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

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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

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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

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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

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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

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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.

Tom a 26-year-old runner came in to the office today complaining

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Tom a 26-year-old runner came in to the office today complaining

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward.

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle

Hi, here’s the case study.
 
Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the reading

Case Study

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward. He denies hearing a “pop.” He was able to walk, or limp, the remaining ¼ mile back to his home, where he immediately elevated and iced the ankle for 30 minutes. Also, he took two acetaminophen 325 mg, showered and dressed for work, and drove to his place of employment.

He continued to experience significant pain in the ankle, worse when walking. His foot became swollen. Since his job in a sporting goods store requires that he be on his feet most of the day, he was unable to continue his normal workday, and made a same-day appointment to be seen. He has no chronic diseases, takes no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause him to have gastritis. He sprained the ankle last year, but was able to manage that injury at home.

Assessment

A 26-year-old, otherwise healthy male presents limping into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of the right ankle. Capillary refill, pulses, and sensation of the foot and toes are intact. There is no lateral or anterior instability of the joint or tendons. X-ray of the ankle and foot are negative for fracture or dislocation. He has a grade I lateral ankle sprain.

1.   What pain relieving medications would you prescribe? Defend your choice.

2.   How would your prescribe them?

3.   What side effects should you educate the patient about?

4.   Does the age of the patient influence what your choice?

Discussion Question 2

What organs are damage d mostly by taking NSAIDS? What patient education would you provide to someone taking NSAIDS? Further, what organ is damaged by taking too much aspirin? Additionally, what patient education should you provide to a patient taking Aspirin? List 3 diagnosis for which you would administer NSAIDS. List 3 diagnosis for which you would administer Aspirin. What labs or diagnostic tests would you perform for a patient who has consumed too much Aspirin and NSAIDS. Your response should be at least 350 words.

Personal health behavior that you would like to change

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Personal health behavior that you would like to change

Using your own human experience, select a personal health behavior that you would like to change (e.g., smoking, drinking, exercise, etc.). Then, according to the principles and ideas outlined in the Module

Select a personal health behavior that you would like to change

As a behavioral health student, you should now have a good understanding of the behaviors that are most indicative of psychological and physical well-being. However, despite recognizing the best behaviors, sometimes it’s difficult to choose that path.

Using your own human experience, select a personal health behavior that you would like to change (e.g., smoking, drinking, exercise, etc.). Then, according to the principles and ideas outlined in the Module, explain how you might be able to change the behavior. Even though this assignment is focused on personal experience, please avoid using anecdotal knowledge or inserting personal opinions into your assignment. Instead, be sure to rely on evidence and data to support your work. A minimum of 2 scholarly references is required.

In a 3-4 page paper, written in APA format using proper spelling/grammar, address the following:

Describe the 8 dimensions of wellness.
Choose 1 of the 8 dimensions that you would like to improve, then evaluate your behaviors in that dimension.
Decide on a specific behavior from within your chosen dimension. Also, discuss how the behavior affects your personal health and wellness.
Explain how you could change the behavior based on the 5 stages of behavioral change.

Why is quitting so hard?

We all know the health risks of smoking, but that doesn’t make it any easier to kick the habit. Whether you’re an occasional teen smoker or a lifetime pack-a-day smoker, quitting can be really tough.

Smoking tobacco is both a physical addiction and a psychological habit. The nicotine from cigarettes provides a temporary—and addictive—high. Eliminating that regular fix of nicotine causes your body to experience physical withdrawal symptoms and cravings. Because of nicotine’s “feel good” effect on the brain, you may turn to cigarettes as a quick and reliable way to boost your outlook, relieve stress, and unwind. Smoking can also be a way of coping with depression, anxiety, or even boredom. Quitting means finding different, healthier ways to cope with those feelings.

 

 

Doctoral Learning Strategies – Doctor of Nursi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng Orientation Webinar

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Doctoral Learning Strategies – Doctor of Nursi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng Orientation Webinar

The purpose of the assignment is to discuss the Doctoral Learning Strategies and the Doctor of Nursing Orientation Webinar.

D​‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍​octoral Learning Strategies – Doctor of Nursing Orientation Webinar

Firstly, the doctoral learning strategies or process is uniquely autonomous. It is important to develop individual plans for success and to use personal strategies to reach your goals.

Secondly, this assignment is to come up with a 750-1,000 paper that addresses the following.

