[SOLVED 2023] For this assignment select a specific business; it can be one you work for or, better yet, one you would like to work for in the future. Make sure the company you select meets the following criteria
For this assignment select a specific business; it can be one you work for or, better yet, Unit VIII Assignment 1 Instructions For this assignment select a specific business; it can be one you work for or, better yet, one you would like to work for in the future. Make sure the company you select meets the following criteria: It must have a written code of ethics and operate at the benevolent level of CSR (corporate social responsibility). Search online for the company’s website, and review its code of ethics and its report on its corporate social responsibility programs; be sure to identify any of its sustainability practices—this may be a separate link. Write a report on your chosen company’s code of ethics and CSR. In your report, address whether you believe that leaders of organizations have a duty to all stakeholders or just to stockholders. Present a business argument either for or against corporate social responsibility. Be sure to include an introduction. Your report must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPEERT ANSWER AND EXPLANATION Unit VIII Assignment 1 Introduction In an attempt to offer fulfilled services to clients, companies have set code of ethics that also allow them to avoid manipulation of different stakeholders. The presence of corporate social responsibility (CSR) programs by companies also allows them to participate in community development activities and hence boost their reputations among current and existing customers (Jamali, Lund-Thomsen, & Jeppesen, 2017). Google is one of the multinational companies that have a strong code of ethics and CSR practices that provide a ground for establishing sustainable practices in the management of the organization. Review of the Company’s Code of Ethics on its CSR Programs The guiding code of conduct in Google is that everything done in the business should be set within the highest applicable standards of business conduct. This includes the individual respect of the users of the company products and commitment to attending to their individual needs. As a part of the ethics of the company, the core values of usefulness, integrity, security, privacy, take action, responsiveness, and freedom of expression build to the sustenance of moral practices (Alphabet Investor Relations, 2020). Being a technology company, Google is more concerned with ensuring data privacy and proper management of information (Whelan, 2019). For example, during Google-enabled surveys, the company has put in place features that prohibit any party from extracting data from other parties without their informed consent. Such elements have contributed to the success of the company. Among the CSR operations of Google is Google Green, a project in which Google products are focused to conserving the environment. Under this project, Google has invested over 1 billion USD in the renewable energy projects of different companies (Alphabet Investor Relations, 2020). Other CSR operations mainly affect the employees, where the company ensures proper employee compensation and workplace designs that are convenient. Sustainable Practices Some of the sustainable practices of the company include equal employment opportunity, where the employee recruitment process in the company is purely based on merit. Sexual, physical, mental, or any other form of harassment is condemned in the organization. The company has a solid reporting system where employees who face discrimination or bullying, even from the managers, can report the perpetrators (Dasgupta, Nagaraj, & Nagamani, 2016). To ensure that the company environment is safe, it prevents any form of substance abuse that could alter the normal working of the individuals in the organization. Duty of the Organizational Leaders to all Stakeholders Organizational leaders are responsible to ensuring a suitable environment not only to stockholders but all to the entire stakeholders. This is especially because they are the overall managers of firms, and failure to follow the proper leadership guidelines could mean inadequate managerial representation. Google’s organizational leaders are expected to help employees enjoy a safe environment, customers enjoy the company products, and stockholders to generally have proper returns on their investments (Alphabet Investor Relations, 2020). Conclusion Google is one of the companies that have solid CSR and programs that allow the engagement of the company with the immediate environment. The code of ethics of Google also allows proper privacy and data security, which could otherwise be among some of the major problems in the technology giant. Sustainable practices in the company include but are not limited to a hiring system that is based on merit. References Alphabet Investor Relations, (2020). Google Code of Conduct. https://abc.xyz/investor/other/google-code-of-conduct/ Dasgupta, A., Nagaraj, R., & Nagamani, K. (2016). An internet of things platform with Google eddy stone beacons. Journal of Software Engineering and Applications, 9(6), 291-295. Jamali, D., Lund-Thomsen, P., & Jeppesen, S. (2017). SMEs and CSR in developing countries. Business & Society, 56(1), 11-22. Whelan, G. (2019). Born political: A dispositive analysis of Google and copyright. Business & Society, 58(1), 42-73. Alternative Expert Answer and Explanation Introduction Coca-Cola is one of the companies in the world with a brand that has been dominant for decades. Therefore, the strategies that the company has been using in their marketing and product awareness creation have been the best and this has given them the edge that has made the company to be more profitable compared to their competitors (Scutaru, 2020). There are some strategies that have created a positive culture for the company making it appealing to the customers and also motivate their employees to give their best in their assigned duties which are having a working code of ethics and being involved in corporate social activities (CSR) Code of ethics and corporate social responsibilities for Coca-Cola The code of ethics in Coca-Cola suggests that all their employees share be treated fairly in their workplaces regardless of their ethnicity, gender, race or spirituality. This is necessary as it will lead to the diversity that the company needs (Shaikh & Usmani, nd). Diversity has been one of the leading factors that leads to innovation making the organization have multiple ways of solving
[ANSWERED 2023] Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources
