[ANSWERED 2023] Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs

Discuss how elimination complexities can affect the lives of patients and their families Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example. Discuss how functional patterns help a nurse understand the current and past state of health for a patient. Using a condition or disease associated with an elimination complexity, provide an example. EXPERT ANSWER AND EXPLANATION DQ1: Elimination Complexities Elimination complexities are health conditions that prevent a patient from excreting waste properly. Uremia is one of the elimination complexities. This disease can affect normal urine excretion. Elimination complexities can profoundly affect patients and their families socially, financially, and psychologically. Tan et al. (2017) argue that complications can affect the finances of the patients and their families in that the patient will use a lot of money to treat the conditions. Also, the diseases can prevent the patient from going to work, and this can affect him or her economically. In terms of psychology, the patient may have stress due to financial constraints. Also, the pain brought by the diseases can cause anxiety and depression. The family might suffer stress because their loved one is under distress. Socially, the conditions can prevent the patient from going to social events because of hygiene (Sherwood et al., 2017). They can fear that they will be isolated and laughed at because of their condition. Nurses play a vital role in supporting patients emotionally and psychologically. First, nurses can help patients psychologically by providing them with all the data needed for them to get better. For instance, they should give patients all the information about prescriptions. Also, nurses can emotionally and psychologically support patients by calling them often to ask them about their health and remaining them to regularly visit the hospital as advised by the doctor (Nakanishi et al., 2016). Nurses should give patients hope by telling them powerful words that can raise their spirits. Nurses can also help patients by assessing their psychological conditions and recommend a psychiatrist if they see fit. However, they can also provide counseling when they evaluate and see that the patient is not worse. References Nakanishi, H., Kurosaki, M., Hosokawa, T., Takahashi, Y., Itakura, J., Suzuki, S., … & Higuchi, M. (2016). Urinary excretion of the water channel aquaporin 2 correlated with the pharmacological effect of tolvaptan in cirrhotic patients with ascites. Journal of gastroenterology, 51(6), 620-627. Sherwood, A., Blumenthal, J. A., Koch, G. G., Hoffman, B. M., Watkins, L. L., Smith, P. J., … & Chang, P. P. (2017). Effects of coping skills training on quality of life, disease biomarkers, and clinical outcomes in patients with heart failure: a randomized clinical trial. Circulation: Heart Failure, 10(1), e003410. Tan, R. B., Chakravarti, S., Busovsky-McNeal, M., Walsh, A., & Cecchin, F. (2017). Complexity of ranolazine and phenytoin use in an infant with long QT syndrome type 3. HeartRhythm case reports, 3(1), 104. DQ2: Functional Health Patterns A functional health pattern is a framework developed by Marjory Gordon to be applied by nurses and other healthcare professionals to provide conduct a comprehensive and better health assessment of the patient (Temel & Kutlu, 2019). In other words, the model can be used by nurses in assessing the patient during the diagnosis process. The pattern can be used to diagnose any elimination complexity in a patient. Through the design, the nurse will understand the general health of the patient. If the patient experience any abnormality in the past, he or she will reveal it during a health-perception-health-management pattern (Badawy et al., 2019). The nurse can also grasp the eating habits of the patient. The information can help the nurse determine if the individual’s eating pattern promoted to the excretory disorder. Elimination information is always asked in this pattern. The information about elimination can help the nurse rule about the possibility of any excretory condition. People with excretory diseases, such as kidney failure, cannot exercise for long compared to healthy individuals. During functional health patterns, nurses collect information about exercises that can further improve their diagnosis of any elimination complexity. Information about the reset and relaxation period can help understand whether the patient has an elimination problem or any other disease (Karaca, 2016). For instance, if the patient is urinating excessively during the night, he or she might be suffering from either heart-related conditions or elimination complexities. The nurse can also understand the social health of the patient by collecting information about his or her social life and relationships. In conclusion, the functional pattern can give nurses a lot of information about the patient’s past and current medical history. References Badawy, P. J., Schafer, M. H., & Sun, H. (2019). Relocation and network turnover in later life: How distance moved and functional health are linked to a changing social convoy. Research on aging, 41(1), 54-84. Karaca, T. (2016). Functional Health Patterns Model–A Case Study. Case Studies Journal ISSN (2305-509X) Volume, 5. Temel, M., & Kutlu, F. Y. (2019). Functional Health Pattern Model Based Care Plan for a Depression Diagnosed Patient. Florence Nightingale Hemşirelik Dergisi, 27(1), 91-103. 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 What are Elimination Complexities? Understanding the Key Concepts Introduction When it comes to understanding complex topics within various fields, the realm of computer science presents us with the concept of elimination complexities. This intriguing subject, while often misunderstood, plays a crucial role in the optimization of algorithms and problem-solving. In this article, we’ll delve into the intricacies of elimination complexities, breaking down the core ideas and exploring their significance. The Fundamentals of Complexity Analysis Before diving into elimination complexities, it’s important to grasp the basics of complexity analysis. This involves evaluating the efficiency and performance of algorithms as they deal with increasing amounts of data. Complexity is typically classified into time complexity and space

[SOLVED 2023] In this assignment you will analyze a case involving public safety versus an individual’s privacy

