Case Study

A 38-year-old woman presents to the office with complaints of weightloss, fatigue, and insomnia of 3-month duration. She reports that she hasbeen feeling gradually more tired and staying up late at night becauseshe can’t sleep. She does not feel that she is doing as well in her occupationas a secretary and states that she has trouble remembering things.She does not go outdoors as much as she used to and cannot recall thelast time she went out with friends or enjoyed a social gathering. Shefeels tired most of the week and states she feels that she wants to go tosleep and frequently does not want to get out of bed. She denies anyrecent medication, illicit drug, or alcohol use. She feels intense guiltregarding past failed relationships because she perceives them as faults.She states she has never thought of suicide, but has begun to feel increasinglyworthless.Her vital signs and general physical examination are normal, althoughshe becomes tearful while talking. Her mental status examination is significantfor depressed mood, psychomotor retardation, and difficulty attendingto questions. Laboratory studies reveal a normal metabolic panel, normalcomplete blood count, and normal thyroid functions.➤ What is the most likely diagnosis?➤ What is your next step?➤ What are important considerations and potential complications ofmanagement?

 
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anp652w10d2

THIS IS A GRADUATE NURSE PRATRITIONER PROGRAM.  REPORT MUST BE OF GRADUATE LEVEL AND STANDARD WITH APPROPRIATE REFERENCE WITHIN 5 YEARS AND 7TH EDITION APA STYLE . MINIMUM OF 350 WORDS WITH AT LEAST 2 PEER REVIEW REFERENCEPlease select one of these topics to summarize and discuss. These topics explore clinical standards, disease-specific assessments, and risk assessment tools, as well as evidence-based practice for cardiovascular pathology topics for this section.1.  Framingham Cardiac Risk

 
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Draft

Explain Cultural sensivity in nursing

 
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School Health and STD’s

Design a PowerPoint presentation for high school aged students discussing normative aging changes, sexuality, STDs, and prevention.Discuss normal body changes that occur through puberty into young adulthoodDiscuss specific STDs, causes, symptoms, complications, and treatment:**You should include a slide or two for each of the following:  Gonorrhea, Chlamydia, Herpes, HIV, Syphillis, HPVDiscuss pregnancy and prevention

 
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Creating Visual Data

Use the data from the nursing scenario from the file I uploaded.Create at least two visuals using your data from the data you chose in Week 2.Create one scatter plot of the data, and apply a linear model (also known as a regression) in Excel®. Include the equation, R2 value, and prediction value on the visual.Create one scatter plot of the data, and apply an exponential model in Excel®. Include the equation, R2 value,  and prediction value on the visual.Determine whether the linear or the exponential model is a better representation of your data to base your prediction on. Explain why the model you chose is a better representation of your data.Hints for Making an Effective Chart:Decide why you are making a chart from this data.Title each chart so that it aligns with the data and selected model.Create descriptive labels for both the x- and y axes.Resize the chart as needed so it can be viewed easily.

 
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Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.To Prepare:Review the Resources and select one current national healthcare issue/stressor to focus on.Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.Note:APA format3 References within last 5 years1 page

 
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Week 5 Assignment: iCARE Paper (graded)

Please review the infographic as way to guide you in getting started with your assignment:Developing an Assignment with Integrity (Links to an external site.)View a short tutorial with tips for completing this assignment:iCARE Paper Tutorial (Links to an external site.)Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).For this assignment, consider the concept of interprofessional teamwork and patient outcomes.Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)iCARE components are:C ompassionA dvocacyR esilienceE vidence-Based Practice (EBP)How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?Select one scholarly nursing article from CINAHL as a resource for your paper.Additional scholarly sources can be used but are optional.When searching in the CINAHL database, please limit your search word to one component of the paper you wish to emphasize, such as ‘Resilience’.  Searching for the term iCARE will not produce the results you need.Elements of iCARE paperTitle pageBelow are the headings to be used for this assignment.Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.CompassionAdvocacyResilienceEvidence-Based PracticeSummary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.References: List any references used in APA format.

 
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Black History Month Focus and Health Disparities in the African American Community

