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2023 When seeking to identify a patient s health condition advanced practice nurses can

Nursing 2023 Health assessment

When seeking to identify a patient s health condition advanced practice nurses can 2023 Assignment

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

In this Discussion, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values.

To prepare:

• Review this week’s Learning Resources and consider the factors that impact the validity and reliability of various assessment tools and diagnostic tests.

• Select one of the following assessment tools or diagnostic tests to explore for the purposes of this Discussion:

o Mammogram

o Physical tests for sore throat (inspecting the throat, palpating the head and neck lymph nodes, listening to breath sounds)

o Prostate-specific antigen (PSA) test

o Dix-Hallpike test

o Body-mass index (BMI) using waist circumference for adults

• Search the Walden Library and credible sources for resources explaining the tool or test you selected. What is its purpose, how is it conducted, and what information does it gather?

• Examine the literature and resources you located for information about the validity and reliability of the test or tool you selected. What issues with sensitivity, specificity, and predictive values are related to the test or tool?

• Are there any controversies or issues related to any of these tests or tools?

• Consider any ethical dilemmas that could arise by using these tests or tools.

By Day 3

Post a description of how the assessment tool or diagnostic test you selected is used in health care. Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

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2023 Using resources such as the CDC state and county health department websites and various local resources identify

Nursing 2023 individualized health promotion

Using resources such as the CDC state and county health department websites and various local resources identify 2023 Assignment

Using resources such as the CDC, state and county health department websites, and various local resources, identify an opportunity for improved health behavior in an individual client. Your paper should be 1 – 2 pages in length in addition to the cover page and reference page. You should use a minimum of three references to support your work.

Be sure to cover the following:

  1. Identify an opportunity to for improved health behavior in an individualized client.
  2. Identify short and long term goals for the achievement of the overall health goal.
  3. Using Healthy People 2020, identify which problem you are working on improving.
  4. Recognize local resources to aid in the resolution of the identified problem.
  5. Discuss measurements that can be used to determine the responses to interventions.

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2023 2 citaions 2 matching refernces 2 paragraphs KC8 COPD A 64 year old man with a 40 pack year history

Nursing 2023 K8

2 citaions 2 matching refernces 2 paragraphs KC8 COPD A 64 year old man with a 40 pack year history 2023 Assignment

  2 citaions, 2 matching refernces.  2 paragraphs

KC8: COPD

A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.

a. Explain the pathophysiology of emphysema and how it relates to COPD. Then relate to Scenario

b. I will send b question later. Usually answered in one paragraph. I must submit ‘a’ to have access to b. 

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2023 A new director decides to reorganize the department you work in This reorganization comes about without input from the employees and

Nursing 2023 DB1

A new director decides to reorganize the department you work in This reorganization comes about without input from the employees and 2023 Assignment

A new director decides to reorganize the department you work in.This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change.  AS a nurse leader, identify factors that may lead to conflict and ways you can manage them. 1 page.

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2023 Instructions Prepare a 3 4 page double spaced paper not including title page and references section that addresses the following

Nursing 2023 Health services in society

Instructions Prepare a 3 4 page double spaced paper not including title page and references section that addresses the following 2023 Assignment

  •  Instructions:  
  1. Prepare a 3-4 page, double-spaced paper (not including title page and references section) that addresses the following scenario.
  2. You may use information from the textbook, the internet, interviews, as well as other sources.
  3. Cite a minimum of four reliable sources. 
  4. Your paper should demonstrate insight into discussing issues.   
  • Scenario:  Your boss has recently been elected county supervisor. She campaigned on the platform of creating a seamless system of long-term care for all, starting with coordinating government sponsored services. You have been assigned the task of delineating the plans for implementing this promise.
  1. What services will you include? 
  2. How will you achieve seamlessness? 
  3. How will you organize access? 
  4. How will you suggest that the care be financed?  
  • My book is The Continuum of Long Term Care 3rd Edition By Connie J. Evashwick

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2023 Discussion The Impact of Ethnicity on Antidepressant Therapy Case 1 The Man whose Antidepressants Stopped Working In

Nursing 2023 The Impact of Ethnicity on Antidepressant Therapy

Discussion The Impact of Ethnicity on Antidepressant Therapy Case 1 The Man whose Antidepressants Stopped Working In 2023 Assignment

 