In this assignment you will analyze a case involving public safety versus an individual’s Unit III Case Study Right to Privacy Case Study Certain freedoms such as civil liberties and civil rights are concepts highly revered by Americans; however, there are times when these two concepts conflict in the name of safety and national security. The Digital Age is having a profound effect on the privacy of individuals in both their daily and private lives. With technology like cameras and smartphones, the activities of people are being recorded more, whether it is running a red light, entering a building, playing in a park, or using an ATM machine. In this assignment you will analyze a case involving public safety versus an individual’s privacy. Read the following article from the New York Times concerning Carpenter v. United States, a case recently decided by the Supreme Court. Liptak, A. (2018, June 23). Warrant required for cellphone tracking data. New York Times, p. A1(L). Retrieved from http://link.galegroup.com.libraryresources.columbiasouthern.edu/apps/doc/A543973598/ STND?u=oran95108&sid=STND&xid=753160e8 For more background on the case, here is a link to the actual opinion written for this case: https://www.supremecourt.gov/opinions/17pdf/16-402_h315.pdf Please answer the following questions concerning this case. Address the questions in a cohesive essay. It should be at least two pages in length and should be double-spaced, and typed in 12-point Times New Roman font. Please be sure to provide an introduction to your essay, Which part of the Constitution addresses individual privacy rights? Do you believe that, with today’s technology, the Constitution still adequately protects those rights? Why, or why not? Describe the issue that was debated in this case. How was the need for public safety and security balanced with individual civil liberties and civil rights impacted by the final ruling in this case? Do you agree with the majority opinion or the dissenting opinion in this case? Explain your response. Where do you personally draw the line in this privacy issue? Explain how historical thought and tradition affect civil liberties and rights as they pertain to the issue presented in this case. Describe how politics can intersect with civil rights. What consequences do you support for those who violate constitutional rights? What, if any, compensation do you recommend for individuals whose rights have been violated by others? You must use at least two sources, in addition to the article given, to support your response. Make sure that all sources are cited and referenced using APA style. Expert Answer and Explanation Unit III Case Study Among the most discussed civil liberty in the US is the right to privacy. This is especially in the light of technology advancement, where in the recent past, there has been numerous technological advancements that infringe the rights of privacy by accessing personal data of individuals, especially through different telecommunication providers. The digital age has affected the private lives of Americans as they can be recorded when entering a building, passing a red light in traffic, playing in parks or even using ATM machines (Citron, 2018). This assignment involves an analysis of the Carpenter v. United States case, where privacy and phone location data as well as other elements are highlighted. Part of Constitution that Addresses Individual Privacy Rights and the Capacity of the Constitution to Protect those Rights The fourth amendment is the part of the constitution that protects individual privacy rights in an extensive way. Under this section of the constitution, which was added in December 1791, people are protected from searches that are unlawful or even seizures by authorities (Henderson, 2017). The police need to have a warrant to access your house and conduct extensive search. Issue debated in the Case In the Carpenter v. United States case, the issue debated about was the question as to whether or not the police, or other authorities, have the right to have unrestricted access to customer data through the telecommunications service providers (Chaudhari & Prasad, 2019). It was an issue that was raised in response to the anti-terrorism procedures set by the police of accessing different gadgets held by citizens to prevent unsafe digital activities. My Agreement in the Majority Opinion in the Case The majority opinion in the case held that there should be a warrant for the police to access the site location or other information of a citizen from a cell phone company. This majority opinion was held by Chief Justice Roberts, and was joined by justices Sotomayor, Kagan, Ginsburg, and Breyer (Chaudhari & Prasad, 2019). I agree with this opinion as it is among one of the only few ways that customers of telecom companies can feel safe using the devices to communicate amongst themselves. How Historical Tradition affects the thoughts as Pertaining to this Case One of the historical traditions that affected the thoughts pertaining to the case is that the police are meant to provide security for citizens, and that citizens should be willing to cooperate in all ways they are asked to. This traditional opinion dismisses the fact that some of these members of the police taskforce may be ‘dirty,’ and hence infringing the privacy of citizens would have the wrong beneficiaries. Intersection of Politics with Civil Rights Politics affect civil rights in a large way. In the Carpenter v. United States case, four justices including Justice Alito, Justice Gorsuch, Justice Kennedy, and Justice Thomas, has dissenting opinions, and several analysts argued that their indifference to the issue of privacy was on a political basis. Consequences for those Who Violate Constitutional Rights Violation of constitutional rights is a serious criminal offense, and I support the legal punishment of culprits of the same. However, there should be adequate warnings before serious actions are taken on the affected individuals. Compensation I Recommend for Individuals whose Rights are Violated by others A public pardon is best when a crime committed exposes a citizen to public shame. In other violations, I believe financial compensation to the individuals whose rights are violated should be done. I also believe that the culprits should compensate all other damages associated with the violations. References Chaudhari, N., & Prasad, S. K. (2019). Carpenter v. United States: State Surveillance and Citizen Privacy. NALSAR Stud. L. Rev., 13, 129. Citron, D. K. (2018).

