Post-Traumatic Stress Disorder Case Study

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Post-Traumatic Stress Disorder Case Study

Post-Traumatic Stress Disorder 

1. Watch the film: The doctor is In: Post-Traumatic Stress Disorder (1991). https://archive.org/details/DoctorIsInPTSD

2. Provide a brief summary of the film.

 

Case Study:

You are working the afternoon shift in an inpatient psychiatric unit. The patients are in the day room watching a movie when suddenly someone starts yelling. You and other staff rush to the day room to find J.J., a 55-year-old male patient, crouched in the corner behind a chair, yelling at the other patients, “Get down. Get down quick. “You and the other staff are able to calm J.J. and the other patients and take J.J. to his room. He apologizes for his outburst and explains to you that the movie brought back memories of the Gulf War. He had forgotten where he was and thought he was in combat again. He describes to you in detail the memory he had of being ambushed by the enemy and watching several of his comrades be killed. You remember hearing in report that J.J. is a Gulf War veteran. Post-Traumatic Stress Disorder Case Study

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1. You read in his medical record that J.J. has posttraumatic stress disorder (PTSD). What are common causes of PTSD, and what is the most likely cause of J.J.’s condition?

2. According to the DSM-V, name three criteria that must be present to diagnose posttraumatic stress disorder (PTSD).Post-Traumatic Stress Disorder Case Study

3. What is the difference between PTSD and acute stress disorder, according to the DSM-V?

4. Which symptom(s) of PTSD did J.J. most likely experience?

5. What therapeutic measures can be done to help J.J. during your shift this evening?

6. While you are in J.J.’s room, he states that he would like to rest for a while, and he requests something to “calm his nerves. “You check his medical record see these PRN medications listed. You review the Chart and the following medications are ordered PRN: Tylenol, Xanax, and Ambien.

a. Which medication is most appropriate to administer at this time? Explain.

7. What are the adverse effects of long-term use of benzodiazepine anxiolytics?

8. You decide to notify J.J.’s physician about his reaction to the movie. The physician writes an order to start paroxetine (Paxil). How does this medication differ from the alprazolam?

9. J.J. asks you whether there are other things he can do, in addition to medications, to help his anxiety.

a. List some relaxation and therapeutic techniques that could be implemented or taught to J.J. to help relieve his anxiety.

10. J.J. is for discharge from the hospital. To what level of care will J.J. be discharged, and name some of the treatment modalities that could help him with his PTSD and related problems? Post-Traumatic Stress Disorder Case Study

Holistic Nursing Theory Group Project Assignment

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Holistic Nursing Theory Group Project Assignment

Holistic Nursing Theory Group Project

Due date:

Purpose:

The purpose of the presentation is to demonstrate the student’s knowledge of the theory and the ability to draw logical applications to holistic nursing practice and research.  Approaches which may be used for this presentation include: (1) identifying a significant problem in the student’s area of interest and how it could be addressed using the theoretical framework; (2) discussing how a theory could be used in the student’s place of employment or specialization area to guide practice of holistic nursing. Holistic Nursing Theory Group Project Assignment

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Skills:

The purpose of this assignment is to help you practice the following skills that are essential to your success in this course:

  • Module Outcome 6: Analyze the theory of your choosing and how it impacted the nursing field and clinical practice setting. Holistic Nursing Theory Group Project Assignment

 

Knowledge:

This assignment will also help you become familiar with the following important content knowledge in this discipline:

  • Analyzing the various nursing theories and the impact that it makes the nursing profession
  • Conduct quality research strategies as a group
  • Collaborate as a group and work together towards a common goal

Holistic Nursing Theory Group Project Assignment

Task:

To complete the assignment, please complete the following:

