What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility's procedure for reporting these types of abuse.

Need 300 words with references and must be cited.

Discussion post -Pathophysiology class

Online Group Discussion #3: Obesity

Online Group Discussion #3: Obesity

1- Discuss how being overweight can cause diseases in 4 different body systems. Include one scientific article to support your argument( You will need to include your article in the discussion). If the article is to long make to attach a copy of it, you will need a make a copy of the article and send it to me.

2- How could you help someone that is struggling with weight loss to improve their quality of life? What would you say to the person so she or he would understand about the importance of maintain a normal range weight as a way to prevent diseases?

Discussion 13

 Use apa Format, apa style

Discuss the FDA approach for liver safety for new drugs.

Support discussion with 1 journal no older than 5 years.

Concepts of Hospice Care Discussion post and the Medscape discussion post

This is a end of life (HPRS- 1303) issues class and this is due april 1, 2018

1. What did you learn from this video?  What are your thoughts?  Support your answer through the use of peer reviewed scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar.  You must provide at least three additional sources to the video.

Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines ..Please watch this video links before doing the assignment here

Please also visit:  www.nhpco.org/about/hospice-care (Links to an external site.)Links to an external site. and watch the embedded video as well.   (Links to an external site.)Links to an external site.

This is a two part answer discussion posts please read the instruction on each and list the references on each

2. MedScape Article Discussion. this is also due April 1, 2018 before 11:59 pm

Report on article of your choice from www.medscape.com/hospice (Links to an external site.)Links to an external site.

What did you learn from this article?  What are your thoughts?  Support your answer through the use of peer reviewed scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar.  You must provide at least three additional sources to the video.

Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines

Discussion: Diagnosis and Management of Skin Disorders

 Dermatologic disorders can present due to an actual skin problem or as the result of a systemic problem that manifests in the skin. Depending on the type of disorder, the presentation might be unique, making a quick diagnosis possible. However, some disorders have similar presentations in terms of symptoms and appearance, making diagnosis more difficult. Skin color and tone can also contribute to difficulty in diagnosis, making it important to consider cultural variations during assessments. In this Discussion, you examine the following case studies of skin disorders.

Case Study 1

An adolescent presents to your office with a complaint of an itchy, red rash that first appeared on his lower legs 1 week ago after he returned from a camping trip. The rash has since spread to the upper legs, trunk, and groin. He denies fever or other systemic symptoms.

Case Study 2

An 8-month-old presents to your office with a rash on both cheeks that has progressively worsened over the last week. Mom first noticed the rash after his 6-month checkup. He has generalized dry skin and rubs at his cheeks often.

Case Study 3

A 24-month-old presents with a red rash that began on his trunk yesterday and has now spread to the face and upper extremities. His grandmother reports that earlier in the week, the toddler had intermittent fevers up to 101.5°F without other symptoms. The fever broke approximately 48 hours ago and the rash began a few hours later.

Case Study 4:

You see a 9-year-old male who presents with a white, scaly patch on the back of his head. There is some alopecia in the area with hair breakage noted at the scalp.

To prepare:

  • Review the DermNet NZ and Dermnet Skin Disease Atlas websites in this week’s Learning Resources.
  • Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings.
  • Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.
  • Think about a treatment and management plan for this disorder. Consider appropriate dosages for any recommended treatments.

By Day 3

Post an explanation of the skin disorder in the case study you selected. Include in your explanation the lesion type, lesion distribution, color, and any ancillary findings. Then, present a differential diagnosis and explain which is the most likely diagnosis for the patient and why. Finally, explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments.

Barriers to Communication

Chamberlain Care emphasizes person-centered communication. Provide an example of using person-centered care in communicating to another who disagrees with you.

what is epigenetics?

You will be writing a 1,000 word Reaction Paper in this course using the instructions and links found below. You will be completing the following tasks and gathering the following information for your paper:

  1. Watch the epigenetics videos using the 3 links below:

https://www.youtube.com/watch?v=Udlz7CMLuLQ

https://youtu.be/M4boKud1MRk

https://youtu.be/gfDIkwoAbPk

Begin your paper by defining epigenetics in your own words and discussing your reaction to the videos.

