Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family Assignment: Ethical and Legal Implications of Prescribing Drugs What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient? These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond. To Prepare Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure. Review the scenario assigned by your Instructor for this Assignment. Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor. Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors. By Day 7 of Week 1 Write a 2- to 3-page paper that addresses the following: Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family. Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state. Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. Explain the process of writing prescriptions, including strategies to minimize medication errors. You will also evaluate and analyze ethical and legal implications and practices related to prescribing drugs. As advanced practice nurses, almost every clinical decision you make will have ethical or legal implications. Your ethical and legal knowledge is fundamental to your ability to resolve the multitude of challenging issues encountered in practice. This week you have an assignment to write a paper – you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond: Scenario options Scenario 1: As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. Scenario 2: A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway. Scenario 3: You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident. Scenario 4: During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life. Please refer to the Course Schedule for specific assignments and due dates for this week. Have a wonderful week! Expert Answer and Explanation Ethical Issues in Drug Prescriptions Ethical and Legal Implications of the Scenario The given scenario highlights ethical issues that are involved when prescribing drugs to patients, especially if the patients are either family members or friends. The first ethical consideration falls under the ethical principle of beneficence and non-malfeasance. When prescribing drugs to family members or friends without being objective, it will be difficult for the prescriber to ascertain whether the drug will be of help or detrimental to the patient’s health which may not adhere to the ethical principles of beneficence and non-malfeasance (Ghazal, Saleem & Amlani, 2018). Following due procedure when prescribing drugs for any patient is vital in reducing the chances of prescription errors. The legal implications of the decision to prescribe will arise when harm has been done to the patient, and proper disclosure and prescription procedures were not adhered to. Strategies to Address Disclosure and Nondisclosure According to Ghazal, Saleem, and Amlani (2018), one of the biggest ethical dilemmas encountered by most healthcare practitioners is whether to disclose or not to disclose medical errors. However, according to the statutory bill of rights, regarding patients’ rights, a healthcare provider is requested to disclose any incident of a medical error to the patient. One of the strategies to address disclosure and non-disclosure in my state is by encouraging honesty in practice whereby both the patient and the prescriber ought to understand that errors in healthcare, at times, happen, and finding a solution to the errors committed is what is important. Encouraging the use
You are participating in the customization and implementation of a barcode medication administration system. In a 500-word APA essay, analyze how the process flow will
You are participating in the customization and implementation of a barcode medication administration system. In a 500-word APA essay, analyze how the process flow You are participating in the customization and implementation of a barcode medication administration system. In a 500-word APA essay, analyze how the process flow will change from the current manual process to a barcode process and identify potential problem areas and possible solutions. Additionally, include a workflow diagram (Process Flowchart) from the manual process to the barcode process. The resources to get started on this project are in the Additional Resources for this module. REQUIRED SOURCE McGonigle, D., & Mastrian, K. (2017). Nursing Informatics and the Foundation of Knowledge (4th ed.). Jones & Bartlett Learning. ISBN: 978-1284121247. Assignment Expectations Length: 500 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). Expert Answer and Explanation The Customization and Implementation of a Barcode Medication Administration System Healthcare barcode solutions are vital when it comes to providing safe and quality data. Wilson et al. (2020) note that barcode solutions help track patient medication, modernize the patient admission procedure, track patient admission, and identify the clients when they are in hospital. The barcode system can also reduce medical errors by ensuring that the nurses administer the right medication. The purpose of this assignment is to analyze how my organization’s flow process with the transition from the current manual to a barcode process, and identify the potential problem areas and solutions. Analysis of the Current Process The current process is a manual process where information is processed manually. The majority of the activities are done manually with paper and pen. For instance, when a patient enters the hospital, they will be admitted manually and their names entered into the system using pen and paper (Samadbeik et al., 2017). Also, in the current process, the input is collected in a tray and the person in charge is required to apply their brain to reply to the inquiries. This type of data management can encourage medical errors, especially when the person making data entry is exhausted or tired. For instance, the nurse at the admission point can mistype the name of the patient, hence leading to a medication administration error. Patient privacy can also be breached if data in the “tray” or the file cabinet is accessed by unauthorized individuals. Manual data management is tiring because it involves repeating the same process many times. Manual data processing also takes too much space (McGonigle & Mastrian, 2017). Hospitals applying this process need a huge scape to design file cabinets