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[ANSWERED 2023] Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing right, he doesn’t want to play, he just sits on my lap or lays on the couch, and this happens all the time

Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing Case Study Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing right, he doesn’t want to play, he just sits on my lap or lays on the couch, and this happens all the time.” Appearance of both mother and child is disheveled. The child’s wheezing can be heard across the room. When asked if her son is better at any certain time of the day the mother responds: “It’s like this all the time and has been for the past year, we just don’t come to the doctor because we don’t have any money.” Mrs. Cason’s son was diagnosed of asthma. 1. Discuss short and long term treatment options for this child, inhaled beta2-adrenergic agonists. Include rationale for your recommendations. 2.What is your educational plan for the child? Expert Answer and Explanation Case Study: Asthma Short and Long Term Treatment Options Mrs. Carson’s son is a case of newly diagnosed asthma. The child is visibly stabl12q12qe and without signs of acute exacerbations. However, he has had longstanding respiratory distress and has an audible wheeze. The initial management of the patient will revolve around the alleviation of symptoms and relief of the suffering due to the distress. White et al. (2018) recommends provision of short-acting beta-adrenergic agonist (SABA), more commonly salbutamol inhalation via a nebulizer, to enhance bronchodilation and provide relief to the patient. After that, the performance of spirometry is recommended once the patient has stabilized as subsequent management relies on the knowledge of the lung functionality (Mendes & Palmer, 2018; Horak et al., 2016). Mrs. Carson’s son will, therefore, be put after that on maintenance therapy with low dose pediatric inhaled corticosteroids. Provision of corticosteroids follows on the same guidelines, GINA (2015), which recommends provision of the same to children with SABA unresponsive asthma or those with asthma-related symptoms for more than three times a week. The latter provision fits the patient in this case. As regards the long term therapy, the patient will be put on long-acting inhaled corticosteroids to modify the course of the disease (Ballas, 2018). However, reviews should be done monthly to assess the improvement in lung function as well as look out for the adverse effects of prolonged steroid use (Ballas, 2018). Patient Education Involves the following: Informing the child and the mother that the condition warrants long term therapy. Explaining to them the correct use and disposing of the nebulizers to maximize therapeutic benefits. Describing to them the mechanism of control and measures to do so when the condition deteriorates. Talking to them about the importance of avoiding allergens. References Ballas, Z. K. (2018). Asthma clinical practice guidelines: Time for an update. Journal of Allergy and Clinical Immunology, 142(3), 787. Horak, F., Doberer, D., Eber, E., Horak, E., Pohl, W., Riedler, J., … & Studnicka, M. (2016). Diagnosis and management of asthma–Statement on the 2015 GINA Guidelines. Wiener klinische Wochenschrift, 128(15-16), 541-554. Mendes, A., & Palmer, S. J. (2018). NICE overhauls asthma management and treatment recommendations. White, J., Paton, J. Y., Niven, R., & Pinnock, H. (2018). Guidelines for the diagnosis and management of asthma: a look at the key differences between BTS/SIGN and NICE. Thorax, 73(3), 293-297. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order FAQs Nasal spray for enlarged adenoids in adults Enlarged adenoids in adults can cause nasal congestion, difficulty breathing, and recurrent sinus infections. While nasal sprays can help alleviate symptoms, they may not be the most effective treatment for significantly enlarged adenoids. If your adenoids are significantly enlarged, you should see an ear, nose, and throat (ENT) specialist for evaluation and treatment recommendations. Treatment options may include medication, surgery, or a combination of both. However, if your symptoms are mild, a nasal spray may help reduce inflammation and congestion. Nasal steroid sprays such as fluticasone (Flonase) or mometasone (Nasonex) are often prescribed to reduce inflammation and swelling in the nasal passages. Saline nasal sprays or rinses can also help relieve congestion by flushing out mucus and allergens from the nasal passages. It’s important to follow your doctor’s recommendations and use nasal sprays as directed. Overuse of nasal sprays can lead to rebound congestion and other side effects, so it’s important to use them only as prescribed. Complications of adenoid hypertrophy Adenoid hypertrophy refers to the enlargement of the adenoid tissue located at the back of the nose and the roof of the throat. While adenoids are an important part of the immune system, when they become enlarged, they can cause several complications. Some of the complications of adenoid hypertrophy include: Difficulty breathing: Enlarged adenoids can obstruct the airway, leading to difficulty breathing through the nose. This can result in mouth breathing, snoring, and sleep apnea. Recurrent sinus infections: Enlarged adenoids can block the drainage of the sinuses, leading to recurrent sinus infections. Ear infections: Enlarged adenoids can also block the Eustachian tubes, which connect the middle ear to the back of the throat. This can lead to fluid buildup in the middle ear, increasing the risk of ear infections. Speech and language problems: Enlarged adenoids can affect the resonance of the voice and lead to speech problems, such as hypernasal speech. Facial abnormalities: In rare cases, severe and prolonged adenoid hypertrophy can cause facial abnormalities, such as long, narrow facial structure or open-mouth posture. Malnutrition: In children, enlarged adenoids can lead to malnutrition because they may have difficulty swallowing solid foods and may prefer soft, easy-to-swallow foods. Dental problems: Enlarged adenoids can cause changes in the position of the teeth and jaw, leading to dental problems such as malocclusion or misaligned teeth. If you or your child are experiencing any of these complications, it’s important to see an ENT specialist for evaluation and treatment. Treatment may include medication, surgery, or a