  1. Select a theory as a group and email your professor your chosen theory:
    1. Dorothy Johnson’s Behavioral System Model and its Applications
    2. Dorothea Orem’s Self- Care Deficit Nursing Theory
    3. Imogene King’s Theory of Goal Attainment
    4. Sister Callista Roy’s Adaptation Model
    5. Helen Erickson, Evelyn Tomlin, and Mary Ann Swain’s Theory of Modeling and Role Modeling
    6. Rosemarie Parse’s Human becoming Paradigm
    7. Madeleine Leininger’s Theory of Culture Care Diversity and Universality
    8. Jean Watson’s Theory of Human Caring
    9. Another nursing theory that has been approved by your instructor
  2. Conduct research on your selected theory as a group. Your research should consist of a minimum of 5 sources. These source should be a mix between current and classic, peer-reviewed articles.
  3. As a group, work together to create a presentation that covers the following information:
    1. How were the concepts of Health, Person, Nursing, and Environment explicated?
    2. What unique definitions/terms/concepts were identified in the theory, and were these explained?
    3. Were the relational links among the concepts identified? Were relational statements clearly explicated? A student should use a visual diagram of the theory and explain how the concepts are related.
    4. What were the assumptions of the theory? Were they identified by the theorist? If not, can they be identified?Holistic Nursing Theory Group Project Assignment
    5. What is the overview of the theory? Holistic Nursing Theory Group Project Assignment
    6. How has the theory been used in research? Has it been used in specific specialty areas? Can it be used at all levels of prevention? Why or why not?
    7. What are the strengths and weaknesses of the model/ theory?
  4. Email your professor the day of your presentation with the correct APA format for your references.
  5. Present as a group and record your presentation. Post to the discussion area.
  6. You will be evaluated on presentation style, pace, and professionalism.
  7. As a group, respond to each group theory presentation. (You will be tested on all of the theories that are presented).

Holistic Nursing Theory Group Project Assignment

Criteria for Success (Rubric):

 

Grade and Point Range Description of Criteria
 

 

 

 

 

 

 

“A” level

10 – 9 points

 

  

·         The theory was explicated well and provided severaladditional resources

·         Terms specific to the theory were explained and provided additional references to back-up claims

·         A visual provided an added level of detail to the theory that was not copied from the internet

·         A through overview of the theory was explained in detail and made a connection to other theories

·         The theory explained how research was utilized, along with specific areas and provided detailed examples

·         Strengths and weaknesses were provided in great detail and provided a few studies to back-up claims

·         PowerPoint slides were used and the slides were used as an outline

·         The pace and professionalism went beyond what was expected

Holistic Nursing Theory Group Project Assignment
 

 

 

“B” level

8 – 7 points

 

  

·         The theory was explained and provided a few extra resources

·         Terms specific to the theory were explained and provided additional reference to back-up claims

·         A visual provided an added level of detail to the theory that was not copied from the internet

·         A through overview of the theory was explained and made a connection to other theories

·         The theory explained how research was utilized, along with specific areas and provided a few examples

·         Strengths and weaknesses were provided and included an additional study to backup claims

·         PowerPoint slides were used and the slides were used as an outline

·         The pace and professionalism was sufficient. Holistic Nursing Theory Group Project Assignment

 
 

 

 

 

 

 

“C” level

6 – 5 points

 

  

·         The theory was explained but missed important parts

·         No additional resources were used

·         Terms specific to the theory were casually mentioned, leaving the audience confused

·         A visual was provided and copied from the internet

·         A low-level explanation of the theory was provided but lacked additional resources

·         The theory explained how research was utilized and casually skimmed over specific areas

·         Strengths and weaknesses were provided in but were clearly found in a textbook

·         PowerPoint slides were used and the slides were overwhelmed with text

·         The pace and professionalism was either too fast or too slow

Holistic Nursing Theory Group Project Assignment
 

 

 

 

 

 

“D” or “F” level

4 – 0 points

 

  

·         The theory lacked any sort of detail and the only resource was provided by a textbook

·         Terms specific to the theory were not explained

·         No additional references were used

·         A visual provided no additional details to aid to the theory

·         The visual was copied from the internet

·         The theory was not explained and did not make a connection to other theories

·         The theory did not explain how other research utilized the theory and did not provide other examples for specific nursing areas

·         Strengths and weaknesses were not provided or were generic

·         PowerPoint slides were used and words overwhelmed each of the slides

·         The pace and professionalism was either disregarded or too fast to understand what was being said