[ANSWERED 2023] Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes

Explain how your academic and professional goals align with Walden’s vision, mission For this Assignment, review the AACN DNP Essentials document and reflect on the competencies presented. Reflect on your personal and academic goals and consider how those goals align with both Walden University’s mission and vision and with the AACN DNP Essentials. Reflect on the social determinants of health framework and consider how your academic and professional goals might align with addressing these elements as a DNP-prepared nurse. To prepare: Review The Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006) in this week’s Learning Resources and reflect on the competencies presented. Review Walden University’s mission, vision, and university outcomes. Reflect on your professional and academic goals. Consider how Walden’s mission and vision as well as the AACN’s perspective may fit with your goals. How might you incorporate a commitment to social change into your academic and professional plans? How might your academic and professional goals align with addressing the social determinants of health? The Assignment: (2–3 pages) Explain how your academic and professional goals align with Walden’s vision, mission, social change message, social determinants of health, and university outcomes as well as the AACN DNP Essentials. Be specific. Explain how you plan to incorporate social change throughout your program of study and in professional practice. Be sure to include how social change may contribute to your practicum/field experience and your role in professional practice. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. Expert Answer and Explanation AACN Competencies and the Walden Mission, Vision, and Outcomes Every nurse practitioner must have a goal or goals that guide their practice. Nurses should consider the culture and beliefs of all patients while working with them and helping them achieve their mental health outcomes (Cain et al., 2018). They should also work with their fellow healthcare professionals and stakeholders to provide affordable care to underserved communities (Cain et al., 2018). My goals are well aligned with Walden’s mission, social change message, vision, social determinants of health, university outcomes, and American Association of Colleges of Nursing (AACN) DNP Essentials. The purpose of this assignment is to explain how my goals align with Walden’s mission, social change message, vision, social determinants of health, university outcomes, as well as AACN DNP Essentials and how I plan to incorporate social change throughout my program of study and professional practice. Goals Aligning with Walden’s Vision and Mission, and AACN DNP Essentials Like any other organization, Walden University has a mission and vision that guides its practices. The mission of the university is to provide a diverse community of career professionals (Walden University, 2021). My first goal as a psychiatric nurse practitioner is to provide safe, quality, patient-centered and competent care to all patients, their families, and the community at large regardless of their background and culture. My goal aligns with the university’s mission in that I aim to provide quality care to all patients without any form of discrimination. I will achieve my professional goal by improving my knowledge of culturally-based care. I believe that I am one of the kinds of career professionals the university seeks to release in the job market. The vision of the university is to provide graduates who can solve societal challenges and thus advance the greater global good. My second goal is to be part of programs that aim to solve societal problems. Being part of problem-solving programs, will fulfil my second goal and also meet the vision of the university. Walden University defines social change as a deliberate process of developing and applying strategies, ideas, and actions to promote and develop cultures and communities (Walden University, 2021). My third goal is to become an advocate for patients and nurses. I would be able to promote social change by advocating for the needs of patients and my fellow nurses, a practice that aligns with the university’s social change message. My goals also align with AACN DNP Essentials. One of the essentials my goals align with is health care policy for advocacy in health care (AACN, 2006). I would be able to advocate for patients’ and nurses’ rights by creating health policies and presenting them to necessary people for approval and implementation. My academic goal is to be competent in the creation and advocacy of healthcare policies. Incorporating Social Change I plan to incorporate social change throughout my program of study by performing a quality improvement project aimed at improving the mental health of the less privileged in society. I will conduct a quality improvement study about the impact of physical exercise on sleep quality in African American people with depression. I will incorporate social change at the professional level by volunteering in mental health promotion programs. Social change will contribute to my field experience by improving my knowledge of advocacy and the development of promotional programs. Social change will also improve my collaborative skills because it will collaborate with various people to promote better mental health in the community. Conclusion My goals align with Walden’s mission, vision, and social change message. As a professional, I will work with other healthcare professionals to promote the better mental health status of my patients, families, and communities. I will also develop health policies that seek to make mental health care affordable to less privileged and provide other health professionals with the requisite tools to provide proper mental health care. References American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf Cain, C. L., Surbone, A., Elk, R., & Kagawa-Singer, M. (2018). Culture and palliative care: preferences, communication, meaning, and mutual decision making. Journal of Pain And Symptom Management, 55(5), 1408-1419. https://doi.org/10.1016/j.jpainsymman.2018.01.007 Walden University. (2021). Student publications: Vision, mission, and goals. https://catalog.waldenu.edu/ Place your order now for a similar assignment and get fast, cheap and best quality

[ANSWERED 2023] Locate a nursing study that examines the effects of an intervention. Provide a summary of the