Review the materials offering guidance on using databases, performing keyword searches Discussion: Searching Databases When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems. The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question. To Prepare: Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. By Day 3 of Week 4 Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. Readings Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54) Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92) Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N Note: You will access this article from the Walden Library databases. Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79 Note: You will access this article from the Walden Library databases. Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58 Note: You will access this article from the Walden Library databases. Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e Note: You will access this article from the Walden Library databases. Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981 Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670 Expert Answer and Explanation Searching Databases The PICOT Question Perioperative outcomes are a major factor that affects the perceptions held by patients on helpful surgical procedures. With reported cases of poor postoperative outcomes, many patients who are scheduled to undergo surgery usually shy off opting to consider other forms of treatment which in some cases end up not being helpful. The application of the ERAS pathway has been hailed to be useful in improving the postoperative outcomes of patients who have undergone a surgical procedure (Chiu et al., 2018). However, the implementation of this pathway is far from the ideal levels. It is for this reason that a clinical inquiry to find out the efficacy of the ERAS pathway in improving postoperative outcomes was conducted. The PICOT question used in the inquiry reads as follows, ‘In patients undergoing general surgery does the ERAS pathway as compared to the standard care assist to improve postoperative outcomes one week after the surgical procedure?’ In this case, the postoperative outcomes can be measured by assessing the length of hospital stay, pain scores, and the intensity scale of postoperative nausea and vomiting (PNOV) P – patients who have undergone general surgery, I– ERAS pathway C – standard pathway O – shorter hospitalization period, lower pain scores, and decreased intensity of PNOV. T – one week after the surgical procedure. Search Terms and Databases Used for the PICOT Question One of the steps of embracing an evidence-based approach is by conducting a thorough inquiry on a clinical issue to inform the implementation of a practical solution. To collect evidence, a search for valid and reliable research literature is encouraged (Melnyk et al., 2009). However, this process may not be as simple as it seems given the numerous articles available on different clinical issues. That is why the use of search terms in reliable article databases can prove useful. There are several databases that could be used to search for information regarding health topics. Since this specific problem involves the use of the ERAS pathway, nursing databases are the most suitable for searching for this kind of information. The Cochrane Database of Systematic Reviews database is the first candidate, as it is known to have a vast collection of nursing articles. MEDLINE was also used in this search as it contains articles with a broad range of medical topics. Also, both databases are easily accessible from the Walden University Library. The search terms used included the ERAS pathway, ERAS
[ANSWERED 2022] Historians use different analytical methods to make sense of the past. Some focus on social and economic issues, such as class conflict or who profits from a particular policy choice
Historians use different analytical methods to make sense of the past. Some focus on social Debating the Annexation of the Philippines Historians use different analytical methods to make sense of the past. Some focus on social and economic issues, such as class conflict or who profits from a particular policy choice. Other historians focus more on culture to understand how ideas, values, and beliefs have shaped the actions of historical figures. For this assignment, we will examine how different analytical methods result in contrasting explanations for why the United States annexed and retained the Philippines following the defeat of Spain in 1898. For this exercise you have two tasks: Part 1: Compare the two secondary sources on why the United States annexed the Philippines. Part 2: Using primary sources, evaluate the arguments of the two secondary sources. Part 1: Comparing Secondary Sources Two secondary sources from different analytical perspectives are included below. In Standing at Armageddon: The United States, 1877–1919, Nell Irvin Painter of Princeton University weaves together economic and foreign-policy concerns with the lives of ordinary Americans to explain the annexation of the Philippines. Kristin L. Hoganson of the University of Illinois, a gender historian, explores the question of why the United States annexed the Philippines in Fighting for American Manhood: How Gender Politics Provoked the Spanish-American and Philippine-American Wars. While both works contain elements of economic and cultural history, each historian emphasizes a particular analytical methodology. Compare the views of these two scholars by answering the following questions. Be sure to find specific examples in the selections to support your answers. According to each author, what problems in society did supporters of annexation think American control of the Philippines would solve? Which author focuses on economic explanations, and which author focuses on cultural explanations, to explain imperialist support for annexation? Do you think the authors’ arguments are contradictory or complementary? In other words, can they both be correct? Secondary Source 1 Nell Irvin Painter, “The White Man’s Burden” (1989) The foreign markets explanation sought the cause of depressions not in currency, distribution of wealth, or monopoly. The culprit, it seemed, was agricultural and industrial overproduction. Americans produced too much, it was said; it seemed to matter little that during the recent hard times thousands had run out of the very foodstuffs and manufactured goods reputedly overproduced. What was needed were new markets, especially in Asia, especially in the most populous country in the world, China. . . . While foreign markets had beckoned American businessmen for decades, this more urgent quest included the novel expectation that the government of the United States should play an active part in fostering exports. The Philippine Islands—like Hawaii—represented the perfect stepping-stones to China, stops along the way where coal burning ships bound for Asia could refuel. Expansionists saw the islands as the opportunity of the century. Manila might become an American version of Hong Kong, the British market city that tapped the markets and produce of South China. . . . For many Americans, expansion was the inevitable result of the machine age that had already filled up the continental United States and now seemed to demand the raw materials and foreign markets that overseas colonies promised. The vision of factories fuming nonstop and workers employed without interruption made this economic argument for annexation straightforward and persuasive. Source: Painter, Nell Irvin. Standing at Armageddon: The United States, 1877–1919. New York: W. W. Norton & Company, 1989. 