[ANSWERED] A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really  well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.” Please answer the following questions in a narrative format: 1–Discuss the epidemiology of allergies. 2—What are your treatment options (consider pharmacoeconomic)? Compare first and second-generation antihistamines. 3– What education will you provide to the patient? Expert Answer and Explanation Allergies Epidemiology of Allergies Epidemiology can be defined as the branch of medicine that studies diseases by identifying their distribution, risk factors, and possible control measures. According to a study done by Öçal, Muluk, and Mullol (2020), allergies affect more than 45% of school-aged people in the US. One of the most popular allergic diseases is allergic rhinitis. This disease affected more than 30% of the population across the globe as of 2018 (Öçal et al., 2020). The authors report that the allergy is caused by Immunoglobin E antibodies (IgE). When the body releases IgE at a higher rate, the antibodies with target the immune system and causes a reaction that produces chemicals that lead to an allergic reaction. The second most popular allergic condition is drug allergy. The research by Namysłowski et al. (2018) shows that one out of 10 people in the US is likely to suffer drug allergy. The rate of drug allergy is high in hospitalized patients. This disease accounts for about 1 in every 5 anaphylactic deaths. The risk factors of this allergy include the current health conditions of the population, the type of medication, and genetic factors. People with Acetylator status and HLA type genetic factors risk contracting drug allergy. The duration of drug administration and dose are also risk factors of the allergy. The last type of allergy is a food allergy. This disease has affected more than 40,000 children and 8% of adults in the US. The most common food allergy is caused by peanut, followed by milk (Chong & Chew, 2018). Other foods, such as eggs, tree nuts, soy, eggs, shellfish, fish, and grains with gluten, also cause food allergy. Treatment Options of Allergies This patient can be prescribed antihistamines to help fight the chemicals released during an allergic reaction. Tan, Sugita, and Akdis (2016) antihistamines can be used to relieve pain caused by different forms of allergies. The patient should be prescribed second-generation antihistamines. The second-generation antihistamines are appropriate in this situation because they are less central and can be used as antiallergic medications. However, H1antihistamines have central effects on the human body and can be used as sedatives to reduce pain. Over-the-counter antihistamine that should be considered in this situation is Zyrtec. This medication works faster and is also affordable compared to others. Allegra (fexofenadine), desloratadine (Clarinex), loratadine (Alavert) or Claritin can be used as alternative medications. Education Provided to the Patient First, the patient should be educated on how to avoid an allergic reaction. He can do this by trying to try as much as possible to avoid the allergic stimulus that can be avoidable. For instance, if the patient is allergic to dust, he or she should try hard to avoid dust. The second educational competency should focus on educating the patient about the names of the over-the-counter medications he can buy in case he is far from the medical facility (Farrokhi et al., 2017). The patient has visited the facility because he does not remember the medications; he was previously prescribed. Lastly, the patient can be educated about the medication schedule. The competency of this education program is to ensure that the patient maintains the medication schedule. References Chong, S. N., & Chew, F. T. (2018). Epidemiology of allergic rhinitis and associated risk factors in Asia. World Allergy Organization Journal, 11(1), 17. https://waojournal.biomedcentral.com/articles/10.1186/s40413-018-0198-z?optIn=false Farrokhi, S., Abbasirad, N., Movahed, A., Khazaei, H. A., Pishjoo, M., & Rezaei, N. (2017). TLR9-based immunotherapy for the treatment of allergic diseases. Immunotherapy, 9(4), 339-346. https://www.futuremedicine.com/doi/full/10.2217/imt-2016-0104 Namysłowski, A., Samoliński, B. K., Lipiec, A., Zieliński, W., Sybilski, A. J., Walkiewicz, A., … & Raciborski, F. (2018). The importance of specific IgE antibodies in epidemiology of allergic rhinitis and asthma–the Epidemiology of Allergic Diseases in Poland (ECAP) survey: part one. Influence of allergy risk factors on concentration of specific IgE antibodies in serum. Advances in Dermatology and Allergology/Postȩpy Dermatologii i Alergologii, 35(5), 520. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232542/ Öçal, R., Muluk, N. B., & Mullol, J. (2020). Epidemiology of Allergic Rhinitis. In All Around the Nose (pp. 297-301). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-030-21217-9_33 Tan, H. T. T., Sugita, K., & Akdis, C. A. (2016). Novel biologicals for the treatment of allergic diseases and asthma. Current allergy and asthma reports, 16(10), 70. https://link.springer.com/article/10.1007/s11882-016-0650-5 Alternative Answer Epidemiology of Allergies Allergic reactions can worsen one’s health, and in the United States (U.S.), patients with some medical conditions including asthma can experience worsened health status following exposure to the allergies. These allergies are prevalent across the U.S., and their level of prevalence differ across different demographic populations. Allergic rhinitis, is one of these allergies, and it affects 7.8% of the U.S.’s population. Still, a close to 10% of the global population is likely to experience allergic reactions related to the use of certain drugs (Mathur & Viswanathan, 2014). In children and adolescents, 8% of cases involving food allergy occur in this group. Pharmacological interventions can help the 35-year-old patient. Recommending a prednisone medication to this patient can help reduce his risk of experiencing asthmatic attacks which occur because of the allergies. This medication is a cheaper alternative, and the patient may not have difficulty purchasing it. The patient can take the medication in different dosages depending on number of times they want to take the medication a day. Caregivers can recommend either first or

