Module 08 Case Study – Anxiety Disorder/Obsessive Compulsive DisorderCourse CompetencyAssemble nursing care interventions for clients with behavioral or cognitive disorders.ScenarioLauren has been diagnosed with Social Anxiety Disorder and experiences obsessive thoughts that result in compulsive behaviors. This has a major impact on her life and day to day functioning.InstructionsView the videos segments 1, 2, and 3 for Lauren.Notice how the nurse continues to gather information to assess the extent of Lauren’s illness. The content relates to the objective that you will be able to describe the symptoms of anxiety and OCD.Segment 1Segment 2Segment 3Create a document which contains this information:Describe at least three clinical signs of Anxiety observed in the videos.Describe at least three Obsessive-Compulsive behaviors observed in the videos.Explain at least three therapeutic communication techniques used by the nurse in the videos.Discuss at least two nursing interventions appropriate for Lauren. Support your choices with rationales.Support your ideas with at least two credible resources.

Appraising Qualitative Research33 unread replies.44 replies.Download the Johns Hopkins Research Evidence Appraisal Tool and the Johns Hopkins Individual Evidence Summary Tool (ARE ATTACHED).Select one of the eight practice problems that burden the overall health of the United States. Conduct a library search for one qualitative research study addressing this problem. Appraise the qualitative research study using the Johns Hopkins Research Evidence Appraisal Tool.(These eight practice problems include obesity; diabetes; heart disease; chronic obstructive pulmonary disease; mental illness; cancer; addiction, which includes alcohol and opioids; and patient safety, which includes any event in which an individual is harmed under our care). *I like addiction, but you can use any other.After appraising and determining the Level of Evidence and Grade of Quality for your selected qualitative study, summarize your findings. Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool. Complete each column including specific details about the qualitative study.Include your completedJohns Hopkins Individual Evidence Summary Tooland your qualitative research study as an attachment with your initial post. Also, include a permalink for your selected qualitative research study with your initial discussion post. Confirm the link allows access to the full-text study article. Our faculty team will review both your research study and Johns Hopkins Individual Evidence Summary Tool and provide guidance.Analyze the evidence summary of the selected qualitative research study to address the following.Does the research design answer the research question? Explain your rationale.Were the study sample participants representative? Why or why not?Compare and contrast the study limitations in this study.Based on this evidence summary, would you consider this qualitative research study as support for your selected practice problem? Explain your rationale.Helpful Hintswhen appraising your selected research study, begin with the John Hopkins Research Appraisal Tool. This tool guides you in a thorough critique and appraisal that leads to determining the level of evidence and grade of evidence for each individual study.Once you are finished with the Johns Hopkins Individual Research Appraisal Tool, transfer your findings to the Johns Hopkins Evidence Summary Tool. Please note that you will add to this tool each week and this document is REQUIRED as part of your Week 6 paper.IMPORTANT: Do NOT alter this tool in any way whatsoever. For example, do not change this tool into portrait mode (keep it in landscape). Changing the design of this tool will cause you to lose unnecessary points in your weekly scores and also will affect your Week 6 paper grade.Some tips for completing the Johns Hopkins Evidence Summary Tool include:in column #2 insert the selected research study in APA format;in Column #3 state the specific type of qualitative research design used (in week 1 you want to state whether this qualitative research study is grounded theory, phenomenology, descriptive, etc.);describe in detail the sample and study findings in the appropriate columns, andin the last column please insert both the level of evidence and grade of evidence.Articles selected for appraisal in this course must be current – within the past five years.If you are unsure if an article meets the research design requirement (qualitative research for week 1), please feel welcome to run it by me to make sure. I will be happy to help!At the end of your appraisal, if you do not think the research study will inform your selected practice problem, you will need to substitute the publication with another study that does before Week 6. This is required for the Week 6 paper.When you are ready to upload your initial post, please upload your completed Johns Hopkins Evidence Summary Tool along with a permalink to your two selected qualitative research studies.A permalink is a full URL. If a permalink is not familiar to you here is a link to a tip sheet in Chamberlain’s Library:https://library.chamberlain.edu/HowToSearch/Permalinks (Links to an external site.)The other option is to upload your qualitative research study as a PDF. I will carefully read each of your studies along with reviewing your complete Johns Hopkins Evidence Summary Tool.Finding Permalinks – How to Search the Library – Home at Chamberlain University – Home – Chamberlain Library Home – Home at Chamberlain University (Links to an external site.)Step by Step Instructions. Permalinks in the OVID database are a little bit hidden, but you can find them by doing the following: 1. Go to the article in OVID, and look for Tools on the right-hand side of the page.. 2.library.chamberlain.eduPlease Upload the JH Evidence Summary Tool.Students are expected to follow proper APA formatting in each discussion and the Week 6 written assignment. You required to use APA 7th edition for all in-text citations and references, no exceptions.