146–147. Secondary Source 2 Kristin L. Hoganson, “The National Manhood Metaphor” (1998) Whether they imagined the Filipinos as savages, children, or feminine figures, imperialists regarded them as a means for American men to develop their ability to govern. One adherent of imperialism summed up this belief when he averred that “the necessities involved in the unexpected annexation of strange dependencies will call forth the governing faculty.” The savage, childlike, and feminine stereotypes appealed to imperialists because they not only suggested the Filipinos’ incapacity for self-government, but also enabled imperialists to cast themselves as civilizers and authoritative heads of household—that is, as men who wielded power. Heedful of British imperialists’ claims that empire made men and interpreting colonial endeavors as unparalleled challenges, imperialists looked to the Philippines to turn white, middle- and upper-class American men into what they considered to be ideal citizens—physically powerful men who would govern unmanly subordinates with a firm hand, men accustomed to wielding authority, men who had overcome the threat of degeneracy. . . . In response to the accusations that their Philippine policies violated the nation’s deepest convictions, imperialists brandished a national manhood metaphor. The youthful republic had become an adult, they declared, and should assume the responsibilities of a mature man. Rather than dwelling on its childish past, the nation should manfully shoulder its new obligations. . . . . Imperialists implied that failing to assume responsibility for dependents would reveal an unwillingness to advance from childlike dependency to paternalistic power. In short, it would reveal a lack of manhood in the nation. Source: Hoganson, Kristin L. Fighting for American Manhood: How Gender Politics Provoked the Spanish-American and Philippine- American Wars. New Haven: Yale University Press, 1998. 155, 157. Part 2: Using Primary Sources to Evaluate Secondary Sources When historians are faced with competing interpretations of the past, they often look at primary source material to help evaluate the different arguments. Four speeches follow, each by an American politician who supported U.S. annexation and rule over the Philippines. The first is from President William McKinley’s State of the Union speech following U.S. annexation of the Philippines and the start of the Philippine-American War. The second is from Henry Cabot Lodge, a Republican senator from Massachusetts who was a leading supporter of American imperialism. The third speech is from Albert Beveridge, senator from Indiana, who supported Lodge’s imperialist policies. And the last speech, from Vice President Theodore Roosevelt, was delivered twelve days prior to assuming the presidency following McKinley’s death. While these four politicians offer very different justifications for American annexation and rule over the Philippines, they were all
[ANSWERED 2023] Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing right, he doesn’t want to play, he just sits on my lap or lays on the couch, and this happens all the time
Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing Case Study Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing right, he doesn’t want to play, he just sits on my lap or lays on the couch, and this happens all the time.” Appearance of both mother and child is disheveled. The child’s wheezing can be heard across the room. When asked if her son is better at any certain time of the day the mother responds: “It’s like this all the time and has been for the past year, we just don’t come to the doctor because we don’t have any money.” Mrs. Cason’s son was diagnosed of asthma. 1. Discuss short and long term treatment options for this child, inhaled beta2-adrenergic agonists. Include rationale for your recommendations. 2.What is your educational plan for the child? Expert Answer and Explanation Case Study: Asthma Short and Long Term Treatment Options Mrs. Carson’s son is a case of newly diagnosed asthma. The child is visibly stabl12q12qe and without signs of acute exacerbations. However, he has had longstanding respiratory distress and has an audible wheeze. The initial management of the patient will revolve around the alleviation of symptoms and relief of the suffering due to the distress. White et al. (2018) recommends provision of short-acting beta-adrenergic agonist (SABA), more commonly salbutamol inhalation via a nebulizer, to enhance bronchodilation and provide relief to the patient. After that, the performance of spirometry is recommended once the patient has stabilized as subsequent management relies on the knowledge of the lung functionality (Mendes & Palmer, 2018; Horak et al., 2016). Mrs. Carson’s son will, therefore, be put after that on maintenance therapy with low dose pediatric inhaled corticosteroids. Provision of corticosteroids follows on the same guidelines, GINA (2015), which recommends provision of the same to children with SABA unresponsive asthma or those with asthma-related symptoms for more than three times a week. The latter provision fits the patient in this case. As regards the long term therapy, the patient will be put on long-acting inhaled corticosteroids to modify the course of the disease (Ballas, 2018). However, reviews should be done monthly to assess the improvement in lung function as well as look out for the adverse effects of prolonged steroid use (Ballas, 2018). Patient Education Involves the following: Informing the child and the mother that the condition warrants long term therapy. Explaining to them the correct use and disposing of the nebulizers to maximize therapeutic benefits. Describing to them the mechanism of control and measures to do so when the condition deteriorates. Talking to them about the importance of avoiding allergens. References Ballas, Z. K. (2018). Asthma clinical practice guidelines: Time for an update. Journal of Allergy and Clinical Immunology, 142(3), 787. Horak, F., Doberer, D., Eber, E., Horak, E., Pohl, W., Riedler, J., … & Studnicka, M. (2016). Diagnosis and management of asthma–Statement on the 2015 GINA Guidelines. Wiener klinische Wochenschrift, 128(15-16), 541-554. Mendes, A., & Palmer, S. J. (2018). NICE overhauls asthma management and treatment recommendations. White, J., Paton, J. Y., Niven, R., & Pinnock, H. (2018). Guidelines for the diagnosis and management of asthma: a look at the key differences between BTS/SIGN and NICE. Thorax, 73(3), 293-297. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order FAQs Nasal spray for enlarged adenoids in adults Enlarged adenoids in adults can cause nasal congestion, difficulty breathing, and recurrent sinus infections. While nasal sprays can help alleviate symptoms, they may not be the most effective treatment for significantly enlarged adenoids. If your adenoids are significantly enlarged, you should see an ear, nose, and throat (ENT) specialist for evaluation and treatment recommendations. Treatment options may include medication, surgery, or a combination of both. However, if your symptoms are mild, a nasal spray may help reduce inflammation and congestion. Nasal steroid sprays such as fluticasone (Flonase) or mometasone (Nasonex) are often prescribed to reduce inflammation and swelling in the nasal passages. Saline nasal sprays or rinses can also help relieve congestion by flushing out mucus and allergens from the nasal passages. It’s important to follow your doctor’s recommendations and use nasal sprays as directed. Overuse of nasal sprays can lead to rebound congestion and other side effects, so it’s important to use them only as prescribed. Complications of adenoid hypertrophy Adenoid hypertrophy refers to the enlargement of the adenoid tissue located at the back of the nose and the roof of the throat. While adenoids are an important part of the immune system, when they become enlarged, they can cause several complications. Some of the complications of adenoid hypertrophy include: Difficulty breathing: Enlarged adenoids can obstruct the airway, leading to difficulty breathing through the nose. This can result in mouth breathing, snoring, and sleep apnea. Recurrent sinus infections: Enlarged adenoids can block the drainage of the sinuses, leading to recurrent sinus infections. Ear infections: Enlarged adenoids can also block the Eustachian tubes, which connect the middle ear to the back of the throat. This can lead to fluid buildup in the middle ear, increasing the risk of ear infections. Speech and language problems: Enlarged adenoids can affect the resonance of the voice and lead to speech problems, such as hypernasal speech. Facial abnormalities: In rare cases, severe and prolonged adenoid hypertrophy can cause facial abnormalities, such as long, narrow facial structure or open-mouth posture. Malnutrition: In children, enlarged adenoids can lead to malnutrition because they may have difficulty swallowing solid foods and may prefer soft, easy-to-swallow foods. Dental problems: Enlarged adenoids can cause changes in the position of the teeth and jaw, leading to dental problems such as malocclusion or misaligned teeth. If you or your child are experiencing any of these complications, it’s important to see an ENT specialist for evaluation and treatment. Treatment may include medication, surgery, or a
[ANSWERED 2023] Understanding and applying psychology in one’s everyday life can have numerous benefits and is often the basis of research that is conducted in this field
Understanding and applying psychology in one’s everyday life can have numerous Understanding and applying psychology in one’s everyday life can have numerous benefits and is often the basis of research that is conducted in this field. In this assignment, you will write an essay requiring you to employ critical thinking as you contemplate the science of psychology. You will write this essay from the perspective of a potential first-time researcher. Pretend you are pondering conducting research into the psychological aspects of a specific human behavior you have seen demonstrated in your everyday life (may be personal or work-related). First, you should start with an introduction that allows the readers to fully understand your intent and the main points of the research you are contemplating. Be sure to identify your research question (e.g. Why do we yawn when we see someone else yawn?) Next, include the following elements of your intended research: describe your vision of the research experiment, explain research methods that could be used to describe the behavior in your research experiment, and indicate the ethical guidelines you must follow while conducting research involving people. Finally, in your own words, identify the basic ideas behind early approaches in psychology that may influence your research. Your essay will be a minimum of two pages in length, double-spaced, and in Times New Roman 12 pt. font. Include your name and course at the top of the first page of your essay. APA Style will not be required for this assignment. However, keep in mind that when directly quoted or paraphrased works of others are used in any manner, the writer is obligated to properly cite the source of the original narrative. You should become familiar with citing sources, as you will be graded on proper APA citation and reference formatting later in this course, and throughout your future academic endeavors. Click here for a tutorial on writing an effective essay. A transcript for the tutorial is provided in the Notes section of the presentation. Expert Answer and Explanation Why People Look Up When Thinking Understanding the intent of different human behavior is an interesting aspect that many psychologists engage in on a daily basis. Some of the seemingly common behaviors may be done subconsciously but may have an underlying motivation behind them. This research will aim at determining the reason why people look up when thinking. People elicit different behaviors under different circumstances. For human beings, most of the physical action we take correspond to some psychological features. It may be something that we are cultured to or aping out a certain behavior that we have witnessed from those around us. However, other than the known assumptions, in the field of psychology we have to ask ourselves, might there be a deeper meaning to those actions (Halevy, Kreps & De Dreu, 2019). The behavior of people looking up when thinking can be viewed from different perspectives. The process of thinking is usually attached to concentration when people look up, it may be considered as a behavior that assists them to channel their concentration towards thinking. The visual system of a human is known to correspond to its surroundings with any changes to the surrounding being interpreted by the brain. Therefore, the more the information unrelated to the subject being thought about being processed by the brain at any given moment, the lower the level of concentration. By looking up, the number of distractions or secondary information being processed may be fewer, thereby, boosting the level of concentration (Hutchison, 2018). From a philosophical perspective, looking up may have a spiritual connotation to it. Looking up might be a form tapping to the spiritual realm for guidance into the decision-making process. Vision for the research However, to better understand this issue in a more in-depth perspective, research ought to be done. This research will be conducted on a population obtained from the general public. The research will involve asking the participant to answer written questions that will demand some critical thinking to be applied. Then, observations will be made on the reactions of the participants while in deep thought. the research will then ask the participants why they behaved in a certain manner while thinking, especially for participants who look up during the though process. Research methods to be used The research methods used in the study will include random sampling to select the sample, and observation method to collect the data. Finally, the data will be analyzed using thematic analysis, where the collected data will be arranged on themes based on the reasons given by the participants. Given