[ANSWERED 2023] AB a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough

AB a 21-year-old WF college student reports to your clinic with external bumps on her GENITALIA ASSESSMENT Subjective: CC: “I have bumps on my bottom that I want to have checked out.” HPI: AB a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had  more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week  ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She  reports one sexually transmitted infection (chlamydia) about 2 years ago.  She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer,  Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses  or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia. Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney Diagnostics: HSV specimen obtained Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Expert Answer and Explanation The diagnosis of sexually transmitted diseases includes choosing the type of discharge, blood tests, urine tests, and the examination of other physical symptoms such as pain during sexual intercourse or burning sensations during urination. The similarity of the symptoms of different STIs makes it hard for healthcare givers to easily pinpoint the exact disease that the patient suffers from (Ball et al., 2017). A close assessment of the objective and subjective information of AB, a 21 y.o. pt. with the symptoms of STIs, helps to assess the truthfulness of the diagnosis provided as well as to provide her a preferential diagnosis. Subjective Data The patient has painless bumps in her genitalia, and these feel rough time to time. She does not have any abnormal vaginal discharge, and is unsure about the time the vaginal bumps appeared. However, she says she realized she has them about two weeks ago. Besides being sexually active since the age of 18, she says that she has had at least two sexual partners over the past one year. She has NKDA allergy, a past medical history of asthma, and she is also taking some medications including Symbicort. She also got Chlamydia at 19, and a pap smear conducted three years ago confirmed the absence of dysplasia. He has no breast cancer or cervical cancer history, but both parents have hx of HTN and GERD. The last part of the subjective information is that she has three children, abuses alcohol occasionally, but does not smoke. The additional subjective information could be assessing whether or not she is pre gnant. Objective Data The vitals of the patient are as follows: Temp 98.6; HT 5’10”; BP 120/86; P 92; WT 169lbs, and RR 16. Her hurt does not show visible signs of murmurs, and a CTA of the lungs shows that they are symmetrical. The genital assessment shows the absence of swellings or masses, intact urethral meatus, and normal hair distribution. Also, the vaginal mucosa is pink as expected, but there is rugae. Also, there is a painless ulcer on the external labia of the vagina. The abdominal assessment shows soft bowel sounds that are normative, neg murphies, and neg rebound. For the diagnostics, a HSV specimen is obtained. Much of the objective information was captured, but the assessor should have collected blood and urine samples to assess them. Support of the Assessment Following the assessment of the objective and subjective data, the patient is diagnosed to have chancer, which is right considering the individual symptoms in the genital mucosa characteristics. Painless sores also confirm the presence of the condition (Asai et al., 2020). The Appropriateness of the Diagnostics While the diagnostics could appear perfect for the scenario, I believe they were not as appropriate as they failed to include crucial assessments that would help in clarity of the diagnosis. Specifically, there should have been the obtaining of blood, fluid, and urine samples which could not only help to identify the illness, but would indicate the exact stage (Janssen et al., 2020). Rejecting the Diagnosis I would be quick to reject the diagnosis because the screening was not sufficient enough to make a decision. That is, there is need for further examinations of fluids such as saliva, vaginal discharge, urine, and blood to identify whether the patient had chancre or other sexually transmitted infections or several combined disorders (Abdool Karim et al., 2019). Differential Diagnosis In the differential diagnosis, I would consider HPV to be one of the candidates of further examination as it is evident the patient was not aware of the rough sores, which could be indicative of an overgrowth of sores (McCabe et al., 2017). Also, after asking the patient whether

[ANSWERED 2023] Find an article or website that provides guidelines for developing an innovative organization

