Hannah Johnson is a 24-year-old Caucasian female case study

Hannah Johnson is a 24-year-old Caucasian female case study

This is a paper that requires the student to review Hannah Johnson is a 24-year-old Caucasian female case study. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Hannah Johnson is a 24-year-old Caucasian female case study

Case Study:

Hannah Johnson is a 24-year-old Caucasian female who was referral to you for outpatient therapy by her primary care physician. Hannah sought treatment from her physician for symptoms of depression and anxiety following an intense argument with her boyfriend of 6 months, which caused him to break-up with her. She informed her physician that she has been having panic attacks daily for the last five days since the break-up. She also stated that she had called into work “sick” each day because she had no motivation, felt “hopeless,” had insomnia nightly, and could not stop crying. Hannah denied feeling suicidal.

Hannah asked her physician for medication to “make the pain go away.” Her physician prescribed her seven pills of .5mg Xanax to take at night, as needed, with no refills. She was told by her physician that what she really needed was therapy to help her address her depression and anxiety and that a quick fix from a medication would not be a long-term solution.

Her physician had seen her request medication numerous times “to make the pain go away” when she was facing the ending of a relationship. At her intake session with you, Hannah disclosed that she had a history of failed romantic relationships and “hated” being single. She described herself as “a romantic” and “fell in love easily,” but her relationships never lasted more than six months. She described her past relationships as “exciting and intense at first” but full of drama as the excitement wore off. Also, she also stated she felt extremely anxious, abandoned, and depressed when her relationships ended.

Hannah Johnson is a 24-year-old Caucasian female case study

Review the fictitious case study below. Based on this scenario, complete the following:

Document a stressor or problem the client discussed in the scenario.
Using CBT as your evidence-based practice model, plan one intervention that could help your client with her stressor.
Clearly articulate why you chose this particular intervention and the CBT concept(s) that support your choice.

Support your assignment with at least three scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including seminal articles, may be included.

Length: 3-5 pages, not including title and reference pages

Howard is a 24 year-old male who presents to the clinic his wife

Howard is a 24 year-old male who presents to the clinic his wife

Howard is a 24 year-old male who presents to the clinic his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a “50 out of 10.”

Howard is a 24 year-old male who presents to the clinic his wife

Select one of the two questions from the discussion questions listed below. By the due date assigned, respond to the selected discussion question and submit your response to this Discussion Area.

Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts by the end of the week. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.

Howard is a 24 year-old male who presents to the clinic his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a “50 out of 10.” He also tells you that due to a past medical history of an ulcer, he cannot take any medications “like Motrin.” He states that the pain is from a car accident in 2012, and that it flairs up and he needs pain medications. He also tells you that he has a high pain tolerance, and that when he gets pain meds he requires the higher doses.

Discussion 1

1.   What would you do first prior to prescribing any medication?
2.   What are the various schedules of medications for controlled substances?
3.   Would you prescribe a long or short acting narcotic? Why or why not?

Discussion 2
1.   What other non narcotic medication options can you offer to this patient?
2.   What patient education is needed with them?
3.   What would you do if the patient and his wife tell you that none of them work for him?

Discussion 3
You are concerned that this patient may have a substance abuse problem.
1.   What screening testing is available for you to use that is reliable and valid?
2.   What strategies would you suggest for this patient if he was found to have a problem?
3.   What type of referrals would you make?

Discussion 4
After some investigating, you find that Howard actually is seeing a pain specialist who has given him epidural injections, and prescribes medication for him.
1.   How does that impact any intervention that you may consider?
2.   What other pharmacological options could you offer him?
3.   What nonpharmacological options could you suggest?

Discussion 5

After seeing Howard and performing the appropriate screening tools, and a urine drug screen, he admits to you that he does have a problem with opioids due to his back injury. He states he has been admitted to an inpatient detox and twenty-eight day rehabilitation unit previously and was able to quit using for 3 months, but relapsed due to his pain. He states for the last 6 months he has been unable to get opioids from physicians since there is a record of him being prescribed a large amount over a short period of time. Due to this, he has started buying heroin from an acquaintance who he went to high school with. His wife is very tearful and states she is concerned that eventually Howard will end up killing himself.