Locate a nursing study that examines the effects of an intervention. Provide a summary of Module 6 Assignment Locate a nursing study that examines the effects of an intervention. Provide a summary of the study, focusing primarily on the intervention. Was the development and implementation of the intervention described in detail? Based on a theoretical framework? Did the design of the study promote investigation of the effects of the study—for example, was there comparison of experimental and control groups? Were there variables that could have impacted the findings that were not part of the intervention? Was there evidence of efforts to monitor the safety of participants? Are there any ways that the study could have been improved? Locate a nursing study that utilizes some aspect of the internet (for instance, for recruitment, delivery of an intervention, or completing online assessments. What challenges did the researchers face, and how were these challenges overcome (or not)? How could future research efforts be improved? Using your computer’s office tools, develop a pie, bar, or plot chart to represent the following population estimates: Population                         Percentage European American                         20 African American                             30 Native American                              20 Hispanic American                           30 The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. Expert Answer and Explanation Summary of Articles In nursing, an intervention is actual action and treatment that are conducted with the aim of helping patients with various diseases to reach the objectives set for them by their clinicians (Tappen, 2016). Nurses are needed to use their critical thinking, knowledge, and experience to decide the best interventions they can recommend to their patients (Sanson et al., 2019). The nursing practice has divided interventions into different classes. The first class of interventions is the ones that aim at promoting safety and healthy lifestyles. These kinds of interventions are not treatments. However, they help patients attain quality health. Another group of interventions is the ones that educate patients about certain issues. Tuominen et al. (2019) mention that other classes of interventions strive to promote physical health, community health, and complex psychological needs. In other words, Stolt and Suhonen (2019) argue that nursing professionals have divided interventions into three and they include dependent, independent, and interdependent interventions. In this assignment, two studies have been reviewed. Part A Summary of the Article Showing Effects of an Intervention A Summary of the Study The article that has been focused on in this part of the assignment is A mixed-method study of an education intervention to reduce the use of restraint and implement person-centered dementia care in nursing homes by Jacobsen et al. (2017). The main objective of this study “was to investigate which factors hindered or facilitated staff awareness related to confidence-building initiatives based on person-centered care, as an alternative to restraint in residents with dementia in nursing homes” Jacobsen et al. (2017). The education intervention that consisted of monthly coaching sessions and two-day seminar targeted employees in 24 nursing facilities found in Western Norway. The researchers used a mixed-method design that combined qualitative and quantitative research methods. QPS-Nordic (The General Nordic questionnaire for psychological and social factors at work) and The P-CAT (Person-centered Care Assessment Tool) tools were used by the researchers to measure employees’ impacts in terms of the perception of leadership and person-centered care. The study concluded that staff culture together with leadership was the most significant factor promoting or hindering workers’ awareness in terms of confidence development actions, and on the care that is person-centered. Description of the Intervention’s Development and Implementation  The researchers described how the intervention was developed and implemented clearly. The intervention was carried out among employees in 24 nursing facilities found within the Western Norway Regional Health Authority. The researchers selected six nursing organizations from the four Health Trusts found in the country. The researchers then grouped the participants into two groups namely control (12) and an intervention (12) groups. The researchers invited all the registered nurses to take part in the study. The researchers used a mixed-method design to develop the intervention. Implementation of the MEDCED education intervention was done by two teams. Each team had four registered nurses who were not part of the study. The nurses had experience in working with patients from nursing homes, and this facilitated the intervention in the 24 nursing organizations. The intervention was implemented over a period of one year six months from 2012 September to 2013 May. The research team educated the facilitator for seven days and taken them through various workshops before including them in the study. In other words, the researchers have clearly described how they developed and implemented the intervention in a section known as “The overall study: The MEDCED intervention study.”  Theoretical Framework The researchers based their intervention on a theoretical framework known as Promoting Action on Research Implementation in Health Services (PARIHS). PARIHS is a theoretical framework that can be used to highlight leadership, contextual elements of culture, and evaluation when implementing a given intervention in nursing (D’Onofrio et al., 2019). In other words, the framework was used to highlight various contextual factors that can be considered when implementing the educational intervention. Staff related issues are among the factors looked at using the theory. Person-centeredness was defined as a nursing practice approach that is established through the creation and fostering of healthy connections between older patients, all caregivers, and any other person significant to the patients’ lives. The approach is underpinned by the ethical values of respect for the individual, their right to self-confidence, and understanding. The assumption of this framework is that increased person-centered awareness and knowledge make it easy for workers to discover substitutes for using restraint in caring for dementia patients. The theory has been used to explain the failure or success of the intervention. According to the framework, understanding how and why contextual issues impact learning should be linked

[ANSWERED 2023] Assignment Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders

Assignment Focused SOAP Note for Schizophrenia Spectrum, Other Psychotic, and Medication-Induced Movement Disorders Case Study: Sherman Tremaine Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome. For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating schizophrenia spectrum, other psychotic, and medication-induced movement 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: Sherman Tremaine. 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, and list them in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy. Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to 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). By Day 7 of Week 5 Submit your Focused SOAP Note. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name. Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission.   Expert Answer and Explanation Subjective: CC (chief complaint): “I do not bother anyone and people outside my window do not leave alone.” HPI: Sherman Tremaine is a 53-years-old African American male who was asked to come for mental health assessment by his sister. The patient complains that he does not bother anybody but people outside his window to not leave him alone. he says that the people outside his window watch him. He says that he can hear these people and see their shadow. He also says that these people were sent to watch him by the government. He also complains of sleeping problems and people follow him everywhere. Substance Current Use: He smokes cigarette (12 packets of cigarettes weekly) and a bit of marijuana. Medical History: Current Medications: Used Haldol, Thorazine, and Seroquel. Takes metformin currently for diabetes. Allergies: No allergies. Reproductive Hx: No problems with reproductive system. ROS: GENERAL: No fever, weakness, fatigue, chills, or weight loss/gain. HEENT: Eyes: No visual problem. Ears, Nose, Throat: No hearing pain, loss, sneezing, runny nose, congestion, or sore throat. SKIN: No itching or rash. CARDIOVASCULAR: No chest pain, edema, no chest pressure palpitations, or chest discomfort. RESPIRATORY: No cough or shortness of breath. GASTROINTESTINAL: No abdominal pain, nausea, or vomiting. GENITOURINARY: No urination problems. NEUROLOGICAL: No headaches or any other neurological problems. MUSCULOSKELETAL: No joint pain or muscle pain. HEMATOLOGIC: No anemia. LYMPHATICS: No enlarged nodes ENDOCRINOLOGIC: No sweating, heat, or cold problems. Objective: Vital signs: T 35.7, Ht. 5’9, Wt. 159lbs, HR 80, RR 20, BP 130/95 Chest/Lungs: Regular heart rhythm and rate. No murmurs. Heart/Peripheral Vascular: No wheezes. Lungs clear. Diagnostic results: CT-Scan-pending. The test will be used to rule out any physical symptoms that might cause hallucinations and delusions. Positive and Negative Syndrome Scale (PANSS): Baandrup et al. (2022) noted that PANSS is a valid, scalable, and reliable tool for screening for people with schizophrenia. The authors found that the tool is 98% effective. The patient scored 19.9 on positive scale and 22.3 on negative scale meaning that he has schizophrenia (Baandrup et al., 2022). Assessment:

[ANSWERED 2023] In this assignment you will write a critical appraisal that demonstrates comprehension of two quantitative research studies

In this assignment you will write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment (or two new articles based on instructor feedback in Topic 1) to complete this assignment. In a 1,000–1,250-word essay, summarize two quantitative studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. 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 Class Resources if you need assistance. Research Critique Guidelines – Part II Quantitative Studies Introduction Introduce your nursing practice problem and discuss the purpose of your paper. State your PICOT question. Background of Studies Summary of studies including problem, significance to nursing, purpose, objective, and research question. How Do These Two Articles Support the Nursing Practice Problem You Chose? Discuss how these two articles will be used to answer your PICOT question. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question. Method of Studies State the methods of the two articles you are comparing and describe how they are different. State one benefit and one limitation of each method you have identified. Results of Studies Expert Answer and Explanation Research Critique Guidelines – Part II Quantitative Studies Introduction The project focuses on the issue of obesity and the nursing practice problem for this project since it affects a wide range of the adult population. Healthcare provides services to different patients, and each present with a different issue altogether. Obesity is a key issue in healthcare since it provides different issues to the care provider and undermines the efficiency of care. Obesity increases susceptibility to diseases and reduces the quality of life. Just like aging, and economic standpoints, obesity can be a risk factor for diseases and other forms of health factors. The susceptibility to disease from obesity increases with increase in age. Obesity and overweight are among the leading causes of many health problems, such as the occurrence of stroke and other forms of the disease. There are numerous complications that come with obesity, the most common including the buildup of fat in blood vessels, stroke, and heart attacks. Obesity interferes with the quality of life in different ways. To begin with, obesity makes it difficult for a person to lead a normal life. For instance, a person might encounter challenges with walking or climbing a flight of stairs. The inability to perform basic functions is a major concern for the health of a person. The purpose of this paper is to analyze the two quantitative research on that focus on the issues of obesity among elderly patients. PICOT Question: In non-Hispanic black adults aged 40-55 with BMI of 30 and above (P), does physical activity five days a week (I) compared to no practice (C) reduces BMI scale (O) in eight weeks (T)? Background of Studies The first quantitative study identified to address the issue of obesity among adults is the study by Dieli-Conwright et al. (2018). The article focuses on how care for breast cancer survivors can use aerobic and resistance exercise to improve physical fitness, bone health, and quality of life. The article contends that physical activity is the main treatment option for obese and overweight individuals that are looking to shed weight. The article makes use of a randomized controlled trial to help improve the outcome of care for obese and overweight patients. The identified problem in the article is the issue of obesity and overweight among cancer patients. The article is significant to the nursing profession as it offers evidence-based recommendations on proper physical activity for obese or overweight cancer survivors. The overall purpose of this trial was to compare a 16-week supervised moderate-vigorous intensity aerobic and resistance exercise intervention to usual care in physically inactive, overweight, and obese breast cancer survivors. The objective was to analyze the efficiency of aerobic and resistance exercises as forms of physical exercise to combat obesity. The research question used in the article is, “What is the impact of moderate-vigorous intensity and resistance exercise intervention aerobic in physically inactive, overweight, and obese breast cancer survivors?” The second article that focuses on the PICOT question is by Abdelbasset et al. (2019). The study provides insights on how an 8-week high-intensity interval exercise on intrahepatic triglycerides, visceral lipids, and health-related quality of life in diabetic obese patients. The identified problem focuses on how obesity is a major issue in society and can be mitigated through the use of physical activity. The article is significant to nursing as it creates a mean sin that nurses can use to help obese patients to overcome their weight issues. The purpose and objective of the study are to help create an effective strategy that can be sued to help treat obese patients using physical activity as the basis of care. The research question from the article is, “What are the effectiveness of 8-week high-intensity interval exercise on intrahepatic triglycerides (IHTG), visceral lipids, and HRQoL in diabetic obese patients with NAFLD?” How Do These Two Articles Support the Nursing Practice Problem You Chose? The two articles provide answers to the PICOT question as they both focus on the efficiency of physical activity as a means to mitigate obesity. The articles identify how different forms of physical activity can be used to mitigate obesity and lead to the desired outcome. The PICOT question is based on the intervention that the use

