issues and Problems 

(20 points)

20     points-Includes all 5 criteria

15     points- Includes 3-4 of the criteria

10 points- includes 2 of the criteria

5 points- includes 1 of the criteria

Includes     0 criteria

0 points

 

Plan of Care

(20 points)

Includes     two family care plans using the template and based on identified issues     with proper NANDA nursing diagnoses

20 points

Includes     one family care plans using the template or the care plans are not based on     identified issues or nursing care plans not properly written or NANDA

10     points

Does     not include a care plan 

0     points

 

Final Synthesis

(10 points)

Includes     all 3 criteria

10 points

Includes     only 2 of the criteria

5     points

Does     not include any of the criteria

0     points

 

APA and Grammar

(10 Points)

1     point for each APA or grammar mistake, up to 10 points total

 

Total: 

Possible Total 150

   

Group therapy with older Adults – 2025 Learning Objectives Students will Analyze group therapy sessions with older adults Recommend strategies for improving the effectiveness of

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Group therapy with older Adults – 2025

  

Learning Objectives

Students will:

· Analyze group therapy sessions with older adults

· Recommend strategies for improving the effectiveness of group therapy sessions for older adults

To prepare:

· Review this week’s Learning Resources, and consider the insights provided on group therapy with older adults.

· Reflect on your practicum experiences with older adults in group therapy settings.

Post a description of a group therapy session with older adults, including the stage of the group, any resistances or issues that were present, and therapeutic techniques used by the facilitator. Explain any challenges that may occur when working with this group. Support your recommendations with evidence-based literature.

 Required Readings( Need 3 references)

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Bonhote, K., Romano-Egan, J., & Cornwell, C. (1999). Altruism and creative expressions in a long-term older adult psychotherapy group. Issues in Mental Health Nursing, 20(6), 603–617. doi:10.1080/016128499248394

Altruism and Creative Expressions in a Long-term Older Adult Psychotherapy Group by Bonhote, K.; Romano-Egan, J.; Cornwell, C., in Issues in Mental Health Nursing, Vol. 20/Issue 6. Copyright 1999 by Taylor & Francis Inc. Reprinted by permission of Taylor & Francis Inc. via the Copyright Clearance Center.

Cheston, R., & Jones, R. (2009). A small-scale study comparing the impact of psycho-education and exploratory psychotherapy groups on newcomers to a group for people with dementia. Aging & Mental Health, 13(3), 420-425. doi:10.1080/13607860902879409

Krishna, M., Honagodu, A., Rajendra, R., Sundarachar, R., Lane, S., & Lepping, P. (2013). A systematic review and meta-analysis of group psychotherapy for sub-clinical depression in older adults. International Journal of Geriatric Psychiatry, 28(9), 881–888. doi:10.1002/gps.3905

​A Systematic Review and Meta-analysis of Group Psychotherapy for Sub-clinical Depression in Older Adults by Krishna, M.; Honagodu, A.; Rajendra, R.; Sundarachar, R.; Lane, S.; Lepping, P., in International Journal of Geriatric Psychiatry, Vol. 28/Issue 9. Copyright 2013 by John Wiley & Sons Ltd. Reprinted by permission of John Wiley & Sons Ltd. via the Copyright Clearance Center.

Krishna, M., Jauhari, A., Lepping, P., Turner, J., Crossley, D., & Krishnamoorthy, A. (2011). Is group psychotherapy effective in older adults with depression? A systematic review. International Journal of Geriatric Psychiatry, 26(4), 331–340. doi:10.1002/gps.2546

Is Group Psychotherapy Effective in Older Adults with Depression? A Systematic Review by Krishna, M.; Jauhari, A.; Lepping, P.; Turner, J.; Crossley, D.; Krishnamoorthy, A., in International Journal of Geriatric Psychiatry, Vol. 26/Issue 4. Copyright 2011 by John Wiley & Sons, Ltd. Reprinted by permission of John Wiley & Sons, Ltd. via the Copyright Clearance Center.

Rice, A. (2015). Common therapeutic factors in bereavement groups. Death Studies, 39(3), 165-172. doi:10.1080/07481187.2014.946627

Wang, C., Tzeng, D., & Chung, W. (2014). The effect of early group psychotherapy on depressive symptoms and quality of life among residents of an apartment building for seniors. Psychogeriatrics: The Official Journal of the Japanese Psychogeriatric Society, 14(1), 38-46. doi:10.1111/psyg.12037

Watkins, R., Cheston, R., Jones, K., & Gilliard, J. (2006). ‘Coming out’ with Alzheimer’s disease: Changes in awareness during a psychotherapy group for people with dementia. Aging & Mental Health, 10(2), 166-176. doi:10.1080/13607860500312209

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

DiscussionB 7-1 – 2025 Ask five nurses the following question Ask the question without explanation or expansion Tell them you are doing a

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DiscussionB 7-1 – 2025

Ask five nurses the following question.  Ask the question without explanation or expansion.  Tell them you are doing a class project and need the following question answered.  There are no right or wrong answers. “What is the purpose of nursing?” Ask five lay persons the exact same question in the exact same manner.  Summarize your findings and report to the class. When you complete this project, you will have just completed your first qualitative research project.  Albeit an abbreviated one, but nonetheless, a qualitative study.