the mentioned methods, the research will therefore be qualitative (Boswell & Cannon, 2018). Ethical considerations For any research, ethical considerations are part and parcel of ensuring that the research adheres to the recommended standards and that the participants are protected from any harm that may result from the research process (Doody & Noonan, 2016). In a research that has human participants, it is of great importance to seek consent from the participants. The participants need to be aware of what the research entails and any potential harm that may result as a consequence of participating in the research. It is from that point that the participant needs to give their approval to participate in the research. Doody and Noonan, (2016), also asserts the importance of protecting the participants’ confidentiality as being part of the ethical guidelines to adhere to when conducting research involving human subjects. Influence of early approaches in psychology in the research In the research to be conducted, the early psychological approaches of introspection will be helpful in defining some of the behaviors elicited by the research participants. Introspection as indicated by Wilhelm Wundt, a renown psychology expert, allows one to inquire what is the motivation behind different actions showed by people. I therefore think that introspection will be helpful in explaining why people look up when thinking. References Boswell, C., & Cannon, S. (2018). Introduction to nursing research. Jones & Bartlett Learning. Doody,
[ANSWERED 2023] As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting
As you establish your goals and objectives for this course, you are committing to an Assignment 2: Practicum Experience Plan (PEP) As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice. For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfil in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep psychotherapy approaches and techniques in mind. To Prepare Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the Practicum help you achieve these aims? Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your Practicum experience must be: Specific Measurable Attainable Results-focused Time-bound Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above) Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site. Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Explain why you selected these theories. Support your approach with evidence-based literature. Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements. Assignment Record the required information in each area of the Practicum Experience Plan template, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during the practicum experience. By Day 7 Submit the Practicum Experience Plan for assessment and Faculty approval. When your Instructor has approved your plan, forward the signed PEP to your Preceptor and retain a copy for your records. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK2Assgn2+last name+first initial.(extension)” as the name. Click the Week 2 Assignment 2 Rubric to review the Grading Criteria for the Assignment. Click the Week 2 Assignment 2 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 “WK2Assgn2+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. Rubric Detail Select Grid View or List View to change the rubric’s layout. Excellent Good Fair Poor Record the required information in each area of the Practicum Experience Plan (PEP): Part 1: Quarter/Term/Year and Contact Information: ᵒ Identify Quarter/Term/Year: ᵒ Identify Student Contact Information, including: Name, Street Address, City, State, Zip, Home Phone, Work Phone, Cell Phone, Fax, and Walden University Email ᵒ Identify Preceptor Contact Information, including: Name, Organization, Street Address, City, State, Zip, Work Phone, Cell Phone, Fax, and Professional/Work Email. 5 (5%) – 5 (5%) The response accurately and clearly identifies the Quarter/Term/Year, all Student Contact Information, and all Preceptor Contact Information. 4 (4%) – 4 (4%) The response identifies the Quarter/Term/Year, and at least 90% of Student Contact Information and Preceptor Contact Information. 3.5 (3.5%) – 3.5 (3.5%) The response identifies the Quarter/Term/Year, and at least 80% of Student Contact Information and Preceptor Contact Information. 0 (0%) – 3 (3%) The response is inaccurate, incomplete, or is missing identification of the Quarter/Term/Year and/or identifies less than 80% of Student Contact Information and Preceptor Contact Information. Part 2: Individualized Practicum Learning Objectives: Explain three Individualized Practicum Learning Objectives that address your self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course. Each Practicum Learning Objective must describe planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills you would like to improve from your self-assessment. 69 (69%) – 75 (75%) The response clearly, accurately, and thoroughly explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course. For each Learning Objective, the response clearly, accurately, and thoroughly describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. 60 (60%) – 68 (68%) The response accurately explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course. For each Learning Objective, the response accurately describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. 53 (53%) – 59 (59%) The response somewhat vaguely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course. For each Learning Objective, the response somewhat vaguely describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. 0 (0%) – 52 (52%) The response inaccurately or incompletely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course. For each Learning Objective, the response has a vague, inaccurate, and/or incomplete or missing description of planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. Part 3: Projected Timeline/Schedule: Describe your Practicum timeline/schedule,
[ANSWERED 2023] In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion
In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a Focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience. You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present. To prepare: Review this week’s Learning Resources and consider the insights they provide. Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. Then, based on your SOAP note of this patient, develop a video case study presentation. Your presentation should include objectives for your audience, at least 3 possible discussion questions/prompts for your classmates to respond to, and at least 5 scholarly resources to support your diagnostic reasoning and treatment plan. State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing. Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide. Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms. Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be. Expert Answer and Explanation Subjective: CC (chief complaint): “I have difficulty falling asleep, am always sad, and am easily distracted.’ HPI: The patient is a 26-year-old female who presented to the office complaining of anxiety, depression, and insomnia. The patient notes that she has been having problems with falling asleep, is easily distracted, is always sad, and has difficulties completing tasks. The patient also complains that she has trouble wanting to see people and associating with people. The patient notes that she finds comfort in isolating herself. She reports anhedonia and cried during the interview. She also reports severe anxiety. She says that her anxiety became more severe when she had that the person who raped her was released from jail. The symptoms have negatively affected her life. Her therapist pulled her out of work, and she hardly made friends with people. She rates her anxiety and depression as 8/10. Substance Current Use: She reports no current use of illicit drugs. Medical History: The patient has no medical problems. Current Medications: She is not on any medications at the moment. Allergies: She reports no allergies. Reproductive Hx: No reproductive problems. ROS: GENERAL: She denies fatigue, weight loss, chills, or fever. HEENT: Eyes: No yellow sclerae, visual loss, or double vision. Ears, Nose, Throat: No hearing problems, runny nose, congestion, sore throat, or sneezing. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, edema, chest discomfort, or palpitations. RESPIRATORY: No shortness of breath. GASTROINTESTINAL: No diarrhea, vomiting, abdominal blood, or pain. GENITOURINARY: She reports no odd urine color, no odor of urine, or burning on urination. NEUROLOGICAL: No dizziness, headache, syncope, ataxia, paralysis, numbness, or tingling in the extremities. MUSCULOSKELETAL: No joint or muscle stiffness or pain. HEMATOLOGIC: No anemia, HIV, bleeding, or bruising. LYMPHATICS: No enlarged nodes. ENDOCRINOLOGIC: No reports of health intolerance, cold, or sweating abnormities. Objective: Vital Signs: BP 102/90, P 67, RR 17, Ht. 5’4″, Wt. 67kgs, Temp 36.5. Physical Exam HEENT: Noncontributory. Skin: No rash or itching. Cardiovascular: Regular heart rhythm and heart rate. No cracks on the chest walls. No edema. Respiratory: Normal breathing sounds, no wheezing, no fluids in the lungs, crackles, and no inspiratory crackles. Diagnostic results: Beck Anxiety Inventory (BAI): Lemos et al. (2019) noted that BAI is used to measure the severity of patients’ anxiety. The authors found that the tool’s reliability is (Cronbach’s α=0.92) in terms of internal consistency. The patient scored 37, meaning that she has severe anxiety. Beck’s Depression Inventory (BDI): BID is a screening tool used to screen for depression (García-Batista et al., 2018). The patient scored 23, meaning that she has moderate depression. Assessment: Mental Status Examination: The patient is well-dressed, and her clothing is consistent with the
[ANSWERED 2023] Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population
Select a nursing practice problem of interest to use as the focus of your research The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the “Literature Evaluation Table” to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Expert Answer and Explanation Literature Evaluation Table Summary of Clinical Issue (200-250 words): Postoperative comfort is important for good surgical outcomes for patients. The control of nausea, vomiting and pain in the postoperative period is important and has a great role in influencing the perception of patients on surgical procedures. Post-operative nausea, vomiting and pain is a significant problem for adult patients receiving general anesthesia. It is influenced by multiple factors related to the patient, surgery, and medications administered preoperative i.e. versed or medications administered intraoperatively. Postoperative pain, nausea and vomiting delays patient recovery, and can lead to unexpected delay in discharges. The long delays in discharge can also have tremendous psychological burden on the patient that further exacerbates the health issues faced by the patient. Using pre-emptive multimodality medications such as Tylenol, Gabapentin, Celebrex, and Dexamethasone reduces the risk of postoperative pain, nausea and vomiting and increase patient satisfaction. It is for this reason that the PICOT question selected aimed at evaluating the effectiveness of some of the identified interventions in dealing with postoperative symptoms. Therefore, the PICOT question is noted as follows; PICOT Question: In adult patients undergoing general anesthesia does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving pre-operative meds? Criteria Article 1 APA-Formatted Article Citation with Permalink Fecher-Jones, I., & Taylor, C. (2015). Lived experience, enhanced recovery and laparoscopic colonic resection. British Journal of Nursing, 24(4), 223–228. https://doi-org.lopes.idm.oclc.org/10.12968/bjon.2015.24.4.223 Permalink https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=101196786&site=eds-live&scope=site How Does the Article Relate to the PICOT Question? The study aimed at explaining the lived experience for patients who have undergone laparoscopic surgery on an enhanced program. The links with the PICOT question from the aspect of identifying the outcomes of patients’ post-surgery which the PICOT also aims to also achieve Quantitative, Qualitative (How do you know?) The study is a qualitative study as it used interviews to collect data, which is common tool for collecting qualitative data. The data analysis approach which was hermeneutical-phenomenological method also indicated the research as qualitative. Purpose Statement The purpose of this study was to explore patients’ lived experience of undergoing laparoscopic colonic resection on an enhanced recovery (ER) program Research Question The research question for the study was “what is the lived experience for patients who have undergone laparoscopic procedures on an ER program?” Outcome The study was able to identify the lived experience of patients who have undergone laparoscopic procedures on an ER program Setting (Where did the study take place?) The study took place in the participants own homes post-surgery Sample 11 patients were selected to participate in the study Method Purposive sampling was used to select the study’s participants in a target population of 46 participants. Key Findings of the Study The study identified that participants of the ER program were keen to achieve their goals and return to full health as soon as possible after surgery which was against the longer than expected duration of recovery. The long hospital stays resulted to negative psychological outcomes with additional accompanying symptoms worsening the patient outcomes. The findings also indicated that patients had different expectations from surgical procedures, in this case the laparoscopic surgery. Recommendations of the Researcher The researcher recommended that nurses need to not only consider the physical but also to the emotional needs of patients on an ER program until they are discharged. It was also recommended that nurses should do more to prepare patients for what to expect post- discharge. Article 2 Herbert, G., Sutton, E., Burden, S., Lewis, S., Thomas, S., Ness, A., & Atkinson, C.