that can be used to store data. Information in manual data processing can easily be lost or damaged. Making changes to data created by hand is hard and this can create a lot of inconveniences. Diagram of the New Process Discussion of the New Process Healthcare professionals have been developing electronic data management systems to solve the flaws in the manual data processing system. Barcode system that solves most of the flaws experienced in manual data processing. As seen in the diagram above, the barcode system can help a nurse determine whether the medication provided by the pharmacists is indeed prescribed to a specific patient, hence preventing prescription error (McGonigle & Mastrian, 2017). In the diagram, if the medication does not match the patient barcode, then the drugs will be returned and the correct order made. The barcode system can also solve the issue of space because all the data will be stored on the computer hardware. In some situations, data can be stored in a cloudscape. Barcode data processing can also improve the time where the patient can get care. The barcode process can cause various problems in healthcare. One of the issues is that nurses can lose creativity because of the overdependence of electronic systems to perform nursing services (Jimenez, 2017). This problem can be solved by exposing nurses to constant training and education to improve their knowledge and skills. Conclusion Barcode data can improve care by reducing time for accessing care, improving quality and safety of care by reducing medical errors, and improve the safety of patient data. References Jimenez, M. (2017). Effects of Barcode Medication Administration: Literature Review. Proceedings of the Northeast Business & Economics Association. http://web.a.ebscohost.com/ehost/detail/detail?vid=0&sid=94e40e24-1d39-4b2e-b98e-1f88c6267265%40sdc-v-sessmgr01&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=134235278&db=bth McGonigle, D., & Mastrian, K. (2017). Nursing Informatics and the Foundation of Knowledge (4th ed.). Jones & Bartlett Learning. ISBN: 978-1284121247. Samadbeik, M., Shahrokhi, N., Saremian, M., Garavand, A., & Birjandi, M. (2017). Information processing in nursing information systems: An evaluation study from a developing country. Iranian Journal of Nursing and Midwifery Research, 22(5), 377. doi: 10.4103/ijnmr.IJNMR_201_16 Wilson, N., Jehn, M., Kisana, H., Reimer, D., Meister, D., Valentine, K., … & Clarke, H. (2020). Nurses’ perceptions of implant barcode scanning in surgical services. CIN: Computers, Informatics, Nursing, 38(3), 131-138. doi: 10.1097/CIN.0000000000000579 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: NEW30 to Get 30% OFF Your First Order FAQs BCMA Barcode Medication Administration In today’s fast-paced healthcare environment, patient safety and efficient care delivery are of utmost importance. One significant advancement that has revolutionized the healthcare industry is the implementation of BCMA, which stands for Barcode Medication Administration. BCMA is a technology-driven process that utilizes barcodes to ensure accurate and secure medication administration. This article delves into the intricacies of BCMA, its benefits, challenges, and its impact on patient care. Introduction Medication errors have long been a concern in healthcare settings. These errors can lead to adverse events, patient harm, and even fatalities. To address this issue, healthcare providers are constantly seeking innovative solutions to enhance patient safety and improve medication administration processes. One such solution that has gained significant attention
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles Evidence-Based Project, Part 1: Identifying Research Methodologies Is there a difference between “common practice” and “best practice” When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. Expert Answer and Explanation Prevention of Pressure Ulcers Full citation of selected article Article #1 Article #2 Karimianfard, N., & Jaberi, A. (2022). The prevalence of using complementary and alternative medicine products among patients with pressure ulcer. BMC Complementary Medicine and Therapies, 22(1), 91. https://doi.org/10.1186/s12906-022-03573-6 Yilmazer, T., & Tuzer, H. (2022). The effect of a pressure ulcer prevention care bundle on nursing workload costs. Journal of Tissue Viability, 31(3), 459–464. https://doi.org/10.1016/j.jtv.2022.05.004 Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) This study gave an interesting perspective on the use of contemporary medicine in prevention of pressure ulcers which is a rarely discussed subject in the prevention of pressure ulcers that I have chosen as my clinical issue of interest. The research adhered to the guidelines stipulated under Helsinki Declaration which aims to protect research participants under the ethical principle of nonmaleficence. The research aimed to scrutinize the effectiveness of a pressure ulcer preventive care bundle and its implications on nurse workloads and care costs. This to a great extent provides justification of conducting targeted approaches towards prevention of pressure ulcers in clinical settings. One of the ethical considerations taken in this study is provision of informed consent to the patients before their participation, which is important in ensuring that the patients are aware and consent being under observation for research purposes and the nature of rights that guide the research process in protecting their safety and quality of care. Brief description of the aims of the research of each peer-reviewed article The aim of this study was to assess how prevalent the use of CAM is among patients with pressure ulcers. The research aimed to scrutinize the effectiveness of a pressure ulcer preventive care bundle on pressure ulcer incidents and its implications on nurse workloads and care costs. Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. The study employed a cross-sectional research design, which is a quantitative approach, consisting of 299 patients with PU. Questionnaires were used to collect the data which was then analyzed using SPSS. The research employed a prospective pre-post interventional study that was conducted in an anesthesia and reanimation intensive care unit. The study sample consisted of 84 patients and 64 nurses, with different tools used to collect the data including the Branden scale that is used to measure pressure ulcers. A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. The research methodology used was quite appropriate in comparing the variables and simple to perform which allows easy interpretation of the research findings. The validity and reliability of the data collection instruments and analysis was confirmed by an independent entity, with the questionnaire being a standardized questionnaire developed, tested and used in other studies used on its validity to measure the use of CAM. The research designed used in the study is quite ideal since it allows the collection of in-depth data that can be used to compare and measure the effects of an intervention before and after implementation. The data collection tool, Braden scale is considered a reliable and valid tool
