Please answer the question below:

1. Explain the planning process of community health improvement. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose). 

     Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Please provide plagiarism report

Please do a Power Point describing the EXPECTED/NORMAL assessment findings for the assigned system. The presentation must be no less than 5 slides and no more than 15 slides. The students should use images to help in the understanding of the presentation. 

THE POWERPOINT IS ABOUT THE NECK AND SHOULDERS AND THE NORMAL OR EXPECTED FINDINGS UPON INSPECTION, PALPATION, & PERCUSSION

INCLUDE IMAGES

PLEASE USE THE ATTACHED FOR REFERENCE

MS/NM Attendance Questions

1. How might immobilization impact a child’s growth and development?  What strategies might the nurse utilize to ensure growth and development needs are met?
2. When assessing a child’s neurovascular status of a casted limb, what are the key components in assessment?
3. Explain the diagnostic evaluations performed to assess if a child has developmental dysplasia of the hip.  What is the standard treatment plan for developmental dysplasia of the hip?
4. Describe the five goals of therapy for children with Cerebral Palsy (CP).  What are the overall outcomes for a child with CP?
5. Children born with myelomeningocele (MM) require a multi-disciplinary approach to care.  Identify the team members that would be involved in a child’s care who has MM and describe the rationale for the team member’s involvement. 

I WANT THIS ON 1/25 

Cerebral Attendance Questions

1. Compare and contrast the clinical manifestations of increased intracranial pressure in infants and children.
2. Identify and provide rationales for the priority nursing interventions for a child with suspected meningitis.
3. Explain the pathophysiology of hydrocephalus and how is it managed? 
4. Describe the seizure precautions necessary for a child who is admitted with a known seizure disorder. 
5. Differentiate between a generalized seizure and status epilepticus.  What is the management strategy for a child experiencing status epilepticus? 

I WANT THIS ON 1/27 PLEASE USE TESTBOOKS AND ATI ONLY.

I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

“For” Pediatric Bipolar Depression Disorder 

Childhood bipolar disorder is real and is a serious illness that should be recognized and treated as early as possible. Although bipolar disorder is mostly diagnosed in older children and teenagers, it can occur at any age (Nationwide Children’s Hospital, 2020). Emotional upheaval, feeling down, irritability, anger, hyperactive or rebellious behavior are a normal part of life in younger children and teens, but when the behavior interferes with daily living or activities it becomes a major problem (Hurley, 2021). The PMHNP must be knowledgeable to identify and separate bipolar symptoms from other psychiatric symptoms or disorders. Bipolar disorder is estimated to occur in 1-3% of youth, and early diagnosis and treatment is the key to helping kids learn how to manage symptoms and succeed in life. To receive a diagnosis of Bipolar I, a child must meet the criteria for a manic episode and may also experience depressive episodes. To receive a diagnosis of Bipolar II, a child has experienced both hypomania (a milder form of mania) along with a major depressive episode (American Psychiatric Association (APA), 2013)

Bipolar disorder involves episodes of both major depression and mania. The manifestation includes severe mood swings, hyperactivity, impulsive, aggressive, or socially inappropriate behavior, risky and reckless behaviors, insomnia, grandiosity, and suicidal thoughts or ideations (APA, 2013). Decrease in interest in pleasure, increase agitation, irritability, difficulty sleeping or problem falling asleep, significant changes in appetite, lack of concentration, frequent sadness or crying all the time, feeling of hopeless, helpless, and worthless, hypersexual, drugs and alcohol abuse and even thought of suicide (Sadock et al., 2014). The combination of episodes of mania and major depressive episodes is what constitutes a classic bipolar disorder. However, more than one type of bipolar disorder exists.

As a PMHNP, careful evaluation, comprehensive assessment, family history of bipolar and depression is crucial before a diagnosis should be made to children as it is somehow difficult to differentiate from other psychiatric disorders or symptoms. During this practicum experience, I have witnessed a child that was presented with the classic symptoms of bipolar and depression. The child was referred to my preceptor by her PCP, and after careful evaluation, she was diagnosed with bipolar, depression disorder, and treatment was started immediately. Treatment options must also be carefully chosen to improve the overall wellbeing and safety of the child. The treatment option for bipolar depression involves a combination of medication, psychotherapy, psychoeducation, school support, friends, and family support (Sadock et al., 2014). Evidence has shown that early detection and treatment of bipolar disorder in children and adolescents helps them live better and succeed in life. So, for this reason, I stand to support that pediatric bipolar depression disorder be diagnosed as early as possible and treatment commences to help the children suffering from this disorder succeed. Safety monitoring is important as children with bipolar depression may have increase risk for suicide.

References

American Psychiatry Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, Dc: Author

Hurley, K. (2021). Bipolar Disorder in Children. Retrieved from https://www.psycom.net/bipolar-disorder-in-children-symptoms.

Nationwide Children’s Hospital. (2020). Study offers clues to early detection of bipolar disorders in high-risk children. Retrieved from https://www.nationwidechildrens.org/newsroom/news-releases/2015/03/study-offers-clues-to-early-detection-of-bipolar-disorders-in-high-risk-children.

Sadock, B., J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.