The group project research paper must have a minimum of 2000 words – main body (does not include the title page, abstract, or reference pages). Times New Roman, Size 12, and 5 references about that topic (4 of them most be research articles). The criteria exposed in your paperwork must be exclusively based on peer reviewed article, and I will be very fussy in confirming the reliability of your statements. A formal paper using APA format according to Publication Manual American Psychological Association (APA) (6th ed.).2009 ISBN: 978-1-4338-0561-5 will be submitted via Exercise Submission. This paperwork must be submitted on week # 12 (November 22 at 11:59 PM EST), so that you have plenty of time to start collecting literature.

Question Guide: 

The paper should include the following:  

• What is Chemical dependency?
• Statistics / Most common abused substance
• Sociocultural determinants of substance abuse
• Models of addiction
• Dynamics of addiction
• Interventions / Treatments approaches (pharmacological and non-pharmacological)
• Other considerations in the management of Chemical dependency (including but not limited to management of behaviors, family considerations, challenges in the care of patients with addiction. 

Examine evidence-based practice guidelines / research, nursing theories that support the identification of clinical problems, implementation of nursing skills in the care of adults with addiction.

Grading Criteria: 

• What is Chemical dependency? – 2%
• Statistics / Most common abused substance – 2%
• Sociocultural determinants of substance abuse  – 2%
• Models of addiction  – 2%
• Dynamics of addiction – 2%
• Interventions / Treatment approaches (pharmacological and non-pharmacological) – 2%
• Other considerations in the management of Chemical dependency (including but not limited to management of behaviors, family considerations, challenges in the care of patients with chemical dependency – 2%
• References: At least 5 reference sources – 4 of them most be research articles – 3%
• APA style – 3 %

MAXIMUN POINTS – 20%

It accounts for 20% of your final grade

 

Response Posts: In addition to your original post, be sure to provide a meaningful response to at least two of your peers’ posts by the end of the week. In your responses to your peers, you might offer ways that individuals can mitigate a negative effect of these factors (inflation, changing population demographics, intensity, and technology of services) influence health care costs.

  

Chapter 12 – Personal Loss

Question: 

1- Compare the Adaptive grieving model (Martin & Doka, 2000) and the Dual Process model (Stroebe & Schut, 2001). 

2- What are the similarities and differences? Which seems to fit best to your style of counseling? Why is that so? 

Guidelines: APA format, Original papers (No plagiarism).

The answer should be based on the knowledge obtained from reading the book power point attached).

Textbook: 

Crisis Intervention Strategies

Author: Richard K. James; Burl E. Gilliland

ISBN: 978-1-111-18677-7

Discuss the assumptions of parametric statistical testing versus the assumptions of nonparametric tests. Describe the differences in the distributions of the data. Discuss when a researcher would select a nonparametric approach and when they would select parametric tests for their data set. Does it matter what type of variables has been collected in the dataset?

Requirements:

1. Be sure to support your statements with logic and argument
2. More citing all sources referenced through the text 
3. 2 pages
4. no plagiarism
5. 3 Minimum references 
6. APA Style
7. The references not older than 5 years  ago

 

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples.

                                      Main Post

Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

Patients today are much sicker than they used to be. The advanced practice nurse needs to manage all comorbidities in the plan of care. In this post, I will discuss the patient’s health care needs and a recommended treatment plan, including pharmacotherapeutic choices. Also, I will present an education strategy to assist the patient in managing their disease conditions. The patient has a history of hypertension, myocardial infarction, hyperlipidemia angina, and diabetes type two. Her needs center around the management of these comorbidities. Also, I noticed that her serum creatinine is on the high end of the range if not outside of it. This fact is not surprising considering her diabetes. The case reports that she was doing well until about a month ago. It was tempting to consider adding another medication to the regimen. However, I believe that either the metoprolol is not high enough to manage her current disease state or she has been missing doses, and I am leaning toward the latter. If withdrawn suddenly, the drug can increase the incidence and intensity of anginal attacks. Metoprolol is the first-line drug for stable angina and should be working (Rosenthal & Burchum, 2018).  

A review of her current drug therapy appears appropriate. Aspirin, simvastatin, and metformin are competent choices, and the doses are adequate. My plan would include an assessment of how she takes medication at home and manages them before making any changes. If this were in order, I would increase the metoprolol to 75 mg twice a day and set a follow-up appointment in two weeks. I prefer to increase the dose of metoprolol first before adding any new drug because of polypharmacy considerations, and the drug does not require renal adjustment (Epocrates, 2019). This fact is beneficial to consider because she has diabetes. Assuming that the patient has missed doses over the last month, the priority is to determine why. Costa et al. (2015) recommend explaining how to take medication, discussing reluctance to take drugs, and a conversation about the patient’s beliefs and knowledge about their health and treatment. I believe that this is a great strategy to use with the patient. Medication adherence is troubling and particularly so with the elderly who have multiple medications and conditions. I think it is essential for the patient and provider to be partners in the plan of care. The patient must agree to it and fully understand their conditions and the purpose of each medication. 

 

                                          References

Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., … Marengoni, A. (2015). Interventional tools to improve          medication adherence: review of literature. Patient Preference And Adherence, 9, 1303–1314. doi:10.2147/PPA.S87551Epocrates. (2019). Metoprolol Tartrate Adult Dosing. Retrieved from https://online.epocrates.com/drugs/25501/metoprolol-        tartrate/Adult-DosingRosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO:        Elsevier.