[ANSWERED 2023] JJ is a 48-year-old man who presents for evaluation of heartburn. He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce
JJ is a 48-year-old man who presents for evaluation of heartburn. He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce JJ is a 48-year-old man who presents for evaluation of heartburn. He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce. He is sometimes awakened at night with these symptoms. JJ’s profession is an over the road trunk driver which limits his food choices when on the road. He states he has tried over-the-counter antacids and histamine H2 receptor antagonists (H2RAs) for the past few weeks with partial relief. He is on no medications regularly. He does admit to sometimes taking ibuprofen or acetaminophen do to soreness from driving. His examination today is normal. An upper gastrointestinal (GI) x-ray series reveals gastroesophageal reflux. What lifestyle modifications do you recommend for JJ? What medication do you prescribe for JJ, including how long to use? What counseling points about this medication do you give JJ? Expert Answer and Explanation Gastroesophageal Reflux Disease JJ has had recurrent heartburn and has been diagnosed with gastroesophageal reflux disease. While medication can work, JJ needs to make lifestyle modifications as they will alleviate his symptoms. It is also important to counsel him so that he can understand his condition and how he can recover fully. Lifestyle Modifications One of the lifestyle modifications that JJ should make is dietary modification as these are the main sources of his issues. Yuan et al. (2019) note that JJ should avoid spicy food or other food that exacerbates his heartburn. In the future, although he can consume spicy foods it should be limited and he should go for smaller more frequent meals as compared to large ones. Another modification is elevating his bed, by about 6 inches. This will prevent acid from flowing back into the food pipe during sleeping. It is also necessary for JJ to avoid lying down for at least 2-3 hours after a meal as this will encourage digestion and will reduce the risk of reflux. If JJ is overweight, he should start losing some weight because excessive abdominal fat usually puts pressure on the stomach and worsens the symptoms he is experiencing (Clarrett & Hachem, 2018). If JJ smokes or uses alcohol, it is important to quit the two as this can play a great role in reducing the symptoms he is experiencing. Medication The best medication that can work on the symptoms is a proton pump inhibitor mainly used for gastroesophageal reflux disease. According to Kröner et al. (2021), this can be omeprazole, esomeprazole or lansoprazole. A common prescription can be 20 mg of omeprazole daily. It is also notable that the period of consuming the medication should be determined by the care provider. In many instances, proton pump inhibitor therapy is recommended for about 4 to 8 weeks but depends on the patient’s symptoms and their responses to the drugs. If the symptoms cease completely, it is possible to reduce the intake after 4 weeks or cease consumption completely. Counseling Points When communicating with JJ about his diagnosis it is important to insist that he takes the medicine as directed which is usually before a meal (Guadagnoli et al., 2022). Additionally, he should adhere to the days given to take the medication as skipping or taking too much will affect their action and might be ineffective in addressing the current symptoms. It is also vital to inform JJ of possible side effects of the PPIs. This includes headaches and diarrhea. Mentioning the effect of long-term use of the drugs is also critical as they can lead to issues such as vitamin B12 deficiency. This is why it is important to insist on lifestyle modification as it will eliminate the need for the drugs in future. The healthcare provider must also monitor JJ for improvement and encourage JJ to check his symptoms and if they do not improve he should seek further medical advice. This can include an adjustment of the dose or a complete change of the drugs (Guadagnoli et al., 2022). It is also significant to mention the use of over-the-counter pain relievers. JJ had mentioned his use of ibuprofen and acetaminophen which can both exacerbate the symptoms. He can instead choose different pain management strategies such as sleeping, resting, or trying to use herbal medicine. It is crucial for JJ to follow the suggestions for lifestyle modifications and to follow the medication regimen. This will successfully manage the symptoms and ensure that he avoids complications associated with chronic reflux. References Clarrett, D. M., & Hachem, C. (2018). Gastroesophageal Reflux Disease (GERD). Missouri Medicine, 115(3), 214–218. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140167/#:~:text=The%20primary%20acid%20suppressive%20medications Guadagnoli, L., Simons, M., McGarva, J., Taft, T. H., & van Tilburg, M. A. (2022). Improving Patient Adherence to Lifestyle Changes for the Management of Gastroesophageal Reflux. Patient Preference and Adherence, Volume 16, 897–909. https://doi.org/10.2147/ppa.s356466 Kröner, P. T., Cortés, P., & Lukens, F. J. (2021). The Medical Management of Gastroesophageal Reflux Disease: A Narrative Review. Journal of Primary Care & Community Health, 12, 215013272110467. https://doi.org/10.1177/21501327211046736 Yuan, L.-Z., Yi, P., Wang, G.-S., Tan, S.-Y., Huang, G.-M., Qi, L.-Z., Jia, Y., & Wang, F. (2019). Lifestyle intervention for gastroesophageal reflux disease: a national multicenter survey of lifestyle factor effects on gastroesophageal reflux disease in China. Therapeutic Advances in Gastroenterology, 12, 175628481987778. https://doi.org/10.1177/1756284819877788 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 What Heartburn Medicine is Safe for Long-Term Use? SEO Meta Description: Are you wondering what heartburn medicine is safe for long-term use? This comprehensive guide covers everything you need to know about managing heartburn effectively and safely. Introduction Dealing with chronic heartburn can be a real challenge, and it’s essential to find a heartburn medicine that not only provides relief but is also safe for long-term use. In
[ANSWERED 2023] Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader
Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches. What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions. What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership. To Prepare: Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments. Reflect on the leadership behaviors presented in the three resources that you selected for review. Reflect on your results of the CliftonStrengths Assessment, and consider how the results relate to your leadership traits. Download your Signature Theme Report to submit for this Assignment. The Assignment (2-3 pages): Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following: -A description of your core values -A personal mission/vision statement -An analysis of your CliftonStrengths Assessment summarizing the results of your profile -A description of two key behaviors that you wish to strengthen -A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples. Expert Answer and Explanation Personal Leadership Philosophy Almost every popular leader practices behaviors which hinge on their personal leadership philosophy. One’s personal values shape how this behave, and for leaders, leadership philosophy can provide the framework for guiding how they relate with various stakeholders, and how they conduct themselves. An individual’s philosophy does not however reflect only in their behaviors, but in their personal mission statement as well (Khoshhal & Guraya, 2016). It is imperative, therefore, to explore personal leadership philosophy of an effective leader with emphasis on core values, profile strengths and behaviors. Core Values My philosophy for leadership is based on honesty, integrity and open-mindedness, and this philosophy is the anchor for my core values. I believe that a person in position of leadership has to be honest so that they be open in performing their roles. By being open, the leader makes it possible for the followers to be aware of what the leader wants and the approach to pursuing leadership objectives. I also hold in high esteem the ethical principles which guide behaviors, and personally, I feel that every leadership has to be an individual of integrity and set an example to the followers. Besides, I accept divergent views and opinions because this is one of the ways in which individuals can learn (Allen et al., 2016) Personal Vision My personal vision intertwines with my moral philosophy of respect for what others feel and think. People’s cultural identities diverge, and because of the divergence in individuals’ cultural beliefs and values, conflicts can occur while the leader exercises their leadership role especially when working with people with whom they culturally differ. I believe that people in leading positions can prevent organizational conflicts by leading the way in respecting people other cultures and the divergent views. On their part, a leader should strive to found out about the teaching and values from other cultures so that they can involve every follower, irrespective of their culture, in promoting organizational vision (Marshall & Broome, 2017). Clifton Strengths Assessment Reflecting on the outcomes from self-evaluation using the Clifton Strengths Assessment (CSA), I consider myself an effective communicator, an empathetic person and a strategist. While communicating a point, I tend to put together my thoughts and feelings in a way that others may understand whatever I message I convey. I believe that everyone has their weakest link, and for this reason, I tend to express empathy to people who make mistakes, and help them correct these mistakes. As a strategist, I study organizational situations, and apply my leadership knowledge to address any issue which arise in the organization. Behaviors that I wish to Strengthen While exhibit strengths when it comes to executing leadership functions, I need to make adjustments to the way I handle tasks and manage relationships. I tend to lose focus by taking multiple tasks, and I am also poor when it comes to relating with some employees. I always handle more than two tasks at once, and this can be overwhelming for me. In future, I will need to handle tasks, one at a time so that I avoid undesirable outcomes such as failing to properly complete tasks (Duggan et al., 2015). A Development Plan for Improvement of Behavior The intervention plan to change the undesirable behavior integrates various elements including the goals which the plan seeks to attain. In this context, the goals is to learn how to individually handle tasks and manage relationships. The learning process involves using a simulated management activity in which I have to virtually learn how to deal with situations related to handling of tasks and managing relationships. Conclusion In overview, individual’s personal philosophy mirror in how they behave and their core visions. When one is honest, empathetic and respect the views of others, their followers would want to emulate the former’s approach to leadership. Leaders, therefore, have to strive to continuously build relationships with those
[2023] A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate
A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate Scenario: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L. For this Discussion, you will examine the above 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. To prepare Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response. 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 What is the connection between stress and substance abuse? Stress and substance abuse are often interconnected in a complex relationship. Here are some key points to understand their connection: Self-Medication: Individuals experiencing stress may turn to substances such as alcohol, drugs, or cigarettes as a way to cope with their emotions or alleviate their stress temporarily. Substance use can provide a sense of relief or escape from overwhelming feelings. Biological Factors: Stress activates the body’s natural “fight or flight” response, releasing hormones like cortisol and adrenaline. Chronic stress can dysregulate the body’s stress response system, leading to changes in brain chemistry that may increase the likelihood of substance abuse. Psychological Factors: Stress can impair judgment, decision-making, and impulse control, making individuals more susceptible to engaging in risky behaviors like substance abuse. Moreover, stress can exacerbate underlying mental health conditions such as anxiety and depression, which are often co-occurring with substance use disorders. Social Factors: Social environments characterized by high levels of stress, such as dysfunctional families, poverty, or exposure to trauma, can contribute to the development of substance abuse issues. Peer pressure and social norms within certain groups may also influence substance use behaviors. Cycle of Addiction: Substance abuse can create a cycle where initial stress relief from using substances leads to increased tolerance and dependence, ultimately worsening stress levels as individuals experience negative consequences of their substance use. This can perpetuate a vicious cycle of stress and substance abuse. Withdrawal Symptoms: Abrupt cessation of substance use can lead to withdrawal symptoms, which can include increased stress, anxiety, and physical discomfort. Individuals may continue using substances to avoid or alleviate these withdrawal symptoms, further