 

Holistic Nursing Theory Group Project Assignment

SOCW6090 Week 7 Discussion Essay Assignment

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SOCW6090 Week 7 Discussion Essay Assignment

SOCW6090 Week 7 Discussion Essay Assignment

Assignment: Schizophrenia Over Time: Experiences Living With the Illness

Experiences of schizophrenia are not homogeneous; there is wide variety in onset, course of illness, and combinations of symptoms. Social workers need to be able to understand the different manifestations and pathways of the illness to plan interventions. Social work services play a key role in stabilizing crises, supporting family coping, and influencing overall quality of life and outcomes of individuals with schizophrenia. In this Assignment, you practice applying this necessary individualization. SOCW6090 Week 7 Discussion Essay Assignment

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To prepare: In the Learning Resources, focus on the associated features, development, and course of the illnesses in the schizophrenia spectrum. Also focus on descriptions of the disorder and the way it develops for different individuals.

Choose two articles from the list in the Learning Resources that apply to treatment support and interventions for the schizophrenia spectrum and other psychotic disorders chapter in the DSM 5. Choose either Saks or McGough to focus on for this assignment.SOCW6090 Week 7 Discussion Essay Assignment

By Day 7

Submit a 3- to 4-pages, supported by at least 4 scholarly resources (not including DSM-5), in which you address the following:

  • Describe Saks’s or McGough’s experiences with schizophrenia. Saks video link- https://www.ted.com/talks/elyn_saks_a_tale_of_mental_illness_from_the_inside, McGough Video link- https://www.youtube.com/watch?v=xbagFzcyNiM, Identify onset, associated features (specifically referencing the positive and negative symptoms), development, and course.
  • Explain how you would use the Clinician Rated Dimensions of Psychosis Symptom Severity measure and the WHODAS to help confirm your diagnosis.
  • Explain how you would plan treatment and individualize it for Saks or McGough. Support your response with references to scholarly resources. In your explanation, consider the following questions:
    • What are the long-term challenges for someone living with the illness?
    • What social, family, vocational, and medical supports are needed for long-term stabilization?
  • Briefly explain how race/ethnicity, gender, sexual orientation, socioeconomic status, religion, or other identity characteristics may influence an individual’s experience with schizophrenia. SOCW6090 Week 7 Discussion Essay Assignment

Chronic Renal failure Assignment

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Chronic Renal failure Assignment

Discussion Prompt

Initial Post: Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process.
Response #1: Explain the role of Angiotensin II and proteinuria as they relate to advancing renal disease.
Response #2: List at least three other body systems that are impacted by chronic kidney disease and why.

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please use apa references.

explain the process end stage renal Faliure. And what are some new studies on improving life with renal failure. Chronic Renal failure Assignment

Assignment 5, nutrition and diet

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Assignment 5, nutrition and diet 

What are socio-economic factors influencing access to healthy foods resulting in health disparities?

Diet/Nutrition/Obesity/Food insecurityIn the unit on Nutrition and Obesity, the various assigned materials approach the content from different angles. The following questions will be the basis of a short reflection assisgnment

  1. Collect a 24 hours diet on a client.
  2. Analyze the diet according to current recommendations, evidence based recommendations. According to BMI, sex, activity level, any health issues etc, anything missing in the diet? Anything too much or too little?  Are you suggesting any change?
  3. Address the diet, giving advise vs a motivational interviewing approach vs a combo vs other? Your thoughts….
  4. What are socio-economic factors influencing access to healthy foods resulting in health disparities? Assignment 5, nutrition and diet

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In a short assignment (minimum of 3 paragraphs, but doesn’t need to be much longer than 3 paragraphs), comment on the above questions with something that struck you from the assigned materials. You can also relate it to your experience with patients or your experience as a patient. However, use the assigned materials as a basis for your discussion.  Did something surprise you or was new information for you? Is there something you agree or disagree with?Be sure to appropriately site any sources using APA. I do not expect you to do research or include anything outside of the assigned readings.(1-2  pages, double spaced, using APA format)

