Discussion for today at 6 pm

enry, a 58 y/o male, recently reports waking up in the middle of the night with burning abdominal pain. Symptoms occur several nights a week with occasional discomfort in the middle of the afternoon. A bland diet or drinking milk do seem to help and spicy foods aggregate the symptoms.PMH: non-contributorySH: Works in a grocery store, divorced, non-smoker, drinks 1-2 beers/dayAllergies: noneMeds: 1 325mg ASA daily for cardiovascular preventionROS:Constitutional: Decrease appetite and 5% weight loss; denies feverENT: Denies sore throat or drainageLungs: Occasional dry cough at nightHeart: Mid sternum chest burning intermittentlyAbdomen: Epigastric burning and tenderness, denies constipation or diarrheaInitial Post: Summarize the pathophysiology of Peptic Ulcer Disease as compared to GERD and explain which one his symptoms most closely represent. Support with evidence

trends reply 6

i need this done

Patient assessment

Taking care of a Native American male patient who states that he drinks alcohol and smokes weed. How do you approach the patient during assessment. How do you ask questions considering socioeconomic aspect of the Native American population especially males between ages 20-25?Through critical thinking discuss about how to approach the idea of patient specific during patient assessmentsPlease Note:APA format1 and ½ page2 references not more than years

Foundational Neuroscience

As a psychiatric nurse practitioner, it is essential for you to have a strong background in foundational neuroscience. In order to diagnose and treat patients, you must not only understand the pathophysiology of psychiatric disorders but also how medications for these disorders impact the central nervous system. These concepts of foundational neuroscience can be challenging to understand. Therefore, this Discussion is designed to encourage you to think through these concepts, develop a rationale for your thinking, and deepen your understanding by interacting with your colleagues.Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.Compare and contrast the actions of G-protein coupled receptors (GPCRs) and ion gated channels.Explain how the role of epigenetics may contribute to pharmacologic action.Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action. (This is your opportunity to share one of your clinical experiences with us!)RUBRICResponse to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.Thoroughly responds to the Discussion question(s).Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.No less than 75% of post has exceptional depth and breadth.Supported by at least three current credible sources not more than 5 yearsAPA format

WEEK 7 DISCUSSION CASE STUDY HA

BEFORE ANSWERING QUESTIONS BELOW PLEASE READ ENTIRE CASE STUDI. THE CASE STUDI IS ATTACHED TO THIS POST. PLEASE USE APA FORMAT FOR REFERENCES, DO NOT USE REFERENCES OLDER THAN 5 YEARS AGO.You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.DOMAIN: HISTORY1a) Identify two (2) additional questions that were not asked in the case studi and should have been?1b) Explain your rationale for asking these two additional questions.1c) Describe what the two (2) additional questions might reveal about the patient’s health.DOMAIN: PHYSICAL EXAMEFor each system examin in this case;2a) Explain the reason the provider examin each system.2b) Describe how the exame findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what exame findings could be abnormal.2c) Describe the normal findings for each system.2d) Identify the various diagnostic instruments you would need to use to examin this patient.DOMAIN: ASSESSMENT (Medical Diagnosis)Discuss the pathophysiology of the:3a) Diagnosis and,3b) Each Differential Diagnosis3c) If it is a Wellness, type ‘Not Applicable’DOMAIN: LABORATORY & DIAGNOSTIC TESDiscuss the following:4a) What labs should be ordered in the case?4b) Discuss what lab results would be abnormal.4c) Discuss what the abnormal lab values indicate.4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis.4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group.