reinforcing the connection between stress and substance abuse. What are prevention suggestions and strategies pertaining to addiction? Prevention strategies for addiction aim to reduce the likelihood of individuals developing substance use disorders or engaging in other addictive behaviors. Here are some suggestions: Education and Awareness: Implement comprehensive educational programs in schools, communities, and workplaces to raise awareness about the risks and consequences of addiction. Provide information about the effects of various substances, signs of addiction, and available resources for help. Promotion of Healthy Lifestyles: Encourage and support the adoption of healthy lifestyle habits, including regular exercise, balanced nutrition, adequate sleep, and stress management techniques. Engage in activities that promote social connections, hobbies, and personal fulfillment as alternatives to substance use. Early Intervention: Identify and intervene early with individuals who exhibit risk factors for addiction, such as family history, mental health issues, trauma, or exposure to substance use. Provide access to screening, assessment, counseling, and support services to address underlying issues before they escalate into addiction. Limiting Access to Substances: Enforce policies and regulations aimed at restricting access to addictive substances, particularly among underage populations. Implement measures such as age restrictions for purchasing alcohol and tobacco, responsible prescribing practices for medications, and regulation of the availability of illicit drugs. Community Support and Involvement: Foster supportive and inclusive communities that provide positive social networks, mentorship, and opportunities for engagement and belonging. Develop community-based prevention programs, peer support groups, and alternative activities for at-risk individuals to promote healthy behaviors and discourage substance use. Family Support and Education: Offer support services and educational resources for families to enhance communication, parenting skills, and family dynamics. Address family-related risk factors such as dysfunction, trauma, neglect, and enabling behaviors, and promote healthy family relationships as protective factors against addiction. Media and Marketing Regulations: Advocate for responsible advertising and marketing practices that minimize the glamorization and normalization of substance use in media, entertainment, and advertising. Counteract misleading messages with evidence-based information about the risks and consequences of addiction. Treatment Accessibility: Improve access to affordable and evidence-based treatment options for individuals struggling with addiction. This includes detoxification programs, counseling, medication-assisted treatment, support groups, and rehabilitation services tailored to the specific needs of each individual. Collaboration and Coordination: Foster collaboration among various stakeholders, including government agencies, healthcare providers, educators, law enforcement, community organizations, and advocacy groups, to develop and implement comprehensive prevention strategies that address addiction from multiple angles. Continuous Evaluation and Adaptation: Regularly assess the effectiveness of prevention efforts through data collection, monitoring, and evaluation. Adjust strategies based on emerging trends, community needs, and feedback from stakeholders to ensure ongoing relevance and impact. What are the statistics for mental health and substance abuse? Here are some statistics regarding mental health and substance abuse as at 2022, Prevalence of Mental Health Disorders: According to the World
[ANSWERED 2023] Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking
Katie is an 8 year old Caucasian female who is brought to your office today by her mother Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD. To prepare for this Assignment: Review this week’s Learning Resources, including the Medication Resources indicated for this week. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD. Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. CASE STUDY BACKGROUND Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition. The parents give you a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work. Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father. SUBJECTIVE Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.” Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. MENTAL STATUS EXAM The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation. Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation RESOURCES § Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #3 (1 page) Why did you select this decision? Be specific and
[ANSWERED 2023] Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following
Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following Assignment 1: Practicum – Assessing Client Family Progress Part 1: Progress Note Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following: Treatment modality used and efficacy of approach Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals) Modification(s) of the treatment plan that were made based on progress/lack of progress Clinical impressions regarding diagnosis and or symptoms Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job) Safety issues Clinical emergencies/actions taken Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them Treatment compliance/lack of compliance Clinical consultations Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists) The therapist’s recommendations, including whether the client agreed to the recommendations Referrals made/reasons for making referrals Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions) Issues related to consent and/or informed consent for treatment Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported Information reflecting the therapist’s exercise of clinical judgment Note: Be sure to exclude any information that should not be found in a discoverable progress note. Part 2: Privileged Note Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment. In your progress note, address the following: Include items that you would not typically include in a note as part of the clinical record. Explain why the items you included in the privileged note would not be included in the client family’s progress note. Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why. Expert Answer and Explanation Assessing Client Family Progress Therapists are always required to develop documentation to explain the progress of their clients. The purpose of this assignment is to develop progress and privileged notes of a couple who came for therapy. Part 1: Progress Note Treatment Modality Used and Efficacy of Approach The treatment modality used is cognitive-behavioral therapy. Shayan et al. (2018) did a study and found that CBT is highly effective in treating people with post-traumatic stress disorder and other stress-related conditions. Progress Towards Goals The therapy’s goal is to change the clients’ thoughts and attitudes towards parenting and their financial conditions. The family agreed to attend ten therapy sessions to achieve this goal. Looking at the clients’ state of mind, there is no progress. Modification(s) of the Treatment Plan The therapy was modified in that both the counselor and the clients agreed to increase the number of sessions to fifteen. Role-playing was also included in the therapy. Role-playing can improve their social skills and improve their problem-solving skills (Khanjani Veshki et al., 2017). Clinical Impressions Regarding Diagnosis And/or Symptoms Based on the clients’ medical history, they might be suffering from the acute stress disorder. The stress is caused by a lack of financial support and balancing parenting and work. Relevant Psychosocial Information or Changes from Original Assessment The clients have no history of psychological problems. However, there is a history of alcoholism in the family, hence putting the clients at risk of suffering alcoholism. Safety Issues The father works at a security company as security personnel can lead to security issues because one must protect people or property from danger. Clinical Emergencies/Actions Taken The family has never experienced any form of a clinical emergency. Medications The clients have no history of physical or mental health problems, and therefore, they are not on any kind of medications. Treatment Compliance The clients have not been complying fully with treatment therapy. The father noted that the timing of the sessions does not align with his working schedule. He requested that the sessions be pushed to weekends and not weekdays. Clinical Consultations Clinical consultation occurred with the supervisor. The supervisor was asked whether the clients can change their therapy sessions from weekdays to weekends. Collaboration with Other Professionals I collaborated with my supervisor, a fellow counselor, on how to handle the clients’ financial woes. Professional collaboration is a significant practice in that it helps caregivers provide patient-centered care. Therapist’s Recommendations The therapist recommended that the clients be involved in role-playing and that their sessions should be increased to fifteen from ten. Role-playing would help clients practice new patterns or skills of interaction (Dattilio & Collins, 2018). For instance, they would practice talking to children and engaging them in decisions affecting their lives. The clients agreed to the recommendations but noted that the fees for the sessions should be reduced a bit. Referrals Made/Reasons for Making Referrals There were no referrals made during the treatment session. Termination The five more sessions could risk termination if the clients cannot pay for them or if their insurance program refuses to pay for them. Issues Concerning Informed Consent for Treatment Informed consent is a significant ethical code in healthcare practice. Before a therapist makes any recommendations, the client must be asked for informed consent. The clients were asked for their informed consent before the recommendations were implemented. Information Concerning Child Abuse During the assessment, it was found that the clients have not a history of child abuse or dependent adult abuse. Information reflecting the therapist’s exercise of clinical judgment Clinical judgment is clinical reasoning that allows caregivers to arrive at a conclusion based on subjective and objective data about the patient (Dickison et al., 2019). Based on the clients’ subjective and objective data, these patients have not prior physiological or mental healthcare issues. However, the clients have financial problems because they have to care
[ANSWERED 2023] For this assignment select a real company in the fast food industry. You have just been hired by (your selected company) as its new vice president of strategic planning
For this assignment select a real company in the fast food industry. You have just been hired by (your selected company) For this assignment select a real company in the fast food industry. You have just been hired by (your selected company) as its new vice president of strategic planning. The corporation’s performance in recent years as well as the changes with business and economic conditions will be a central focus of your new job. Given the size of the corporation and the fact that it is in a highly competitive industry, the chief executive officer (CEO) to whom you report has already given you permission to hire a staff of recent Master of Business Administration (MBA) graduates to assist you in your efforts. You recently completed the interviewing and hired four people with minimal real business experience.In coming months, you and your team will be creating a completely new—and, presumably, more effective—strategic plan. You plan to begin by holding a kick-off meeting with your team. Deliverable Length: 1,000–1,250 words To feel confident that all of the employees in your strategic planning team understand all that you have taught them, you require each to prepare a streamlined version of the key elements of a strategic plan. You require each employee to prepare the following sections of a strategic plan for the corporation’s next 3-5 years: Mission and Vision Statements (Simply copying from an existing real company is unacceptable.) Specific, Measurable, Achievable, Realistic, and Time-Bound (SMART) Goals and Objectives Industry Analysis Strengths, Weaknesses, Opportunities, Threats, and Trends (SWOTT) Analysis A Perceptual Map Choose any criteria that you think are important to plot. Explain why you picked the criteria. Expert Answer and Explanation Strategic Choices for Starbucks Company Organizations want to be competitive to ensure their survival, and this is particularly crucial in the fast-food industry which is highly competitive. An example of such organizations is Starbucks which distinguishes itself as a major player in the global fast-food industry. Just like various companies, Starbucks strengthens its competitive edge by pursuing strategies focused on improving performance, and developing the company’s brand image. When examining the level of the company’s competence, one would conduct the SWOT analysis, and evaluate the industry as a whole (Eizaga et al., 2020). Part of this study also include a description of the mission and vision for the organization, and a perceptual map with pricing as a criterion. The Company Profile Just like most businesses, Starbucks started as a small business before expanding gradually to become a large firm that operates in international markets. The firm opened its first store in 1971 in Seattle, and 