An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature
An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature Case Study Analysis An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity. Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact. An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. In 1-2 pages, you will answer the questions provided following the case scenario. You must use current evidence-based resources to support your answers. Follow APA guidelines. Follow the grading rubric. To prepare: By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor. The Assignment Develop a 1- to 2-page case study analysis by answering the questions provided following the case scenario. Expert Answer and Explanation Pathophysiological Case Analysis – Sickle Cell Anemia in an Adolescent Cellular Pathophysiology and Symptom Correlation The main characteristic of sickle cell disease (SCD) is abnormal hemoglobin S synthesis, which gives red blood cells a stiff, sickled appearance when oxygen levels are low. These malformed cells cause tissue damage, ischemia, and pain crises by blocking microcirculation (Saah et al., 2022). Vaso-occlusion in the bone marrow and pulmonary circulation is most likely the cause of Marcus’s excruciating joint and chest pain. Chronic hemolytic anemia brought on by the early death of sickled cells is the reason of his exhaustion and dyspnea. His clinical appearance is directly consistent with continued hemolysis and reduced oxygen transport, as evidenced by the high bilirubin and LDH levels, scleral icterus, and pale conjunctiva. Genetic Mutation and Inheritance Pattern A point mutation in the beta-globin gene on chromosome 11 that causes valine to substitute glutamic acid at position six is the cause of sickle cell disease (SCD) (Adekile, 2021). The creation of hemoglobin S is the outcome of this single nucleotide change. The illness is inherited in an autosomal recessive manner. Marcus inherited one faulty gene from each parent, which is why he has sickle cell disease. His father’s genetic status is unclear, but his mother is confirmed to be a carrier. To determine future risk in siblings or offspring, genetic counseling and family testing would be helpful. Impact on the Immune System Due to recurrent splenic infarctions, SCD might result in autosplenectomy or functional asplenia, which impairs immunological function (Adekile, 2021). Marcus’s defenses against encapsulated pathogens like Haemophilus influenzae and Streptococcus pneumoniae are weakened as a result. He is more susceptible to infections due to his weakened immune system, which could be a factor in his low-grade fever and general deterioration in physical health. Antibiotic prophylaxis and preventive vaccines are still essential for preventing infections in SCD patients. Hydroxyurea and Its Therapeutic Role Hydroxyurea helps lower the concentration of hemoglobin S by increasing the production of fetal hemoglobin (HbF), which does not sickle (López & Argüello, 2024). This enhances oxygen delivery generally and lessens the frequency and intensity of vaso-occlusive crises. Marcus’s poor adherence to hydroxyurea medication may explain the increasing frequency of pain crises and hospitalizations. Adherence and results can be enhanced by routine monitoring and assistance. Patient Education and Culturally Sensitive Interventions Giving Marcus culturally appropriate instruction that is adapted to his background and stage of adolescence is crucial for an APRN. Adherence can be improved by addressing adverse effect concerns, incorporating Marcus in decision-making, and providing straightforward explanations of the significance of consistent hydroxyurea administration (Poku et al., 2023). It’s also critical to talk about lifestyle changes, involvement in school, the value of being hydrated, and pain management. Family members should be included in education, and cultural views on disease and medicine should be acknowledged (Poku et al., 2023). Building open lines of communication and trust can enable Marcus to actively manage his illness.Top of Form References Adekile, A. (2021). The genetic and clinical significance of fetal hemoglobin expression in sickle cell disease. Medical Principles and Practice, 30(3), 201-211. https://doi.org/10.1159/000511342 López, R. M., & Argüello, M. (2024). The Current Role of Hydroxyurea in the Treatment of Sickle Cell Anemia. Journal of Clinical Medicine, 13(21), 6404. https://doi.org/10.3390/jcm13216404 Poku, B. A., Atkin, K. M., & Kirk, S. (2023). Self‐management interventions for children and young people with sickle cell disease: A systematic review. Health Expectations, 26(2), 579-612. https://doi.org/10.1111/hex.13692 Saah, E., Fadaei, P., Gurkan, U. A., & Sheehan, V. (2022). Sickle cell disease pathophysiology and related molecular and biophysical biomarkers. Hematology/Oncology Clinics, 36(6), 1077-1095. https://doi.org/10.1016/j.hoc.2022.06.005 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 Cells and Cell Behavior: A Critical Component in Disease Diagnosis and Treatment Introduction An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. For healthcare professionals, particularly Advanced Practice Registered Nurses (APRNs) and medical students, mastering cellular processes forms the foundation of effective patient care and clinical decision-making. Why Cell Biology Matters in Healthcare The Foundation of Medical Practice Cell biology serves as the cornerstone of modern medicine. By understanding how cells work in both healthy and diseased states, healthcare providers can: Identify early warning signs of cellular dysfunction Develop targeted treatment strategies Monitor patient responses to therapeutic interventions Predict disease progression and outcomes Statistical Impact of Cellular Understanding in Healthcare Recent healthcare data demonstrates the critical importance of cellular knowledge: Healthcare Outcome Improvement with