[ANSWERED 2023] Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments

Post an explanation of whether psychotherapy has a biological basis. Explain how culture Many studies have found that psychotherapy is as effective as psychopharmacology in terms of influencing changes in behaviors, symptoms of anxiety, and changes in mental state. Changes influenced by psychopharmacology can be explained by the biological basis of treatments. But how does psychotherapy achieve these changes? Does psychotherapy share common neuronal pathways with psychopharmacology? Psychotherapy is used with individuals as well as in groups or families. The idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric-mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. Photo Credit: Getty Images/iStockphoto For this Discussion, you will consider whether psychotherapy also has a biological basis and analyze the ways in which legal and ethical considerations differ in the individual, family, and group therapy settings. To prepare: Review this week’s Learning Resources, reflecting on foundational concepts of psychotherapy, biological and social impacts on psychotherapy, and legal and ethical issues across the modalities (individual, family, and group). Search the Walden Library databases for scholarly, peer-reviewed articles that inform and support your academic perspective on these topics. By Day 3 Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and explain how these differences might impact your therapeutic approaches for clients in group, individual, and family therapy. Support your rationale with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Expert Answer and Explanation Biological Basis and Ethical/Legal Considerations of Psychotherapy Biological Basis in Psychotherapy Psychotherapy has a biological basis as it majors on the brain functionalities and how it gradually develops, matures, and its daily operations. The principle of psychotherapy is guided by principles of evolutionary adaptation, and it specifically aims at repairing the brain’s damages just the same way they were created (Perugula et al., 2017). Additionally, psychotherapy also has a possibility of having a positive impact on one’s mental health, such as treatment of anxiety disorders or post-traumatic stress disorder. The element that enables psychotherapy to create an impact on one’s mental health is its ability to disengage and correct the brain’s adaptation by replacing them with new or positive choices. Culture, Religion, and Socioeconomics in relation to Psychotherapy Despite being proven to be an effective treatment for mental health, the client’s perspective on seeking a psychotherapy approach has been affected by culture, religion, and socioeconomic factors. Culture has influenced people’s perception about psychotherapy treatments in that if a client comes from a culture where they cannot freely discuss their emotions or past traumas, this means that they will not fully comply with the psychological treatment as it differs from what they are used to (Ghista & Sharma, 2021). It is important that the clinicians or medical practitioners understand and beware of the different cultural beliefs when providing psychological treatments. Once the medical providers understand the patient’s beliefs, they can convince them on why undergoing the treatment will benefit their mental health. Religion and spirituality also impacts depicts how a patient responds or perceives psychological treatment. If a client comes from a strong religious background, they may specifically insist on only associating with a psychologist from the same religion as them. Additionally, patients may find it challenging to speak about their negative traumas with someone who doesn’t understand where they come from religiously, causing them to rely on prayers and divine healing to cure them (Ghista & Sharma, 2021). Communication may be affected if the clinician is not able to understand the role of religion in their patient’s psychological beliefs. Socioeconomic factors also impact psychotherapy research indicated that people from financially unstable families have a low possibility of accessing psychological treatment (Ghista & Sharma, 2021). Poverty results in individuals preferring not to seek mental care treatments as they can allocate the funds to other aspects of their lives. Legal and Ethical for Group and Individual Therapy There are specific guidelines that must be followed by caregivers while providing psychological treatments to patients in either group or individual settings to avoid legal or ethical implications (Stoll et al., 2020). Confidentiality or privacy of information is an important aspect of the psychotherapy process and is most crucial for individual therapy sessions since it involves only two people. However, this might not be the case for group or family therapy settings as the information is shared openly among the existing members. Another legal or ethical aspect that applies to group and individual therapy is the need for informed consent allowing the patients to seek information regarding the services they need to enable them to decide if they intend to participate (Stoll et al., 2020). For individual therapy sessions, the client is in the position to provide the informed consent themselves. However, in a family or group setting involving minors, guardians should be informed so as to provide consent and ensure that they will adhere to confidentiality. The therapist should be cognizant of how they approach either the group or individual therapy settings as it facilitates them on how to address matters such as confidentiality and providing informed consent (Stoll et al., 2020). Psychological therapists should be aware of the current dynamic settings and ensure that they are not affected when providing services to individual or group therapy sessions. References Ghista, D., & Sharma, R. (2021). The 4th Industrial Revolution and The Role of Post-Industrial Universities. DOI: 10.33774/coe-2021-bmh5t Perugula, M. L., Narang, P. D., & Lippmann, S. B. (2017). The biological basis to personality disorders. The primary care companion for CNS disorders, 19(2), 0-0. Stoll, J., Müller, J. A., & Trachsel, M. (2020).

