Client Questions

INSTRUCTIONS   The Case of Marisol Marisol is a 40-year old single female from a tight knit Puerto Rican family. She is employed full time as a data analyst for a technology company. She has steadily progressed in her career by working for relatively small companies where her role allowed her to work relatively independently. Unfortunately, working for small organizations was less stable financially so she has been working for a larger company for the past four years. Interacting with a larger work group has challenged her comfort zone. She prefers to spend time with a network of close friends she has known most of her life whom she visits with one on one. Her family lives in the area, and she sees them frequently. Her parents and older brother have always provided a support system and practical help. She enjoys quiet evenings alone or at the home of her brother and his family. Her friends and family privately wonder why she’s never dated or wanted to travel. For each case study, you will complete a descriptive diagnosis using tools you select from the list of assessment tools provided later in the assignment. Each case requires the following information to be addressed: Identify presenting concerns from the client’s perspective as described in the video and accompanying narrative. Include relevant cultural and systemic considerations that frame the client’s presentation. Describe what information is still needed to make a differential diagnosis and evaluate how at least one assessment tool, which is listed in the List of Assessment Tools resource, will aid in obtaining that information. The Differential Diagnosis Decision Tree may be helpful to guide this process. Present DSM-5 and ICD-10 codes, including relevant V and Z codes. Provide a descriptive rationale for the DSM diagnosis that best fits the information provided including relevant ICD codes. This should be written in a narrative form using complete sentences. Support your rationale with scholarly sources. Optional readings found in the course syllabus may be particularly relevant. Determine if a medication consultation is appropriate and provide a rationale with support from scholarly sources. LIST OF ASSESSMENT TOOLS AND SUPPORTING RESOURCES Beck, A. T., Epstein, N., Brown, G., & Steer, R. (1988). Beck Anxiety Inventory. Psyctests, doi:10.1037/t02025-000 Bardhoshi, G., Duncan, K., & Erford, B. T. (2016). Psychometric meta‐analysis of the English version of the Beck Anxiety Inventory. Journal of Counseling & Development, 94(3), 356–373. Review this source to review how to interpret the Beck Anxiety Inventory. Derogatis, L. R. (1977). Symptom checklist-90–revised. Psyctests, doi:10.1037/t01210-000 Grande, T. L., Newmeyer, M. D., Underwood, L. A., & Williams, C. R. (2014). Path analysis of the SCL-90-R: Exploring use in outpatient assessment. Measurement and Evaluation in Counseling and Development, 47(4), 271–290. Review this source to review how to interpret the SCL-90-R. Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety Symptom Checklist. Psyctests, doi:10.1037/t39906-000 Beck Depression Inventory–II Erford, B. T., Johnson, E., & Bardoshi, G. (2016). Meta-analysis of the English version of the Beck Depression Inventory–Second edition. Measurement and Evaluation in Counseling and Development, 49(1), 3–33. This resource will help you use the Beck Depression Inventory-II if you access that assessment tool. SUBMISSION REQUIREMENTS Written communication: Written communication must be grammatically correct and free of errors that detract from the overall message. Writing should be consistent with graduate level scholarship. APA formatting: Title page, main body, and references should be formatted according to the current APA style and formatting. Number of resources: Minimum of six scholarly resources. Distinguished submissions typically exceed this minimum. Length of paper: 5–7 typed double-spaced pages. Abstract and Table of Content pages are not necessary. Font: Times New Roman, 12 point.

can you complete my research with references as Harvard style with (0) plagiarism in Turnitin so please be carefule and do not check it in Turnitin and i would like to have it in saturday, i have guidelines to go through it and examples with use Quantitative methods. provide enough. you can modify the previously written part

How does the community health nurse recognize bias, stereotypes, and   implicit bias within the community? How should the nurse address these   concepts to ensure health promotion activities are culturally   competent? Propose strategies that you can employ to reduce cultural   dissonance and bias to deliver culturally competent care. Include an   evidence-based article that address the cultural issue. Cite and   reference the article in APA format.

