Reserved for Expert_Researcher

select one of them

Discussion Question 1

GF is a forty-one-year-old woman who arrives for her first visit at the clinic. She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue. She has experienced depression in the past but was able to overcome the symptoms without medication. Upon physical exam, she appears to be poorly groomed and with minimal facial expression. She is slow to respond to questions. She admits to being very anxious and worried about “everything.” She denies any current suicidal ideation. However, she expresses concerns about the future and that it may not be an improvement. She has tried over-the-counter medications to help with sleep, but they have not been effective. Answer the following questions:

  • What additional information would you like before making a decision about what to do with GF?
  • What approach would you suggest for this patient? Which of her symptoms would concern you and require intervention?
  • Does she need to be referred to another provider, or can she be managed in a primary care setting?
  • Are there any nonpharmacological strategies that might be appropriate for her?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.

Discussion Question 2

ST is a twenty-five-year-old male who presents to the clinic with a major complaint of insomnia. He has been experiencing problems sleeping for the past month. He has been “borrowing” medication from his mother and friends, such as diazepam and alprazolam, and he finds that these are helpful in allowing him to sleep. He was also diagnosed with asthma at the age of ten. He has been using an inhaler, as needed, but he cannot recall the name of the inhaler. He is currently working part-time through a temporary agency, and he has not been able to find any full-time work. Answer the following questions:

  • What additional information would you like to obtain from ST?
  • What are the possible reasons for his insomnia?
  • What are the possible strategies you can use to help him with the insomnia?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.

FOR SURAYA ONLY

Content-Main Posting

Citation

Type of Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy  of Evidence Level

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Citation

Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy  of Evidence Level

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent

Citation

Type of Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy  of Evidence Level

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Citation

Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy  of Evidence Level

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

Type of Study:

Design Type:

Framework/Theory:

Concepts:

Independent Variable:

Dependent Variable:

Controlled Variable:

  Variable:

Dependent Variable:

Controlled Variable:

30 (30%) – 30 (30%)

-Main posting addresses all criteria with 75% of post exceptional depth and breadth supported by credible references

27 (27%) – 29 (29%)

-Main posting addresses all criteria with 75% of post exceptional depth and breadth supported by credible references

24 (24%) – 26 (26%)

Main posting meets expectations. All criteria are addressed with 50% containing good breadth and depth.

21 (21%) – 23 (23%)

Main posting addresses most of the criteria. One to two criterion are not addressed or superficially addressed.

0 (0%) – 20 (20%)

Main posting does not address all of criteria, superficially addresses criteria. Two or more criteria are not addressed.

Course Requirements and Attendance

20 (20%) – 20 (20%)

-Responds to two colleagues’ with posts that are reflective, are justified with credible sources, and ask questions that extend the discussion.

18 (18%) – 19 (19%)

-Responds to two colleagues’ with posts that are reflective, are justified with credible sources, and ask questions that extend the discussion.

16 (16%) – 17 (17%)

Responds to a minimum of two colleagues’ posts, are reflective, and ask questions that extend the discussion. One post is justified by a credible source.

14 (14%) – 15 (15%)

Responds to less than two colleagues’ posts. Posts are on topic, may have some depth, or questions. May extend the discussion. No credible sources are cited

0 (0%) – 13 (13%)

Responds to less than two colleagues’ posts. Posts may not be on topic, lack depth, do not pose questions that extend the discussion

Scholarly Writing Quality

30 (30%) – 30 (30%)

-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with more than two credible references that adhere to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors. ***The use of scholarly sources or real life experiences needs to be included to deepen the discussion and earn points in reply to fellow students.

27 (27%) – 29 (29%)

-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with more than two credible references that adhere to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors.

24 (24%) – 26 (26%)

-The main posting clearly addresses the discussion criteria and is written concisely. The main posting is cited with a minimum of two current credible references that adhere to the correct format per the APA Manual 6th Edition. Contains one to two spelling or grammatical errors.