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: Which genetic mutations are commonly associated with the disease? Why is the patient presenting with the specific symptoms described? Discuss the pathophysiological mechanisms of the disease in detail. What do the blood test results tell us about the disease and disease progression? Verified Expert Answer Alterations in Cellular Processes Genetic Factors and Symptom Presentation This case involves a 38-year-old man with a history of asthma is exhibiting symptoms that are typical of an anaphylactic reaction in this instance. Certain genetic predispositions may make a patient more susceptible to allergic reactions, even though no new exposures were found. Increased IgE production has been linked to polymorphisms in genes such IL4, IL13, and FCER1A, which may cause hypersensitivity reactions in people who are predisposed to allergies (Rojo-Tolosa et al., 2024). A Th2-dominant immune profile is suggested by his history of asthma, which could lead to increased immune responses. Repeated anaphylaxis reactions without a recognized cause could be a sign of immunological dysregulation or underlying genetic impact. Pathophysiological Mechanisms of Anaphylaxis The immediate and severe hypersensitivity reaction known as anaphylaxis is mainly caused by immunoglobulin E. Histamine, leukotrienes, and prostaglandins are among the chemical mediators released by mast cells and basophils when the immune system comes into contact with an allergen, even in the absence of a recently discovered exposure. These chemicals result in bronchial smooth muscle contraction by increasing vascular permeability and vasodilation. Capillary leakage and fluid buildup in tissues cause the patient’s angioedema and hives (Nuñez-Borque et al., 2022). When peripheral vasodilation and plasma leakage into interstitial spaces result in hypotension, tachycardia is the body’s compensating reaction. Interpretation of Vital Signs and Disease Progression Systemic involvement is evident from the patient’s initial vital signs, despite the lack of particular laboratory data. While a respiratory rate of 28 and an oxygen saturation of 90% signal respiratory impairment, a blood pressure reading of 100/62 indicates early hypotension. According to Zhang et al. (2025), compensatory tachycardia in response to cardiovascular load is indicated by a heart rate of 126 beats per minute. Serum tryptase levels can be checked to verify mast cell activation in cases of suspected anaphylaxis. Additional immunologic testing might be required because of the symptoms’ recurring and inexplicable character. References Nuñez-Borque, E., Fernandez-Bravo, S., Yuste-Montalvo, A., & Esteban, V. (2022). Pathophysiological, cellular, and molecular events of the vascular system in anaphylaxis. Frontiers in Immunology, 13, 836222. https://doi.org/10.3389/fimmu.2022.836222 Links to an external site. Rojo-Tolosa, S., Sánchez-Martínez, J. A., Caballero-Vázquez, A., Pineda-Lancheros, L. E., González-Gutiérrez, M. V., Pérez-Ramírez, C., … & Morales-García, C. (2024). SingleNucleotide Polymorphisms as Biomarkers of Mepolizumab and Benralizumab Treatment Response in Severe Eosinophilic Asthma. International Journal of Molecular Sciences, 25(15), 8139. https://doi.org/10.3390/ijms25158139 Links to an external site. Zhang, C., Collins, L., & Manders, E. K. (2025). The Organization of Vital Signs for Pattern Recognition. Medical Science Educator, 35(1), 487-495. https://doi.org/10.1007/s40670-024-02207-5 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 Alterations in Cellular Processes At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally. Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. You must use current evidence-based resources (Primary and secondary) to support your initial posting and all responses to your colleagues. Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. WEEKLY RESOURCES To prepare: By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. by day 3 of Week 1 Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: Which genetic mutations are commonly associated with the disease? Why is the patient presenting with the specific symptoms described? Discuss the pathophysiological mechanisms of the disease in detail. What do the blood test results tell us about the disease and disease progression? Read a selection of your colleagues’ responses. by day 6 of Week 1 Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your peers’ posting. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Guide to Disease Explanation in Pathophysiology Introduction Understanding disease pathophysiology requires a systematic approach that integrates genetic, molecular, and clinical perspectives. This comprehensive guide provides nursing students and practitioners with a structured framework for analyzing and explaining diseases highlighted in clinical scenarios, with particular emphasis on genetic factors, symptom presentation, and therapeutic interventions. Theoretical Framework for Disease Analysis The Pathophysiological Triad Modern disease analysis in advanced nursing practice relies on three interconnected components: Genetic Foundation: The hereditary basis of disease susceptibility Environmental Triggers: External factors that initiate or exacerbate disease processes Phenotypic Expression: The observable manifestation of disease in patients According to McCance
Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum
Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Assignment 2: Comprehensive Psychiatric Evaluation Note and Patient Case Presentation Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient. To Prepare Review this week’s Learning Resources and consider the insights they provide about impulse-control and conduct disorders. Select a patient for whom you conducted psychotherapy during the last 6 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. All psychiatric evaluation notes must be signed, and each page must be initialed by your Preceptor. When you submit your note, you should include the complete comprehensive evaluation note as a Word document and pdf/images of each page that is initialed and signed by your Preceptor. You must submit your note using SafeAssign. Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Grading Policy. Then, based on your evaluation of this patient, develop a video presentation of the case. Plan your presentation using the Assignment rubric and rehearse what you plan to say. Be sure to review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video. Include at least five scholarly resources to support your assessment and diagnostic reasoning. Ensure that you have the appropriate lighting and equipment to record the presentation. The Assignment Record yourself presenting the complex case study for your clinical patient. In your presentation: Dress professionally and present yourself in a professional manner. Display your photo ID at the start of the video when you introduce yourself. Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information). Present the full complex case study. Be succinct in your presentation, and do not exceed 8 minutes. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals. Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was 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 in order of highest to lowest priority and explain why you chose them. 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 (including one health promotion activity and one patient education strategy)? What was your plan for treatment and management, including alternative therapies? Include 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? Expert Answer and Explanation Comprehensive Psychiatric Evaluation Note and Patient Case Presentation Subjective: CC (chief complaint): The client’s mother complains that her child has been engaging in fights and has been so impulsive on many occasions. HPI: DK is a 14-years-old female of White origin whose mother requested that she be connected to treatment services. The patient’s mother complains that the patient often initiates physical fights with her peers at school. She also intimidates and bullies other students. She has been physically cruel to her peers and mother on several occasions. The patient’s mother also complains that the patient has a history of violent outbursts, anger problems, and impulsivity. When she is angry, she often punches walls and attacks others. The client also reports a feeling of stress and anxiety when she is in public and around many people. Her behaviors have deteriorated her relationship with her peers as they fear being around her. Her grades have also decreased. She has been suspended more than six times in the last three semesters for fighting her peers. Substance Current Use: She denies substance abuse or alcohol intake at the moment. Medical History: She denies any medical problems. Current Medications: No medications Allergies:No allergies. Reproductive Hx:She does not have any reproductive abnormality and is sexually inactive. ROS: GENERAL: No weakness, weight loss, fatigue, or chills. No weight loss, fever, chills, weakness, or fatigue. HEENT: Eyes: No double vision, yellow sclerae, blurred vision, or visual loss. Ears, Nose, Throat: No sneezing, hearing, sore throat, or congestion. SKIN: No rash. CARDIOVASCULAR: No chest pain, edema, chest pressure, palpitations, or chest discomfort. RESPIRATORY: No shortness of breath, history of coughing, or sputum. GASTROINTESTINAL: No stomach pain, diarrhea, nausea, or anorexia. GENITOURINARY: No odor, urgency, odd color, hesitancy, or burning on urination. NEUROLOGICAL: No numbness, or tingling in the extremities, syncope, headaches, change in bladder control, or paralysis. MUSCULOSKELETAL: No joint or muscle pain. HEMATOLOGIC: No bleeding, bruising, anemia. LYMPHATICS: No history of splenectomy. ENDOCRINOLOGIC: No reports of endocrinologic abnormalities. Objective: Vital Signs: BP 108/79, RR 16, P 67, Temp 36.8, Ht. 63 inches, Wt. 105 lbs. Physical Exam HEENT: Eyes: No glasses. The pupil size is 3.5 mm. The reactivity, symmetry, and shape of the pupil are
Review the video Case Study Dev Cordoba. 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.
Review the video Case Study Dev Cordoba. 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. Assignment: Focused SOAP Note for Anxiety, PTSD, and OCD In assessing patients with anxiety, obsessive-compulsive, and trauma and stressor-related disorders, you will continue the practice of looking to understand chief symptomology in order to develop a diagnosis. With a differential diagnosis in mind, you can then move to a treatment and follow-up plan that may involve both psychopharmacologic and psychotherapeutic approaches. In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video Case Study Dev Cordoba. 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. The Assignment 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 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 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 priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TRcriteria 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: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). Expert Answer and Explanation Focused SOAP Note for Major Depressive Disorder Subjective: CC (chief complaint): “anxious and worried all the time.” HPI: DC is a 7-year-old African American boy who is brought to the school clinic by her mother with a CC of being “anxious and worried all the time.” The patient reports that he is worried all the time about many things, including being left by his family and being lost, and has nightmares about the same. He reports having nightmares almost daily. The patient states that she feels lonely due to his father’s absence and feels his mother is not giving him much attention compared to his brother. Her mother reports a decrease in the patient’s school performance characterized by increased absenteeism and lack of concentration in school. He has issues with wetting the bed even after being given medications to help with the issue. As a result, he finds it difficult to