Discuss learning experiences one may face prior to the doctoral learning experience. Support your discussion with scholarly evidence. Research the autonomous nature of doctoral learning. Discuss how doctoral programs, learning skills and strategies employed when completing them is different than other learning experience. Discuss how the “Doctor of Nursi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng Orientation Webinar” can help to prepare you for your program.

Lastly, conduct a literature review of five scholarly articles related to strategies for success in doctoral programs. Based on your research, discuss specific strategies you recommend when developing a plan for successful completion of a doctoral program.

General Requirements: When writing this paper, ensure you are speaking from a formal standpoint and are not using I-statements. The APA Style Guide is located in the Student Success Center. This assignment uses a rubric.

Practicum goals and objectives using the seven domains of practice

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Practicum goals and objectives using the seven domains of practice

Describe your practicum goals and objectives using the seven domains of practice (the seven domains of practice are: Management of Patient Health/Illness Status. The Nurse Practitioner-Patient Relationship…

practicum goals and objectives using the seven domains of practice

A) Describe your practicum goals and objectives using the seven domains of practice (the seven domains of practice are
1). Management of Patient Health/Illness Status,
2). The Nurse Practitioner-Patient Relationship,
3). The Teaching-Coaching Function,
4). Professional Role,
5). Managing and Negotiating Health Care Delivery Systems,
6). Monitoring and Ensuring the Quality of Health Care Practices-
7). Culturally-Sensitive Care
B) Discuss a nursing theory that would be used to guide your practice.

More details;

The competencies are in seven content domains:

Firstly, Management of Patient Health/Illness Status.

Secondly, The Nurse Practitioner-Patient Relationship.

Thirdly, The Teaching-Coaching Function, Professional Role,

Fourthly,Managing Negotiating Health Care Delivery Systems.

Further,Monitoring

Additionally, Ensuring the Quality of Health Care Practices.

What are the domains of nursing?
The following clinical practice domains of nursing experts were identified:
Firstly, Direct patient care.
Secondly, patient education, support and supervision of nurses.
Thirdly, maintenance and expansion of professional skills and knowledge of the nursing staff.
Fourthly, counselling of managers.
Further, quality assurance
Lastly, organizational development.
What are the 4 domains of nursing?
Each set is laid out under the following four domains:
Firstly, professional values
Secondly, communication and interpersonal skills
Thirdly, nursing practice and decision-making
 Fourthly, leadership, management and team working.
Each domain is comprised of a generic standard for competence and a field standard for competence.
What are the NP core competencies?
The NP Core Competencies are acquired through mentored patient care experiences with emphasis on independent and interprofessional practice; analytic skills for evaluating and providing evidence-based, patient centered care across settings; and advanced knowledge of the health care delivery system.

Nursing theory is “a creative and rigorous structuring of ideas that project a tentative, purposeful, and systematic view of phenomena”. Through systematic inquiry, whether in nursing research or practice, nurses are able to develop knowledge relevant to improving the care of patients.

 

Legislative process and the role of the nurse

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Legislative process and the role of the nurse

This is an assignment that answers the question- describe the legislative process and the role of the nurse as a healthcare policy advocate. The paper will involve answering of two parts on the topic.

Describe the legislative process and the role of the nurse

Overview
This assessment requires you to describe the legislative process and the role of the nurse as a healthcare policy advocate. Your paper will consist of two parts:
Part 1:
·        A clear and complete discussion of the legislative process
Part 2:
Firstly, you will choose one of the political issues listed in Burkhardt & Nathaniel on pages 392-393
Then, tie that political issue to current legislation being debated in your own state’s house or senate
·Describe both sides of that issue – for and against – clearly and thoroughly
Lastly, explain your own position, and explain why using research-based fact, not just your own opinion.
Make sure you also include a clear, separate introduction and conclusion as a part of this assignment, as these are worth separate points on the grading rubric.

NOTE:  Please avoid the following topics, as these do not demonstrate research into current legislation in health care and are more “hot button” issues that do not often result in a strong paper:·

  • Abortion
  • Staffing ratios/mandatory overtime
  • Physician assisted suicide

Objectives
This assessment is aligned with the the course objective 4 and the following module objective:
·        Students will be able to examine legislative and regulatory processes relevant to the provision of healthcare.
·        Discuss the role of the nurse as a healthcare policy advocate.
Points: 40

References
Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)
Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.