1.   What type of substance abuse programs would be most appropriate for him?
2.   What requirements are there for a nurse practitioner to prescribe a medication to treat opioid addiction?
3.   What are the requirements for a patient who is enrolled in a medication assisted opioid treatment program?

Development of a PICO question for a healthcare problem

Development of a PICO question for a healthcare problem

This is a paper that focuses on the development of a PICO question through identification of a healthcare problem. The paper also discusses research and non research evidence sources.

Development of a PICO question for a healthcare problem

Write a summary of the significance and background of a healthcare problem by doing the following:

1. Describe a healthcare problem that can be used to develop a PICO question. Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing WGU Performance Assessment https://tasks.wgu.edu/student/000818094/course/4200002/task/616/overview 2/7 one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.

2. Explain the significance of the problem from part A1.

3. Describe the current healthcare practices related to the problem from part A1.

4. Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences). B. Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following:

1. Discuss two research evidence sources and two nonresearch evidence sources that you considered. Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old. C. Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic. D. Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points:

Requirements and guidelines

Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards.

Additionally, upload a copy of the full text of the articles with your submission. • author, journal name, and year of publication • research design (e.g., quantitative, qualitative, mixed design, systematic review) • sample size (e.g., numbers of study participants, number of articles, number of control group participants) • outcome variables measured (e.g., identify what the research is measuring) • quality (using the following scale: A, B, C) • results/author’s conclusions (e.g., briefly summarize the outcome) E. Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix. However, You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations. F. Describe a process for implementing the practice change from part E in which you do the following:

1. Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.

2. Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.

3. Identify two strategies that could be used to overcome the barriers described in part F2.

4. Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E.

Observed resilience reflection patients sustainable lifestyle

Observed resilience reflection patients sustainable lifestyle

This essay entails a paper on different Observed resilience reflection on patients sustainable lifestyle and their health at large. Observed resilience reflection shows tha occurences and events that follow after the attcak of a infection to a person. It also entails a way of curbing the attack.

Observed resilience reflection patients sustainable lifestyle

Firstly, resilience Reflection Please complete the following steps. Think of ways in which you observed resilience in patients in your current or past place of work, OR your chosen population or your community organization/partner. What keeps them motivated and engaged in their life, work, family, and possibly their own community? What factors and behaviours are essential for them to become more ”connected” to the environment and your community in order to move toward sustaining their health and/or functioning?

Secondly, have they disconnected themselves from their authentic self, nature, or environment? If so, in what way? In what ways can your population of choice re-establish that connection? What does “quality of life” really mean to your group/population of choice? Would a sustainable lifestyle affect their quality of life? How so? What do your population of choice have in their life that they could give up, without jeopardizing their quality of life?

Also, what, in your opinion, is the biggest obstacle in the way of a move toward sustainability (this could be physical, social, spiritual, or intellectual functioning) for your population of choice? And how may those individuals overcome that obstacle? Requirements. Assignment must address questions and must not exceed 1000 words.

Lastly, assignment is to be typed, double-spaced and should not exceed the page limit set. The submission should have a title page that includes your registered name, student number, course name and number, assignment name, and due date. – The assignments are expected to be in APA format and may include a reference list if applicable.

Nursing quality indicators in issues identification for nurses PDCA Deming Cycle Nursing Care

Nursing quality indicators in issues identification for nurses PDCA Deming Cycle Nursing Care

This is an assignment that discusses the application of nursing quality indicators in issues identification for nurses. The paper also analyzes how hospital data of specific quality indicators.

Application of nursing quality indicators in issues identification for nurses

Part of the scenario: Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately. A week after Mr. J was at the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognizes his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helps Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints. The diet order for Mr. J was “regular, kosher, chopp-meat.” The day after his daughter comes, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal.