interact with his peers at school since they say he smells bad. DC has also been displaying violence both in school and at home. The patient’s mother reports a sudden loss in appetite, with the patient losing three pounds within the past three days. He has never had any prior visitations to a psychiatric clinic before this and was referred by the child’s pediatrician who states that there is nothing physically wrong with DC. Past Psychiatric History: General Statement: The patient has never had any psychiatric assessment before and was referred back to the school clinic by his pediatrician citing the absence of physiological issues. Caregivers: The patient is under the care of his mother. Hospitalizations: No hospitalization. The patient also denies having any thoughts of hurting himself Medication trials: No indication from the mother of having participated in any medical trials. Psychotherapy or Previous Psychiatric Diagnosis: Denies having a past diagnosis of a psychological health condition. Substance Current Use and History: Denies any history of substance use or secondary exposure to the same. Family Psychiatric/Substance Use History: denies knowing any family member with a psychiatric or substance use history. Psychosocial History: The patient is currently a grade two student but has very few social interactions or friends at school. The patient’s father was killed on a military mission and currently lives with her mother. The patient has a dog called sparky and LEGOs which he likes to play with. Medical History: No history of mental conditions. Current Medications: Previous prescription of desmopressin. Allergies: no allergies reported. Reproductive Hx: N/A. ROS GENERAL: positive for sudden weight loss, occasional loss of concentration. Denies having any fever or fatigue. HEENT: N/A SKIN: N/A CARDIOVASCULAR: No chest discomfort, tightness, or pain RESPIRATORY: No shortness of breath or wheezing sound GASTROINTESTINAL: N/A GENITOURINARY: Denies having UTI. Normal volume and consistency of urination NEUROLOGICAL: No neurological disorders. MUSCULOSKELETAL: No MS disorders noted HEMATOLOGIC: N/A LYMPHATICS: Non-contributory ENDOCRINOLOGIC: No endocrinologic abnormalities were noted Objective: Physical exam: Vital Signs: T 35.2, HR, 70, BP 100/58, Wt. 38, Ht. 4’5,
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
Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. FOCUSED SOAP NOTE FOR ANXIETY, PTSD, AND OCD In this Assignment, you use a case study to develop a focused SOAP note based on evidence-based approaches. TO PREPARE Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders. Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video Case Study Dev Cordoba. 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. THE ASSIGNMENT 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 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 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 priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR 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: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient.?Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old). Expert Answer and Explanation Focused SOAP Note for Anxiety, PTSD, and OCD Subjective: CC (chief complaint): “I feel worried all the time.” HPI: Dev C., a 7-year-old male of Hispanic descent, is brought in by his mother for evaluation due to persistent anxiety, nightmares, and behavioral issues. He has never seen a mental health professional before. His current medications include DDVAP for bedwetting, which has not been effective. Dev has been experiencing significant worry about his family’s well-being, nightmares about being lost, and daytime anxiety affecting his school performance. He has a history of throwing objects when upset but has no history of self-harm. His mother reports he often expresses fears about her dying or not picking him up from school and claims she loves his baby brother more than him. Substance Current Use: No current or past use of caffeine, nicotine, illicit substances, or alcohol. Medical History: Current Medications: DDVAP (dosage and frequency not specified in the transcript, used for bedwetting). Allergies: None reported. Reproductive Hx: Not applicable. ROS: GENERAL: Frequent headaches and stomachaches, recent weight loss of 3 pounds over three weeks. HEENT: No specific complaints reported. SKIN: No specific complaints reported. CARDIOVASCULAR: No specific complaints reported. RESPIRATORY: No specific complaints reported. GASTROINTESTINAL: Complaints of frequent stomachaches. GENITOURINARY: Bedwetting at night. NEUROLOGICAL: No specific complaints reported. MUSCULOSKELETAL: No specific complaints reported. HEMATOLOGIC: No specific complaints reported. LYMPHATICS: No specific complaints reported. ENDOCRINOLOGIC: No specific complaints reported. Objective: Diagnostic results: No labs, X-rays, or other diagnostics were performed or indicated in the transcript. Assessment: Mental Status Examination: Dev appears his stated age, dressed appropriately, and is cooperative throughout the interview. His mood is anxious, and his affect is congruent with his mood. Speech is normal in rate and volume. His thought processes are logical and goal-directed. He expresses worries about his mother’s safety and fears abandonment, indicative of separation anxiety. No hallucinations or delusions are reported. His cognition appears intact for his age, understanding the current date and location (Bitsko, 2022). Insight and judgment are limited but appropriate for his age. No suicidal or homicidal ideations are present. Diagnostic Impression: Primary Diagnosis: Separation Anxiety Disorder (SAD) (F93.0) Rationale: Dev’s persistent and excessive worry about losing his mother and his difficulty being away from her align with SAD. Secondary Diagnosis: Post-Traumatic Stress Disorder (PTSD) (F43.1) Rationale: The traumatic loss of his father, persistent nightmares, and hypervigilance (worrying about his mother’s safety) suggest PTSD. Other Considerations: Enuresis (bedwetting) (F98.0), as reported by his mother. Reflections: I agree with the preceptor’s assessment, as the patient’s symptoms and history strongly support the diagnoses of Separation Anxiety Disorder (SAD) and Post-Traumatic Stress Disorder (PTSD) (Boland et al., 2022). Dev exhibits clear signs of SAD, such as excessive worry about his mother’s safety and significant distress when separated from her. The history of his father’s death and the subsequent behavioral and emotional changes point to PTSD, evidenced by his recurrent nightmares, persistent anxiety, and hypervigilance. This case identifies the critical need for addressing traumatic experiences early in a child’s life to mitigate long-term psychological impacts. Providing appropriate support and interventions for young patients experiencing significant anxiety and loss is essential (Thapar et al., 2015). It ensures their emotional and psychological well-being and helps prevent the potential escalation of symptoms into more severe mental health issues as they grow. Interventions such as cognitive-behavioral therapy (CBT),