Discussion: The Impact of Ethnicity on Antidepressant Therapy

Case 1: The Man whose Antidepressants Stopped Working

In this case, the client exhibits symptoms of anxiety and depression (Stahl Online, n.d.). However, more information is needed to accurately diagnose this patient. In this case, it will be appropriate for the psychiatric nurse to ask the following questions given the client’s history:

  1. How have your sleep and lifestyle patterns changed in the past 4 weeks? This question will help the psychiatrist nurse to understand the lifestyle patterns of the client and the behavioral trends of the patient that could be impacting the effectiveness of his medications.
  2. How can you describe your depression? Do you experience suicidal thoughts? This question is aimed at understanding if the client is aware of his condition and how the disease is affecting him. It is also important to learn about the areas the client does not comprehend and how this can be improved.
  3. In your own words, how you are managing your depression? Please describe. The client must be aware of the need to manage his depression including adhering to medications. This question provides more insights into the various dynamics that could be impacting the patient’s depression.

Social and Family Screening

I will direct my questions to the client’s wife because she is a key family member. The questions I will ask the client’s wife include – how has the client been dealing with depression? How have you been supporting him? What are the difficulties experienced by the client in managing his condition? Are you aware of his medications and the time he needs to take them? These questions will provide insights about the client’s social support, and what the family thinks about his condition as well as what they are doing to support him. Moreover, the children will also be asked the above questions to provide an overall observation and their own assessment of the client’s condition, including any details that the client may have missed to report.

Physical Exams and Diagnostics

In order to appropriately diagnose this client, additional physical exams will be needed. One is the physical assessments and screening of the client’s psychiatric and neurological functions. This is aimed at ruling out the other medical causes of depression (Stahl, 2013). This will involve the subjective evaluation of the client’s affect, mood, and appearance because a patient with depression may physically manifest in the form of psychomotor retardation symptoms such as slow reactivity and movement or loss of reactivity (Bennabi, et al., 2013). It will also involve psychomotor testing using available depression diagnostic tools and the DSM 5 to determine the level of depression and confirm the depression diagnosis in the client. Another diagnostic test will include hyperthyroidism tests because abnormal levels of thyroid hormones are known to have an impact on one’s moods (Stahl, 2013). A CYP450 test will also be carried out to provide insights on the antidepressant that will most likely work for this patient (Mayo Clinic, 2017).

Differential Diagnoses

  1. Major depressive disorder. This is because the client has experienced severe and recurring episodes of depression, and according to the DSM 5, recurring symptoms predispose patients to treatment-resistant depression (American Psychiatric Association, 2013).
  2. Bipolar disorder
  3. Unipolar depression

Pharmacologic Agents for the Client

In the case study, the patient previously responded well to sertraline (Stahl Online, n.d.). As a result, sertraline will be one of the chosen medications. Sertraline is an SSRI that is well absorbed and metalized. Strapline reduces both depressive and anxiety symptoms. The recommended starting dose for sertraline is 50mg, which will be increased after one week to between 75mg and 100mg (Lewis, et al., 2019). The second antidepressant medication is venlafaxine which is also an SSRI. Studies indicate that venlafaxine’s active components are effective inhibitors of the norepinephrine and the serotine reuptake of dopamine. The initial dosage for this medication will be 75mg for the first 3-5 days then increasing the dosage to between 100mg and 225mg (Stahl, 2013).

In terms of the pharmacokinetics of the two drugs above, the two medications appear to work better in females (Gibiino, Marsano, & Serretti, 2014). However, venlafaxine seems to work better for this patient. This is because venlafaxine targets to inhibit the absorption of both serotine and norepinephrine while sertraline only targets to inhibit the reabsorption of serotine alone (Stahl, 2013). With both serotine and norepinephrine significantly impacting moods and emotions, venlafaxine is better compared to sertraline.

Contraindications of the Drugs

Studies indicate that venlafaxine may have greeter effects on Caucasians. Caucasians were found to have more positively responded to venlafaxine when compared to sertraline (Gibiino, Marsano, & Serretti, 2014). The greater effects mean that Caucasians could be extensive metabolizers and thus doses should be normalized based on this factor. While the effects of ethnicity may be minimal, it is important to monitor how this client will respond to the medication. Other ethnicities may respond more slowly to venlafaxine.