Submission

Your submission must be your original work. You must use the rubric to direct the creation of your submission because it provides detail criteria that will  your work. The rubric aspect titles may contain hyperlinks to relevant portions of the course. Analyze the scenario (suggested length of 2–3 pages) by doing the following:

A. Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B. Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to r‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍esolve an ethical issue in this scenario.

Use of Clinical Systems to Improve Outcomes and Efficiencies

Use of Clinical Systems to Improve Outcomes and Efficiencies

Netflix Case Study  his case paper is different than other papers that you may have written in that your paper will not only be read by me, but also by other members of the class. With this in mind, you will want to make the paper as engaging and interesting as possible so as not to bore your classmates. Some strategies to do this would be to pick a company that others in the class may not have heard about or to present an interesting business problem that a company may encounter. I will grade your paper based on the following three criteria: Interestingness: Is your paper engaging and is it written with the audience’s interests (the class and me) in mind? Does your paper include the appropriate marketing terminology that is presented in the textbook? Writing Style: see writing rubric below. A successful paper is usually at least four pages (1.5spaced). Some possible topics could include: A company that successfully balances corporate social responsibility and profit. A company that has used outstanding marketing practices to reinvigorate the firm and increase profitability by creating a competitive advantage in the marketplace. A domestic firm (or organization) that has successfully entered the international marketplace. A new firm (<10 years old) with extraordinary growth and marketplace success. Things that you may want to include in your paper are: (although you are free to deviate and choose a format that you feel is more interesting for the class). A situation analysis with product/service description and SWOT analysis. A description of the firm’s marketing activities that include target market selection, product positioning strategy, and the important elements of distribution, promotion and pricing. A discussion of how the firm satisfies the needs of its customers and what elements about the company makes them extraordinary. Have they been able to create a sustainable competitive advantage? A note about writing: Excellent writing abilities are imperative to success in business and this is a skill that you can expect to improve during this course. This is a graduate level course and I expect graduate level accomplishment in writing. I will grade not only on your mastery of the content, but I also expect the correct use of grammar, spelling and business terminology. I will also expect you to have a polished writing style. If you know your writing is weak, then consider having a friend proofread your paper and/or contact the Academic Support Center for an appointment, http://www.uww.edu/acadsupport/tutorial/ — This is a free service provided by the University.

Stress in the Healthcare Workplace Nurse Burnout

Stress in the Healthcare Workplace Nurse Burnout

Description

Stress is a common phenomenon in healthcare. Write about stress in healthcare and the impact it can have on employees, organizational performance, the delivery of patient care, etc. Identify and describe the different kinds of stress that can occur. Discuss why stress in a healthcare environment may be more of a pressing issue as compared to other industries (be sure to address factors, such as, professional hierarchy, personalities, ethnicity, gender, etc.). Describe if / how employee burnout (due to stress) is impacting the delivery of care. Once you have written about stress in the workplace, identify some best practices to alleviate the negative effects of stress in the workplace. How should managers behave so that employees experience less stress on the job? Ground all your work in existing theory. What strategies can the organization use so that the employees experience less stress on the job? This write-up has to be supported by current facts and literature. Possible Deliverables • What does the healthcare environment look like currently? • Why is stress more prevalent in healthcare? What impact can it have on an organization, employees, and patients. • Define stress – when is it good and when is it bad? • What can administrators do to address employee stress? What can employees do to better manage stress? • Using established theories to describe stress in a healthcare environment

Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization Choose a nursing issue that impacts your practice. The nursing issue may involve a structure, process, or outcome. Examples might include an increased number of patient falls, long wait times in the Emergency Department, high staff turnover, and poor medication compliance in an outpatient setting • Review the literature (including a minimum of eight peer-reviewed articles published within the last five years) related to the nursing issue • Your team is in charge of establishing a committee to address this issue • Establish membership of your committee including which disciplines should be represented and what individual responsibilities are • Provide goals and objectives for your committee • Provide a timeline for expected resolution of the issue and dissolution of committee • Provide guidelines for communication among committee members, including resolution of conflict • Describe how you will implement your evidence-based solution to the issue, addressing and measuring the effectiveness of your model • You are expected to interview nursing and other healthcare leaders and their facility to help develop their committee • You are also expected to attend interdisciplinary or interprofessional Development of team Membership Duties and responsibilities of team members Committee goals and objectives Timeline

