Peer Reviewed Short Story

how soon can this be done need it asap 

Neurological

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with 7th edition APA format. 

Neuro Case Study

You are consulted to visit a 72 year old male client who had a stroke last year which left both his upper and lower right sided extremities weakened. He is obese and has a history of smoking for 57 years. His history also includes being diagnosed with type 2 diabetic, high blood pressure, coronary artery disease, polycythemia, and atrial fibrillation. His father died of an MI at age 53. Both of his parents had type 2 diabetes. His mother dies of cancer. His paternal grandfather had 2 strokes, 0neyear apart, dying two weeks after the second stroke.

1. What types of extremity paralysis ( weaknesses) can occur in strokes and how do they differ? What type of weakness does this patient exhibit?

2. The lesion that caused the motor function problem in this patient is located on which side of the brain? Why does it occur in this manner?

3. Given the history of this patient, what type of stroke did this patient have,

ischemic, or hemorrhagic? Please provide your rationale.

4. What is the relationship between atrial fibrillation, and the stroke

5. What other risk factors are identified for this patient and what is the relationship of these to a stroke?

6. Your patient’s wife tells you “My husband’s grandfather had a stroke and could not talk, but he could talk> My husband can not walk, but can talk. I do not understand Why?” The APN would address this issue in what manner? What information is shared?

7. The patient’s wife adds, the doctor said to call him if he suffered a TIA. I thought TIA’s go away. Why is this important and how will I know it is happening? The APN addresses this situation in what manner. What information will be shared?

8. How do adult strokes differ from pediatric strokes?

Nursing Unit 1 Assignment – Clinical Preparation Tool- Instructions- 800w-4 references- due 11-4-23

Instructions Unit 1 Assignment – Clinical Preparation Tool- Instructions- 800w-4 references- due 11-4-23

Topic: Suicidal Ideation 

Suicide Assessment C-SSRS

The Columbia Lighthouse Project. (2016). 


Identify risk. Prevent suicide

Links to an external site.
. https://cssrs.columbia.edu/

For this week utilize the tool listed above to complete the assignment.

Overview  

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.  

You are tasked with
identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.  

Instructions:  

Instrument/ Tool criteria:  

For each assessment, you are tasked with selecting, you will identify an instrument and:  

1. List what
DSM diagnosis the tool/instrument is used for.  

2.
Identify an assessment/diagnosis instrument. 

3. Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.  

4. Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.  

5. Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.  

6. Discuss the psychometrics/scoring of the instrument, including reliability and validity.  

7. Discuss any limitations associated with the use of the instrument. 

8. Include a link to view the assessment if possible. 

 Use the following template in completing your portfolio assignments. Your information can be in a bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice.  Throughout the program, you will continue to add to the portfolio in each course. 

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Anxiety and Related Disorders

Week 4

DSM: Generalized Anxiety Disorder

Instrument: Generalized Anxiety Disorder 7 (GAD-7) and Generalized Anxiety Disorder 2

(GAD-2)

Article: Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7)

in the General Population. Medical Care

Appropriateness for Dx: The GAD-7 and GAD-2 is screening tools for initial assessment for

mental health screening. The screening is the process used by healthcare provider to assess the

need to further evaluate for anxiety disorders. This helps determine the need for further

questioning on the anxiety the individual may be experiencing.

Response to Therapy/Treatment: This screening is effective for self-reporting of anxiety for

the healthcare provider. The evidence supports the validity and reliability of the GAD-7 and

GAD-2 for screening for anxiety disorders (Löwe et al., 2008).

Assessment Instruments

Psychometrics: The questionnaire is a self-reporting tool used for the individual to report any

problematic areas dealing with anxiety. The screening tool has 7 questions in the GAD-7 and the

shorter briefer questionnaire has 2 questions. The questionnaire asks the individual “Over the last

2 weeks, how often have you been bothered by the following problems?”. Then list 7 different

items relating to anxiety and the GAD-2 is the same just stops after question 2. The is effective

screening tool to help see the problem areas. The individual has several different choices to

provide feedback. It is on a scaled system to calculate a score. For example, the first choice “0”

has the words “not at all” and the last choice is “nearly every day” with the score of “+3”. The

calculated score at the end is broke down by minimal, mild, moderate, severe anxiety based on

the scoring.

Limitations:

Limitations: The limitations on the screening tool is the individual answering truthfully or to the

best of their ability. The assessment and further evaluation by the healthcare provider is

necessary for validation of the diagnosis.

References

Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y.

(2008). Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in

the General Population. Medical Care, 46(3), 266–274.

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Medication Errors

nursing 

discussion 6 div

 

Hyde Pfiefer, a retired 70-year-old German American, has lived in the United States for the last 50 years. A widower of 5 years, Mr. Pfiefer prepares his own meals following his wife’s recipes from the old country. Nine months ago, Mr. Pfiefer was told that his cholesterol is elevated, and he was instructed about a low-fat diet. His most recent test results show his values to be unchanged.

  1. Discuss the meaning of food in the German culture.
  2. Using the predominant health beliefs of people of German ancestry, how might you help Mr. Pfiefer reduce his cholesterol level?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Nursing M 2 assignment

powerpoint

help with a powerpoint.

https://cm.wgu.edu/t5/Nursing-Student-Handbook/Nursing-Programs-Conceptual-Model/ta-p/19

Describe the pros and cons of a mixed method research design

Describe the advantages and desadvantages of a Mixed Method Research Design

400 words 

APA 7 format

Citation and 2 references

Discussion

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. 

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified

Required Readings