Find an article or website that provides guidelines for developing an innovative 1. Use your favorite Internet search engine and find an example of a successful innovation and one that was not so successful. (Finding failures is difficult.) o What were the reasons given for success? o For failure? o Which of these reasons relate to poor planning? o What does this tell you about the keys to success in innovation? 2. Do you believe creativity can be learned? Find an article or website that is devoted to capturing creativity in the work environment. o What does the author say about individual creativity and group creativity? 3. Find an article or website that provides guidelines for developing an innovative organization. o What do you think of the advice given? 4. In developing an organizational climate that supports innovation, management often overlooks critical issues. This is true especially when setting up and nurturing communication networks. Many good ideas are lost because the right person is not available at the right place at the right time to bring the innovation to fruition. o What issues do you believe are critical in planning for the integration and sharing of information in an innovative firm? o How do these issues differ for product and process innovations? Assignment Expectations Length: 1750 – 2000 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) Expert Answer and Explanation Successful Innovation The success or failure of innovation depends on various factors that occur before and during the implementation of a project. Addressing these issues can increase the chances of success while also ensuring the reduction of risks (White & Bruton, 2017). A project manager must come up with means of tracking a project to ensure that all the designed timelines and milestones are met. Other attributes such as the skillset of the team and the availability of resources can be one of the major reasons for a project to fail or succeed. As a project manager, it is also important to understand these key determinants of success and implement them within the project. Successful and Not So Successful Innovation Successful Innovation One of the major successful innovation is Tesla, Inc.’s electric car. Over time the motor industry has dwelled on diesel or petrol-powered engines. The innovation of cars that can use battery power or electricity is one of the successful innovations of the 21st century. Electricity use minimizes carbon emissions and the expense that would be used to purchase fuel. The success of the project has made the owner, Elon Musk, the richest person in the world as the company increases its production of sleek and electric cars (Chen & Perez, 2018). The reasons for the success can also be attributed to various measures that were taken and the timing of the innovation. To begin with, the company hires highly skilled personnel who share the vision of coming up with products that have limited or no impact on the environment. The current global standpoint is also ensuring that products and innovations that are environmentally friendly are incorporated into the world to help reduce the aspect of global warming. Additionally, the success of the company also rises from the ready market of electric cars and other forms of transport that would have reduced impact on fuel consumption. The high cost of fuel in many nations has increased the demand for products from Tesla, Inc. (Chen & Perez, 2018). The availability of new and sophisticated technologies also contributes to the success of the company and its innovative technologies. There is also excitement and acceptance of the technology within the mainstream and corporate worlds. This raises the demands of cars throughout the world. Tesla, Inc. is also set to expand its factory and production lines to fast-track the production to meet the demand. The company is also based on a direct sales model and services, which makes the company interact directly with the clients other than using the franchised dealership (Alghalith, 2018). The organization is also diversifying into other fields such as aerospace and home energy. Reasons for Failure One innovation that failed upon its startup was the On-demand Delivery Platform, Shyp (2013-2018). The concept of the innovation was basic as users could take pictures of the item that they required to be shipped and then make use of the Shyp application to schedule a pick-up (Corporate Venturing, 2019). The package would then be picked and dropped at the provided destination at a flat rate of $5. The collapse of the innovation began after it secured a grant of $62 million from different investors that were used to expand its services to include new cities such as Chicago and New York. With the high presence in various cities, the consumer growth reached a saturation point and began to slow, leading to the inability to sustain the expansion. With the reduced number of clients, the company was not able to maintain different outlets with the $5 flat rate on all commodities. Another reason for the failure is the decision to increase the charges for larger packages, which led to client backlash. Similarly, the target audience for the company was individuals whose shipment was sporadic and could not be depended upon for continuity of the company (Corporate Venturing, 2019). The management of the company was also slow in re-evaluating the direction of the company, and by the time they were scaling down, it was already too late as the customer loyalty had been affected adversely. The low number of customers led to the untimely collapse of a rather

[ANSWERED 2023] Based on the public health issue selected, in 750-1,000 words address the following