  1. Interview your family members and complete the Family History-Dr. Oz.pdf.  Find out which disease(s) you are most at risk for.
  2. Research and locate one article on epigenetics and whatever disease you are most at risk for (select a study on research conducted on humans) from a reputable academic source:

Reputable Sources:

  • journal articles
  • government publications based on research

Do not use:

  • magazines of any sort, whether they are on paper or online
  • Websites of any type, including epigenetics websites
  • Wikipedia

How to Perform Your Research

  • Use the College Library in person or online (log in with your new MDC ID number (the one that is all numbers). Your password is the last four digits of that same MDC ID unless you have changed it.

Read the epigenetics article you find. Continue your paper with a discussion of the epigenetics article. Be sure to paraphrase (put things in your own words) and be sure to cite the author(s) of the article you find using APA style (see the section below on using APA style). Aim for about a page for this part of your paper.

  1. Discuss the concept of epigenesis in light of your family history and the article you read. Aim for one page for this section of your paper.
  2. Complete the Living to 100 Questionnaires. Integrate your findings on the questionnaire into your discussion. Aim for another page.
  3. Discuss how you can improve your health and longevity in light of your findings in this questionnaire, your understanding of epigenetics, and your knowledge of your family history. This should be your final page.

You can go over or under a page for any of the sections of the paper as long as your total paper is 1,000 words not counting the references.

General Rules for an “A” Paper (check your paper against this list)

◻    1,000 words

◻    Original work; plagiarism score of less than 10% (90% original work)

◻    Double-spaced, 12-point font, 1-inch margins

◻    Covers all 6 tasks

◻    Spellchecked

◻    College-level grammar

◻    Cite your article APA style (author & year within body of paper; full reference at end)

◻    No abstract, no cover

◻    Place your name and reference number on the first page. Use page numbers.

Submit the paper by the deadline in the Schedule and also in the Calendar. The box will open at the beginning of the semester so that you have time to submit your paper, review the originality report, and resubmit your paper if necessary until you have a plagiarism score of under 10%. Be sure to use the Turnitin Grammar Checker to ensure that your paper is well written and ensure that you have spellchecked everything. If you resubmit your paper, note that it takes 24 hours for your new score to show up in the Turnitin Drop Box.

Submission to Turnitin Drop Box

The Turnitin Drop Box is in Blackboard. You do NOT have to go to Turnitin to submit your paper. Turnitin is a plagiarism checking software. It checks to see if your work is original. I have set the Turnitin Drop Box so you can submit your paper as many times as you want until the due date. That will allow you to check your plagiarism score and see where your work is not original. You can then rephrase that section and put it into your own words. The expectation in this course is that your paper scores no more than 10% in plagiarism (90% original work). You will be able to resubmit your paper as many times as you need to in order to get it right until the Due Date. You will NOT be able to resubmit after the Due Date. Note that it takes 24 hours to see your new plagiarism score after resubmission. No more than 2 or 3 quotes in the entire paper, please.

Avoiding Plagiarism

You must be careful not to copy someone else’s ideas and not to copy and paste ideas from the sources you find. Copying and pasting from someone else’s work is considered plagiarism. You may use other people’s ideas, but you have to put them in your own words and reference the source. Putting things in your own words is called “paraphrasing.” And you must put the reference right after the idea. Needless to say, submitting plagiarized papers, including those copied from one of the Web sites that have “free” papers or even papers you can buy, will result in a penalty. That penalty in this course is that your grade will be reduced by the percentage of plagiarism over 10%. In other words, the less plagiarism, the higher your score; the more plagiarism, the lower your score. The paper is worth 10% of your grade in this course. Don’t risk it!

APA Style and References

One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research, locate, and use one reputable source from the literature on the topic of epigenetics/epigenesis. The “literature” is composed of studies that have been conducted in a scholarly way to support ideas. Scholarly sources can be found in journals or in some Web sites, especially those that come from .edu domains (.edu is short for “educational” Web sites) or .gov domains (.gov are government sites). The College Libraries have dozens of good journals you can use. You will be using the College Library for this paper. You may do the research in person or use the Web to access our library. See your librarian for more information on finding credible sources.

In APA style, you cite a source in two places: within the body of the paper where you use the idea or words of the author of the paper; and again in the Reference List at the end of the paper. For example, you might say, “According to Researcher A (2011)…epigenetics is…” What you must do is supply the researcher’s name within a sentence or at the end of a sentence in parenthesis (Smith, 2011). Then you give the full information for locating the study in the Reference List. That’s what Reference Lists are for: they allow the person reading your paper to look up your source if they want to. So remember, citing references APA style, requires two things: 1) that you cite the reference within the body of the paper, and 2) that you list the full reference at the end in the Reference List.

