Women Health – Week 1 Discussion 2nd REPLY

Women Health – Week 1 Discussion 2nd REPLY

Please reply to the following discussion with at least one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.

Discussion

Pelvic Screening Test, Education, and Counseling

Janice, 21 years old, introduces herself to a nurse practitioner for a check-up. It is noted that Janice is sexually active, and her boyfriend uses condoms when having sex, but Janice has never had a pelvic exam before.

Screening Tests

Janice is an asymptomatic patient, and the nurse practitioner should do a pelvic screening examination to check for specific symptoms. The tests include:

Physical exam; the nurse practitioner will palpate Janice’s abdomen and pelvis to examine her uterus and ovaries to check their size and shape and if there are any tender areas or unusual growths and other irregularities. External visual exam; the nurse practitioner will look for Janice’s vulva to check for redness, irritation, swelling, sores, and other abnormalities. Internal visual exam; speculum will be used next by the nurse practitioner to spread open Janice’s vaginal walls to check any symptoms in her cervix and vagina (Mealey et al., 2019). Pap test; the test will be done to screen for cervical cancer; here, the nurse practitioner will collect a sample from Janice’s cervical cell to perform this test (Mealey et al., 2019).  Women Health – Week 1 Discussion 2nd REPLY

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Education and Counseling

The nurse practitioner will educate Janice on the methods of preventing sexually transmitted infections and pelvic inflammatory diseases (de Andrade et al., 2018). Additionally, the nurse practitioner will counsel Janice to continue practicing healthy sex practices by maintaining one partner and making sure her boyfriend uses condoms whenever they have sex (de Andrade et al., 2018). Furthermore, the nurse practitioner should inquire how often Janice does sex and if frequently, she/he should advise Janice to have a regular pelvic screening schedule (de Andrade et al., 2018). Also, if Janice has any infection, the nurse practitioner will educate her on how to get treatment.

References

de Andrade, R. L., Bø, K., Antonio, F. I., Driusso, P., Mateus-Vasconcelos, E. C. L., Ramos, S., … & Ferreira, C. H. J. (2018). An education program about pelvic floor muscles improved women’s knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. Journal of physiotherapy64(2), 91-96.

Mealey, K., Braverman, P. K., & Koenigs, L. M. (2019). Why a pelvic exam is needed to diagnose cervicitis and pelvic inflammatory disease. Annals of emergency medicine73(4), 424-425. Women Health – Week 1 Discussion 2nd REPLY

Drug PowerPoint Presentation Assignment

Drug PowerPoint Presentation Assignment

For this assignment, you will select a drug from the list below and create a PowerPoint Presentation.

  • Metformin
  • Losartan
  • Amoxicillin
  • Lisinopril
  • Albuterol
  • Namenda
  • Atrovent
  • Nitrofurantoin
  • Synthroid
  • Desmopressin
  • Miconazole
  • Methotrexate
  • Ibandronate
  • Buspar
  • Gabapentin
  • Sumatriptan
  • Propranolol

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The purpose of the presentation is for you to educate your colleagues on the drug you have selected. The presentation must include information about the:

  • Drug pharmacology, pharmacokinetics
  • Brand name
  • Generic name
  • Dosing
  • Indications for use
  • Side effects
  • Contraindications
  • Pregnancy class
  • You must also perform a cost analysis of the drug.
  • Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.
  • Describe the appropriate patient education.
  • What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?
  • Describe the monitoring and follow-up.

Submission Instructions:

  • Presentation is original work and logically organized in current APA style including citation of references.
  • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • PowerPoint presentation with 12 slides, excluding the title slide and the reference slide.
  • The presentation is clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • Speaker notes expanded upon and clarified content on the slides. Drug PowerPoint Presentation Assignment

Journal Entry Of Clinical Experience Assignment

Journal Entry Of Clinical Experience Assignment

Journal Entry (450–500 words)

 

Learning From Experiences

1-Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.

3-Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?

4-What did you learn from this experience?