respoonse to week 2 discussion

Respond to at least two of your colleagues’ postings providing feedback on their topic and research problem.Note: This Discussion provides you with an opportunity for peer review. You may revise your own proposed research topic and problem statement based upon the feedback you receive from your colleagues.this is my classmate postArt Therapy for DementiaSearch terms and databases searchedAbout 55 million people worldwide suffer from dementia and the number of people who suffer from dementia increases rapidly. Children’s education should be a priority and Health Care Organizations should initiate campaigns to reduce alcohol intake, smoking cessation, to avoid head injuries, to educate young adults about hypertension, diabetes, and how to prevent and delay dementia.3 annotated literature summaries for an HSO organizational research problemLivingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., Costafreda, S. G., Dias, A., Fox, N., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Ogunniyi, A., Orgeta, V., … Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet (London, England), 396(10248), 413–446.https://doi.org/10.1016/S0140-6736(20)30367-6Nine modifiable risk factors for dementia suggest that about 40% of the worldwide population lives with dementia. Yet, age is a risk factor, other factors like poor education, hypertension, hearing impairment, smoking, obesity, depression, physical inactivity, diabetes, and low social contact is supported with evidence to cause dementia. Three new factors like alcohol consumption, traumatic brain injury, and air pollution are related to dementia.World Health Organization (2021) Dementia. Retrieved from:https://www.who.int/news-room/fact-sheets/detail/dementiaWith 55 million people living with dementia and 10 million cases arising every year, dementia is the 7th leading cause of death worldwide. Dementia can be considered a normal and an inevitable process of aging, however injuries and secondary diseases can affect the brain and creates a social, psychological, and economic impact on the family and caregivers.Schneider J. (2018). The Arts as a Medium for Care and Self-Care in Dementia: Arguments and Evidence. International journal of environmental research and public health, 15(6), 1151.https://doi.org/10.3390/ijerph15061151With a growing number of patients with dementia and the lack of effectiveness of the medications, art therapy is starting to be seen as a new approach that will help enhance and improve the quality of life of patients with dementia. Art therapy is divided into visual art, music, and dance, and offers a systematic review of arts in general and patients with dementia.Single sentence social health problemThe lack of awareness and misunderstanding of dementia has led to stigmatization and inappropriate diagnosis and care.Single sentence research problemThe purpose of this study is to answer how art therapy can improve the quality of life of patients with dementia.

WEEK 7 DISCUSSION HA

BEFORE ANSWERING QUESTIONS BELOW PLEASE READ ENTIRE CASE STUDI. THE CASE STUDI IS ATTACHED TO THIS POST. PLEASE USE APA FORMAT FOR REFERENCES, DO NOT USE REFERENCES OLDER THAN 5 YEARS AGO.You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.DOMAIN: HISTORY1a) Identify two (2) additional questions that were not asked in the case studi and should have been?1b) Explain your rationale for asking these two additional questions.1c) Describe what the two (2) additional questions might reveal about the patient’s health.DOMAIN: PHYSICAL EXAMEFor each system examin in this case;2a) Explain the reason the provider examin each system.2b) Describe how the exame findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what exame findings could be abnormal.2c) Describe the normal findings for each system.2d) Identify the various diagnostic instruments you would need to use to examin this patient.DOMAIN: ASSESSMENT (Medical Diagnosis)Discuss the pathophysiology of the:3a) Diagnosis and,3b) Each Differential Diagnosis3c) If it is a Wellness, type ‘Not Applicable’DOMAIN: LABORATORY & DIAGNOSTIC TESDiscuss the following:4a) What labs should be ordered in the case?4b) Discuss what lab results would be abnormal.4c) Discuss what the abnormal lab values indicate.4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis.4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group.

Health Promotion Plan

Historically, nurses have made significant contributions to community and public health with regard to health promotion, disease prevention, and environmental and public safety. They have also been instrumental in shaping public health policy. Today, community and public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues. The goal of community and public health nursing is to optimize the health of individuals and families, taking into consideration cultural, racial, ethnic groups, communities, and populations. Caring for a population involves identifying the factors that place the population’s health at risk and developing specific interventions to address those factors. The community/public health nurse uses epidemiology as a tool to customize disease prevention and health promotion strategies disseminated to a specific population. Epidemiology is the branch of medicine that investigates causes of various diseases in a specific population (CDC, 2012; Healthy People 2030, n.d.).Please see attachment for instructions

Week 7 Discussion: Virtuous Person, Virtuous Citizen

Required ResourcesRead/review the following resources for this activity:Textbook: Chapter 12LessonMinimum of 1 scholarly source (in addition to the textbook)IntroductionEach person owes a duty to himself or herself and to the world to study ethics and to engage in thoughtful debate about what is right, and what is wrong. It is this habit of thinking about and reflecting on ethics that will help you determine the right choices when faced with an ethical dilemma.Initial Post InstructionsArticulate a moral dilemma wherein one has to show a specific virtue or virtues (it can be any virtue or virtues including honesty, courage, charity/generosity, compassion, etc.)What is the moral dilemma about?What virtue or virtues should be shown? (You are here selecting the best course of action)Why is that virtue or those virtues to be shown?How should the virtue or virtues be expressed, and why in that manner?Apply Aristotle’s golden mean to the dilemma.Tell us how the dilemma involves conflict moral duties (loyalty to community versus to self, professional versus familial duties, national or personal obligations).The dilemma must be a situation in which a choice has to be made.Be sure you told us why your chosen course of action was best.

unit 2 dq

A 41-year-old male presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, he is diagnosed with a virus that is currently prevalent in the area he works. He is told to rest and drink liquids until the virus has run its course. He becomes irate and tells you he wants an antibiotic.How could you explain to him why he does not need an antibiotic?What are some alternatives you could consider for a patient who demands an antibiotic?