12 years after it began, the company established a new branch in Italy. From 1987, the business began expanding by opening more stores, and by 1988, it already had 33 stores with one being situated in Chicago. In 1992, the company, with 165 stores, completed its initial public offer (IPO), and this was accompanied by the opening of other businesses including the drive-thru (Starbucks, 2020). As it gradually grew, it launched various products to meet the changing consumer tastes. An example is the Cold Brew iced tea which it launched in 2015. Mission and Vision Statements Starbucks does not prioritize making of the profits, but instead, the company focuses on providing the best products to consumers. While the firm distinguishes itself as a maker of the best coffee, it operates a chain of fast-food stores not in the United States (U.S.) but in oversee markets. The mission and vision of the organization communicate what it wants to achieve as well as its commitments. The organization, for instance, is committed to inspiring and nurturing the human spirit, and serving coffee to individuals as well as communities (Starbucks, 2020). According to the firm’s vision statement, it looks forward to being the maker of the finest coffee as it operates by the principles such as respect for the human dignity, and engaging in sustainable business practices. SMART Goals Starbucks wants to realize certain key goals and objectives. For example, the organization aspires to be a global leader in the fast-food business, and it hopes to meet this goal within a 10-year period. It equally wants to expand the market it serves by a half in a span of five years (von Kodolitsch et al., 2015). While it pursues strategies to meet these expectations, Starbucks hopes to be socially responsible. Industry Analysis Certain key features can help one determine the status of the fast-food industry. Firms can easily enter or leave the industry, and the competition is stiff within the industry. Starbucks has to compete with companies which are equally large. Some of these companies include the McDonald’s and Costa Coffee. Given that the industry deals with food, the government regulates it. However, the government does not impose restrictions by regulating the industry. However, players in this industry also face parallel competition from companies which produce and sale soft drinks. Coca Cola is an example of such firms, and customers may opt for soda instead of buying the coffee. SWOT Analysis Strengths Starbucks exhibits strengths which it can leverage on to grow and be more competitive. Other than being a global brand, and a popular firm, Starbucks has over 31,000 stores spread across various countries. It also has assets and financial capability to start new businesses. Weaknesses The company has flaws which can negatively affect its operations. For instance, it charges high prices on products, and this may cause customers to shy away. Still, it does not provide unique products which customers may want to try. These flaws can have undesirable impact on the firm (Zhu et al., 2019). Opportunities There are various opportunities which the firm can pursue. For instance, it can take advantage of the existing innovative ideas such as home delivery. It can also use expand operations in the developing markets. Threats While the company has a chance of growing, it faces threats such as the increase in the global coffee prices. It also has to
[ANSWERED 2023] Suppose that you just started working in a daycare for infants. You are concerned with providing auditory and visual stimulation that will be detectable and pleasant for the infants.
Suppose that you just started working in a daycare for infants. You are concerned with providing Suppose that you just started working in a daycare for infants Assignment 3 Chapters 6, 7, 8, 9, 10, 11 Choose two (2) questions to answer. Each answer should be one typed double-spaced page in length. Indicate, in full, by question number, the question you are answering. You do not have to copy out the question. Submit your answers in order. Your answer to each question is expected to be about one typed double-spaced page in length. You must use complete sentences and proper grammar. Use a typical font and size (we can tell if you change the margins in order to submit a longer answer!). Answer questions in your own words using your own examples rather than those of the text. If Canadian data is available, be sure to include it in your answers. References are not required because the only source needed to answer these questions is your text. If you do use outside sources, then you must provide the full citation; you will not improve your mark, however, by using outside references. Questions What are the advantages and disadvantages of early and late development for boys and for girls? Suppose that you just started working in a daycare for infants. You are concerned with providing auditory and visual stimulation that will be detectable and pleasant for the infants. What are the visual capabilities and preferences of the neonate? of the 2-month-old? What are the auditory capabilities and preferences of the neonate? Compare and contrast Piaget’s views with Vygotsky’s views. Suppose you are an elementary-school teacher. What developmental trends and individual differences in attention might be useful for you to know when you are making curricular decisions and developing individual learning plans? Summarize research and conclusions with regard to how well IQ predicts scholastic achievement occupational success psychological adjustment Compare and contrast any two theories of language acquisition. Expert Answer and Explanation 1. What are the advantages and disadvantages of early and late development for boys and for girls? Early development in boys and girls can have a range of advantages and disadvantages. Here are some of the advantages and disadvantages: Advantages of early development: Early development may be associated with higher intelligence, as children who mature earlier tend to score higher on cognitive tests. Early developers may have an advantage in physical activities and sports, as they may be stronger and more coordinated than their peers. Early development may lead to increased self-esteem and confidence, as children who are more mature may feel more capable and in control of their environment. Disadvantages of early development: Children who mature early may face social challenges, as they may be perceived as different from their peers and may be excluded from social groups. Early developers may be more prone to risk-taking behavior, as they may feel more confident in their abilities and less afraid of consequences. Early development may lead to increased pressure and responsibilities, as children may be expected to perform at higher levels academically and socially. On the other