Describe one environmental risk to public health. What role should the governmen
Describe one environmental risk to public health. What role should the government play within this context? Based on the Bill of Rights, how can citizens regulate environmental health risks?
Use a minimum of 2 scholarly sources.
Review the video, Case Study: Petunia Park. You will use this case as the basis
Review the video, Case Study: Petunia Park. 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.
Consider patient diagnostics missing from the video: Provider Review outside of interview:Temp 98.2 Pulse 90 Respiration 18 B/P 138/88Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)
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:
Subjective: What details did the patient provide regarding their chief complaint and symptomatology 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, listed in order from highest to lowest priority. Compare the DSM-5-TR 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.
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: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
What is the importance of de-prescribing? How might you assist a patient to tape
What is the importance of de-prescribing? How might you assist a patient to taper from a medication safely or transition to a new medication?
In this Assignment, you will use the following patient examples to write a 5- to 6-page paper on considerations you have for how you might de-prescribe. Support your answers with five (5) evidence-based, peer-reviewed scholarly literature resources outside of Required Learning Resources in this course.
Note: APA 7 style format guidelines will apply.
Patient Examples:
Patient 1: A 36-year-old male presents to your office being prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined the best course of treatment for pain is to remain on opioid medication. The patient is also being prescribed clonazepam 1mg BID for “relaxation” and panic attacks.
Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission and the patient wants to taper off the medication. But, every time she has attempted to do so in the past, she experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without having withdrawal effects.
Patient 3: A 24-year-old female prescribed lorazepam 1mg TID for generalized anxiety disorder. She recently found out she is pregnant (9 weeks gestation). She was referred to you by her OB-GYN to discuss this medication for her current situation. The patient is wondering if she can stay on the lorazepam through her pregnancy and postpartum, as it is an effective medication for anxiety symptoms. She plans to exclusively breastfeed for the first 6 months postpartum. She has not had any other trials of medication to treat anxiety as lorazepam has been effective.
Patient 4: A 71-year-old-male who comes to see you at the insistence of his daughter. His daughter expresses concern of memory loss and is wondering if he has the beginning stages of dementia. He is forgetful and seems to be tripping on things or walking into walls, although he has lived in the same home for the past 35 years. The patient does not agree with his daughter but does admit he has had a “few stumbles and falls” lately. Medication reconciliation shows the following medications: metoprolol ER 50mg q day, omeprazole 20mg q day, clonazepam 1mg TID, levothyroxine 75mcg q am. His daughter is wondering if he should be started on a “dementia medication.
THE ASSIGNMENT
Answer the following questions using the patient examples described above.
Patient 1
· What are the concerns of the patient remaining on the opioid medication and clonazepam?
· How might you educate the patient about these risks and concerns?
The patient agrees that he should not continue both medications in combination. He would like to “get off” the clonazepam but worries about “bad withdrawals” that he’s heard about from stopping clonazepam “cold turkey” and is concerned about re-occurring panic attacks. How might you respond to the following:
· How would you instruct the patient to taper off clonazepam?
· What other medication would you recommend for the patient for the treatment of his panic attacks? Keep in mind, he will continue the opioid medication for pain relief.
· How would you start the new recommended psychotropic medication for the patient?
· Discuss one legal, ethical, or social consideration with the treatment plan.
Patient 2
· The patient reports withdrawal symptoms when previously tapering off the alprazolam. What symptoms are common withdrawal symptoms from this medication?
· Provide the patient education of withdrawal symptoms that range from common and less serious to withdrawal symptoms that are a cause for concern and that should prompt patient should seek medical attention.
· Given the patient’s history of having withdrawal effects from attempting to taper off alprazolam, what longer-acting benzodiazepine would you choose to convert the patient to?
· What is the dose you would prescribe and how would you taper off the medication?
Patient 3
· Review the potential risks, benefits, and side effects of continuing lorazepam throughout the pregnancy and postpartum for both the patient and fetus.
· Review other alternative medications to treat generalized anxiety disorder. Include risks, benefits, and potential side effects to both the patient and the developing fetus. Keep in mind, the patient is looking to breast feed for 6 months postpartum.
· The patient agrees that it would be safest for her pregnancy and fetus to discontinue the lorazepam. How would you recommend she discontinue lorazepam? Provide education on potential side effects from tapering off the medication, including common side effects to more serious side effects and when to seek medical attention.
· The patient would like to forgo medications at this time, given she is early in her pregnancy and is concerned about “damage” to the fetus if she were to continue medications. Provide education to the patient about the risks of untreated anxiety symptoms during pregnancy for both the patient and the fetus.
Patient 4
· Review potential side effects for elderly on benzodiazepines providing education to both the patient and the patient’s daughter. What are the risks of continuing the benzodiazepine for this patient?
· How would you evaluate the patient for these side effects?
· The patient and daughter agree he will need to taper off the clonazepam given the risks of continuing this medication. How would you recommend tapering off this medication?
· Review with the patient and daughter potential side effects of tapering off the medication. Review with them common side effects to more serious side effects and when to seek medical attention.
Reminder: All papers submitted include a title page, introduction, summary, and references.
ab safety is integral to any laboratory experience. Laboratory experimentation c
ab safety is integral to any laboratory experience. Laboratory experimentation can be a fun, hands-on way of connecting with the content, but, from chemicals to electrical equipment, many of the things that will be encountered while performing a chemistry experiment can be dangerous to oneself or others if not handled appropriately. Being prepared for a laboratory experiment and knowing what to do if an emergency arises can be the difference between a successful outcome and permanent injury. This assignment allows for students to internalize what lab safety means to them, and to examine some of the potential sources of hazard that will be faced in the laboratory.