Grading Criteria

1.  24 hour diet                                                                                          0.5 pt

2.  Analysis of the 24 hour diet by age, sex, BMI, activity etc.                  1.5 pt

3.    Reflect on communication strategies with patients re diet                   1 pts              

(MI vs advise)

4.  Identify socio-economic factors & health disparities related to diet and food access                                                        1.5 pts

5.   Utilize at least 2 sources* & correct APA format                                   0.5 pts. Assignment 5, nutrition and diet

Critiquing Sources Of Error In Population Research To Address Gaps In Nursing Practice

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Critiquing Sources Of Error In Population Research To Address Gaps In Nursing Practice

As a DNP-educated nurse, part of your role will be to identify the differences, or gaps, between current knowledge and practice and opportunities for improvement leading to an ideal state of practice. Being able to recognize and evaluate sources of error in population research is an important skill that can lead to better implementation of evidence-based practice.

 

In order to effectively critique and apply population research to practice, you should be familiar with the following types of error:

Selection Bias

Selection bias in epidemiological studies occurs when study participants do not accurately represent the population for whom results will be generalized, and this results in a measure of association that is distorted (i.e., not close to the truth). For example, if persons responding to a survey tend to be different (e.g., younger) than those who do not respond, then the study sample is not representative of the general population, and study results may be misleading if generalized.

Information Bias

Information bias results from errors made in the collection of information obtained in a study. For example, participants’ self-report of their diet may be inaccurate for many reasons. They may not remember what they ate, or they may want to portray themselves as making healthier choices than they typically make. Regardless of the reason, the information collected is not accurate and therefore introduces bias into the analysis. Critiquing Sources Of Error In Population Research To Address Gaps In Nursing Practice

Confounding

Confounding occurs when a third variable is really responsible for the association you think you see between two other variables. For example, suppose researchers detect a relationship between consumption of alcohol and occurrence of lung cancer. The results of the study seem to indicate that consuming alcohol leads to a higher risk of developing lung cancer. However, when researchers take into account that people who drink alcohol are much more likely to smoke than those who do not, it becomes clear that the real association is between smoking and lung cancer and the reason that those who consume alcohol had a higher risk of lung cancer was because they were also more likely to be smokers. In this example, smoking was a confounder of the alcohol-lung cancer relationship.

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Random Error

The previous three types of errors all fall under the category of systematic errors, which are reproducible errors having to do with flaws in study design, sampling, data collection, analysis, or interpretation. Random errors, on the other hand, are fluctuations in results that arise from naturally occurring differences in variables or samples. While unavoidable to a small degree even under the most careful research parameters, these types of errors can still affect the validity of studies.

To Prepare:

  • Review this week’s Learning Resources, focusing on how to recognize and distinguish selection bias, information bias, confounding, and random error in research studies.
  • Select a health issue and population relevant to your professional practice and a practice gap that may exist related to this issue.
  • Consider how each type of measurement error may influence data interpretation in epidemiologic literature and how you might apply the literature to address the identified practice gap.
  • Consider strategies you might use to recognize these errors and the implications they may have for addressing gaps in practice relevant to your selected issue.
By Day 3 of Week 6

Post a cohesive scholarly response that addresses the following:

  • Describe your selected practice gap.
  • Explain how your treatment of this population/issue could be affected by having awareness of bias and confounding in epidemiologic literature.
  • Explain two strategies researchers can use to minimize these types of bias in studies, either through study design or analysis considerations.
  • Finally, explain the effects these biases could have on the interpretation of study results if not minimized. Critiquing Sources Of Error In Population Research To Address Gaps In Nursing Practice

Assignment: Capella University Interdisciplinary Team Approach Presentation

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Assignment: Capella University Interdisciplinary Team Approach Presentation

Explain strategies for managing human and financial resources to promote organizational health.

Assignment: Capella University Interdisciplinary Team Approach Presentation

Question Description
As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.

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You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.

DEMONSTRATION OF PROFICIENCY
Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes. Assignment: Capella University Interdisciplinary Team Approach Presentation
Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional, respectful manner, with writing that is clear, logically organized, with correct grammar and spelling, using current APA style.
PROFESSIONAL CONTEXT
This assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.