[ANSWERED] Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Include the following: Outline a current or emerging health care law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. 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 Class Resources if you need assistance. Expert Answer and Explanation Trends and Issues in Healthcare Today The US healthcare system has undergone tremendous reforms since it was developed. Some of the laws that have been passed to improve US healthcare include the Affordable Care Act of 2010, HIPAA, Medicare, Medicaid, and many more. These laws have improved the healthcare system and made the role of nurses clear. The purpose of this assignment is to discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Current Law The US Congress has passed many laws regarding the US healthcare system. One such law is the Autism Collaboration, Accountability, Research, Education and Support (CARES) Act of 2019. The law expands and reauthorizes the provisions introduced first in the Combating Autism Act of 2006 (Congress.Gov, 2019). The Autism CARES Act ensures support for prevalence tracking, services, research, and other government activities in the improvement of care among people with autism. The law increases yearly authorized federal spending on autism activities to $369.7 million through 2024. The law aims to improve the entire lifespan of people with autism spectrum (Congress.Gov, 2019). This law was enacted to restructure healthcare delivery among people with autism. It aimed to improve the quality of care provided to patients with autism. The Autism CARES Act will affect nursing practice by promoting evidence-based care when dealing with people with autism. The law provides support for prevalence tracking and research regarding autism services (Congress.Gov, 2019). It affects nursing practice by promoting evidence-based practice and high-quality care services in the treatment of patients with autism. The role of nurses based on the law is to engage in research activities that aim to improve the quality of life of people with autism. The responsibility of nurses is to ensure that people with autism receive care that is supported by research and evidence-based. Nurses are also responsible for ensuring that the added funds are used as intended. The law will also affect nursing practice by supporting the inclusion of knowledge about autism in nursing education. Impact of Quality Measures and Pay-for-Performance on Patient Outcomes Quality measures are significant, especially in nursing practice. For a healthcare service to be of high quality, it should be patient-centred, safe, effective, timely, and equitable (Zarowitz et al., 2018). Quality measures affect patient outcomes by identifying what to be done to improve patient outcomes and provide high-quality care. One of the patient outcomes is patient experience. The nurse can improve the patient experience by providing safe, effective, and timely care. In summary, quality measures affect patient outcomes by providing ways for how nurses can achieve these outcomes. pay-for performance, also known as performance-related pay is a care delivery system where healthcare professionals are paid based on their performance. This delivery system affects patient outcomes by ensuring that healthcare professionals achieve what patients envision from the treatment plan (Kyeremanteng et al., 2019). Pay-for-performance ensure that patients get value for their services. Quality measures and pay-for-performance affect nursing practice by directing how nurses should conduct their duties. The role of nurses in these situations is to ensure that patients achieve the best and high-quality care. Nurses also have the role of working together with other healthcare professionals and patients to provide the best care. For instance, nurses need to work with patients in developing a care plan that fits their needs of the patient. Nursing Leadership and Management Roles Nursing management and leadership are vital in nursing practice. New professional nursing management and leadership roles have emerged to respond to emerging trends in promoting patient quality and safe care in diverse healthcare settings. One such role is education and training. Nurse leaders and managers have the role to educate junior nurses and training them about emerging issues in nursing. Nurses need requisite knowledge to handle emerging trends in healthcare such as covid-19 pandemic and other problems. As such, the role of education is vital in ensuring that nurse knowledge to implement emerging trends (Noh et al., 2020). The second role is policy development. Nurse managers and leaders also have the role to develop and implement policies that support emerging trends. One of the emerging trends is the use of

[ANSWERED 2023] Suppose you have been tasked with purchasing health insurance for your organization that has fifty (50) full-time employees.

Suppose you have been tasked with purchasing health insurance for your organization Health Insurance Assignment 4: Health Insurance and the Affordable Care Act Due Week 8 and worth 150 points Suppose you have been tasked with purchasing health insurance for your organization that has fifty full-time employees. Use the Internet or Strayer databases to research different types of health insurance. Write a 2-3 page paper in which you: Suggest one (1) plan that you would use to purchase health insurance for your organization. Determine the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Provide a rationale for your response. Analyze the implication of the Affordable Care Act on your decision to purchase insurance. Debate two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details. Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost. Analyze the influence of health policy and health reform on healthcare access, quality, and cost in the U.S. Use technology and information resources to research issues in healthcare policy, law, and ethics. Write clearly and concisely about healthcare policy and law using proper writing mechanics. Expert Answer and Explanation Health Insurance and the Affordable Care Act The choice of an insurance plan depends on whether one is looking for a family plan or an individual plan. The two types of health insurance plans include group health insurance and individual health insurance. The main factor that one needs to consider in choosing the insurance plan that is suited best for them is their income and the monthly cost of the specific insurance policy if the deductible will get met if the cost of the drugs for prescriptions that are needed for the treatment. Some plans do not cover services that involve emergencies like blood work and x-rays. This paper seeks to suggest a plan for insurance that will be most suitable for an organization that has fifty employees that work on a full-time basis and the implications of the ACA on the insurance purchasing decision. Plan The plan that I will use in purchasing health insurance for the organization is the group insurance plan, which can get purchased by an employee or employer of the organization and are typically cheaper compared to purchasing coverage for each employee in the company.  The group health insurance is usually at a cost that is lower because the risk of the insurer gets spread across a group of holders of the policy (Glied et al., 2020).The insurance plan covers liability that is statutory for an employer for bodily injuries or death that may be suffered by the employee because of the accidents that arise out of and in the course of performing his employment duties in the organization. A group insurance plan is the most effective for the employees as they will all be covered for the same amount of medical insurance and it will also be more affordable for the organization, unlike the individual health insurance plan which will be more expensive as it will be based on the individual needs of each employee. With the group insurance plan, the organization will have to pay equal premiums for every employee, and the injury type to be covered will be specified. Health economics and the lifestyle choices of the employees factor into the plan I have chosen in the sense that the coverage gets limited to specific injuries. The employees will not have to have a different insurance plan for their healthcare needs as they will be covered as provided by the group plan. However, the plan does not cover for injuries sustained due to their own negligence or other events that take place outside the place of work. The plan covers what happens in the course of performing duties for the organization. Affordable Care Act Implication The Affordable Care Act has a significant implication on my decision to purchase insurance for the organization. The implication of the ACA on this decision is that the premium revenues for health insurers increased by 6.2%, including the enrolment made in groups of people (Siemons et al., 2017). The ACA makes a provision that an employer that does not provide coverage for its employees may face penalties. This ensures that employees at all levels of the organization have access to affordable care. There are several advantages and disadvantages of purchasing insurance for health for one’s employees. The various advantages include using it as a way of rewarding and attracting talent, it boosts the morale and dedication of the employees to their work and shaping a company culture that is positive (Kumar et al., 2019). Providing health insurance for the employees helps keep them happy and healthy, showing that the employer cares about them. Also, productivity gets enhanced when the employees are healthy as they will perform their duties efficiently. This is unlike letting them have governmental insurance with which they will be less motivated. Some of the disadvantages of purchasing health insurance for the employees include the fact that costs of healthcare have significantly increased over the years making it difficult for employers that are small to plan their finances as they find it to be an affair that is costly (Cooper & Gardner, 2016). If the employees get governmental insurance, the small businesses will not have to worry about the costs. Conclusion Providing health insurance is an essential part of every organization that seeks to achieve