[ANSWERED 2023] In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.
In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in Assignment assessing diagnosing and treating adults with mood disorders In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder. To Prepare Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood 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: Petunia Park. 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. Consider patient diagnostics missing from the video: Provider Review outside of interview:Temp 98.2 Pulse 90 Respiration 18 B/P 138/88Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H) 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 symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest 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 client 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 that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Learning Resources Required Readings (click to expand/reduce) Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. Chapter 8, “Mood Disorders” Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer. Chapter 11, “Mood Disorders” CrashCourse. (2014, September 8). Depressive and bipolar disorders: Crash course psychology #30 [Video]. YouTube. https://youtu.be/ZwMlHkWKDwM https://www.youtube.com/watch?v=ZwMlHkWKDwM&t=1s Walden University. (2021). Case study: Petunia Park. Walden University Blackboard. https://class.waldenu.edu MEDICATION LIST: Premenstrual Depression dysphoric disorder (MDD with Seasonal Variation) Seasonal affective disorder agomelatine amitriptylineamoxapinearipiprazole(adjunct)brexpiprazole (adjunct)bupropioncitalopramclomipraminecyamemazinedesipraminedesvenlafaxinedothiepindoxepinduloxetineescitalopramfluoxetinefluvoxamineiloperidoneimipramineisocarboxazidketaminelithium (adjunct)l-methylfolate (adjunct) Bupropion HCL extended-release Bipolar depressionBipolar disorder (mixed Mania/DepressionBipolar maintenance Mania lithium (used with lurasidone)lurasidoneolanzapine-fluoxetine combination (symbyax)quetiapinevalproate (divalproex) (used with lurasidone) aripiprazoleasenapinecarbamazepine olanzapineziprasidone aripiprazolelamotriginelithiumolanzapine aripiprazoleasenapinecarbamazepinelithiumolanzapinequetiapinerisperidonevalproate (divalproex)ziprasidone Expert Answer and Explanation Bipolar II Disorder Evaluation Subjective: CC: ” I have a history of taking medications and then stopping them. I don’t think I need them. I really feel like the medication squashes who I am.” HPI: Patient PP is a 25-year-old female patient who has come for a mental health assessment. The patient reports having problems with medication adherence, indicating her lack of need for the medication, stating that it “squashes” who she is. The patient also reports having been hospitalized as a teenager for going four to five days without sleep and hearing things during the period. Since then, she has been hospitalized four times, with the current hospitalization being the past spring. She notes that she has previously been diagnosed with bipolar, anxiety, and depression. She also notes that she tried to use some medications like Zoloft, Seroquel, and another one which she only recalls the name to start with the letter “L”. The patient explains that her prescribed medications seem to present some side effects. The patient also notes that she has once had some suicidal tendencies before. She also reports engaging in sexual intercourse with multiple partners since it elevates her moods. She also reports missing work due to feeling too depressed. Substance Current Use and History: The patient reports smoking at least a packet of cigarettes a day, which she doesn’t intend to stop. She also reports having stopped using alcohol at 19 years. The patient also reports having a bad history of marijuana use which made her stop. She denies using cocaine, stimulant, inhalants, hallucinogens, and sedative medications. She also denies using any pain pills or opiate medications. Family Psychiatric/Substance Use History: The patient reports having a family background with psychiatric and substance use issues. She indicates that her mother was bipolar with suicidal tendencies. She reports that her father was imprisoned for 8 to 10 years due to drug-related problems, and she considers her brother to also have mental issues though not hospitalized. Psychosocial History: The patient was raised by her mother and her older brother. She currently lives with her boyfriend and at times her mother who is infuriated by her sexual habits. Her father is imprisoned and has not heard from him for some time. She has never been married before or had any children. She is currently working in her aunt’s stores albeit irregularly due to her occasional depressed moods. She is currently studying cosmetology and loves to paint and write. Medical History: The patient has Polycystic ovary syndrome (PCOS) and hypothyroidism. Current Medications: the patient is currently under birth control pills for PCOS and an unnamed medication for hypothyroidism. She is also currently using some medication for her mental illness which she only remembers the first letter being “L.” She notes to have previously used
[ANSWERED] Complete the Digital Experience. The estimated average time to complete this assignment is 1 hour and 30 minutes. Please note, this is an average time. Some students may need longer