5-What resources were available?

6- What evidence-based practice did you use for the patients?

7-What would you do differently?

8-How are you managing patient flow and volume?

9-How can you apply your growing skillset to be a social change agent within your community? Journal Entry Of Clinical Experience Assignment

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Goals and Objectives 

1Goal: Become confident in the use of screening instruments in the care of most psychiatric disorders and psychotherapy by the end of this practicum.

a-Objective: Selecting and implementing appropriate screening instrument.

b-Objective: Interpreting results, and making recommendations and referrals –

2-Goal: Improve my professionalism skills by applying and identifying ethical and legal dilemmas with possible resolutions by the end of this practicum.

  1. Objective: Read code of ethics and evidenced based practice articles about ethics and legal issues in psychotherapy with individuals, groups and families.
  2. Objective: Provide safety and confidence to patients by protecting their rights and privacy.

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3-Goal: Diagnostic reasoning skill

  1. Objectives: Developing and prioritizing a differential diagnoses list.
  2. Objectives: Formulating diagnoses according to DSM 5 based on assessment data.
  3. Objectives: Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes. Journal Entry Of Clinical Experience Assignment

CLINICAL GOALS AND OBJECTIVES

1-Goal: Become confident in the use of screening instruments in the care of most psychiatric disorders and psychotherapy by the end of this practicum.

a-Objective: Selecting and implementing appropriate screening instrument.

b-Objective: Interpreting results, and making recommendations and referrals –

 

2-Goal: Improve my professionalism skills by applying and identifying ethical and legal dilemmas with possible resolutions by the end of this practicum.

  1. Objective: Read code of ethics and evidenced based practice articles about ethics and legal issues in psychotherapy with individuals, groups and families.
  2. Objective: Provide safety and confidence to patients by protecting their rights and privacy.

3-Goal: Diagnostic reasoning skill

  1. Objectives: Developing and prioritizing a differential diagnoses list.
  2. Objectives: Formulating diagnoses according to DSM 5 based on assessment data.
  3. Objectives: Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes. Journal Entry Of Clinical Experience Assignment

 

 

Musculoskeletal Function Assignment

Musculoskeletal Function Assignment

G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed. Musculoskeletal Function Assignment

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Case Study Questions

  1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
  2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
  3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
  4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

Case Study Questions

  1. Name the most common risks factors for Alzheimer’s disease
  2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
  3. Define and describe explicit and implicit memory.
  4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association. Musculoskeletal Function Assignment
  5. What would be the best therapeutic approach on C.J.

Submission Instructions:

  • You must complete both case studies.
  • Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources for each case study. Musculoskeletal Function Assignment

Integration of Theory, Research, and Practice Assignment

Integration of Theory, Research, and Practice Assignment

Assignment 5: Final PowerPoint Presentation (15 points)

 

The focus of this course has been the integration of theory, research, and practice. This assignment is to show case the scholarly concepts learned from each of these content areas using PowerPoint and Kaltura. Please remember, this is not a reflective paper (“I, we, me”), but a scholarly assessment of the learned concepts of the course.

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Assignment Criteria:

  • Explain three (3) important concepts learned throughout the course that relate to theory.
  1. Propose two (2) reasons how the chosen concepts will impact the future of nursing research and advanced practice nursing.
  • Explain three (3) important concepts learned throughout the course that relate to research.
    1. Propose two (2) reasons how the chosen concepts will impact the future of nursing research and advanced practice nursing
  • Explain three (3) important concepts learned throughout the course that relate to practice.
    1. Propose two (2) reasons how the chosen concepts will impact the future of nursing and advanced practice nursing.
  • Formulate three strategies that will facilitate the future success of nursing research.
  • Develop a recorded PowerPoint presentation using Kaltura in the form of a scholarly presentation. Follow the instructions for using Kaltura located in Canvas under Modules and ACON Student Resources.
  • Once the PPT is created, utilize Kaltura media to present the PPT with voice over (use computer and microphone). Integration of Theory, Research, and Practice Assignment
  • The PowerPoint (PPT) presentation should not be more than 10-12 slides (excludingthe title slide and reference slide) and 8-10 minutes in length. Be complete and concise. Use bulleted statements not complete sentences or paragraphs.
  • Use APA format for PPT, which always includes a title slide, a reference slide, and APA requirements. Resources found in ACON Student Resources
  • A minimum of three (3) references will be required for this assignment. References should be from scholarly peer-reviewed journals (check Ulrich’s Periodical Directory) and be less than five (5) years old.
  • Comment and critique one classmate’s presentations by Friday of Week 8.
  • Submit boththe PPT and the Kaltura presentation by posted due date
  • Include the following information in the slides:
    1. Slide 1: Title-develop a title slide. This should include the title of the presentation, student name, and the university name.
    2. Slide 2: Introduction-Brief overview of the PPT. Use key bulleted points not paragraphs
    3. Slide 3: Purpose Statement-Develop the purpose statement utilizing the instructions above (use bulleted points)
    4. Slide 4: Learned Concepts Related to Theory.
    5. Slide 5: Discuss the impact on the future of nursing research and advance practice nursing.
    6. Slide 6: Learned Concepts Related to Research.
    7. Slide 7: Discuss the impact on the future of nursing research and advance practice nursing.
    8. Slide 8: Learned Concepts Related to Practice.
    9. Slide 9: Discuss the impact on the future of nursing research and advance practice nursing.
    10. Slide 10: Formulate three strategies that could facilitate the future success of nursing research.
    11. Slide 11: Conclusion
    12. Slide 12: Reference list in APA format . Integration of Theory, Research, and Practice Assignment

 

Assignment 5: Final PowerPoint Presentation (15 points)

 

Quality/Accuracy of Information 5 points 4 points 3 points 1 point
  All criteria addressed.  Information provided relates to the topic and includes supporting details, rationale, and/or examples. 1-2 criteria omitted and/or information provided did not relate to the topic or include supporting details, rationale, and/or examples. 3-4 criteria omitted and/or information provided did not relate to the topic or include supporting details, rationale, and/or examples. Greater than 4 criteria omitted and/or information provided did not relate to the topic and did not include supporting details, rationale, and/or examples.
Organization/Headings 2 points 1 point 0.5 point 0 points
  Headings present and wording readable from 3 feet away design layout is neat and attractive; citation(s) present on slide, information logically organized according to the assignment criteria utilizing well-constructed bullet points. Headings not present and/or wording is not readable from 3 feet away and/or design layout is not neat and attractive and/or information not logically organized according to the assignment criteria utilizing well-constructed bullet points. Headings not present and wording not readable from 3 feet away. There is an attempt at organization but errors exist.

 

Headings not included and/or design layout is not neat and attractive and/or information not logically organized according to the assignment criteria utilizing well-constructed bullet points.
Slide Requirement 2 points 1 point .5 points 0 points
  Adhered to required number of slides and includes a title slide, purpose statement slide, introduction slide, conclusion slide, and reference slide Adhered to required number of slides but omitted a title slide or purpose statement slide or introduction slide or citation(s) present on slide or conclusion slide or reference slide Did not adhere to the required number of slides and/or did not include a title slide, purpose statement slide, introduction slide, a conclusion slide, and reference slide Did not adhere to slide requirement or instructional rubric

 

Sources 2 points 1 point .5 points 0 points
  All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source. The majority of references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/historical source. Some references are from non-peer-reviewed scholarly sources or older than 5 years. Majority of references are from non-peer-reviewed scholarly sources or older than 5 years.
Kaltura Media

 

3 points     0 points
  Kaltura Media utilized     Kaltura Media not utilized
Responses to Presentations (Online) 1 point 0.5 points   0 points
  Final presentation posted on time and responded to the required number of presentations (not own) on the discussion board. Final presentation not posted and/or did not respond to the required number of presentations on the discussion board.   No responses
Earned Points        
Up to 10% of the assigned points (total points of assignment) can be deducted from the earned points for errors in APA (title slide, reference slide, citations, format, spelling, or grammar). Integration of Theory, Research, and Practice Assignment
Final Total

 

 

 

Discussion: Comprehensive Integrated Psychiatric Assessment

Discussion: Comprehensive Integrated Psychiatric Assessment

Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans. Discussion: Comprehensive Integrated Psychiatric Assessment

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Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.

