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2023 Polypharmacy is defined as being on 5 or more medicines and is a major
by adminNursing 2023 Discussion
Polypharmacy is defined as being on 5 or more medicines and is a major 2023 Assignment
Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.
Use at least 2 evidenced-based, APA 6th format, reference no older than 5 year
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2023 Respond to your colleagues by providing additional insights or alternative perspectives POSITIVE COMMENT Main Post How to Become a
by adminNursing 2023 post-Lynae
Respond to your colleagues by providing additional insights or alternative perspectives POSITIVE COMMENT Main Post How to Become a 2023 Assignment
Respond to your colleagues by providing additional insights or alternative perspectives.
POSITIVE COMMENT
Main Post
How to Become a Social Change Agent for Psychiatric Mental Health
Mental illness is a significant public health concern. Unfortunately, society holds a negative attitude about mental illness (Casados, 2016). The negative attitude impacts individuals on an interpersonal level, through blaming and name-calling, and on an institutional level, through employment discrimination (Casado, 2016). Shockingly, one study found that 68% of Americans do not want mental illness being married into their family, and 58% of Americans do not want people with mental illness in the workplace (Dingfelder, 2009). Another study reported that over 45% of people thought people with depression were unpredictable, and 20% of people thought people with depression were dangerous (Dingfelder, 2009). The stigma associated with mental illness can make psychological symptoms worse, and hinder treatment and recovery, which can continue to compromise the individual’s mental health (Casados, 2016).
The statistics described above are astounding to me. I agree entirely with one of the statements in the article by Bennett (2015), which states, “mental health is physical health; the two are inseparable” (para. 2). I believe a way to bridge that gap is through a new concept in health care called patient-centered care. Patient-centered care is providing care that focuses on physical comfort and emotional well-being (NEJM Catalyst, 2017). It is providing care that is collaborative, coordinated, and accessible at the right time and in the right place (NEJM Catalyst, 2017). Patient-centered care allows the patient and their family to be a part of the care team and play a role in decision making (NEJM Catalyst, 2017). If society understood patient-centered care, then I think mental health would not be stigmatized the way it is.
Psychiatric mental health nurse practitioners (PMHNPs) can be a social change agent by being a voice for our patients and utilizing patient-centered care. Practicing care coordination and collaborating with the patient, their family, and other healthcare providers is essential. Society has a negative attitude about mental illness because the majority of people do not understand it. Thus, providing education to the community is also a key to breaking the stigma.
How I Will Advocate for Change Within My Community
I will advocate for change in my community by practicing patient-centered care. I will do this by including the patient and their family when discussing options and decisions. I will listen to the patient to understand their preferences, cultural traditions, and socioeconomic condition (NEJM Catalyst, 2016). I will provide education within the community to educate those who are unfamiliar with mental illness. I will also work in rural areas to help those in underserved areas have access to mental health care.
References
Bennett, T. (2015). Changing the way society understands mental health. National Alliance on Mental Illness. Retrieved from https://www.nami.org/Blogs/NAMI-Blog/April-2015/Changing-The-Way-Society-Understands-Mental-Health
Casados, A. T. (2016). What makes mental illness stigma so hard to change and to study? Clinical Psychology: Science and Practice. Retrieved from https://www.div12.org/what-makes-mental-illness-stigma-so-hard-to-change-and-also-to-study/
Dingfelder, S. F. (2009). Stigma: Alive and well. American Psychological Association, 40(6), 56. Retrieved from https://www.apa.org/monitor/2009/06/stigma
NEJM Catalyst. (2017). What is patient-centered care? Retrieved from https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0559
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2023 Carmen Medina aged 39 lives with her husband Ra l aged 43 who works as
by adminNursing 2023 Puerto Rico
Carmen Medina aged 39 lives with her husband Ra l aged 43 who works as 2023 Assignment
Carmen Medina, aged 39, lives with her husband, Raúl, aged 43, who works as a mechanic in a small auto shop. Mr. Medina has worked in the same place since he and his wife came to the United States from Puerto Rico 15 years ago. The Medinas have a 4- year-old son, José; a 16-year-old daughter, Rosa; and an 18-year-old son, Miguel. The Medinas both attended vocational school after completing high school. Mrs. Medina is employed 4 hours a day at a garden shop. She stopped working her full-time job to care for her ill mother and aged father, who do not speak English and depend on government assistance. The family income last year was $28,500. The family has health insurance through Mr. Medina’s job. They live in a threebedroom apartment in a low-income Illinois community. Miguel works in a fast-food store a few hours a week. Because Rosa has responsibilities at home, the Medina’s do not allow her to work outside the home. She is very close to her grandmother but avoids talking with her parents. Both Rosa and Miguel are having difficulties in school. Rosa is pregnant and the family does not know. She is planning to drop out of school, get a job in a beauty shop, and leave home without telling the family. Miguel frequently comes home late and, on occasion, sleeps out of the home. He is beginning college next semester and has plans to move out of the house during the summer. The family is having difficulty dealing with Rosa’s and Miguel’s developmental and behavioral challenges. Although Mrs. Medina is outspoken about these concerns, Mr. Medina is quiet and not actively involved in the discussion. He is more preoccupied with the family’s financial situation. Mrs. Medina’s parents are encouraging them to return to Puerto Rico. Mr. Medina was diagnosed with hypertension 2 months ago, when he went to the emergency room for a respiratory infection. He smokes cigarettes and drinks two to three beers every evening after work. He has not followed up on his blood pressure treatment. Miguel is beginning to smoke, but not at home. José has had frequent colds and sinus allergies. He has been to the emergency room three times during the past year for respiratory infections. Mrs. Medina’s last physical examination was after she had José. She is experiencing insomnia, tiredness, headaches, and gastrointestinal problems. She is very concerned about Rosa and Miguel, her parents, and the family’s finances. Mrs. Medina is Catholic and recently has been visiting her church more often. Study Questions
1. Explain Mrs. Medina’s attitude in her relationship with her adolescent daughter.
2. Identify strategies to ensure that Rosa seeks prenatal care.
3. Identify barriers to accessing health care for the Medina family.
4. What are the high-risk behaviors exhibited by this family?
5. What communication barriers exist in this family that affect care delivery?
6. Discuss gender and family roles in the context of traditional Puerto Rican culture.
7. Identify sociodemographic factors affecting the physical- and mentalhealth well-being for this family.
8. Identify Puerto Rican folk practices appropriate for this family.
9. If the Medina family chose to visit a folk healer, which one(s) do you think they might visit? Why?
10. If Mrs. Medina’s parents visit a health-care provider, what might they expect?
11. Identify culturally congruent interventions to ensure compliance with Western health prescriptions for Mr. Medina.
12. Discuss the importance of respeto and familism in the Medina family.
13. Identify culturally congruent interventions for Rosa’s pregnancy.
14. Identify health-promotion and disease-prevention interventions needed for José.
Edit question’s body
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2023 Use APA 6th Edition Format and support your work with at least 3 peer reviewed references within 5 years
by adminNursing 2023 case study
Use APA 6th Edition Format and support your work with at least 3 peer reviewed references within 5 years 2023 Assignment
Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.
Case Study
L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication.
1. Would you recommend a herbal supplement in L.L’s case?
2. If so, what herbal supplement would he take?
3. What is the recommended dosage?
4. What are possible side effects of the herbal supplement?
5. What warnings should you give L.L. before he starts the herbal supplement.
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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.
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