For this Assignment you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background
For this Assignment you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. Assignment Assessing and Diagnosing Patients With Substance–Related and Addictive Disorders An important consideration when working with patients is their cultural background. Understanding an individual’s culture and personal experiences provides insight into who the person is and where he or she may progress in the future. Culture helps to establish a sense of identity, as well as to set values, behaviors, and purpose for individuals within a society. Culture may also contribute to a divide between specific interpretations of cultural behavior and societal norms. What one culture may deem as appropriate another culture may find inappropriate. As a result, it is important for advanced practice nurses to remain aware of cultural considerations and interpretations of behavior for diagnosis, especially with reference to substance-related disorders. At the same time, PMHNPs must balance their professional and legal responsibilities for assessment and diagnosis with such cultural considerations and interpretations. For this Assignment you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background. To Prepare: Review this week’s Learning Resources and consider the insights they provide. Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment. By Day 1 of this week select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind. Consider what history would be necessary to collect from this patient. Consider what interview questions you would need to ask this patient. Identify at least three possible differential diagnoses for the patient. By Day 7 of Week 8 Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. Incorporate the following into your responses in the template: 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 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 priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR 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. Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Expert Answer and Explanation Substance Abuse Disorder Subjective: CC: “I am scared and worried about going to a rehab facility.” HPI: Lisa Pittman is a 29-years-old female of white origin. She came to West Palm Beach, FL, detox facility to get a piece of advice on whether to join a rehab institution. Lisa is scared of joining a rehab facility because of how society will treat her. She says that if she goes to rehab, she will not get a job. She is also scared that people will see her as an addict when she joins a rehab facility. She says that Jeremy, her boyfriend influenced her to take crack cocaine. She spends a lot of money on cocaine. She says that she has to use cocaine regularly to feel good. She reports that if she does not use cocaine, she will feel worse and horrible. She continues to use cocaine even if she knows that she needs help. Her cocaine use has affected her daily activities. She does not eat properly and has poor sleeping habits. Past Psychiatric History: General Statement: No history of treatment for psychiatric conditions. Caregivers (if applicable): No Caregivers Hospitalizations: No hospitalization. Medication trials: No prior history of medical trials. Psychotherapy or Previous Psychiatric Diagnosis: The patient has never undergone psychiatric treatment and has no mental problems. Substance Current Use and History: She says that she takes crack cocaine. He spends $100 daily to buy cocaine. She uses cannabis. She takes it about 1-2 times weekly. She drinks 2-3 bottles of alcohol once weekly. Family Psychiatric/Substance Use History: Her brother has a history of opioid abuse. Her father was jailed for drug possession. Her mother has a history of benzodiazepine abuse and anxiety. Psychosocial History: She was born in Alabama, where her parents raised her. Her mother raised her after her father was jailed when she was 5-7 years old. She has a single sibling, a brother who has not visited them for ten years. She currently lives with her boyfriend in Florida. She has a daughter who lives with her friends. She studied digital marketing in college. She likes to party with friends and get high. She was convicted for possessing drugs and is currently on probation. She is a digital marketer and creates commercial websites for businesses. Her father sexually assaulted her when she was 5-7 years old. She recently witnessed her boyfriend having sexual intercourse with another woman. Medical History: Lisa has hepatitis C. Current Medications: No medications Allergies: She has amoxicillin allergies. Reproductive Hx: She is sexually active. The menstrual cycle is regular. She uses an intrauterine device as her contraceptive method. There are no reproductive concerns. ROS: GENERAL: Positive for low appetite. No weakness, chills, fever, or fatigue. HEENT: No abnormalities. SKIN: No itching. CARDIOVASCULAR: No chest pain, edema, leg cramps, dyspnea, or ankle swelling. RESPIRATORY: No pain with breathing,
Identify A Population To Assess And Develop An Evidence-Based, Primary Care Health Promotion Recommendations To Deliver In Their Own Communities (Ex: Hispanics-Diabetes, Africanamericans