Write a 175- to 265-word response to the following questions: What impact does the use of demographic data have on public health initiatives? What type of data do you believe is most valuable for this purpose?

#NAME?

What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?         Do all the United States citizens have the right to healthcare services regardless of their position, or is it a privilege for those who deserve it? This has been the United States debate for over a century, whether healthcare is a right or a privilege. Healthcare as a privilege arises from the limited resources since it requires money to operate, and in this case, is treated like any other commodity in the market. This debate is facilitated by several factors, such as the role an individual believes that the U.S. government is playing in enforcing healthcare rights. Other factors, such as how people view rights and privileges and whether they believe healthcare to be something that every individual should have, play a part in this debate. Therefore, my thoughts on this debate are that healthcare is a right and not a privilege. The United States has modified the current delivery system and provides healthcare for its citizens in recent years. For instance, in 2008, former President Obama stated and declared that healthcare in the U.S. should be accessible to everyone regardless of socio-economic status (Maruthappu, Ologunde, & Gunarajasingam, 2013). This meant that every citizen had the right to quality and affordable healthcare. Although the statistics do not show how healthcare is a right for every citizen considering the many numbers of uninsured people, the U.S. is taking a step further to making healthcare accessible. According to Maruthappu, Ologunde, & Gunarajasingam (2013), the number of those not covered in 2010 was over 50 million. Enacting and passing the Patient Protection and Affordable Care Act (PPACA) has substantially contributed to ensuring that healthcare is a right and not a privilege. Healthcare has been made accessible to many U.S. citizens, although not all of them. One of ACA’s objectives that have proved that healthcare is a right is its goal in improving availability, affordability, and quality of insurance coverage for all U.S. citizens through Health System Reform and Insurance Reform (Vincent & Reed, 2014). In recent years, the healthcare environment has changed, which has impacted the practice as a nurse. For instance, in the nursing environment, drastic changes have occurred to enhance medical care efficiency. There are better hospitals, more training programs, more responsibility, and a focus on patient-centered care in the nursing field. Although I am not yet working as a nurse, these changes impact my dedication as a medical professional as I am eager to better the health of the patients. The changing environment that has contributed to more training programs impacted my clinical hours as it had enabled my skills and confidence to build. I am learning new skills and techniques that will be helpful in a clinical setting. Another change in healthcare is social media’s use in increasing engagement in the nursing field (Lucas & Ward, 2016). Through this, nurses can share information and ideas, which has facilitated better communication. There are rights that the virtues of humanity entitle U.S. citizens or, rather, every human worldwide. Exercise of these rights makes life better and enjoyable with dignity. Thus, among all the rights the humans deserve, healthcare is the most basic, essential, and crucial one. Although the United States mostly has a health insurance system, the right to healthcare is recognized internationally and should strive to make it a fundamental human right for its citizens. References Lucas, A., & Ward, C. W. (2016). Using social media to increase engagement in nursing organizations. Nursing, 46(6), 47-49. Maruthappu, M., Ologunde, R., & Gunarajasingam, A. (2013). Is health care a right? Health reforms in the USA and their impact upon the concept of care. Annals of Medicine and Surgery, 2(1), 15-17. Vincent, D., & Reed, P. G. (2014). Affordable care act: Overview and implications for advancing nursing. Nursing Science Quarterly, 27(3), 254-259. Reply 2 What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?   