After watching the GCU “Safety Videos for Chemistry,” write a 500- to 700-word paper on the importance of safety in a chemical laboratory. Include a description of proper personal protective equipment (PPE) that should be worn in the laboratory, the purpose of each PPE item, at least two examples of potential hazards that students could face in a chemistry laboratory setting, and a brief description on how a chemistry laboratory differs from biology or anatomy laboratory settings.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
How does the bureaucracy affect your life and freedom as an ordinary citizen? In
How does the bureaucracy affect your life and freedom as an ordinary citizen? In what ways does it hinder or help your life? Do you see the bureaucracy as an effective aspect in your life, or do you see issues with the bureaucracy as it stands? Why/why not? List one issue you would change concerning the bureaucracy and how you would remedy the issue.
Use a minimum of 2 scholarly sources.
INDIVIDUALITY Multimedia
Timothy Gillespie, DMin. “The Social and Cultural Chal
INDIVIDUALITY Multimedia
Timothy Gillespie, DMin. “The Social and Cultural Challenges of Providing Spiritual Care in Diverse Healthcare Settings.”
Tulleners Lesh Research Symposium, on the following topic:
“Care of the Soul: Achieving Whole Person Health.” The day-long symposium had several cutting-edge presentations on spirituality in nursing, which this course features, this week and in the next weeks.
The program of the Symposium is found here: https://sites.google.com/apu.edu/researchsymposium/research-symposium#h.skw2w4e3zjamLinks to an external site.
A full video of the Symposium is found here: https://drive.google.com/file/d/1HIrFhIVnA6W6mY1dFzNmRnY9cWain3qK/viewLinks to an external site.
This week view the lecture by Timothy Gillespie, DMin. “The Social and Cultural Challenges of Providing Spiritual Care in Diverse Healthcare Settings.” It is found on the link of the full video above, minutes 1:28:00- 2:07:00.
INDIVIDUALITY Discussion
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In the Discussion, describe one challenge and one opportunity in responding to the spirituality of a patient that is different from your own.
Respond to the posts of two other colleagues.
Write an essay on the case, per the guidelines below.
Essay Elements:
One to th
Write an essay on the case, per the guidelines below.
Essay Elements:
One to three pages of scholarly writing in paragraph format, not counting the title page or reference page
Brief introduction of the case
Identification of the main diagnosis with supporting rationale
Identification of at least two additional differential diagnoses with brief rationale for why these were ruled out
Diagnostic plan with supporting rationale or references
A specific treatment plan supported by recent clinical guidelines
Citations: At least one high-level scholarly reference in APA from within the last 5 years
THE POWERPOINT PRESENTATION WILL CONTAIN 20 SLIDES. MUST BE IN ARIAL FONT BLACK
THE POWERPOINT PRESENTATION WILL CONTAIN 20 SLIDES. MUST BE IN ARIAL FONT BLACK ONLY 28 FONT AND MAXIMUM 6-8 LINES PER SLIDE NO MORE THAN 30 WORDS PER SLIDE; SLIDES MUST HAVE A WHITE BACKGROUND ONLY EACH SLIDE MUST CONTAIN AT LEAST ONE CORRECT CITATION.
Slide one: Title of presentation, Student’s full name, Date of presentation.
Slide two: What is specific concept/DISEASE/DISORDER
Slide three: Why is this concept important to nursing
Slide four: Etiology
Slide five: Risk Factors
Slide six: Pathophysiology
Slide seven: Clinical Manifestations
Slide eight: Diagnostic Testing
Slide nine: Labs that will be Tested (per resources used)
Slide ten: Medical and Surgical treatments
Slide eleven: Nursing Assessments
Slide twelve: Nursing Priorities of Care
Slide thirteen: Nursing Diagnoses: Must have 3 actual-NO RISK FOR DIAGNOSES and MUST have HIGHEST PRIORITY FIRST.
Slide fourteen: THREE Patient-Centered SMART goals Slide fifteen: FIVE nursing interventions + rationales.
Slide sixteen: THREE Expected Outcomes + rationales
Slide seventeen: THREE Unexpected Outcomes + rationales
Slide eighteen: FOUR Patient/Family teaching INTERVENTIONS + rationales (CANNOT USE ANY FROM SLIDES 11 OR 14)
Slide nineteen: Construct a SBAR and make it realistic for your patient with CITED material
Slide twenty: APA References: MUST be in APA format and MUST ONLY include what you used for citations
(on each slide) (Cooper & Gosnell, 2022) (Holman et al., 2020) (Holman et al., 2022) (Perry et al., 2017) (Williams et al., 2022) (Willihnganz et al., 2022) References (on last slide BUT only use those you used for citations please)
NO WEBSITES
Cooper, K., & Gosnell, K. (2020). Foundations of nursing (8th ed.). Elsevier. Holman, et al. (2020) PN Fundamentals of nursing. Assessment Technologies Institute Holman, et al. (2022) PN Adult Health Nursing. Assessment Technologies Institute. Perry, A., Potter, P., & Ostendorf, W. (2016). Nursing interventions & clinical skills. Elsevier. Williams, D., et al. (2022). PN Mental Health Nursing. Assessment Technologies Institute. Willihnganz, M. (2022). Clayton’s Basic Pharmacology for Nurses + Study Guide. Elsevier Mosby.Show less
Please be sure to address all bullet points. Please review scoring guide. All re
Please be sure to address all bullet points. Please review scoring guide. All references within the last 5 years.
For your initial post, use the biopsychosocial formulation grid from the weekly
For your initial post, use the biopsychosocial formulation grid from the weekly reading to formulate your diagnosis and develop a comprehensive treatment plan for the case scenario.
If you can, give an example from your clinical experience. How was your suggested intervention received by the client and how did they respond to the treatment?
Please use two sources