APA Tutorial

There are multiple tutorials and other training sources on APA style at the APA Web site. You do NOT have to buy the APA Manual to do this paper.

Need response to discussion post below

APA format for MSN degree 2 references from Walden University Library

 

A heart attack or Myocardial infarction (MI) is the leading factor of death in adults worldwide (Nicolai et al., 2018).  MI occur in patients when the blood flow to the heart is blocked due to increased built of plaque within the walls of the blood vessels. Patients can experience sharp, sudden pain or heaviness in their chest as the first sign when experiencing an MI.  This pain can be in the chest and move up to the jaw and down the left arm. When blood flow is decreased to the heart, there is an insufficient amount of oxygen supplied to the heart, and the electrolyte become imbalanced specifically potassium, calcium, and magnesium.  The heart can only handle the blood, oxygen, and electrolyte imbalances for twenty minutes before tissue begins to die, at this point is the damage is irreversible (Huether & McCance, 2017). As an advanced practice nurse, an Electrocardiogram (ECG) would be first in diagnosing techniques. Depending on the results of the ECG will help determine how to treat the patient. If the ECG showed ST elevation, this means the patient needs to get to a cardiac catheterization lab urgently. If the ECG results within reasonable limits, treating the chest pain would be the next appropriate step.  Medication used to treat stable chest pain are called nitrates. The most common name is nitroglycerin. The medication is placed underneath the tongue where it dissolves and should relieve the pain within one to five minutes (Arcangelo, Peterson, Wilbur, & Reinhold, 2017).  When the ECG indicates a STEMI, a thrombolytic medication should be initiated to dissolve any blood clots in the arteries (Avoiding, 2005). A standard medication used in my patient care experience is heparin which is first based on weight for the first six hours of treatment. After six hours labs are drawn on the patient to determine whether the rate should be titrated up or down. After patient returns from cardiac catheterization lab, cardiology doctors can provide guidance on how to proceed with the proper medications for the patient.

Genetics and Ethnicity

If your parents have had an MI, does it mean you will have one? Likely the answer is no; research has shown necessarily doesn’t say you will but have found a link among ethnicity in Europeans, South Asians, Southeast Asians, and Arabs (Joseph et al., 2016). Specifically, there’s no genetic link to an MI but rather coronary artery disease (CAD) which can lead to MI.  However modifiable risk factors, such as a healthy lifestyle, prove to be the most significant way to decrease the risk of an MI.

Self-Care

After a patient experiences an MI, usually, they are set up to attend a Cardiac rehabilitation program. This program helps the patient get back to a healthy lifestyle while incorporating changes to prevent an MI in the future. Advanced practice providers should closely watch patients with hypertension, diabetes, and hyperlipidemia. Research has shown if a patient has two out three diagnoses they are at higher risk for a heart attack (Avoiding, 2005). Encouraging physical activity, a healthy diet, and smoking cessation are critical factors in patient education. Studies suggest educating patients on doing at least thirty minutes of activity a day such as walking, gardening, or housework also to cut out fast food that is high in fat and sugary drinks (Advance et al., 2005).

Reference

Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A.  (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA:  Lippincott Williams & Wilkins.

Avoiding heart attacks and strokes. [electronic resource]: don’t be a victim – protect yourself. (2005). Geneva: World Health Organization, c2005.

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Joseph, P. G., Pare, G., Asma, S., Engert, J. C., Yusuf, S., & Anand, S. S. (2016). Clinical Research: Impact of a Genetic Risk Score on Myocardial Infarction Risk Across Different Ethnic Populations. Canadian Journal Of Cardiology, 321440-1446. doi:10.1016/j.cjca.2016.05.014

Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J., Gleißner, C. A., & … Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25-41. doi:10.1177/1742395317694700

Assign 1-WK5(A)

 (1) THE ASSIGNMENT IS ATTACHED ——Captain of the Ship Project – Bipolar Disorders. (Assign 1-WK5(A)

&

(2) SEE THE ATTACHED EXAMPLE FOR  “Captain of the Ship Project” FOR GUIDANCE)

  • attachment

    CaptainoftheShipProjectBipolarDisorders.Assign1-WK5A.docx
  • attachment

    captainoftheshipexample.docx

C

check the file