This week’s discussion will focus on applying one guideline to two patients.  Please include at least three scholarly sources within your initial post. 

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.

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?

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

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. 

Thoughts???

Acquired immunodeficiency syndrome (AIDS) is an immune dysfunction. It stems from a viral infection of human immunodeficiency virus (HIV) that infects the cells to a specific level and is the response of the infected lymphocytes (Randall, 2018). AIDS is the late stage of HIV. HIV has 3 stages; the first stage can be no symptoms or flu like symptoms (Randall, 2018). It then can progress to stage 2 as the cells continue to proliferate in the body and symptoms may not present at this time however once it transitions into stage 3 the immune system is compromised; at this point it is considered AIDS because the CD4 cell count is below 200. It is important for individuals to be tested for HIV so that appropriate medication can be prescribed to prevent the deterioration to AIDS.

Symptoms cannot be present or life altering in HIV which can lead to AIDS therefore being tested and knowing how HIV can spread through different body fluids to ensure safety of oneself and others. This can cause complications because every individual needs to be responsible in getting tested for HIV/AIDS, ensuring that they practice safe sex and know the HIV status of their significant other and mother’s must be careful during pregnancy and breastfeeding. HIV/AIDS requires much education and nurses play a vital role in assisting with ensuring normal daily living and relationships for those diagnosed. It is important that education on medication, continued care and support services are offered so that it does not progress into AIDS which can be a life threatening diagnosis.

At one of my jobs, I took care of many patients diagnosed with HIV (my facility had a HIV care site to assist those in the community). They are very aware and routine with taking their medications and know how dangerous it can be for them if their levels drop lower. In my experience, they are very educated on their conditions, their safe practices and medication needs.

Assignment: Practicum – Weeks 9 & 10 Journal Entries and Journal Submission

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy
• Analyze legal and ethical implications of counseling clients with psychiatric disorders
• Analyze how nursing and counseling theories guided personal practice in psychotherapy

The Learning Objectives are related to the Practicum Journal Assignments presented in Weeks 9 and 10.

Week 10 Journal Entry

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal:

• Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1.
• Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.
• Explain how you might impact social change through your work with clients who have mental health issues.
• Support your approach with evidence-based literature.

Note: Be sure to use the Practicum Journal Template, located in the Learning Resources.

Case Scenario to be completed

See attachment.

–APA Format.

-Introduction or abstract page

-Summary or Conclusion page

-Four pages minimum, no including Introduction or abstract,  summary or conclusion, and Bibliography pages

-It is completely unacceptable to Copy and Paste from the Internet, or other resources

-Bibliography has to be in APA Format, minimum 3, no more than 3 years old.