Client Questions

Please write a care plan research paper (see attachment) in APA style format. Please discuss the following diseases: Anemia, COPD (chronic Obstructive Pulmonary disease), Hypertension, CHF (congestive heart failure). Please make sure to label each sections as states in the attachment.

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (  A 43-y.o. female presents with the complaint of weight gain and fatigue over the past 4 mo. She states that she is always cold and just can’t get warm. She states that she is sleeping really well through the night but does not wake feeling refreshed. She denies shortness of breath, chest pain, or dyspnea on exertion. What additional questions should you ask the patient and why? What should be included in the physical examination at this visit? What are the possible differential diagnoses at this time? What tests should you order and why? How should this patient be managed?

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end. Outline the purpose of an organization’s mission, vision, and values. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective. While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite

List the objective(s) met and briefly describe the activities you completed during each time period. (Complete the form attached bellow)

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 600-700-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

A woman brings her teenage daughter into the emergency department. The teen is lethargic, dizzy, and has been vomiting. While the teen is being examined and stabilized, the mother tells the nurse that her daughter told her that she and her friends used Cough Syrup to get high. The mother states, 1-“How could Cough Syrup do this?”  2-What is the nurse’s Best answer?

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following: Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making. Three peer-reviewed, scholarly or professional references are required. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

The Assignment: Respond to at least two of your colleagues by recommending CBT strategies to overcome the challenges your colleagues have identified. Support your recommendations with evidence-based literature and/or your own experiences with clients. In APA Format and proper citation, provide at least two references for each response post. Response post #: 1 CBT in Family and Individual Setting Cognitive Behavioral Therapy (CBT) in family therapy is targeted at identifying behavioral goals, learning theory techniques to achieve those goals, and social reinforcers to facilitate achievement.  Wheeler (2014), described Cognitive Behavioral Therapy (CBT) as a collaborative method between the therapist and the patient involving psychological analysis, reality checking, and problem solving.  CBT is the most commonly studied psychotherapeutic model that has been proven to be effective in coping with multiple emotional and behavioral disorders, making it suitable for various patient environments and demographics, including adult, group and family environments. In the assessment process of CBT for Family Therapy, the aims are to recognize person or group strengths and challenges, position individual and family activity in the framework of developmental phases, and define cognitive, emotional, and behavioral elements of family members interaction that may be targets for intervention.  In a family session, information is gotten from various sources and perspectives, making it easier for the therapist to define a pattern and see the family dynamics in action. After enough information has been compiled by the therapist to formulate a care plan, a meeting will take place with the group and priorities of change will be set and the interventions will be discussed.  Members of the family affect one another, and their actions cause other members’ behaviors. During this counseling it is important to pay attention to the attitudes, emotions and cognitions of the individuals linked to the question, the group’s acts towards an individual, the collective reactions of the family members towards an individual and the characteristics of the family relationships. Focuses on the perceptions of the patient during patient CBT and how the person reacts, thinks, or acts. Individual CBT places importance on primary and secondary thinking, processing and changes in behavior. The goal of therapy is to restructure the way a patient responds or reacts to a given stimulus or problem.  One difficulty therapists face when using CBT in the family environment as opposed to individual environments is that one or more family members may reject the therapeutic interventions and hinder the progress of other family members and the unit.  Situations arise when family members don’t follow therapy recommendations.  Especially in the treatment of patient’s who have manipulative tendencies, some family members are enablers in the patient’s bad behavior.  It is important for everyone to follow therapist recommendations which may be, minimal phone calls to the patient in treatment, restraining from providing favors that may affect with the treatment process to the patient and providing feedback to the treatment team on maladaptive behavior of the patient to the team. Response post #: 2 According to Dobson & Dobson, (2018) Cognitive behavioral therapy (CBT) is evidenced-based and fits with the current social and cultural demands of the mental health field. In our today’s society, the emphasis is placed on independence, individualism and the ability to have control over things. CBT is based on an educational model, and the goal of therapy is to help clients unlearn their unwanted reactions and to learn a new way of reacting. CBT is time-limited, and a sound therapeutic relationship is necessary for effective therapy, but not the focus. CBT explores organization and wholeness. It posits that a family works as a unit, that is, the adjustments in each participant is reliant upon all others. Although Behavioral, cognitive therapy can be used in both group and individual setting, they possess significant differences and challenges in their application.     Cognitive Behavioral Therapy in an individual setting     Individual therapy allows for the therapist to work with the client and create an individualized plan of care that addresses the needs of the client including the family component and social skills training whereas; there is less time to create treatment plans that are uniquely tailored in a group setting (Patterson, 2014). With individual CBT, clients are able to see the connection between feelings and behavior and to understand the causes of their symptoms. The homework regarding individual CBT is adapted to individual needs, thereby reinforcing motivation. During my clinical rotation, I met clients with anxiety disorders who effectively used role play procedures, coping modeling, affective education, awareness of bodily anxious reactions, relaxation techniques and other cognitive-behavioral techniques to successfully deal with their anxiety.     Challenges counselors might encounter when using CBT in the family setting     In a group setting, it is very challenging for the therapist to develop a good working therapist-client relationship. In a group setting much time is spent implementing, educating and designing plans rather than bonding with the clients. One challenge of utilizing cognitive behavioral therapy (CBT) in the family setting is that sessions require participation from all those who are affected, this includes subsystems. Another challenge for with families being treated with CBT is that members should have all basic needs satisfied before proceeding with such intricate therapy. Supportive therapy may need to be considered prior to CBT. Family members should be intellectually prepared for CBT. In order for the process of family CBT to be therapeutic all individuals must make progress during sessions. If one family member fails to make improvement, this could jeopardize the entire therapeutic process. According Wheeler (2014), it is very important to obtain a good assessment because the main point of assessments is to gather information regarding the strengths and problems of each family member.

The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial. Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings: 1.     Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products. 2.     Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. 300 words, at least 2 evidenced-based guidelines published within the last 5 years. All posts must be referenced as mentioned above and written in APA 6th edition format.

What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings? Explain.