Based on the public health issue selected, in 750-1,000 words address the following The purpose of this assignment is to discuss the impact of an environmental public health issue and make recommendations for policy change. Research public health issues located on the American Public Health Association (APHA) website, found in the topic Resources. Select a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Based on the public health issue selected, in 750-1,000 words address the following: Describe the public health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issue supported by resources. Discuss how the public health issue is addressed by the current policies. Include what changes you would propose to the existing policies. Describe what steps are required to initiate policy change. Identify the necessary stakeholders required to initiate policy change (government officials, administrator) and explain the importance of their role, such as budgeting or funding. Discuss the impact on the health care delivery system. Include three peer-reviewed sources and two other sources to support the policy brief. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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 LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Expert Answer and Explanation Healthcare Environmental Policy Issue Brief The Policy Health Issue The United States Environmental Protection Agency (EAP) is a body given responsibility to create public health policies that protect Americans from unhealthy environmental pollutions and changes. The institution is also responsible for ensuring that communities around the US are clean and safe. However, EAP has failed to protect Americans from environmental harm. The institution has changed air quality standards, and this has made American children vulnerable to asthma. According to Hasaneen and El-Halwagi (2017), the EAP has changed several policies and thus, allowing manufacturing companies to release soot and smog-forming pollutants in the air. Some of these firms include power plants, industrial facilities, and oil and gas extraction. The system has allowed manufacturing companies to release toxic contaminants such as lead, arsenic, and mercury into the air. The policy issue has affected most people in the Black, Asia, and Latino American communities. The change of the Clean Air Act has affected people across the United States. This paper recommends steps that can be taken to reduce the effects of emitted toxic pollutants into the air. Problem Statement The pollutant allowed into the air as a result of changed Clean Air Act has adverse effects on people. Witten (2016) reports that the impurities can affect a person’s cardiac health by hardening the heart’s blood vessels and thus, increasing the risks of heart failure, stroke, and attacks. Also, the pollutants are linked with certain psychological conditions such as schizophrenia, Parkinson’s disease, and Alzheimer’s disease. Further, contaminants such as arsenic and mercury are linked with respiratory conditions such as lung cancer, emphysema, as well as bronchitis. According to DeSalvo et al. (2016), pollutants can also cause asthma in children. Also, the toxins may damage children’s brain and thus, affecting their cognitive development. Lead and mercury toxins also cause pneumonia in children. According to Wysokińska (2016), about one million children aged five years and below lose their lives every year from pneumonia caused by air pollution. DeSalvo et al. (2016) argue that this is evident because compared to adults, children spend more time outside. Moreover, air pollution caused by lead, mercury, and arsenic has been associated with miscarriages during pregnancies. Toxins have also led to autism spectrum condition in children and premature birth. Lastly, according to Wysokińska (2016), the pollutants might reduce a person’s immune system and thus, making him or her susceptible to other diseases. Solution to the Issue Every American must do their best to ensure that they live in clean and safe air as far as their health is concerned. Oil and gas and coal industry are the largest emitters of toxic gases into the air. Therefore, the United States government should work on replacing oil, gas, and coal with less polluting fuels such as solar power, wind, fusion nuclear energy, and natural gas. DeSalvo et al. (2016) argue that this can be done by creating a body to regulate and conduct researches on green energy. The stakeholders that must be included in forming the body are the general public, the congress, and the executive. After the formation of the body, the government should avail finances for so that it can start working on researches about solar power, wind, fusion nuclear energy, and natural gas. Wysokińska (2016) estimates that replacing half of the coal, oil and gas energy might cost the US taxpayers about $180 billion. Another way of mitigating air pollution is by enacting laws that ensure that the EAP is an independent body. According to Evans (2017), this can be done by tabling a bill in parliament which protects the EAP from external influence, including the executive branch and allowing it to make policies that ensure clean and safe air. The Impact of the Issue on the Health Care Delivery System Healthcare industry is one of the disciplines which will benefit when the above policies are implemented. Today, the government of the US spends billions of dollars to solve environmental health problems. However, if the policy issue is addressed, sectors such as healthcare entirely will receive more funding from the government. The funds can be used to improve the healthcare delivery system by offering scholarships to more youths who want to become nurses. The health sector may also use the funds to employ more nurses in the healthcare facilities across the United States. Moreover, the

[ANSWERED 2023] In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion

In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a Focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience. You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present. To prepare:  Review this week’s Learning Resources and consider the insights they provide. Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. Then, based on your SOAP note of this patient, develop a video case study presentation. Your presentation should include objectives for your audience, at least 3 possible discussion questions/prompts for your classmates to respond to, and at least 5 scholarly resources to support your diagnostic reasoning and treatment plan. State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing. Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide. Subjective: What details did the patient provide regarding their chief complaint and symptomology 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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms. Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was 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. Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be. Expert Answer and Explanation Subjective: CC (chief complaint): “I have difficulty falling asleep, am always sad, and am easily distracted.’ HPI: The patient is a 26-year-old female who presented to the office complaining of anxiety, depression, and insomnia. The patient notes that she has been having problems with falling asleep, is easily distracted, is always sad, and has difficulties completing tasks. The patient also complains that she has trouble wanting to see people and associating with people. The patient notes that she finds comfort in isolating herself. She reports anhedonia and cried during the interview. She also reports severe anxiety. She says that her anxiety became more severe when she had that the person who raped her was released from jail. The symptoms have negatively affected her life. Her therapist pulled her out of work, and she hardly made friends with people. She rates her anxiety and depression as 8/10. Substance Current Use: She reports no current use of illicit drugs. Medical History: The patient has no medical problems. Current Medications: She is not on any medications at the moment. Allergies: She reports no allergies. Reproductive Hx: No reproductive problems. ROS: GENERAL: She denies fatigue, weight loss, chills, or fever. HEENT: Eyes: No yellow sclerae, visual loss, or double vision. Ears, Nose, Throat: No hearing problems, runny nose, congestion, sore throat, or sneezing. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, edema, chest discomfort, or palpitations. RESPIRATORY: No shortness of breath. GASTROINTESTINAL: No diarrhea, vomiting, abdominal blood, or pain. GENITOURINARY: She reports no odd urine color, no odor of urine, or burning on urination. NEUROLOGICAL: No dizziness, headache, syncope, ataxia, paralysis, numbness, or tingling in the extremities. MUSCULOSKELETAL: No joint or muscle stiffness or pain. HEMATOLOGIC: No anemia, HIV, bleeding, or bruising. LYMPHATICS: No enlarged nodes. ENDOCRINOLOGIC: No reports of health intolerance, cold, or sweating abnormities. Objective: Vital Signs: BP 102/90, P 67, RR 17, Ht. 5’4″, Wt. 67kgs, Temp 36.5. Physical Exam  HEENT: Noncontributory. Skin: No rash or itching. Cardiovascular: Regular heart rhythm and heart rate. No cracks on the chest walls. No edema. Respiratory: Normal breathing sounds, no wheezing, no fluids in the lungs, crackles, and no inspiratory crackles. Diagnostic results: Beck Anxiety Inventory (BAI): Lemos et al. (2019) noted that BAI is used to measure the severity of patients’ anxiety. The authors found that the tool’s reliability is (Cronbach’s α=0.92) in terms of internal consistency. The patient scored 37, meaning that she has severe anxiety. Beck’s Depression Inventory (BDI): BID is a screening tool used to screen for depression (García-Batista et al., 2018). The patient scored 23, meaning that she has moderate depression. Assessment: Mental Status Examination:  The patient is well-dressed, and her clothing is consistent with the