Alternative Pain Management on a Medical Surgical Unit

Alternative Pain Management on a Medical Surgical Unit

Project #5: Implementation Plan Instructions This assignment requires that you adapt the analysis done for Projects #1 – 4 to a new environment. Use your prior work, i.e. the recommendation memo and network diagram, to develop a high-level plan for implementing an infrastructure that includes the required controls, changes, etc. to mitigate vulnerabilities and convergence issues in the second case study’s environment. You may need to do additional analysis to address issues specific to the second case study’s environment. Your high-level plan should include all the system development life cycle (SDLC) gates/decision points and all relevant tasks. Describe and relate the implementation solution to CIA and incorporate, people, processes and technology to this plan. Note: Make sure that you include (in detail) the steps you would take to secure the new infrastructure. Putting It All Together Your plan will be a combination of a paper and a detailed list of steps and resources that you would follow to implement and complete this project. Think about all of the actions, resources, and tasks that you would need in order to effect a successful implementation. These should also be included as part of the plan. The minimum structure for this assignment is below: • INTRODUCTION o Purpose of Plan • GOALS AND OBJECTIVES o Business Goals and Objectives o Project Goals and Objectives • SCOPE o Scope Definition o Items Beyond Scope • PROJECTED EXPENSES o System Development Life Cycle/Schedule o Milestones • ASSUMPTIONS o Project Assumptions • CONSTRAINTS o Project Constraints o Critical Project Barriers Additional Information 1. Consult the grading rubric for specific content and formatting requirements for this assignment. 2. Your 5 – 8 page Implementation Plan should be professional in appearance with consistent use of fonts, font sizes, margins, etc. You should use headings and page breaks to organize your paper. 3. Your paper should use standard terms and definitions for cybersecurity. See Course Content > Cybersecurity Concepts Review for recommended resources. 4. The CSIA program recommends that you follow standard APA formatting since this will give you a document that meets the “professional appearance” requirements. APA formatting guidelines and examples are found under Course Resources > APA Resources. An APA template file (MS Word format) has also been provided for your use CSIA_Basic_Paper_Template(APA_6ed,Nov2014).docx. 5. You must include a cover page with the assignment title, your name, and the due date. Your reference list must be on a separate page at the end of your file. These pages do not count towards the assignment’s page count. 6. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a) using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and correctly structured sentences and paragraphs. 7. You are expected to credit your sources using in-text citations and reference list entries. Both your citations and your reference list entries must follow a consistent citation style (APA, MLA, etc.)

Temporomandibular joint disease

Temporomandibular joint disease

For the assignment, you will write a case study about temporomandibular joint disease using words and abbreviations from the course, as well as other words as needed. You will be able to select a disease of interest from a list that I will provide. A format for the case will be provided, and you will need to include a list of references from quality websites or books. I have given you a list of NIH websites to get you started in the right direction. Make sure to have 3-8 citations. NO PLAGIARISM Links to NIH Institues The NIH has various institutes that cover human diseases of interest. It is excellent quality information. To get background information for your case, select the appropriate institute. Then pick your disease off their list. Use the webpage as a citation. NIH National Cancer Institute http://www.cancer.gov/types NIH National Eye Institute https://nei.nih.gov/health NIH National Heart Lung and Blood Institute http://www.nhlbi.nih.gov/health/health-topics/by-alpha/ NIH National Institute of Allergy and Infectious Diseases https://www.niaid.nih.gov/diseases-conditions/infectious-diseases NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov/Health_Info/default.asp NIH National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov/health-information/health-topics/Pages/default.aspx NIH National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/disorder_index.htm NIH homepage https://www.nih.gov/institutes-nih/list-nih-institutes-centers-offices