Assignment 3 CH – 2025 Using a variety of instruments Windshield Survey Community Assessment Tool Screening interviews etc while in your community you will

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Assignment 3 CH – 2025

Using a variety of instruments (Windshield Survey, Community Assessment Tool, Screening interviews, etc.) while in your community, you will assess the community location. This will lead to a list of identified, prioritized health needs and your recommendations for intervention.

You will complete a windshield survey of your community. The objective of a windshield survey is to assess a community in a short, simple way, compiling data to help form an analysis of that community. Simply put, a windshield survey is the equivalent of a community head-to-toe assessment. There are 6 elements that should be included in your windshield survey . You will drive through your community and document your findings on a PowerPoint presentation. Take pictures of your community to enhance your PowerPoint presentation.

  1. After studying Module 3: Lecture Materials & Resources, familiarize yourself with the instruments for:
    • A Windshield Survey (Website Resource 15C, p. 425).
    • The Community Assessment Tool applied to Phenomenological Communities (Website Resource 15A, p. 425).
    • You may also wish to review Chapter 13, Box 13-1 (p. 343) for examples of assessments that may be appropriate for your community population, since the Community Assessment Tool includes some screening data and information from clients.

  1. Plan how you will obtain the information for the assessments.
  2. Conduct a Windshield Survey assessment.
  3. Drive around your community and take pictures.
  4. Create a PowerPoint presentation no more than 10 slides addressing each area of the windshield study.

Submission Instructions:

  • Your paper should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

Discussion – 2025 I NEED A RESPONSE TO THIS ASSIGNMENT 3 REFERENCES Diagnostic criteria for Alcohol Use Disorder The diagnostic

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Discussion – 2025

 I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

Diagnostic criteria for Alcohol Use Disorder

The diagnostic criteria for Alcohol use disorders has recently changed with the DSM-5.  In the DSM-5 a patient can be diagnosed with an Alcohol Use Disorder on three different severities of mild, moderate and severe.  The level of severity is based on the number of presenting symptoms out of eleven total possible symptoms.  Mild presentation is two to three symptoms, moderate is four to five and severe is six or more symptoms (APA, 2013).   The eleven symptoms for criteria are as follows:

  1. “Alcohol is often taken in larger amounts or over a longer period than was intended.
  2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
  3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
  4. Craving, or a strong desire or urge to use alcohol.
  5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
  6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
  7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
  8. Recurrent alcohol use in situations in which it is physically hazardous.
  9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
  10. Tolerance, as defined by either of the following: a) A need for markedly increased amounts of alcohol to achieve intoxication or desired effect, or b) A markedly diminished effect with continued use of the same amount of alcohol.
  11. Withdrawal, as manifested by either of the following: a) The characteristic withdrawal syndrome for alcohol b) Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.” (APA, 2013)

Evidenced-based psychotherapy and psychopharmacologic treatment

The treatment of alcohol use disorder is very dependent on the individual and how committed to the process they are.  The first step of treatment for each person remains the same in detoxing the individual.  Detoxing can occur with or without the assistance of medications depending on the patients’ needs and level of dependence.  Some medically assisted models are Schick Shadel and the use of a CIWA in the inpatient setting.  Once the person has detoxed the medical assistance can continue with one of two main medications depending on the patient’s willingness to stay committed to sobriety.  One medication, Antabuse, will cause an adverse reaction if the patient does drink alcohol (Stahls, 2014).  The other, Naltrexone, will help to mitigate the cravings for alcohol (Stahls, 2014).  Psychotherapy also can help the individual to address underlying issues that cause the person to drink (Sadock, 2013).  Individual and group therapy can be beneficial with CBT to help identify triggers and a new way to cope (Sadock, 2013).  Finally, a group setting that can help with accountability such as Alcoholics Anonymous can also be help for ongoing support and encouragement for sobriety.  

Clinical presenting features

A patient that I have experienced was a middle aged male who was terminated from his job and experiencing a marital separation.  He was terminated from work for attendance issues, quality of work issues and showing up to work under the influence.  His marriage was showing signs of effects of alcoholism because he was experiencing an increase in alcohol use causing strain on finances and was becoming easily agitated followed by blackout event.  The comparison of his symptoms and the DSM would reveal that he was suffering from severe alcohol abuse because of the increased use, the effect on his personal and work life as well as the increased cravings for use. 