hand, late development can also have its own set of advantages and disadvantages: Advantages of late development: Late developers may have more time to learn and master new skills, as they may have a longer period of childhood to develop. Late development may lead to increased self-esteem and confidence, as children may feel more capable and in control of their environment as they catch up to their peers. Late developers may face less social pressure to conform to certain expectations and may have more time to figure out their own interests and passions. Disadvantages of late development: Late developers may face social challenges, as they may be perceived as different from their peers and may be excluded from social groups. Late development may lead to lower self-esteem and confidence, as children may feel less capable and in control of their environment compared to their peers. Late developers may struggle in physical activities and sports, as they may be weaker and less coordinated than their peers. Overall, it’s important to keep in mind that each child is unique and will develop at their own pace. It’s important to support and encourage children no matter where they are in their development and to recognize that all children have their own strengths and abilities. Compare and contrast Piaget’s views with Vygotsky’s views Jean Piaget and Lev Vygotsky were two influential psychologists who developed theories of child development. Here is a comparison of their views: Piaget’s Theory: Piaget believed that children are active learners who construct their own understanding of the world through their experiences. He proposed that children go through four stages of cognitive development: sensorimotor, preoperational, concrete operational, and formal operational. Each stage is characterized by the development of new cognitive skills, such as the ability to think abstractly or to use logical reasoning. Piaget argued that children are not capable of reasoning at the same level as adults and that their understanding of the world is limited by their cognitive abilities. Vygotsky’s Theory: Vygotsky believed that children learn through social interactions with more knowledgeable others, such as parents, teachers, and peers. He proposed that children’s cognitive development is influenced by the cultural and social context in which they live. Vygotsky argued that children have the potential to reason at the same level as adults and that their understanding of the world is shaped by their interactions with others. Vygotsky also introduced the concept of the “zone of proximal development,” which refers to the difference between what a child can do independently and what they can do with the help of a more knowledgeable other. In summary, Piaget and Vygotsky had different views on the role of social interactions in cognitive development. While Piaget emphasized the role of individual experiences in shaping a child’s understanding of the world, Vygotsky argued that social interactions are essential for cognitive development. Both theories have had a significant impact on
[ANSWERED 2023] In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal Capstone Topic Summary In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership). You are not required to submit this assignment to LopesWrite. Expert Answer and Explanation Strategies to Reduce Medical Errors in Pediatric Care Many people die in the hospitals yearly due to medical errors, especially in the pediatric care. According to Lawson et al. (2018), providing pre-mature babies too much oxygen as the most common medical error that occur in the pediatric facilities. As a result, this project will focus on discussing strategies that can be used to reduce medical errors in the pediatric center. This project can be categorized as a quality improvement initiative where the hospital operations will be changed and improved in a move to reduce medical errors in the child care facility. The interventions for this problem include improving nurse staffing and training. In nurse staffing, more nurses will be employed in the institution to reduce dissatisfaction and burnout. Nurse burnout is among the factors that can increase the rate of medical errors in care facilities (AbuMustafa & Jaber, 2019). The intervention should be aimed at reducing burnout. Training will improve the nurses’ experience on how to handle the errors in case they occur. References AbuMustafa, A. M., & Jaber, M. (2019). Factor affecting Medical errors Reporting among medical team in Pediatric Hospitals in Gaza governorate. Journal of Medical Research and Health Sciences, 2(11), 794-801. http://jmrhs.info/index.php/jmrhs/article/view/131 Lawson, N. D., Shanafelt, T. D., Tawfik, D. S., Morgenthaler, T. I., Satele, D. V., Sinsky, C., … & West, C. P. (2018, November). Burnout is Not Associated With Increased Medical Errors/In Reply. In Mayo Clinic Proceedings (Vol. 93, No. 11, pp. 1683-1684). Mayo Foundation for Medical Education and Research. DOI:10.1016/j.mayocp.2018.08.015 Alternative 2 Category of the Topic This project will study the effects of healthy weight on people with diabetes. The category of this topic is community. The topic has been classified as a community topic because it aims to solve the issue of diabetes, one of the chronic diseases affecting many communities across the world, especially African American people within the US and other people in low income countries. A study by Gummesson, Nyman, Knutsson, and Karpefors (2017) shows that premature mortality from type 2 diabetes rose to 5% between 2000-2016. This statistic show that diabetes is a threat to existence of humanity, and thus health professionals should develop ways to solve the issue. The targeted community in this project is African American community. The community has been targeted because the rate of mortality from the disease is high in the community compared to other ethnic groups in the US (Gummesson et al., 2017). Walking has been proposed as the intervention to help control the disease. Reference Gummesson, A., Nyman, E., Knutsson, M., & Karpefors, M. (2017). Effect of weight reduction on glycated haemoglobin in weight loss trials in patients with type 2 diabetes. Diabetes, Obesity and Metabolism, 19(9), 1295-1305. https://doi.org/10.1111/dom.12971 Alternative 3 Topic Summary My capstone project aims at reducing the cases of enteric infections among children in the pediatric sector. The topic and intervention to solve the problem fall under a category known as community. The community will be the target population for the project. According to Rogawski McQuade et al. (2020), enteric infections are diseases that enter the body through the mouth. The authors note that some of the enteric infections include diarrheal disease caused by enterotoxigenic E. coli (ETEC), Shigella, rotavirus, and other