Lessons Learned

As a nurse, I have learned fundamental concepts and lessons from analyzing this case that will help deal with clients and patients with similar conditions. I have learned the nature of major depressive disorder, and the need to prescribe the appropriate treatment regimen. This is because inappropriate treatment regimens can result in the development of treatment-resistant depression. This can further complicate the management of illness in those patients. Therefore, nurses need to be careful in making prescription decisions.

i need a response , 1 page

Zero plagiarism

2 references not more than five years

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2023 Academic level College Type Research paper Subject Health Care Topic Cervical cancer Style

Nursing 2023 Cervical cancer

Academic level College Type Research paper Subject Health Care Topic Cervical cancer Style 2023 Assignment

 

  • Academic level: College
  • Type: Research paper
  • Subject: Health Care
  • Topic: Cervical cancer
  • Style: APA
  • Number of pages: 3 pages/double spaced (825 words)
  • PowerPoint slides: 0
  • Additional: None
  • Number of source/references: 3
  • Include : Abstract page

Order instructions:3 full pages time romain good english cover page and no book source sources 

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2023 Final Project In the first two written assignments you selected one vulnerable population in need of a new program or

Nursing 2023 Final Project HIV/Aids

Final Project In the first two written assignments you selected one vulnerable population in need of a new program or 2023 Assignment

 

Final Project

In the first two written assignments, you selected one vulnerable population in need of a new program or service in your community.  In this project, you will finalize the research that allows you to understand elements that go into designing and launching a community service.  The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program.  The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge.  Your project must contain the following elements:

  • A description of the vulnerable population and why they need assistance in your community.
  • A description of the health service needs of the vulnerable population you have chosen to serve with your program.
  • In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population.
  • A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population.
  • Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system.  Analyze methods your program can use to overcome social and cultural differences.
  • Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.  
  • Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources.

Your final project will demonstrate quantitative literacy, which shows your ability to identify and solve problems.  Additionally, you must demonstrate integrative learning, which means you combine your earlier learning from this and other courses, analyze data from multiple perspectives, explore issues to their full extent as is required in the assignment, as well as incorporate your own personal and professional experiences.

Be detailed and convincing in describing the above elements.  For your presentation, you may choose between the following formats:

  • An APA formatted Final Paper
  • A PowerPoint Presentation

The Final Paper:

  • Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must begin with an introductory paragraph that has a succinct thesis statement.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that reaffirms your thesis.
  • Must use at least six scholarly sources, not including the textbook.
  • Must document all sources in APA style, as outlined in the Ashford Writing Center.
  • Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..

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2023 What is vulnerability Merriam Webster defines vulnerable as capable of being physically or emotionally wounded In my

Nursing 2023 2 coments each one 150 words (CITATION AND REFERENCE). BY3/12

What is vulnerability Merriam Webster defines vulnerable as capable of being physically or emotionally wounded In my 2023 Assignment

What is vulnerability? Merriam- Webster defines vulnerable as “capable of being physically or emotionally wounded.” In my opinion, we are all vulnerable by that definition. In healthcare, vulnerable populations are considered those who cannot advocate for their needs or well-being. For example, children, members of the LGBTQ community, prisoners, ethnic minorities, impoverished, and physically or mentally impaired would all be considered vulnerable. (Falkner, 2018). Children, in my opinion, are the most vulnerable because they lack decision making skills and autonomy to advocate for their needs or health care decisions. Children must count on the adults around them to make these decisions for them and unfortunately, some adults take advantage of this vulnerability. As healthcare providers, it is our responsibility to advocate for our patients even and especially when their caregivers are making decisions that will cause them harm. This is a slippery slope as choices such as refusal of vaccinations or life- saving blood products (because of religion) is a protected right. Ethics committees and judicial members are often tasked to intervene in life-saving decisions when the child’s best interest is at risk. So, I beg the very controversial question, how much longer will we continue to watch children die from vaccine- preventable illnesses until the government intervenes?

 

Reference

Falkner, A. (2018). Community as Client. In Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

“Vulnerable.” Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/vulnerable.

There are many different groups of people who are categorized as vulnerable population such as racial and ethnic minorities, the economically disadvantaged, those with chronic health conditions, those who live in rural areas and the elderly (AMJC, 2018). These vulnerable populations health and healthcare problems are often worsened by social factors. They may experience greater risk factors, worse access to care, and increased morbidity and mortality with the general population.

