Consider the following patient scenario:

A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). 

Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.

Using 300-350 words APA format with references

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

FOUR REFERENCES

ZERO PLAGIARISM

The DSM-5 is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.

In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.

To Prepare

• Review this week’s Learning Resources on dissociative disorders.
• Use the Walden Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment. 

The Assignment (2–3 pages)

• Explain the controversy that surrounds dissociative disorders.
• Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
• Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
• Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA  7th formatting

Group 3:

Course Project Case Study: Mrs. Ingrassia is an 80-year-old female Caucasian resident in a long-term care facility.  After several falls, she was admitted six months ago due to not being able to adequately care for herself.  Her husband and daughter visit daily and is very involved in her care.  Mrs. Ingrassia speaks Italian as a first language but is proficient in English.  She is Roman Catholic and attends mass in the facility weekly.  She is a retired factory worker.  She has a medical history of gestational diabetes (50 years ago), hypertension, CHF, hypothyroidism, shingles, and depression.  Her husband was recently diagnosed with lung cancer and will be undergoing chemotherapy over the next few months.

Orders include:

NAS diet

Ambulate with gait belt and 1 standby assist

Fall precautions

Furosemide 40 mg PO daily

Potassium Chloride 20 meq PO BID daily with meals

Levothyroxine 75 mcg PO daily

Metoprolol ER 100 mg PO daily

Celexa 20 mg PO daily

Do not resuscitate

Written Assignment Topics: The Written Group Assignment are to be completed with your assigned group for weeks/modules 5, 6 and 7. The topics for your written assignment are as follows: The written assignments are not a part your group course project.

Module 05- Lung Cancer

Module 06- Shingles

Module 07- Gestational Diabetes

In attempting to address Mr. Jackmon’s case, ask yourself the following questions if you are the nurse caring for Mr. Jackmon:

1. Where am I on the staircase concerning this patient? How can I move to the next level?
2. How familiar am I and the nursing and medical staff with the religious beliefs, values, and attitudes of people who are Jehovah’s Witnesses?
3. What significant differences exist in followers’ health beliefs and other Christian traditions? How different is this religion from my own?
4. What feelings and attitudes do I have about Mr. Jackmon’s beliefs about receiving blood?
5. How helpful are these attitudes toward the development of cooperative interaction between myself and the patient?
6. Are there alternative ways of treating this patient’s hemoglobinemia?
7. On what religious beliefs does Mr. Jackmon base his refusal of blood, despite his need for it?
8. From whom could the nursing staff gain more insight into the patient’s healthcare beliefs?
9. What strategies might be useful in meeting the physiological and psychological needs of this patient?
10. What resources might the nursing staff utilize to assist them in meeting this patient’s needs?