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

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.

Stahl, S. M.  (2014).  Prescriber’s Guide: Stahl’s Essential Psychopharmacology  (5th ed.).  New York, NY: Cambridge University Press.

Ethical Issue – 2025 Please form your own opinion regarding each ethical issue below and respond using the following guide as a

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Ethical Issue – 2025

 

Please form your own opinion regarding each ethical issue below and respond using the following guide as a template for your responses:

1. Consider all significant consequences – direct and indirect; obvious and subtle; immediate and delayed; physical, emotional, and intellectual; intended and unintended—of the action on the person performing the act as well as on others.

2. Consider any obligations that might exist among the individuals involved—for example, contractual obligations, obligations of friendship or citizenship, and business or professional obligations.

3. Consider relevant ideas – including prudence, justice, temperance, courage, loving kindness, honesty, compassion, forgiveness, repentance, reparation, gratitude, and beneficence.

4. Identify the various alternative responses to the situation. Note that this step may require you to use your imagination.

5. Decide which option is ethically preferable. If two responses produce good or two produce harm, choose the one that produces the greater good or the lesser harm.

PROMPTS:

EDUCATION

  • Under what circumstances, if any, is it morally justifiable for grade school or high school teachers to hit students?

MEDIA AND THE ARTS

  • For a number of years, it has been widely recognized that TV has the potential to be the greatest educational device in history. (This includes not just what is presently considered educational TV but commercial TV as well.) Does the TV industry have any moral obligation to realize that potential? If so, explain the source of that obligation and the kinds of changes in present programming that would be necessary to honor it.

SEX

  • What are the ethical considerations that arise in cases where people undergo sex-change operations? Are there any situations in which it would not be ethically justifiable to have such an operation?

GOVERNMENT

  • Many countries have outlawed the death penalty. The United States, as a country, has not, although many people believe it should. Evaluate the morality of the death penalty.

LAW

  • Often the penalty for white-collar crime is considerably less than for street crime. Someone who makes millions of dollars in illegal insider trading in stocks, for example, will spend less time in jail than someone who steals a car. Moreover, he will serve his time in a comparatively comfortable facility. Is this difference in punishment morally justifiable?

BUSINESS

  • It is fairly common today to read of professional athletes refusing to sign contracts with their teams until they are given higher salaries. These demands, which can be for millions of dollars, are regarded by team owners as a form of blackmail. The players, however, believe that their skills are a salable commodity and that they are justified in getting as high a salary as they can bargain for. Are such demands justifiable? Are they so only in certain circumstances? Explain.

MEDICINE

  • Jack Kevorkian (also called “Dr. Death”) achieved notoriety and a prison sentence by assisting terminally ill people in committing suicide. He provided them with a specially designed machine that allowed them to push a button and release a fatal dose of anesthesia into their bloodstream. Kevorkian believed that what he did was not immoral. In fact, he spoke of the “goodness of planned death” and dismissed criticisms of him as “emotionalism.” Discuss the ethical questions surrounding Kevorkian’s medical “specialty.”

SCIENCE

  • Transplants of organs such as the heart and the kidneys are now routine procedures. Before too long, scientists assure us, the transplant of the brain will also be a reality. Will such an operation ever be ethically justifiable? In answering, be sure to consider the various activities of the brain and their influence on personal identity.

WAR

  • A soldier’s thinking about war may change during his service. For example, after experiencing his first real battle and seeing human beings lying dead or in the agony of pain, a soldier might be prompted to embrace pacifism and request discharge or transfer to a noncombat unit. Such a request would not be looked on favorably by his superiors and usually would be denied. Because the man had accepted training as a combat soldier, they would reason, he would be obligated to finish his term of service. Is this reasoning morally sound? Would it be morally acceptable for the soldier to continue fighting, even though he objected to it on principle?

 

Discussion Board – 2025 The scope of practice describes the procedures actions and processes that a health care practitioner is permitted

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Discussion Board – 2025

 

The scope of practice describes the procedures, actions, and processes that a health care practitioner is permitted to undertake in keeping with the terms of their professional license.