[ANSWERED 2023] Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population

Select a nursing practice problem of interest to use as the focus of your research The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the “Literature Evaluation Table” to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Expert Answer and Explanation Literature Evaluation Table Summary of Clinical Issue (200-250 words): Postoperative comfort is important for good surgical outcomes for patients.  The control of nausea, vomiting and pain in the postoperative period is important and has a great role in influencing the perception of patients on surgical procedures. Post-operative nausea, vomiting and pain is a significant problem for adult patients receiving general anesthesia. It is influenced by multiple factors related to the patient, surgery, and medications administered preoperative i.e. versed or medications administered intraoperatively. Postoperative pain, nausea and vomiting delays patient recovery, and can lead to unexpected delay in discharges. The long delays in discharge can also have tremendous psychological burden on the patient that further exacerbates the health issues faced by the patient.  Using pre-emptive multimodality medications such as Tylenol, Gabapentin, Celebrex, and Dexamethasone reduces the risk of postoperative pain, nausea and vomiting and increase patient satisfaction. It is for this reason that the PICOT question selected aimed at evaluating the effectiveness of some of the identified interventions in dealing with postoperative symptoms. Therefore, the PICOT question is noted as follows; PICOT Question: In adult patients undergoing general anesthesia does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving pre-operative meds? Criteria Article 1 APA-Formatted Article Citation with Permalink Fecher-Jones, I., & Taylor, C. (2015). Lived experience, enhanced recovery and laparoscopic colonic resection. British Journal of Nursing, 24(4), 223–228. https://doi-org.lopes.idm.oclc.org/10.12968/bjon.2015.24.4.223 Permalink https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=101196786&site=eds-live&scope=site How Does the Article Relate to the PICOT Question? The study aimed at explaining the lived experience for patients who have undergone laparoscopic surgery on an enhanced program. The links with the PICOT question from the aspect of identifying the outcomes of patients’ post-surgery which the PICOT also aims to also achieve Quantitative, Qualitative (How do you know?) The study is a qualitative study as it used interviews to collect data, which is common tool for collecting qualitative data. The data analysis approach which was hermeneutical-phenomenological method also indicated the research as qualitative. Purpose Statement The purpose of this study was to explore patients’ lived experience of undergoing laparoscopic colonic resection on an enhanced recovery (ER) program Research Question The research question for the study was “what is the lived experience for patients who have undergone laparoscopic procedures on an ER program?” Outcome The study was able to identify the lived experience of patients who have undergone laparoscopic procedures on an ER program Setting (Where did the study take place?) The study took place in the participants own homes post-surgery Sample 11 patients were selected to participate in the study Method Purposive sampling was used to select the study’s participants in a target population of 46 participants. Key Findings of the Study The study identified that participants of the ER program were keen to achieve their goals and return to full health as soon as possible after surgery which was against the longer than expected duration of recovery.  The long hospital stays resulted to negative psychological outcomes with additional accompanying symptoms worsening the patient outcomes. The findings also indicated that patients had different expectations from surgical procedures, in this case the laparoscopic surgery. Recommendations of the Researcher The researcher recommended that nurses need to not only consider the physical but also to the emotional needs of patients on an ER program until they are discharged. It was also recommended that nurses should do more to prepare patients for what to expect post- discharge.   Article 2 Herbert, G., Sutton, E., Burden, S., Lewis, S., Thomas, S., Ness, A., & Atkinson, C.

[ANSWERED] In 250-300 words explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.