organisms. The intervention to solve the topic is educating parents about handwashing techniques. In the project, the nurses will educate parents with children aged five years and below about strategies they can use to wash their hands to prevent their kids from contracting enteric diseases. Akuffo et al. (2017) note that some techniques include washing hands before eating, visiting the toilet, changing diapers, and getting in contact with contaminated surfaces. References Akuffo, R., Armah, G., Clemens, M., Kronmann, K. C., Jones, A. H., Agbenohevi, P., … & Koram, K. (2017). Prevalence of enteric infections among hospitalized patients in two referral hospitals in Ghana. BMC research notes, 10(1), 292. https://link.springer.com/article/10.1186/s13104-017-2621-x Rogawski McQuade, E. T., Platts-Mills, J. A., Gratz, J., Zhang, J., Moulton, L. H., Mutasa, K., … & Humphrey, J. H. (2020). Impact of water quality, sanitation, handwashing, and nutritional interventions on enteric infections in rural Zimbabwe: the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial. The Journal of infectious diseases, 221(8), 1379-1386. https://doi.org/10.1093/infdis/jiz179 Alternative 4 Topic Summary A community topic is a topic that discusses issues that affect community members. However, a leadership topic in nursing is a topic that touches on issues that affect healthcare leadership. This capstone project aims to investigate whether educating older patients about falls and fall prevention strategies before and after the incident helps reduce the rate of falls-related cases. This topic can be categorized as a community topic because it aims to reduce falls in a community. In other words, the topic is a community project because, after its implementation, many older patients will have proper knowledge about falls and how they can avoid the issue. This project has focused on falls because this health problem highly threatens people’s optimal health, especially older individuals dwelling in a community setup. One in four US citizens aged 65 years and above falls yearly (National Council on Aging). The organization also reports that the US’s emergency care departments treat an older person for fall every 11 seconds. Also, the institutions record older person mortality due to fall-related complications in every 19 minutes. According to Aryee et al. (2017), falls are the leading causes of severe and non-severe injuries among other people and cause older people’s hospital admissions. The authors estimate that over 2.8 million older adults visit emergency care departments to treat falls-related injuries. The problem
[SOLVED 2023] Define what is meant by information. Define what is meant by data. Create two matrices
Define what is meant by information. Define what is meant by data. Create two matrices In this unit, you have learned about management information systems (MIS) and the importance of it. For this assignment, compose a paper that discusses the key differences between data, information, information technology (IT), and information systems (IS). Your paper should address the components listed below. Define what is meant by information. Define what is meant by data. Create two matrices (one for data and one for information) that illustrate the key differences between information and data, place the matrices into your paper, and briefly discuss the differences in one or two paragraphs. Each matrix should contain characteristics and/or facts about the subjects (data and information) that show how they are different. Define IT. Define IS. Using the five-component model as an example, discuss some differences between IT and IS. Your paper must be a minimum of two pages in length (not counting the title and reference pages), and you must use at least two resources as references. Any information from these resources must be cited and referenced in APA format. Expert Answer and Explanation Unit 1 Management MIS collects data from various systems online, initiates information analysis and thus announces data, in order to help in a policy, build up (Laudon & Laudon, 2012). There are three components of MIS: – Management, Information, and System. These three components aid in building decisions for the managing of the organization. In regard to the achievements, MIS is a significant aid for improved decision and strategy making. Goals can be quickly achieved by a complete acknowledgment of these elements (Laudon & Laudon, 2012). Definition of Data and Information DATA is underdone, a disorderly attribute that requires to be organized. When data is presented in a provided subject to summon its utilization, it is called INFORMATION. Key-Differences Between Data and Information Data are simplified wordings and numerals, whereas information is interpreted data. Similarly, data is preserved in a computer system or just crammed up by an individual while information is more authentic ascompared to data, in addition to this, an exact examination is undergone for the conversion of data into information by the monitor. Moreover, data are facts that are gathered casually and context that is analyzed, to sum up, the given assets and information is something that ends up providing a significance to the data in a modified manner. Data may not always be the facet that satisfies the need of the investigator, but information is always specific to the required investigation because every meaningless figure is abolished, during the processing of data. Furthermore, the data collected has a questionable application to the researcher as during its compilation, it does not imply its relevance. Conversely, information is worthy to him to bring out its particular use. Therefore, data is never contingent on information, in contrast with, information that totally counts on the data provided. Definition of IT and IS IT -Information Technology is the use of a computing system to preserve, redeem, transfer, and handle data or information (Davies, 2008).IS -Information Systems is a study of systems with a particular backing to information and the free networks of hardware and software that individuals employ to gather, filter, analyze, develop and also dispense data. Difference Between It and Is Based on Five Component Model: -Hardware, software, data, procedures, and people are the five components of an information system; on the analysis of which it is proposed that how these components are brought into service to develop a completely workable system. IT engages with the technological aspects that aids in the information systems themselves. On the other hand, IS is the arch between the user and the technology. IT is a subdivision of IS.IS is described as an overarching umbrella while IT groups under the IS umbrella.IS concentrates on the given information, whereas IT aids in the collection and the analysis of information. Therefore, the prime