Identify A Population To Assess And Develop An Evidence-Based, Primary Care Health Identify A Population To Assess And Develop An Evidence-Based, Primary Care Health Promotion Recommendations To Deliver In Their Own Communities (Ex: Hispanics-Diabetes, Africanamericans And Prostate Cancer,Etc). This An Example Of A Student Posting: Each Population Has Some Specific Health Issues That Can Require Health Promotion Programs. American Indian Population Attracts Attention In This Context Because Of The Specific State Of Affairs. Although This Population Has Several Main Health Issues For Which Health Promotion Can Be Required, All These Issues Can Be Solved By Following The Directions That Cause A Generally Healthy Lifestyle. According To The U.S. Department Of Health And Human Services (N.D.), The Main Issues In The American Indian Population Is Diabetes, Obesity, And Tobacco Use. Even Though Those Are Three Different Issues, The Health Promotion For Solving Them Is Quite Similar. Such Promotions Have To Be Generally Focused On A Healthy Lifestyle. This Means Healthy Nutrition – Less Fat And Sweet Food And More Healthy Food And Balanced Nutrition. The Next Item Is Physical Activity – Starting With Such Common Advice As More Walking And Ending With Making Sport A Healthy Habit. This Advice Is Also Helpful For Coping With Tobacco Use. This Habit Often Appears When A Person Has Stress With Which It Is Hard To Cope. However, Sport Is Helpful In Decreasing The Level Of Stress, And Therefore, It Can Be Useful To Break The Smoking Habit. Therefore, One Can See That Advice Directed On Causing A Healthy Lifestyle Is Helpful For Coping With Health Issues, Widespread In The American Indian Population. This Way, One Can See That Even Though The American Indian Population Has Several Main Health Issues That Can Require Healthcare Promotion Programs, All These Issues Can Be Solved By Following The Directions That Cause A Generally Healthy Lifestyle. The Issues Of Diabetes, Obesity, And Tobacco Can Be Solved With Healthy Nutrition And Physical Activity. Reference U.S. Department of Health and Human Services. Health Promotion. Retrieved 20 March 2020, from https://www.ihs.gov/communityhealth/hpdp/ Expert Answer and Explanation Health promotion for Hispanics Population Different populations grapple with different health issues, and for the Hispanics, diabetes presents a major health concern. Although this population is at risk of developing various conditions linked to individual lifestyle behaviors, diabetes seems to be the most prevalent disease in this group. This group constitutes individuals of various sub-ethnic groups including Mexicans, Cubans and Puerto Ricans. In the United States (U.S.), 4 in 10 adults are at risk of developing the disease. Among members of the Hispanics communities, however, 1 in 2 adult individuals are likely to develop the disease (Center for Disease Control and Prevention, 2019). Certain key factors may explain the high incidences of the disease among members of the Hispanic population. Genetics play a role in the development of this clinical condition. While the degree of impact of the gene on the risk is unclear, it is possible that genetics plays a role in the development of the illness. However, food can also explain the high risk of the disease in this group. Individuals who are members of this culture eat food that is high in calories and fat, and based on this culture, it is wrong for one to throw away food (Center for Disease Control and Prevention, 2019). This is the reason behind high rates of obesity in the population. Therefore, it is also possible that high cases of obesity in this group causes an increase in high rates of diabetes. Because of the high rates of diabetes in this group, there is need to promote the health of the Hispanics through education. The goal of the education is to bring the change of behavior, and empower Hispanics to learn how they can manage their own health. For example, they can learn how to integrate physiotherapy into their personal health promotion plan (U.S. Department of Health and Human Services, 2020). References Center for Disease Control and Prevention. (2019). Hispanic/Latino Americans and Type 2 Diabetes. https://www.cdc.gov/diabetes/library/features/hispanic-diabetes.html. U.S. Department of Health and Human Services. (2020). Health Promotion. https://www.ihs.gov/communityhealth/hpdp/. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. FAQs African American Culture Healthcare Beliefs: Understanding the Historical, Social, and Cultural Contexts Healthcare beliefs and practices are deeply rooted in the cultural, social, and historical contexts of a community. Understanding these contexts is crucial for healthcare providers to provide culturally competent care. In this article, we will explore the healthcare beliefs of African Americans, one of the most diverse and vibrant ethnic groups in the United States. Historical Context The healthcare beliefs of African Americans are closely tied to their historical experiences, particularly the legacy of slavery, racism, and discrimination. Slaves were often denied access to healthcare and medical treatment, and their traditional healing practices were deemed inferior and even criminalized. This legacy of mistrust and skepticism towards the medical establishment still lingers in the African American community, and it shapes their attitudes towards healthcare today. Social Context The social context of African American healthcare beliefs is shaped by various factors such as socioeconomic status, education level, geographic location, and access to healthcare. African Americans are more likely to live in poverty, lack health insurance, and have limited access to quality healthcare facilities and services. These disparities contribute to a higher burden of chronic diseases, such as diabetes, hypertension, and obesity, in the African American community. Cultural Context African American healthcare beliefs are also shaped by their cultural heritage, which is rich and diverse. African Americans have a long tradition of holistic and spiritual healing practices, which incorporate elements of religion, faith, and community. Many African Americans rely on their family and friends for emotional and social support, and they often seek the advice of trusted community leaders and healers when it comes to health issues. Traditional Healing Practices: African American traditional healing practices include herbal remedies, spiritual healing, and home remedies. These practices are often passed down through generations and are