SCENARIO
In addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.

When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.

INSTRUCTIONS
Please follow the Capella Guidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer to Capella University Library: PowerPoint Presentations.

Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style. Assignment: Capella University Interdisciplinary Team Approach Presentation
There are various ways to structure your presentation; following is one example:

Part 1: Organizational or Patient Issue.
What is the issue that you are trying to solve or improve?
Why should the audience care about solving it?
Part 2: Relevance of an Interdisciplinary Team Approach.
Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?
How will it help to achieve improved outcomes or reach a goal?
Part 3: Interdisciplinary Plan Summary.
What is the objective?
How likely is it to work?
What will the interdisciplinary team do?
Part 4: Implementation and Resource Management.
How could the plan be implemented to ensure effective use of resources?
How could the plan be managed to ensure that resources were not wasted?
How does the plan justify the resource expenditure?
Part 5: Evaluation.
What would a successful outcome of the project look like?
What are the criteria that could be used to measure that success?
How could this be used to show the degree of success?
Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide. Assignment: Capella University Interdisciplinary Team Approach Presentation

 

Schizophrenia Spectrum And Other Psychotic Disorders; Medication-Induced Movement Disorders

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Schizophrenia Spectrum And Other Psychotic Disorders; Medication-Induced Movement Disorders

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

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  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Schizophrenia Spectrum And Other Psychotic Disorders; Medication-Induced Movement Disorders
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
  • Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

 

  • Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
  • Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient. Schizophrenia Spectrum And Other Psychotic Disorders; Medication-Induced Movement Disorders

Health Promotion, Healthcare Policy And Diagnosis And Laboratory

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Health Promotion, Healthcare Policy And Diagnosis And Laboratory

APA format

1) Minimum 6 pages pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

You must strictly comply with the number of paragraphs requested per page.

           Part 1: minimum  2 pages

           Part 2: minimum  2 pages

           Part 3: minimum  2 pages

         

Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites) Health Promotion, Healthcare Policy And Diagnosis And Laboratory

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Health Promotion (Write in the first person)

CASE STUDY: Active Labor: Susan Wong

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after a spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

Questions

1. introduction

2. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs? (One paragraph)

3. How can you help this couple if they experience a negative outcome in the birthing suite? (One paragraph)

4. What are your personal views on terminating or continuing a pregnancy with a risk of a potential

anomaly? (One paragraph)

5. What factors may influence your views? (One paragraph)

6. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future? (One paragraph)

Part 2: Healthcare policy

1. On what policy issues might nurses lobby Congress? (Three paragraphs)

2.  What strategies might nurses use to have their voices heard?  (Three paragraphs) Health Promotion, Healthcare Policy And Diagnosis And Laboratory

Part 3: Diagnosis and laboratory

1. Introduction (One paragraph)

2.. Discuss four important aspects of USPSTF Screening Recommendations in Primary Care (One paragraph per each aspect)

3. Conclusion (One paragraph)

THE PROCESSES OF CONTINUOUS QUALITY IMPROVEMENT HEALTHCARE

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THE PROCESSES OF CONTINUOUS QUALITY IMPROVEMENT HEALTHCARE

Please read the following article, then answer the questions.Cookson, R., Asaria, M., & Ali, S. (2018). Health equity monitoring for health care quality assurance. Social Science & Medicine, Vol. 198, 148-156. Retrieved from the Trident Online Library.

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  1. How can the monitoring process suggested in the article help in revising the processes used inside the United States? It’s working in England—so could it work in the United States? Why or why not? Justify your answer using credible, peer-reviewed sources.
  2. What are five of the current inequities in the United States health care market that should be addressed? Document each inequity using credible, peer-reviewed sources.
  3. How can each of these inequities be best resolved to the satisfaction of all stakeholders? Explain your ideas for resolving the five inequities to your stakeholders in a few concise paragraphs. THE PROCESSES OF CONTINUOUS QUALITY IMPROVEMENT HEALTHCARE