In 250-300 words explain the Christian perspective of the nature of spirituality and ethics Worldview Analysis and Personal Inventory Based on the required topic study materials, write a reflection about worldview and respond to following: In 250-300 words explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care. In 250-300 words, explain what scientism is and describe two of the main arguments against it. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence? Remember to support your reflection with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Rubric Criteria Total100 points Criterion 1. Unsatisfactory 2. Less Than Satisfactory 3. Satisfactory 4. Good 5. Excellent Scientism and Arguments Scientism and Arguments 0 points Explanation of scientism or the explanations of two main arguments against scientism are inaccurate. Details are not supported. 19.5 points Description of scientism is accurate. Explanations of two main arguments against scientism are unclear. Details are not clearly supported by topic study materials. 22.5 points Explanation of scientism is clear. Explanations of two main arguments against scientism are clear. Details are supported by topic study materials. 25.5 points Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear. Details are clearly supported by topic study materials. 30 points Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials. Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use) 0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. 3.25 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. 3.75 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. 4.25 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. 5 points Writer is clearly in command of standard, written, academic English. Christian Perspective of Spirituality and Ethics in Contrast to Postmodern Relativism Christian Perspective of Spirituality and Ethics in Contrast to Postmodern Relativism 0 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is incomplete or insufficient. 19.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is unclear. Explanation is not supported by topic study materials. 22.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear. Explanation is not supported by topic study materials. 25.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear and detailed. Explanation is supported by topic study materials. 30 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials. Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 0 points Sources are not documented. 3.25 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 3.75 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4.25 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. 5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Personal Perspective and Worldview Personal Perspective and Worldview 0 points Worldview questions are not fully answered. 19.5 points Each of the worldview questions is answered but is lacking a personal connection or clarity. 22.5 points Each of the worldview questions is answered with personal connection. 25.5 points Each of the worldview questions is answered clearly and with personal connection. 30 points Each of the worldview questions is answered clearly and with deep personal insight. Expert Answer and Explanation Personal Worldview Inventory The claim that God exists may make sense to some individuals and not to others, and the divergence in the individuals’ views about God’s existence seems to stem from the exposure of these individuals to different values and thoughts. A Christian, for example, believes in the existence of God because of their exposure to the biblical doctrines and teachings. Conversely, an atheist’s position on this topic may stem from the exposure of the atheist to the teachings which contradict religious arguments in support of the claim. Religion and spirituality shape how people see the world around them, and they affect people’s perceptions about care (Newlin et al., 2015). This means that one’s worldview may differ from another person’s, and it is imperative to explore the worldview based on the Christian faith, and highlight the meaning of scientism, and debate against it. Meanings of Spirituality Although the spirituality, to an individual, may denote the belief in a higher being, and adopting practices in which one

[ANSWERED] A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels

A 70-year-old woman is in your office complaining of recently having trouble maintaining Week 1: Discussion Question 1 Discussion Prompt Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations) A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam. Q1. Explain the cause of this patient’s difficulty in maintaining her balance? Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented? A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication, she becomes very confused and disoriented. Q3. What is likely causing the signs of confusion? A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function. She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs. Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies. Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile. Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29 Q4. How is warfarin metabolized? Does warfarin cross the placental barrier? Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults? Q6. Explain protein binding in the neonate. Expert Answer and Explanation: Week 1: Discussion Question 1 Question 1 The patient’s difficulty maintaining her balance is due to the side effects of diazepam. Diazepam is a central nervous system depressant that can lead to dizziness, drowsiness, and impaired coordination (Ho et al., 2023). With a 15-year history of taking diazepam, her body may have developed tolerance, requiring higher doses, which can exacerbate these side effects. Additionally, she may be more susceptible to the drug’s sedative effects due to her age (Ho et al., 2023). It is essential to evaluate her medication regimen and consider alternative treatments for her anxiety and sleep issues to improve her balance and overall well-being. Question 2 The first-pass effect is when the liver metabolizes a significant portion of an orally administered drug before it enters the systemic circulation (Guo & Singh, 2019). This metabolization can reduce the bioavailability of the drug. Circumventing first-pass metabolism requires alternative administration routes, including intravenous injection, sublingual, or transdermal delivery, bypassing the liver and allowing for a more direct entry into the bloodstream to increase the drug’s effectiveness. Question 3 The woman’s signs of confusion are due to diphenhydramine in the cold medication. This element has a sedative effect and is known to cause drowsiness and confusion, especially in older adults (McKeirnan et al., 2020). Hence, although she uses the correct dosage, her advanced age increases the risk of side effects. Question 4 Warfarin metabolism occurs primarily in the liver through the action of the cytochrome P450 enzyme system. It is a racemic mixture of R and S enantiomers, with the S-enantiomer being more potent and metabolized by CYP2C9 (Cheng et al., 2022). Warfarin does cross the placental barrier. Therefore, its use during pregnancy increases the risk of fetal exposure, potentially leading to birth defects, especially if used during the first trimester (Cheng et al., 2022). Given the woman’s desire to conceive, it is crucial to consider alternative anticoagulation therapies. Question 5 Hepatic drug metabolism in children aged one year and older is similar to that of adults compared to infants. Infants lack fully developed hepatic drug-metabolizing enzymes, making drug metabolism less efficient (Van Groen et al., 2021). As children grow and develop, the activity of drug-metabolizing enzymes in the liver, particularly the cytochrome P450 system, mature and approach adult levels (Van Groen et al., 2021). This maturation leads to a more efficient and effective metabolism of drugs in children aged one or older. However, the specific maturation rate can vary for different enzymes and drugs. Therefore, dosing adjustments and considerations based on age and weight are still necessary to ensure safe and effective drug therapy in pediatric patients. Question 6 Protein binding in the neonate refers to how drugs and other substances in their bloodstream attach to proteins, primarily albumin, affecting their distribution and effectiveness. Neonates have lower albumin levels, making them more susceptible to drug interactions and potential toxicity (Leroux et al., 2019). This reduced protein binding capacity can lead to higher concentrations of free, unbound drugs in their system, increasing the need for careful dosing and monitoring in newborns. References Cheng, S., Flora, D. R., Rettie, A. E., Brundage, R. C., & Tracy, T. S. (2022). Pharmacokinetic modeling of warfarin І–model-based analysis of warfarin enantiomers with a target mediated drug disposition model reveals CYP2C9 genotype-dependent drug-drug interactions of s-warfarin. Drug Metabolism and Disposition, 50(9), 1287–1301. https://doi.org/10.1124/dmd.122.000876 Guo, Y. G., & Singh, A. P. (2019). Emerging strategies for