The United States assurances its citizens education, police and postal services, military protection, and other services, either federal or state, however, health care coverage is not guaranteed (Bauchner, 2017). Because we are humans, we have rights independently from our culture, religion, sex, race, economic status, or nationality and, among those rights, healthcare should be the most vital (Gerish, 2018). Healthcare is not considered a right but a privilege for the ones who can manage to pay for it (O’Rourke, 2017).    In my opinion, I believe that healthcare should be a right, but facts showed me that in United States is a privilege. I came from a South America country where, even though it is considered a developing country, healthcare is accessible to all its citizens. Lately, public hospitals are not the best, the buildings are deteriorating, and there is a lack of supplies, nevertheless, they offer free healthcare for the ones in need. Of course, if possible, people prefer to pay medical insurances or prepaid care for a better service. During my first years in United States I received medical insurance for my four children with 100% coverage although not for me. Later, when I started to have better salaries, they denied that service, but my employers offered me plans to cover my children with a fee in every paycheck. I felt that I was earning more money but at the same time having more expenses.   “We have the least access and by far the highest costs in the world” (O’Rourke, 2017). That is true; I feel that in addition to having to rely in expensive medical insurances, the costs of medical services are luxurious, so yes, healthcare in US is a privilege. O’Rourke, 2017 makes a point with the statement that considering healthcare as a right does not mean that should be free, nor it should be by charity. In addition, not all services should be included, for example elective cosmetic surgery. Considering healthcare as a right is a way to provide accessible needed care without taking in consideration the ability to pay. During the orientation at my current job, I learned about EMTALA, The Emergency Medical Treatment and Labor Act, which is a federal law that requires emergency departments to stabilize patients regardless their economic or insurance status and if hospitals do not comply with this law fines apply. More of these laws should be written to ensure that all citizen receive adequate treatment, not only in emergency situations. Nonetheless, the problem of considering healthcare as a right and not a privilege is being discuss year after year with only a few changes and little by little additions are made like EMTALA and affordable healthcare. References Bauchner, H. (2017). Health care in the United States: A right or a privilege. JAMA 317(1):29. https://doi:10.1001/jama.2016.19687 Gerish, M. (2018). Health care as a human right. Human Rights Magazine 43(3). https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/the-state-of-healthcare-in-the-united-states/health-care-as-a-human-right/ (Links to an external site.) O’Rourke, T. W. (2017). Lost in the health care reform discussion: Health care as a right or privilege. American Journal of Health Education, 48(3), 138–141. http://eds.a.ebscohost.com/eds/pdfviewer/pdfviewer?vid=5&sid=dd15245d-62a1-4e89-9b6a-dca649770c48@sessionmgr4006 All replies must be constructive and use literature where possible. Your assignment will be graded according to the grading rubric.