(Scope of practice – Wikipediahttps://en.wikipedia.org/wiki/Scope of practice)

Recommended readings:

1. Scope of practice of nurse practitioners: professional role.https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

2. State practice environment (AANP).https://www.aanp.org/advocacy/state/state-practice-environment

Discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019).This privilege was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017). Once licensed as Florida Nurse Practitioner (NP) license, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician.

DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 fromhttps://en.wikipedia.org/wiki/

Comprehensive Drug_Abuse_ Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.js

Proof In Turnitin . Apa Formart – 2025 J L a 27 year old account executive presents to the family medicine office for her annual

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Proof In Turnitin . Apa Formart – 2025

J.L., a 27-year-old account executive, presents to the family medicine office for her annual checkup with her primary care provider. She has no significant past medical history except heavy menses. Her medications include calcium carbonate 500 mg orally twice a day and a multivitamin daily. She exercises regularly. Her family history is significant for cardiovascular disease (her father had an MI at age 54 and died of a further MI at age 63). She notes that she has been dating her current partner for approximately 5 months. She is interested in a reliable form of contraception. After discussing the various contraceptive options, she is here for contraceptive counseling.

Questions:

1. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

2. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

3. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

Proof In Turnitin . Apa Formart – 2025 J L a 27 year old account executive presents to the family medicine office for her

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Proof In Turnitin . Apa Formart – 2025

J.L., a 27-year-old account executive, presents to the family medicine office for her annual checkup with her primary care provider. She has no significant past medical history except heavy menses. Her medications include calcium carbonate 500 mg orally twice a day and a multivitamin daily. She exercises regularly. Her family history is significant for cardiovascular disease (her father had an MI at age 54 and died of a further MI at age 63). She notes that she has been dating her current partner for approximately 5 months. She is interested in a reliable form of contraception. After discussing the various contraceptive options, she is here for contraceptive counseling.

Questions:

1. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

2. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

3. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

Roy, Neuman, And The 1970’s – 2025 Roy and Neuman Create a PowerPoint presentation that addresses each of the

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Roy, Neuman, And The 1970’s – 2025

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

  • How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
  • Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
  • From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
  • Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Discussion W5 652 – 2025 Instructions for Discussion Replies to 6 DQS DO NOT JUST REPEAT SAME INFORMATION DO NOT JUST SAY I AGREE OR

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Discussion W5 652 – 2025

  

Instructions for Discussion Replies to 6 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One Peer reviewed/scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 7th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 4 years

Powerpoint, Diabetes In Highbridge Community – 2025 I have drafted a powerpoint presentation I need 4 slides added that address the gaps in healthcare

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Powerpoint, Diabetes In Highbridge Community – 2025

  

I have drafted a powerpoint presentation. I need 4 slides added that address the gaps in healthcare as it pertains to diabetes in low income women in the Highbridge/Concourse community and propose culturally competent evidence-based interventions from 2 additional professional literature. Also the existing powerpoint is edited, content reduced to look good but covering the following criteria:

Described population group then described the population’s health problem providing data to support.

Describe the gaps in healthcare How does this project fulfill one arm of the mission of public health: social justice? How does it contribute to social change?

Described results of comprehensible community assessment showing collaboration with health care team members and or individuals/groups that represent the problem. Developed possible evidence-based culturally competent interventions/programs aimed at primary prevention at the community and system level of care specific to community.

Chose a possible way to evaluate outcomes of project

Described role as a health care leader in community Discuss your role as an advocate and health care leader in promoting positive social change as a scholar-practitioner to improve the health of vulnerable populations in your community

A Culture Of Patient Safety – 2025 Assignment Description A Culture of Patient Safety Read this article Sammer C James B 2011 September 30 Patient safety

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A Culture Of Patient Safety – 2025

Assignment Description

A Culture of Patient Safety

Read this article:

Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.                  

In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

If you worked in a facility that needed a practice change, what framework would you use and why?

Assignment Expectations:

Length:1000 to 1250 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two scholarly sources plus the textbook are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document