asset is the information here, but IT is dedicated more towards computer software and hardware. IS management is related to the optimization of systems in contrast with IT management that deals with the maintenance of hardware. Apart from this, IS is concerned with the development of IS policy that goes along with vast business aims and claims its specified functions, but IT focuses on framing the necessity to be determined. Conclusion Subsequently, for a swift approach towards the attainment of a refined and precise form of data and else to aid the researchers on a particular project of interest, MIS becomes the ultimate idea of productivity. MIS is of great help for the organization that it leaves a great influence on the developer’s performance, roles, and ultimately efficiency MIS provides help in subsequent phases to the managers and thus, in turn, provides great assistance, to come up with a perfectly planned policy. Alternative Answer Information Systems Management Information Information can be said to be a set of facts that are either earned or provided concerning someone or something. Alternatively, it can also represent processed that that is represented or conveyed by a specific sequence or arrangement (McKinney Jr, & Yoos, 2019). In retrospect, it can be regarded as the process of resolving uncertainty through the answering of the question, “what is an entity.” The information thus gives meaning to the nature and essence of its characteristics. Depending on the context, information can partake in different meanings related to the notions of communication, education, control, data, understanding, stimuli, perception, and entropy. Data Data, also perceived a raw material, is a group of values that contain wither qualitative or quantitative variables concerning a single or multiple objects or individuals. In as much as the terms data and information and more often used interchangeably, the terms possess different meanings in technology, with the most common being data acting the initial raw content before being processed into information (Computer Hope, 2019). Data can be presented in an unprocessed form such as words, numbers, and symbols
[SOLVED 2023] Post a summary of the interview and a description of the communication techniques you would use with your assigned patient
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient Post a summary of the interview and a description of the communication techniques Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor. To prepare: With the information presented in Chapter 1 of Ball et al. in mind, consider the following: · By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment. Case C 38-year-old Native American pregnant female living on a reservation · How would your communication and interview techniques for building a health history differ with each patient? · How might you target your questions for building a health history based on the patient’s social determinants of health? · What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks. · Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. · Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient. · Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. By Day of Week 1 Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. EXPERT ANSWER AND EXPLATION: Building A Health History A Brief Summary of the Interview This interview involved a 38-year-old Native American pregnant woman residing on a reservation. The woman had come to the health facility to check up on health during the pregnancy period. The interview found that this woman was four weeks pregnant, and this pregnancy was her third one. The interview also revealed that her second birth was in the form of a cesarean section. During the interview, it was found that the patient’s family has a history of twins. She has brothers who are identical twins. When asked if she has ever suffered any chronic condition, she said no. In terms of financial capability, it was found that the patient’s income was 100% above the federal poverty level. She is working as a librarian assistant in one of the state libraries in her region. She also has an insurance package from Indian health programs. Through the interview, it was found that she has never had a blood transfusion, no history of tuberculosis, and it allergic to penicillin medication. She also said that after this child, she would like to undergo family planning program that can take her to her menopause period because she does not want to conceive again. Communication Techniques to be used by Assigned Patient The first technique that I would use with my assigned patient is offering her a genuine smile. Arnold and Boggs (2019) mention that a genuine smile can immediately convey openness and warmth. I would use this technique to lobby the patient to be open with me and to know that I will be real with her. Also, a genuine smile will help be build trust with the patient. The second technique is asking the right questions. This technique will be used to understand the thoughts of the patients and to learn new things about her. Open-ended questions will better fit this patient and allow her to express herself clearly (Brooks, Ballinger, Nutbeam, Mander and Adams (2018). Another technique I will use with the patient is active listening. This technique will help me understand what the patient is saying. Janssen, Ruiter and Waters (2018) argue that active listening can also show that the communicator is empathetic. The last technique that will be used to connect with the patient is to provide feedback when needed and receive the one given diligently (Turkelson, Aebersold, Redman & Tschannen, 2017). When one provides feedback, it can show that he or she takes the other person seriously. The Risk Assessment Instrument Selected The instrument selected to assess risk in this scenario is the Historical, Clinical, Risk Management-20 (HCR-20). This tool is often used by psychological professionals to assess the level of violence and psychological problems the patients are undergoing. Cheng, Haag and Olver (2019) mention that marital violence is reported more in native American nations more compared to other parts of the country. This tool will be applicable to this patient because it will be used to assess if the patient is stressed about the type of birth she had previously. Also, the tool will be used to assess if the patient is undergoing any violence, either physically or mentally (Shepherd, Campbell & Ogloff, 2018). The Targeted Questions When last did you see your menstrual cycle? Is this your first pregnancy? Have you ever suffered any chronic condition? Have you ever had any major surgery? Does your family have any history of twins? References Arnold, E. C., & Boggs, K. U. (2019). Interpersonal Relationships E-Book: Professional Communication Skills for Nurses. Elsevier