Based on the two templates attached. Write 1-page summary of how the selected medication (doxazosin) relates to the selected systems disorder (Benign Prostatic Hyperplasia).

Before starting the regimen, you need to develop a medication summary that includes: A) the most likely reason you are taking each medication, B) Any medication interactions C) Special administration instructions D) the actual dosing schedule (when do you plan to take these medication) E) rationales for timing decisions. You may use any format (a table, pre-printed card, etc.) to develop a medication schedule. I need to see this schedule prior to you starting the regimen to receive points in this section. List of medication Acetaminophen 500mg. take 1 capsule by mouth twice daily. Simvastatin 10mg tabs. Take 1 tablet by mouth. Senokot 8.6mg tabs, take 1tablet by mouth twice daily. Captoril 25 mg tabs, take 1 tablet by mouth twice daily. Furosemide 40mg tabs, take 1 tablet by mouth daily

Respond to the post bellow in one or more of the following ways: Ask a probing question, substantiated with additional background information, and evidence. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Offer and support an alternative perspective using readings from  the classroom or from your own review of the literature in the Walden  Library. Validate an idea with your own experience and additional sources. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.                                                       Main Post                              Effect of a Nurse-Driven Mobility Protocol The  title of the study that I have chosen is “the effect of a nurse-driven  mobility protocol.” The population that this study focuses on is that of  older adults. The participants who took part in the study were only 50.  The purpose of the study was to find out if patients had a better  outcome of functional mobility and a decline in the length of stay after  discharge in case a nurse-driven mobility model was employed. The  nurse-driven mobility protocol that was used in the study was the  Geriatric Friendly Environmental through Nursing Evaluation and Specific  Interventions for Successful Healing. Thus nurse-driven agility was  used before the study was conducted and this gave the nurses an  opportunity to train before the study. This protocol allows the nurses  to walk patients two to three times a day for meals or to the washrooms  (Padula, Hughes, &Baumhover, 2009).  Potential Concerns Validity  means the degree of credibility and accuracy of information provided  during a study. Internal validity is the liberated variable being the  reason for the results as opposed to several other factors. In this  study, the internal validity is at risk from the reality that most of  the research participants in the treatment group are at a lesser risk  for falls than those from the control group (Metheny, Davis-Jackson,  & Stewart, 2010). This can have an effect on the validity of  information during the research study. This is because if the treatment  group were at a lower risk for falls, the group would be more  self-sufficient before the study which can affect the outcomes of the  research.   Another  concern could also be seen where the staff may seem reluctant to walk  their patients for long distances in case the patient is at risk for  falls. Another problem of validity that can be encountered is the fact  that there is no distinct definition of the exact number of times that a  patient should be walked through and the distance to be covered by the  control group. Lack of data showing the exact number of patients who  were in the control and the treatment groups could also harm the  internal validity. Another concern that may affect the validity of  information may arise where patients from a nursing home may not  participate actively as compared to those new from home.   Recommendations to Reinforce Internal Validity To  reinforce the internal validity in this case, the management of nursing  care should implement clear and concise principles to guide the control  group. The assessment of how often patients are ambulated and put on a  chair for feeding should be done before the study to reinforce the  internal validity of the data. In this research, the patients should  have come from a similar environment before the admission. Using the  data for all patients in the control group could also make the data  clear thus strengthening the internal validity. They should also have  similar statuses to enhance internal validity. Before being admitted, it  is also essential for all patients to use or not use an assistive  device for uniformity purposes. Ensuring similarity between these groups  would have prevented issues of internal validity (Yuan et al. 2009). Effects my Changes Could Have Regarding the Three Types of Validity The  changes regarding the three types of validity will lead to  strengthening internal validity. By ensuring that all the participants  of this study come from one environment and using the same assistive  device, this will improve the validity of data during the study. Having  clear guidelines for the control group will enhance validity by  providing the best evidence.   Dangers of Failing to Be Considering the Validity of the Research Study. During  any research study, backing up your data through evidence-based  practices improves the decision-making process and enhances validity.  Failing to consider validity leads to weak and unreliable results which  may harm the study subjects. Therefore, it is imperative to ensure that  validity is maintained as this would lead to certain outcomes. References Metheny,  N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of  an aspiration risk reduction protocol. Nursing Research, 59(1), 18–25. Padula,  C. A., Hughes, C., &Baumhover, L. (2009). Impact of a nurse-driven  mobility protocol on functional decline in hospitalized older adults.  Journal of Nursing Care Quality, 24(4), 325 331. Yuan,  S., Chou, M., Hwu, L., Chang, Y., Hsu, W., &Kuo, H. (2009). An  intervention programs to promote health-related physical fitness in  nurses. Journal of Clinical Nursing, 18(10), 1,4041,411.

1)  Submit 1 document per part Part 1: Complete the file “Template Soap Note” taking into account the file “Note 1” Part 2: Complete the “Template Soap Note” taking into account the following information:      Name: AM      Gender: Male      Age: 47 years      Diagnosis: Hypercholestetolemia Part 3: Complete the “Template Soap Note” taking into account the following information:     Name: I V.     Gender: Female     Age: 57     Diagnosis: Hypertension     Chief complain: Headache 2)¨******APA norms, please use headers                     All paragraphs must be narrative and cited in the text- each paragraphs           Bulleted responses are not accepted           Dont write in the first person            Dont copy and pase the questions.           Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph          Submit 1 document per part 3) It will be verified by Turnitin and SafeAssign 4) Minimum 4 references per part not older than 5 years