The economically disadvantaged is one group of the vulnerable population as they are at risk for poor health status and access to healthcare. They experience significant disparities in life expectancy, access and utilization of healthcare, morbidity and mortality. In general, low-income individuals are more likely to have chronic illnesses, and the impact of these illnesses can be more severe, individuals with low incomes are also disproportionately racial and ethnic minorities. These low income people may be less like to have health insurance coverage or may be underinsured and as a result they have less interaction with the healthcare system as stated by Pamella Riley, MD, vice president of delivery system reform at The Commonwealth Fund (AJMC, 2018). These individuals are more likely to behavioral health issues such as depression, substance abuse problem and chronic medical conditions like obesity or diabetes.

Numerous efforts are been made to reduce the disparities in healthcare. Persons who are poorer often are stigmatized and not given the chance to express themselves and they are often unaware of the community healthcare resources available to them. The community health nurse comes in contact with these persons and he/she will assess these individuals and identify their needs, make necessary referrals, raise awareness, provide education and put guideline in place with the help of other health professionals and stakeholders (Waisel, 2013). Patients can be educated on how to prevent diseases and maintain the best possible health even if they are poor. The nurse should remain non-judgmental, be culturally aware, show respect to all patients when giving care regardless of race or social status.

Reference

Joszt, L. (2018). 5 Vulnerable populations in healthcare. American Journal of Management Care. Retrieved from https://www.ajmc.com/newsroom/5-vulnerable-populations-in-healthcare

Waisel, D. B. (2013). Vulnerable populations in healthcare. Current opinion in anesthesiology 26(2) p186-192.

Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23385323/

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2023 What are the skills necessary for the provider to identify address and assess this clinical ethical

Nursing 2023 discussion

What are the skills necessary for the provider to identify address and assess this clinical ethical 2023 Assignment

 

  1. What are the skills necessary for the provider to identify, address, and assess this clinical ethical issue?
  2. What are the provider’s obligations when a patient discloses does he not intent to follow the treatment?
  3. What are the ethical considerations in evaluating a patient’s failure to adhere to a prescribed therapy?
  4. Will you terminate care for this patient? What are the implications?
  5. Case Study Rubric
        Criterion
      Outstanding  (25)
      Very Good  (22)
         Average (18)
      Unacceptable (15)
      Score
        Completeness
      Complete in all respects; reflects all requirements
      Complete in most respects; reflects most requirements
      Incomplete many respects; reflects few requirements
      Incomplete in most respects; does not reflect requirements
       
        Understanding
      Demonstrates excellent understanding of the topic(s) and issue(s)
     
      Demonstrates an accomplished understanding of the topic(s) and issue(s)
      Demonstrates an acceptable understanding of the topic(s) and issue(s)
      Demonstrates an inadequate understanding of the topic(s) and issue(s)
       
        Analysis
      Presents an insightful and through analysis  of the issue (s) identified
      Presents a thorough analysis of most of the issue(s) identified
      Presents a superficial analysis of some of the issue(s) identified
      Presents an incomplete analysis of the issue(s) identified.
       
        Evaluation
      Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied
      Makes appropriate connections between the issue(s) identified and the concept(s) studied
      Makes appropriate but somewhat vague connections between the issue(s) identified and the concept(s) studied
      Makes little or no connection between the issue(s) identified and the concept(s) studied.
       
        Opinion
      Supports  opinion with strong arguments and evidence; presents a balanced and  critical view; interpretation is both reasonable and objective
      Supports opinion with reasons and evidence; presents a fairly balanced view; interpretation is both reasonable and objective
      Supports opinion with limited reasons and evidence; presents a somewhat one-sided argument
      Supports opinion with few reasons and little evidence; argument is one-sided and not objective.
       
        Recommendations
      Presents  detailed, realistic, and appropriate recommendations clearly supported  by the information presented and concepts studied
      Presents specific, realistic and appropriate recommendation supported by the information presented and the concepts studied
      Presents realistic or appropriate recommendation supported by the information presented and the concepts studied
      Presents realistic or appropriate recommendation with little, if any, support from the information and the concepts studied.
       
        Grammar and Spelling
      Minimal spelling and grammar errors
      Some spelling and grammar errors
      Noticeable spelling and grammar errors
      Unacceptable number of spelling and grammar errors
       
        APA guidelines
      Uses APA guidelines accurately and consistently to cite sources
      Uses APA guidelines with minor violations to cite sources
      Reflects incomplete knowledge of APA guidelines
      Does not use APA guidelines
       
         
       
       
       
                  Total
       
        

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