21 (21%) – 23 (23%)

-The main posting is not clearly addressing the discussion criteria and is not written concisely. The main posting is cited with less than two credible references that may lack credibility and/or do not adhere to the correct format per the APA Manual 6th Edition. Contains more than two spelling or grammatical errors.

0 (0%) – 20 (20%)

-The main posting is disorganized and has one reference that may lack credibility and does not adhere to the correct format per the APA Manual 6th Edition or has zero credible references. Contains more than two spelling or grammatical errors.

Professional CommunicationEffectiveness

20 (20%) – 20 (20%)

-Communication is professional and respectful to colleagues and response to faculty questions are answered if posed. Provides clear, concise opinions and ideas effectively written in Standard Edited English -Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic.

18 (18%) – 19 (19%)

-Communication is professional and respectful to colleagues. -Provides clear, concise opinions and ideas effectively written in Standard Edited English -Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic . -Responses are cited with at least one credible reference per post and a probing question that extends the discussion. Adheres to the correct format per the APA Manual 6th Edition. No spelling or grammatical errors.

16 (16%) – 17 (17%)

-Communication is professional and respectful to colleagues. Provides clear, concise opinions and ideas effectively written in Standard Edited English. -Responses posted in the discussion demonstrate effective professional communication through deep reflective discussion which leads to an exchange of ideas and focus on the weekly discussion topic. -Responses are cited with at least one credible and/or contain probing questions that extends the discussion. Adheres to the correct format per the APA Manual 6th Edition. May have one to two spelling or grammatical errors.

14 (14%) – 15 (15%)

-Communication is professional and respectful to colleagues. Provides opinions that may not be concise or ideas not effectively written in Standard Edited English. -Responses posted in the discussion may lack effective professional communication that does not extend the discussion, leads to an exchange of ideas and/or not focused on the weekly discussion topic. -Responses are not cited and/or do not contain a probing question. May not adhere to the correct format per the APA Manual 6th Edition. May have more than two spelling or grammatical errors.

0 (0%) – 13 (13%)

-Communication may lack professional tone or be disrespectful to colleagues. Provides opinions that may not be concise or ideas not effectively written in Standard Edited English -Responses posted in the discussion lack effective professional communication through discussion that does not extend the discussion, do not lead to an exchange of ideas and/or not focused on the weekly discussion topic. -Responses are not cited and do not contain a probing question. May not adhere to the correct format per the APA Manual 6th Edition. May have multiple spelling or grammatical errors.

Timely Submission

0 (0%) – 0 (0%)

All criteria met: Initial post submitted on time. Response to two peer initial posts. Response on 3 separate days.

-5 (-5%) – 0 (0%)

5 points deducted for responding to less than two peers or 5 points deducted for responding less than three days

-10 (-10%) – -5 (-5%)

5 points deducted for responding to less than two peers and 5 points deducted for responding less than three days

-10 (-10%) – -10 (-10%)

10 points deducted for Initial post submitted late

-20 (-20%) – -15 (-15%)

Initial post submitted late and 5 points deducted for responding to less than two peers and/ or 5 points deducted for responding less than three days

Total Points: 100

Name: NURS_5052_Weeks_1-11_Discussion_Rubric

Description: NURS 6052 Discussion Weeks 1-11 Rubric  I included the rubic for this discussion as the instructor keeps saying to follow it.  The discussion is to be in APA format 3 pages long 5 freferences at least 2 from Walden Library please Thank You

This graft has to be used for the project throughout the cours.

Discussion: Ethical Dimensions of Research Studies

In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval.

This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research.

To prepare:

  • Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.)
  • As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified?

By Day 3

Post a description of the case that you selected and the ethical issues involved. Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es). Suggest how the research might have been conducted differently to avoid or minimize the ethical problems. Discuss how research can be done on sensitive issues while still protecting the rights of the research subjects.

Read a selection of your colleagues’ responses.