Black History Month Focus and Health Disparities in the African American CommunityLearning OutcomesThe purpose of this clinical assignment is to highlight some of the healthcare issues of African Americans in celebration of Black History Month.  This assignment will also address the fact that disparities in health care are strong social determinants of health.Specifically, students will create a brief document in which they will demonstrate their ability to:Identify major health conditions that impact the African American (AA) communities in Chicago.Compare and contrast epidemiological data that showcases the differences among different racial and ethnic groups within the city of Chicago and at the state level. Students will also interpret the data about the impact of the CoVID pandemic on the AA population.Create a document /pamphlet for teaching about sickle cell disease in the AA communityRealize that many health-care policies affect African Americans in a negative wayAppreciate that many African Americans have influenced Public Health in positive waysAppreciate that the Resurrection University Library has a variety of educational texts and data bases related to African American history and healthcare in the U.S.Please answer the following in a brief 2-page paper.Place the questions in BOLD type“The empirical evidence that race and ethnicity influence physicians to make harmful distinctions in how they treat and interact with White patients versus patients of color is overwhelming.” (Matthew, D. in Just Medicine, A Cure for Racial Inequality in American Health care (2015). NY: New York University Press)What do you think this statement means?Have you had any experience that you would discuss or share?Panelists who presented in the “Healthy Chicago 2025 video” noted that there is a significant lifespan difference between African Americans living in Chicago as compared to Caucasians in Chicago.What is the average lifespan of African Americans in the community that you analyzed for Community /Windshield Project?  Compare this evidence to other communities assigned to your teams.If we focus on the health condition of sickle cell disease in the AA population, what public health education/promotion is done in the community that you are aware of? As an example of a primary intervention, create a health ed document /pamphlet/fact sheet that could be used in a community forum on sickle cell disease.Researchers noted below have emphasized that racial disparities exist among AA  nursing home residents.  For example, AA patients are often inappropriately diagnosed with dementia and physical restraint is also deployed with more frequency. Please read the following articles and list three major findings from each:Rivera –Hernandez, M; Kumar, A.; Epstein-Lubow, G & Thomas, K.S. (2019). Disparities in nursing home use and quality among African American, Hispanic, and White Medicare residents with Alzheimer’s disease and related dementias. Journal of Aging and Health, 31(7), 1259-1277. doi.org/10.1177/0898264318767778.Shippee, T.P.; Henning-Smith, C., & Rhee, T.G. et.al. (2016). Racial Differences in Minnesota nursing home residents’ quality of life: The importance of looking beyond individual predictors. Journal of Aging and Health, 28(2), 199-224.  doi.org/10.1177/0898264315589576.Following the virtual class presentation with the Res U library staff:Write a paragraph about something new that you learned from the presentation.Who are some African American heroes in the medical field?What are some resources that you learned about for yourself and the families that you will be working with? Please document some of the resources below.

 
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1. Patient Safety and a Culture of Safety. 2. Health Privacy Breach

These are 2 different questions so they should be addressed separately (2 separate papers)At least 2 pages each with separate references (at least 2 references). APA format and absolutely plajiarism free.Note: the second question has 3 scenarios  so the paper should include  response to the 3 scenarios.1. Week 5: Patient Safety and a Culture of SafetyA shift in paradigm is occurring across the United States from volume- to value-based care. Reflect upon your organizational culture to address the following.·  Describe the culture of your organization as it relates to patient safety.·  Identify one opportunity to improve patient safety outcomes. Propose a strategy for the implementation of this improvement initiative.·  Describe the current technology used to support patient safety. Identify the potential unintended consequences of this technology. Propose solutions to address these potential consequences.·  Describe an incident in which patient safety was or had the potential to be compromised due to an emphasis on volume-based care.2. Week 6: Health Privacy BreachPrivacy breaches are serious offenses that negatively affect the trust between nurses and patients. To maintain this trust, nurses must maintain the privacy and security of patient information. Read the scenarios below related to the protection of health information.Scenario 1A nurse posted the following comment on her social media page: “Can this shift be any longer? It started out with a waiting room full of nagging people that don’t seem to know what “emergency” means. Then I had to deal with the drama of trying to transfer a 400 lbs. (no joke) intubated COPD patient down the hall to the ICU, those ICU nurses are such divas and I wasn’t in the mood for their whining. Someone help!·  Describe the privacy and security issues related to this social media posting.Scenario 2A nurse educator is preparing a presentation poster for an infectious disease conference. She includes pictures of varying stages of a client’s lesions in the poster.·  Describe the privacy and security issues related to the inclusion of patient information on the poster.Scenario 3·  Marcus was admitted to the hospital from a long-term care facility. He was diagnosed with dehydration and delirium. He is expected to return to the facility. The charge nurse at the facility calls for an update regarding his status.·  Describe the privacy and security issues related to sharing this information with the long-term care facility.

 
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Discussion 08: Nursing Home Compare

HA4120D – Management of Continuum Care ServicesDiscussion 08: Nursing Home CompareGo to the Medicare.gov website (http://www.medicare.gov/) and search under the Quality Care Finder for Nursing Home Compare – type in your zip code. Detail the results you found for 5 nursing facilities in your area and how they compared based on the overall rating, health inspections, staffing, and quality measures. Do you believe this an accurate snapshot comparing facilities in your area? Would this information impact where you might place a loved one if he/she needed skilled nursing care? How do you think this tool would impact quality improvement within nursing facilities?Long-Term Care-Vitalsource [email protected]#magicMAN61

 
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