Expectations

Initial Post:

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

A6: disaster planning: Local long term care facility – 2025 For this assignment you are given a real world scenario as follows The Director of Nursing

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A6: disaster planning: Local long term care facility – 2025

For this assignment, you are given a real-world scenario as follows:

The Director of Nursing (DON) for the local health department has been assigned by the Medical Director to develop a plan to handle an emergency plan with the local long-term care facility (LTCF). She will serve on a team with the health department emergency preparedness coordinator and the epidemiologist. Neither the DON nor medical director have been in their current positions for more than six months. The DON has resided in the area for several years, had worked at the local hospital for three years before obtaining her current position. The medical director came from another health department in another state. He had been involved in a hurricane which impacted the local nursing home where two patients died due to a food-borne outbreak. The emergency preparedness coordinator is experienced and works with the state level emergency preparedness team. The epidemiologist has lived in the area for 20 years and has been the epidemiologist for over 15 years at this health department. The nurse is assigned to develop a nursing protocol regarding patient care to be included in the disaster plan coordinating agreement between the LTCF and the health department. The health department team will work with representatives from the LTCF nursing department. Use the following template to develop this policy/protocol:

  • Designated authority.
  • Describe the problem. List the proposed nursing diagnosis.
  • Background: Introduce the business case for why developing this protocol is necessary. Provide the data and information to support the protocol.
  • Identify other persons needed to serve on this team from both the LTCF and health department.
  • Generate a list of what information about the nursing care facility is needed to develop this plan and delineate assignments to the appropriate persons.
  • Objectives: Delineate one to three objectives for this plan. Make sure the objectives are in behavioral terms, are measurable and realistic.  Include timeframes.
  • Proposed Interventions: Develop a comprehensive list of action steps for both the LTCF and the health department to be included in this plan.
  • Expected Benefits: Describe the expected benefits and outcome of the interventions taken.
  • Audit and evaluation: Describe how the outcomes will be evaluated. Propose what and how pertinent audit findings will be used to evaluate the success of the plan. Describe how ongoing monitoring and review of the strategies will be done.

Include at least three references using the APA style. Keep statements succinct, clear and without opinions. Limit the protocol to no more than three pages.

STD Case Study. * 2 pages – 2025 Assignment 1 to 2 page case study analysis In your Case Study Analysis

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STD Case Study. * 2 pages – 2025

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

  • The factors that affect fertility (STDs).
  • Why inflammatory markers rise in STD/PID.
  • Why prostatitis and infection happens. Also explain the causes of systemic reaction.
  • Why a patient would need a splenectomy after a diagnosis of ITP.
  • Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Scenario 3: 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.

Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.

Physical exam revealed pale, anxious female appearing older than stated years.

HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.

Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds. Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal.

Assessment 3: Ego Integrity Presentation – 2025 Ego Integrity Presentation Imagine you are working as a charge nurse in an assisted living facility Your unit

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Assessment 3: Ego Integrity Presentation – 2025

 

Ego Integrity Presentation

Imagine you are working as a charge nurse in an assisted living facility. Your unit houses twenty older adults. The residents of this unit are cognitively functional without evidence of cognitive decline. The residents are elderly and do require varying degrees of physical assistance with ADLs. Create a PowerPoint outlining strategies you can incorporate in the assisted living facility to promote ego integrity for your residents. What group and individual activities can you incorporate?

Assignment Expectations:

Length: 10-15 content slides 

Structure: Include a title slide, objective slide, and reference slide in APA format. These do not count towards the minimum content slide count for this assignment. Be sure to fully explain all slides in the Speaker Notes.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) 

Serum1 – 2025 An 83 year old resident of a skilled nursing facility presents to the emergency department with generalized edema of

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Serum1 – 2025

  An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition. 

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.

 Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 

Case study- Pharmacology WK2 – 2025 As an advanced practice nurse it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders To

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Nursing Assignment Help

Case study- Pharmacology WK2 – 2025

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamics processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

· Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.

· Review the case study assigned by your Instructor for this Assignment.

· Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.

· Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

· Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

· Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Write a 3-page paper that addresses the following:

· Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamics processes in the patient from the case study you were assigned.

· Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.

· Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.  

Case study assigned:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

· atenolol 12.5 mg daily

· doxazosin 8 mg daily

· hydralazine 10 mg qid

· sertraline 25 mg daily

· simvastatin 80 mg daily