[ANSWERED 2023] Conduct a cultural self-assessment In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage

Conduct a cultural self-assessment In order to understand culture and cultural diversity Conduct a cultural self-assessment In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response. Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. Write a 3-4 page APA essay. Expert Answer and Explanation Purnell Model for Cultural Competence Purnell’s model of cultural competence provides twelve main elements that can be used to understand an individual’s cultural identity. This paper will use the twelve tools as described in Purnell‘s model to carry out a personal cultural assessment to help describe my culture and heritage. The following information describes my personal heritage and culture Overview, Inhabited Localities, and Topography Currently, I live in the United States of America, in California. I am originally from Sierra Leone a port city and the capital of Sierra Leone. It is also the same town where I was born. I have lived in the US for more than 8 years with both of my parents being born in Sierra Leone. I came to the US to continue with my academics and pursue my profession as a nurse. I have not lived in any other place in the US other than the state of California. However, I have relatives and friends in other states within the U.S. For now, I would rather not disclose my income level but it is enough to allow me to afford the basic essentials of life. I have a health insurance cover which I am able to afford with my current income. I have a Bachelor of Science in Nursing (BSN) and am currently pursuing Master of Science in Nursing (MSN). Some of the health hazards of working as a nurse include exposure to infections and toxic substances. I have never been in the military. I have been blessed with a wonderful family. Communication My full names are Jess Green. My legal name is Jess Green but calling me Jay will do just fine. My primary language is English but my dialect is Krio. I also know a little bit of French. I am a fairly open person and I rarely shy off to share my feelings with family, friends or healthcare providers. I don’t mind being touched by family or friends. I am however reserved when it comes to being touched by strangers. In terms of greeting, I don’t mind a handshake. I am a time-conscious person and strictly keep time for appointments but not so much when it comes to social engagements. Family Roles and Organization My parents take the center stage when it comes to decision-making, but mainly my father. In my family we don’t have any specific decisions meant for either men or women, all are at liberty to air their opinions. Most of the house chores are taken care of by succeed in their studies to make a good impression of themselves and the family while the women while men usually provide for the family. Children are required to be obedient and respectful, anything short of that will bring a bad image to the family. Young adults are supposed to are not supposed to engage in negative behaviors like drug and alcohol use. The older adults usually provide direction for the family and they are occasionally sought after for advice. There are currently no extended members living with my family. Our family is known for its humility; I think that is what gives us status. I don’t think it is wrong to get children in wedlock but getting them in marriage is a better option. I don’t think it’s a big issue for people to live together and not be married, but personally, I prefer people to live together after getting married. I don’t mind gay, lesbians or transgendered people but personally, I am straight. Workforce Issues Do you usually report to work on time? I am never late at work unless of an emergency and I am never late for meetings. I don’t think I have any concerns about working with someone of the opposite gender. I consider myself a loyal employee. I am very inquisitive especially in what I don’t know. I think I am assertive enough in my job. When a patient does not speak in fluent English or has a different accent, I at times find it hard to understand at times. Biocultural Ecology I am not allergic to any medication and don’t have any issues when taking OTC medication. There is no major illness I am aware of in my family nor any genetic diseases. Given that Sierra Leone is a coastal country, Malaria is one of the major health challenges in terms of diseases but access to medical facilities is an overall healthcare challenge for the country. My racial identity is a native African. High-risk Behaviors I don’t drink alcohol use tobacco or any other illicit or recreational drug. I occasionally jog in the morning but walk daily in the evenings for thirty minutes to an hour. I use seat belts when driving. I prefer abstinence as the best way of dealing with STIs and HIV Nutrition I am currently satisfied with my health and I normally make sure to eat a balanced diet. I avoid foodstuffs with excess fats given the negative health implications the pose. I don’t have any specific food I eat when ill

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