To Prepare

Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.

Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post. Discussion: Comprehensive Integrated Psychiatric Assessment

Based on the YMH Boston Vignette 5 video, post answers to the following questions:

What did the practitioner do well? In what areas can the practitioner improve?

At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

What would be your next question, and why?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

Explain why a thorough psychiatric assessment of a child/adolescent is important.

Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.

Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.

Explain the role parents/guardians play in assessment.

Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Discussion: Comprehensive Integrated Psychiatric Assessment

Cultural, Spiritual, Nutritional, & Mental Health Disorders Discussion

Cultural, Spiritual, Nutritional, & Mental Health Disorders Discussion

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Answer the following questions:

  1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
  2. Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
  3. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with

Assignment 1: Health Promotion Theory Paper

Assignment 1: Health Promotion Theory Paper

Assignment 1: Health Promotion Theory Paper (25 points)
Theories provide a foundation or framework for the understanding and application of complex concepts. Theories of health promotion
provide an understanding of the motivation or self-efficacy of health care seeking behaviors for individuals, groups or populations.

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Health promotion models help healthcare professionals in conducting community needs assessments or developing and evaluating
health promotion activities.
Assignment Criteria:
For this assignment, develop a scholarly paper that includes the following criteria:
1. Describe the differences between health education and health promotion.
2. Describe a community-based health promotion program.
a. For example: Million Hearts, Healthy People 2030, WHO, United States Preventative Services (USPTF., Special
Olympics ,Fit5  program, YMCA, YWCA, Alcoholic Anonymous, A, Silver Sneakers, cardiac rehabilitation,
diabetes support groups, Grief Support, Mental Health. Assignment 1: Health Promotion Theory Paper
3. Determine and discuss a health promotion model or theory that could be applied to the selected community-based health promotion program.

  1. Identify one health disparity and describe how the health promotion model or theory could be implemented in your chosen
    community-based health promotion program.
    5. Identify one social determinant of health and describe how the health promotion model or theory could be implemented in
    your chosen community-based health promotion program.
    6. The scholarly paper should be in narrative format, 3 to 4 pages excluding the title and reference page.
    7. Include an introductory paragraph, purpose statement, and a conclusion.
    8. Include level 1 headings to organize the paper.
    9. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I,
    we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
    10. Include three professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical
    Directory) and be less than five (5) years old.
    11. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).
    12. Submit the assignment to Turnitin prior to the final submission, review the originality report, and make any needed changes. Assignment 1: Health Promotion Theory Paper

 

Discussion- Osteroarthritis And Treatment

Discussion- Osteroarthritis And Treatment

Sally is a 50-year-old female who has been a jogger for several years. She has recently been diagnosed with osteoarthritis. She has been taking ibuprofen for 3 months but states that “it does not help” and hurts her stomach. The health care provider prescribes celecoxib (Celebrex) 100 mg orally twice a day.

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  1. What is the first-line therapy for osteoarthritis and the mechanism of action?
  2. Sally expresses concern about all the recent news about heart problems and celecoxib (Celebrex). What information should be included in a teaching plan to help her understand about taking celecoxib and the benefits and risks?
  3. Ibuprofen and celecoxib are both nonsteroidal anti-inflammatory drugs. Explain how they are similar and different

Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Discussion- Osteroarthritis And Treatment

Advanced Pharmacology Assignment

Advanced Pharmacology Assignment

As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.

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Write a 2- to 3-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors. Advanced Pharmacology Assignment