[ANSWERED 2023] Write a briefing note 500-750 words directed to the person that might be your manager of risk management outlining how your organization may or may not be meeting

Write a briefing note 500-750 words directed to the person that might be your manager of Briefing Note  The Joint Commission (TJC) guidelines emphasize that hospitals must educate their staff regarding the identification and appropriate management of the forensic patient. Assessments on patients must be conducted within the context of the requirements of the law regarding the collection and preservation of evidentiary materials and support future legal actions. Review the current Pre-publication Standards on The Joint Commission website, found in the module learning resources. Write a briefing note (500-750 words) directed to the person that might be your manager of risk management outlining how your organization may or may not be meeting The Joint Commission Standards as it relates to the forensic patient. Outline the prepublication standard of your choice with a brief description of the highlights of how your organization has addressed this standard and how it applies to a patient with a forensic need. Critically analyze the following criteria: 1. Are there any gaps in the policies/procedures or guidelines in meeting this standard? Identify the gaps and indicate what steps should be taken to address them. 2. If there are appropriate policies/procedures or guidelines in place on paper, are they being followed in practice. 3. What changes in practice could better meet the pre-publication standard and improve care for the potential forensic patient population? Provide any recommendations to accomplish this goal. **Note: Remember this is a briefing note, not an essay. Be clear and succinct in your communications. Assignment Expectations:  Length: 500-750 words Structure: Include a title and reference page in APA format. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly resources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”) Expert Answer and Explanation To: Risk Manager Re: Complying with the Joint Commission Standards for Caring for Forensic Patients I hope this note finds you well. I am writing to provide a brief overview of our organization explaining how it has addressed the Joint Commission’s Pre-Publication Standards as they relate to providing care to forensic patients (Bell, 2019). The standard this note will focus on is standard the standard that healthcare organizations should provide education to their staff to identify victims of violence, abuse, and neglect, and be able to gather and protect physical evidence linked to a potential or known criminal act. In other words, the standard requires healthcare organizations to educate their staff on identifying patients who are victims of criminal acts and how to collect physical evidence from the victims and store them for law enforcement agencies. Our hospital has developed several policies and regulations related to forensic patient care. One of the policies of the organization is that only educated and trained personnel are allowed to care for forensic patients (Hogan & Olver, 2019). Staff at the emergency care are required to call a forensic physician and nurse to care for the patient and collect forensic evidence. The organization has created a forensic department to ensure that forensic patients are treated and cared for by trained staff. The department has two forensic physicians and four forensic nurses. Another policy the organization has put in place is regular education to healthcare staff to ensure that they are up-to-date with care practices for patients who have experienced criminal acts. The organization provides all healthcare staff with forensic patient identification and management. The education program often focuses on many aspects of forensic patient care. One of the areas the education focuses training healthcare staff on documentation of all aspects of care offered to patients who are victims of criminal acts and the need to ensure that all collected evidence is properly preserved and stored (Papapietro, 2019). Forensic patients often need evidence collected by healthcare professionals during treatment for use in court. If the collection and preservation of evidence are inappropriately done, then the patient can lose the evidence they need to seek justice for the crimes against them. Another aspect of the education program provided by the organization is local, state, and federal laws on how to care for forensic patients and evidence collected during the care process. The federal, state, and local criminal justice systems such as the state attorney often have policies on the information to look for when collecting evidence on forensic patients (Papapietro, 2019). The organization provides education on how to comply with the policies. The organization also has a policy regarding providing education to new patients about caring for forensic patients. However, I still believe that the organization should do more to improve staff education regarding caring for forensic patients. I recommend that the education program include simulations to provide practical ways of educating the healthcare staff. In conclusion, our healthcare facility has developed and implemented policies and regulations directing how our healthcare staff can be educated on how to handle forensic patients and ensure that the evidence collected is properly preserved and handed over to relevant authorities. The education program also informed the staff about federal, state, and local authorities’ policies regarding caring for forensic patients.   Yours faithfully, Habert Johnson References Bell, S. (2019). Forensic science: An introduction to scientific and investigative techniques. (5th ed.). CRC Press. ISBN:9781138048126. Read chapters 1 & 2 Hogan, N. R., & Olver, M. E. (2019). Static and dynamic assessment of violence risk among discharged forensic patients. Criminal Justice and Behavior, 46(7), 923-938. https://doi.org/10.1177/0093854819846526 Papapietro, D. J. (2019). Involving forensic patients in treatment planning increases cooperation and may reduce violence risk. Journal of the American Academy of Psychiatry and the Law. https://psycnet.apa.org/record/2019-19693-005 Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.Other Answered Questions: [ANSWERED] Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache [ANSWERED] As a counsellor operating from a Jungian perspective [ANSWERED] Compare and contrast the various ways you can access information delivering professional continuing