Complete the Digital Experience. The estimated average time to complete this assignment Shadow Health Focused Abdominal Assessment With Esther This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass to the instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points). Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer 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 Understanding Hyperactive Bowel Sounds: What You Need to Know When it comes to our bodies, certain signs and sounds can indicate underlying health issues. One such phenomenon is hyperactive bowel sounds. These sounds might be concerning if you’re not familiar with them, but they’re actually a natural part of our digestive system. In this article, we will dive into the world of hyperactive bowel sounds, discussing what they are, what causes them, when to be concerned, and how they relate to our overall well-being. What Are Bowel Sounds? Bowel sounds, often referred to as stomach rumbling or gurgling, are the noises produced by the movement of food, liquids, and gas through the digestive tract. These sounds are a natural part of digestion and can be observed in everyone. They’re produced as muscles contract and relax to propel the contents of the intestines forward. Normal vs. Hyperactive Bowel Sounds Normal bowel sounds are relatively quiet and occur sporadically throughout the day. Hyperactive bowel sounds, on the other hand, are noticeably louder, more frequent, and might even be accompanied by abdominal discomfort or pain. It’s important to note that the perception of bowel sounds can vary from person to person, and what might be considered normal for one individual could be hyperactive for another. Causes of Hyperactive Bowel Sounds Several factors can contribute to the development of hyperactive bowel sounds. One common cause is an increase in the movement of the intestines, which can be triggered by various factors such as certain foods, stress, infections, and gastrointestinal disorders. The Gut-Brain Connection Believe it or not, there’s a strong connection between our gut and our brain. The gut-brain axis plays a significant role in regulating bowel movements and sounds. Stress and emotions can impact this connection, leading to increased bowel activity and potentially resulting in hyperactive bowel sounds. When to Consult a Doctor While hyperactive bowel sounds are often harmless, there are situations where medical attention is warranted. If you experience severe abdominal pain, bloating, changes in bowel habits, or blood in your stool along with hyperactive sounds, it’s important to consult a doctor to rule out any underlying conditions. Diagnosing Hyperactive Bowel Sounds Diagnosing the exact cause of hyperactive bowel sounds can be a bit challenging. Medical professionals will often take a comprehensive medical history, perform physical examinations, and may recommend tests such as imaging studies or blood tests to rule out any underlying issues. Treatment Options: Treating hyperactive bowel sounds involves addressing the underlying cause. Here are a few approaches that can be considered: Lifestyle Modifications Making positive changes in your lifestyle can have a significant impact on reducing hyperactive bowel sounds. Regular exercise, adequate sleep, and stress management techniques can help regulate bowel activity. 2. Dietary Adjustments Certain foods can trigger increased bowel activity. Experimenting with your diet and identifying trigger foods can help you manage hyperactive sounds. Fiber-rich foods, probiotics, and staying hydrated are generally good practices. 3. Managing Stress Since stress can exacerbate bowel symptoms, finding effective ways to manage stress is crucial. Techniques such as deep breathing, meditation, and yoga can be beneficial. Impact on Daily Life Hyperactive bowel sounds can be bothersome, especially in social or work settings. It’s important to remember that these sounds are a natural bodily function and that everyone experiences them to some extent. Practicing self-acceptance and educating others can help reduce any embarrassment or anxiety. Conclusion Hyperactive bowel sounds might sound alarming, but they’re usually a sign of a functioning digestive system. By understanding the causes, effects, and management strategies, you can confidently navigate through any concerns related to hyperactive bowel sounds. FAQs About Hyperactive Bowel Sounds What exactly are hyperactive bowel sounds? Hyperactive bowel sounds are louder and more frequent stomach noises caused by increased bowel activity. Are hyperactive bowel sounds painful? They can be accompanied by abdominal discomfort or pain in some cases. Can stress really affect bowel sounds? Yes, stress can impact the gut-brain axis and lead to hyperactive bowel sounds. Is it okay to self-diagnose based on bowel sounds? It’s always best to consult a medical professional for proper diagnosis and advice. How can I differentiate between normal and hyperactive bowel sounds? Hyperactive bowel sounds are notably louder and more persistent than normal sounds, often accompanied by discomfort. Tips for Managing Bowel Sound Discomfort Are you often faced with the uncomfortable sensation of bowel sound discomfort? The gurgling, rumbling, and sometimes embarrassing noises that emanate from your stomach and intestines can be quite distressing. But fear not! In this article, we’ll dive into effective tips and strategies for managing bowel sound discomfort, providing you with relief from digestive discomfort and bloating. So let’s explore some practical solutions to help you enjoy a more peaceful and comfortable digestive experience. Introduction Bowel sound discomfort, often accompanied by audible noises, can be bothersome and even embarrassing. However, it’s essential to recognize that these sounds are a natural part of the digestive process. In this article, we’ll provide you with valuable insights and practical tips for managing these sounds and