By Day 6

Respond on or before Day 6 to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, and evidence.
  • Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

p2

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 Deactivated

Lauren Martell 

1 posts

Re:Topic 4 DQ 1

In my current position as a surgical nurse I don’t often see or deal with death.  Over the past two years I can only think of 2 patients that have actually passed on our unit, and only one of those was I part of the direct patient care.  In this case however I did find it strange because the patient was an elderly Hispanic that did not have family surrounding her at the time of passing.  This is strange for that culture.  Family had been in the day before and seen that patient and said their goodbyes, the patient was expected to pass during the night in ICU.  However ICU was short on beds so the patient had to be moved to our unit. 

My beliefs about death and how I view it are based on my life before I was a nurse.  First of all I had several great aunts and uncles and my grandparents that all passed before I was 15.  I think this shaped my views of death differently than most because I accepted it at a young age as part of life.  I know some people who still have all their grandparents at 30 and I think when they have that first family member pass it is viewed much differently than I tend to view it.  I worked in an assisted living where patients often times had hospice come in to see them at the end of life and they were allowed with hospice to stay in the assisted living until they passed.  These were patients that I knew and took care of for years.  Watching them slowly decline over time and the pain they felt as well as the loss of abilities was hard for them and after watching them struggle and ask “why hasn’t God just taken me home” when the time came I was happy for them.  Seeing this happen so much I can say that even the patients I knew for years I felt it when they passed, however I didn’t necessarily cry because they had finally gotten to go home and were not suffering anymore. 

teacher Charles

Discussion Question

Review the following research questions.

  1. Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?
  2. How effective are anti-depressive medications on anxiety and depression?
  3. For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?
  4. What is the relationship between alcohol and breast cancer?
  5. What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?
  6. What is the difference in attitudes of male and female college students toward condoms?

Next, select 3 of the above questions and address the following:

  • Identify an appropriate research design.
  • Discuss the strengths and weaknesses of the design.
  • Provide a rationale for the design you selected

Please help with homework

Behavioral Health

Similar to the healthcare industry, in general, behavioral health is facing challenges in the recruitment and retention of behavioral health professionals. This is true for both the clinical and administrative positions.

Read the following articles from the EBSCO host database:

  • Davis, J. (2005, November). Changes at the top: Are you ready?      Behavioral Health Management, 25(2), 47.
  • Oss, M. (2004, March). Changing times require a new workforce       strategy. Behavioral Health Management, 24(2), 6.
  • Selden, D. (2003, March). What it takes to be a clinical supervisor.        Behavioral Health Management, 23(2), 36.

Using information learned in the course, in combination with outside references, prepare a document discussing the following topics:

  • What types of unique challenges do behavioral health organizations face when recruiting behavioral health professionals?
  • Do you think behavioral health organizations face similar challenges in the recruitment and retention of management? Provide a rationale for your response.

Name your document: SUO_HSC3015_W4_A2_LastName_FirstInitial.doc.

Health policy paper

Write a research paper of 5-6 pages of content without counting the title page and reference pages. It will contain 3-4 peer reviewed articles and 6-7 other outside sources (credible websites or agencies).  

The purpose of this assignment is for you to identify an issue of concern for your role as an advanced nurse practitioner and to formulate a potential policy change to address that issue. 

The issue must be related to the topic of Obesity in children and adolescents. The policy you consider may be somehow in reaction to the previous topic or something larger that is still related to that issue. Here is a list of a few topics to consider:

  • Child and elder care
  • Civil rights
  • Domestic violence
  • Drug abuse/addiction
  • HIV/AIDS
  • Homelessness
  • Native American and migrant workers’ health
  • Long-term care
  • Immigration/illegal aliens
  • Legislative issues affecting advanced practice nursing
  • Barriers to practice
  • Access to care

These paper should have the following APA headings:

    • Describe the health policy issue: Identify the issue and explore its background
    • Legislation Type: Identify the type of legislation, such as state and federal, scope of practice, reimbursement, loan repayment, or others that relate the issue of concern
    • Review of Literature: Review of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources.
    • Current Policy: Describe the current policy that deals with the health policy issue and specify how it impacts nursing or healthcare.
    • Aspects of Proposed (or Changed) Policy: Describe the specific aspects of your proposed policy or the change you would do to the previous policy and how it would impact nursing or healthcare.  Explain possible methods of addressing the issue; as well as goals and options for changes
    • Who Benefits and Who Supports: Identify the individuals who would benefit from the policy change and explain where support for the change would be found. Risks and benefits of the changes
    • Impact of Policy Change on Nursing and Healthcare: Describe the impact of the policy change on nursing practice and health care.
    • Analysis of Policy and Influence on My Practice : Explain the policy from your point of view and how this will influence your practice.

Post#3

Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 Deactivated

Judith Inyinbor 

1 posts

Re:Topic 2 DQ 2

In today’s interconnected world, a disease threat anywhere is a disease threat everywhere. With the ease and speed of global travel and a rapidly expanding business network, it is very easy for diseases to spread within cities, nations and globally. It is with this need the United States department of Health and Human Services Office of Global Affairs is supporting implementation of global health security agenda to accelerate progress toward a world safe and secure from infectious disease threat.

A global issue that should deserves serious attention is HIV/AIDS. HIV stands for human immunodeficiency virus. It weakens a person’s immune system by destroying important cells that fight disease and infection. While AIDS stands for acquired immunodeficiency syndrome. This HIV/AIDS pandemic is the world’s leading infectious killer. Worldwide, there are 37 million people living with HIV. 1.2 of 10.4 million people with active TB each year also have HIV (CDC,2017).

Most states have now implemented HIV surveillance reports and thus, the prevalence estimates of HIV cases are more reliable, Nonetheless, these HIV surveillance reports may not reflect the true number of HIV-positive persons because many people do not want to know their HIV status and are not tested, while others use widely available home testing kits and do not share their HIV status with at-risk intimate partners. An estimated 21% of HIV-infected persons are unaware of their HIV status (CDC, 2010m).

The United States and other governmental agencies are coming together to work collaboratively to address the HIV/AIDS pandemic.  Some agencies such as the Department of the State to provide essential leadership to interagency by providing human resource services, budget tracking, funds transfers to other agencies, and by providing office space and other important technologies.  The Department of Health and Human Services (HHS) work to provide prevention, treatment and care programs to developing countries in conjunction with the Presidents Emergency Plan for AIDS Relief (PEPFAR).  The HHS and PEPFAR work in conjunction with the Center for Disease Control (CDC), Food and Drug Administration (FDA), National Institute of Health (NIH), Office of Global Affairs (OGA), Substance Abuse and Mental Health Services Administration (SAMHSA), Department of Commerce (DOC), Department of Defense (DOD), Department of Labor (DOL), United States Agency for International Development (USAID), and the Peace Corps all in the common tide to turn against HIV/AIDS. CDC in its fight against HIV/AIDS, provides antiretroviral treatment for men, women and children, antiretroviral treatment to prevent mother-to-child transmission, voluntary medical male circumcisions, Screenings of HIV-positive persons in care for TB and HIV counselling and testing.

It is evident that the United States in conjunction with other countries are taking necessary measures to fight against the HIV/AIDS pandemic.

Family Health Assessment

Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

  1. Values, Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

NOTE: Your list of questions must be submitted with your assignment as an attachment.

After interviewing the family, compile the data and analyze the responses. 

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two wellness problems based on your family assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.

Which term describes the state in which your heart, blood vessels, and lungs are able to distribute nutrients and oxygen and remove wastes efficiently during prolonged exercise?

Which term describes the state in which your heart, blood vessels, and lungs are able to distribute nutrients and oxygen and remove wastes efficiently during prolonged exercise?

What do you think it is important to understand different cultural food pyramids when making recommendations to patients about wellness

What do you think it is important to understand different cultural food pyramids when making recommendations to patients about wellness