Hello,can you please follow the instructions and let me know if you can do it today?Thanks,

Assignment 1: Lab Assignment: Differential Diagnosis for Skin ConditionsPhoto Credit: Getty Images/iStockphotoProperly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.To PrepareReview the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.Consider which of the conditions is most likely to be the correct diagnosis, and why.Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.The Lab AssignmentChoose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.Learning ResourcesRequired Readings (click to expand/reduce)Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Chapter 9, “Skin, Hair, and Nails”This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.This section explains the procedural knowledge needed prior to performing various dermatological procedures.Chapter 1, “Punch Biopsy”Chapter 2, “Skin Biopsy”Chapter 10, “Nail Removal”Chapter 15, “Skin Lesion Removals: Keloids, Moles, Corns, Calluses”Chapter 16, “Skin Tag (Acrochordon) Removal”Chapter 22, “Suture Insertion”Chapter 24, “Suture Removal”Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.Chapter 28, “Rashes and Skin Lesions”This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.Note: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week’s Lab Assignment.Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Student checklist. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1 and 3)VisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from http://www.skinsight.com/info/for_professionalsThis interactive website allows you to explore skin conditions according to age, gender, and area of the body.Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12(6), 278–282.Document: Skin Conditions (Word document)This document contains five images of different skin conditions. You will use this information in this week’s Discussion.Document: Comprehensive SOAP Exemplar (Word document)Document: Comprehensive SOAP Template (Word document)Shadow Health Support and Orientation ResourcesUse the following resources to guide you through your Shadow Health orientation as well as other support resources:Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkYDocument: Shadow Health Support and Orientation Resources (PDF)Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https://support.shadowhealth.com/hc/en-usDocument: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)Document: Shadow Health Nursing Documentation Tutorial (Word document)Document: Student Acknowledgement Form (Word document)Note: You will sign and date this form each time you complete your DCE Assignment in Shadow Health to acknowledge your commitment to Walden University’s Code of Conduct.Document: DCE (Shadow Health) Documentation Template for Health History (Word document)Use this template to complete your Assignment 2 for this week.Optional ResourcesLeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.Chapter 6, “The Skin and Nails”In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions.Ethicon, Inc. (n.d.-a). Absorbable synthetic suture material. Retrieved from https://web.archive.org/web/20170215015223/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/absorbable_suture_chart.pdfEthicon, Inc. (2006). Dermabond topical skin adhesive application technique. Retrieved from https://web.archive.org/web/20150921174121/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_application_poster.pdfEthicon, Inc. (2001). Ethicon needle sales types. Retrieved from https://web.archive.org/web/20150921171922/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/needle_template.pdfEthicon, Inc. (n.d.-b). Ethicon sutures. Retrieved from https://web.archive.org/web/20150921202525/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/suture_chart_ethicon.pdfEthicon, Inc. (2002). How to care for your wound after it’s treated with Dermabond topical skin adhesive. Retrieved from https://web.archive.org/web/20150926002534/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_wound_care.pdfEthicon, Inc. (2005). Knot tying manual. Retrieved from https://web.archive.org/web/20160915214422/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/knot_tying_manual.pdfEthicon, Inc. (n.d.-c). Wound closure manual. Retrieved from http://www.uphs.upenn.edu/surgery/Education/facilities/measey/Wound_Closure_Manual.pdfRequired Media (click to expand/reduce)Module 3 IntroductionDr. Tara Harris reviews the overall expectations for Module 3. Consider how you will manage your time as you review your media and Learning Resources for your Discussions, Case Study Lab Assignments, DCE Assignments, and your Midterm exam (12m).Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptSkin, Hair, and Nails – Week 4 (19m)Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptOnline media for Seidel’s Guide to Physical ExaminationIn addition to this week’s media, it is highly recommended that you access and view the online resources included with the text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails.Note: To access the online resources included with the text, you need to complete the FREE online registration that is located at https://evolve.elsevier.com/cs/product/9780323172660?role=student .To Register to View the ContentGo to https://evolve.elsevier.com/cs/product/9780323172660?role=studentEnter the name of the textbook, Seidel’s Guide to Physical Examination (name of text without the edition number) in the Search textbox.Complete the registration process.To View the Content for this TextGo to https://evolve.elsevier.com/Click on Student Site.Type in your username and password.Click on the Login button.Click on the plus sign icon for Resources on the left side of the screen.Click on the name of the textbook for this course.Expand the menu on the left to locate all the chapters.Navigate to the desired content (checklists, videos, animations, etc.).Note: Clicking on the URLs in the APA citations for the Resources from the textbook will not link directly to the desired online content. Use the online menu to navigate to the desired content.Suturing TutorialsThe following suturing tutorials provide instruction on the basic interrupted suture, as well as the vertical and horizontal mattress suturing techniquesTulane Center for Advanced Medical Simulation & Team Training. (2010, July 8). Suturing technique [Video file]. Retrieved from https://www.youtube.com/watch?v=c-LDmCVtL0oNote: Approximate length of this media program is 5 minutes.Mikheil. (2014, April 22). Basic suturing: Simple, interrupted, vertical mattress, horizontal mattress [Video file]. Retrieved from https://www.youtube.com/watch?v=MFP90aQvEVMNote: Approximate length of this media program is 9 minutes.Incision and Drainage of an Abscess (a common procedure in primary care)New England Journal of Medicine (NEJM). (2013, September 30). NEJM abscess incision and drainage [Video file]. Retrieved from https://www.youtube.com/watch?v=MwgNdrA18fM&list=PL9UKTUFtRDcNq4–Vf2NYfUANEyObfeNm&index=8Note: Approximate length of this media program is 10 minutes.Dermablade Use for Shave BiopsiesDermablade®. (2012, November 9). PersonnaBlades [Video file]. Retrieved from https://www.youtube.com/watch?v=D8u1Y18L9DQNote: Approximate length of this media program is 5 minutes.Welcome to week 4We are entering week 4. Students have 2 assignments due this week. You will choose a lesion to document the SOAP note and secondly, this week is our first Shadow Health Assignment. There are several student tips, how to upload the lab pass, etc. located in the course.  Regarding the SOAP notes, there is not enough information. I advise you to make up the information that is not there (ie. Health hx, social hx, etc). This will allow you to critically think as you develop the notes.You need to know that the DCE score is not the only score that counts as your grade, it is only a portion of the grade. You must complete the documentation portion. Also, we have noted that in SH, the ROS is not located in the documentation portion but is located in the subjective data collection portion.  Remember to document as the SOAP order. I advise you to review my SOAP document send last week for guidance.Last week we engulfed in great conversation on the risks of our findings about growth, measurements, and nutrition of children and their families. As practitioners, it’s important to communicate professionally, ask the right questions, and guide families as they strive to have healthier and happy lives. This week we will begin to review assessments of body systems. Skin, Hair, and Nails will be covered. I encourage you to perform the assessment of Skin, Hair, and Nails so that you may be proficient with it for the overall assessment. You are able to access the check lists by enrolling into the evolve website in your resources.You first assignment for this week is to be written in a SOAP Note format (NO NARRATIVES). There is a template/sample for you to follow posted in your announcements at the beginning of the semester. You will need to put in the missing information in the note (some may be made up ie meds, hx, parts of the ROS and PE).  In the Assessment/Plan, you will document your differential diagnoses as per the assignment. I will comment on your notes and if needed, send you an email if I need to help you with them more.Assignment 1:The Lab Assignment· Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.·  Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Module 06 ContentConsider these landmark studies in the field of psychology mentioned in thisvideo linked here.Do you think they would be considered unethical today?What ethical issues stand out as possible concerns to you?Research more about these studies or one of the others found in the resource link above, and create a PowerPoint presentation (or other) covering possible ethical concerns while also citing the relevant principles and standards of the ethics code. Use references from this module and include APA in-text citations.