Category: Nursing homework help

Im currently working on a capstone project, See attached file under the section Project process plan for the following task
Summarize, in 3 pages how the project was implemented, what barriers you met when doing it, how you solved these situations, and what you think you needed to improve in your project to get better results.
Barriers that I encountered were trying to get the participants together, due to work schedules for different people or other situations I had to do 3-4 different sessions, in different days and times to accommodate all the participant’s needs. I was hoping to get up to 50 participants but only 32 agreed to participate in the study

Explain how Selective Toxicity works to eradicate bacteria without harming the host and other cells
2 Paragraphs
APA format
2 references

FM is a 52-year-old man complaining of excessive thirst. He was in his usual state of health until about 3 to 4 weeks ago when he experienced a significant weight gain that he blames on the stay-at-home order in response to the COVID-19 pandemic. He has been lonely and depressed and sitting at home “eating everything in sight.” Over the past week he has noticed increasing thirst, urinary frequency, and blurred vision.
Past Medical History
• Hypertension
• Hyperlipidemia
Medications
• Lisinopril, 10 mg daily
• Hydrochlorothiazide, 25 mg daily
• Atorvastatin, 10 mg daily
Physical Examination
• Height: 68 inches; weight: 262 lbs.; BMI: 39.8; blood pressure: 158/96; pulse: 82; respiration rate: 16; temperature: 98.2 °F
• Well-developed obese Latino male in no distress
• Lungs: clear
• Heart: regular rate and rhythm
• Extremities: no edema
• Neurological: no deficits
Labs
• Hematocrit: 42%
• Random capillary blood glucose: 358 mg/dL
• Hemoglobin A1c: 11.4% • Urinalysis: specific gravity 1.010, pH 7.4, 4+ glucose, zero acetone
Discussion Questions
1. What nonpharmacologic treatments should be recommended to FM?
2. What pharmacologic treatments should be recommended or avoided in FM?
3. What additional laboratory tests should be recommended to FM?

Case Study 3: anxiety disorders
Please read the following chapter and respond to the following questions.
Manualized Cognitive theraphy for anxiety nd depression.pdf
. What are the pros and cons of using a CBT treatment manual with adults?
Discuss fidelity with flexibility.
2. What is an automatic negative thought that you “catch” yourself saying to yourself in times of stress?
3. CBT requires collaboration and active participation from the participant. If you are working with a highly anxious adult female patient, what strategies might you use to help her cope with the anxiety using this modality?
4. With the content of the sessions described and the skills taught, what do you think will be the more challenging skills? Please use examples and cite the literature?

Produce a briefing for your senior management in which you identify 3 specific situations that have or continue to create conflict in your organization or professional context. Analyze each of these situations to identify structural elements and organizational cultural elements that contributed to a loss of performance for the whole system in each circumstance.
Finally, provide an overall evaluation as to what you see as the root cause that connects each of these separate conflicts and provide remarks as to potential ways to ameliorate the destructive capacity of these conflicts or resolve them, if possible.
Length: 3 to 4 pages
Format: APA

A 500-1000 word personal statement addressing the following two
questions: 1) Why do you want to become a teacher? 2) How will
you use your previous experience to ensure high academic
achievement for your students?
ANSWER
**Why I Want to Become a Teacher**
I want to become a teacher because I believe that education is the key to a better future for everyone. I have seen firsthand the transformative power of education, and I am passionate about helping students reach their full potential.
When I was in high school, I was struggling academically. I was bored in my classes and I didn’t see the point of learning. But then I had a teacher who changed everything. She challenged me to think critically and to see the world in new ways. She helped me to develop a love of learning and to believe in myself.
Thanks to that teacher, I went on to college and got a degree in education. I wanted to be the kind of teacher who could make a difference in the lives of my students. I wanted to help them to see the world in new ways and to develop a love of learning.
I believe that every child deserves a quality education. No matter their background or circumstances, all children should have the opportunity to reach their full potential. I am committed to providing my students with the best possible education so that they can succeed in school and in life.
**How I Will Use My Previous Experience to Ensure High Academic Achievement for My Students**
My previous experience as a tutor and mentor has given me the skills and knowledge necessary to help students succeed academically. I have learned how to develop individualized learning plans, how to provide differentiated instruction, and how to motivate students to learn.
I also have a strong understanding of the importance of creating a positive and supportive learning environment. I believe that all students learn best when they feel safe and respected. I am committed to creating a classroom where students feel comfortable taking risks and trying new things.
Here are some specific examples of how I will use my previous experience to ensure high academic achievement for my students:
* I will develop individualized learning plans for each student based on their strengths and weaknesses.
* I will provide differentiated instruction to meet the needs of all learners.
* I will use a variety of teaching methods and activities to keep students engaged and motivated.
* I will create a positive and supportive learning environment where students feel safe to take risks and try new things.
* I will provide regular feedback to students on their progress and help them to set goals for improvement.
* I will work closely with parents and guardians to create a team approach to supporting student success.
I am confident that my previous experience and skills will enable me to be an effective teacher and to help my students achieve high academic standards. I am passionate about education and I am committed to making a difference in the lives of my students.
**Conclusion**
I am excited about the opportunity to become a teacher and to help students reach their full potential. I believe that education is the key to a better future for everyone, and I am committed to providing my students with the best possible education so that they can succeed in school and in life.

Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

1.An imbalance of secretions can lead to GI issues. Which of these blocks the function of parietal cells?(1 Point)GastrinEndoscopyHistaminePPIs (Proton Pump Inhibitors)
2.This disease is caused by pathological changes in the wall of the colon and predisposes to colon cancer. (1 Point)Esophageal varicesDyspepsiaCrohn’s diseaseUlcerative Colitis
3.What is cirrhosis and how does it develop? What are four potential detrimental effects that can result from cirrhosis? How does each of these affect a patient systemically?
(1 Point)
4.Upper GI events may look similar to cardiac chest pain. Acute coronary events need to be ruled out, first. List at least three clinician questions if nausea or vomiting is involved in a GI issue.(1 Point)
5.Dysfunction of any of the upper GI organs can lead to malnutrition and dehydration. What is the major risk factor for upper GI issues?(1 Point)
6.This is a side effect of medications and is the most common GI complaint in adults.(1 Point)

Answer the questions below based on the following case study.
TM is a 79-year-old man who was diagnosed with dementia 6 years previously. He lives with his 72-year-old wife. He was a chain smoker for 45 years. She describes a gradual deterioration in his condition such that in recent months she has found it increasingly difficult to manage him. He has become increasingly hostile and aggressive, though he has not actually assaulted her. He has begun to complain about seeing people wandering around the house, and that frightens him. On two occasions he has left the house and been found wandering along the road. She has noticed that his condition fluctuates – sometimes he is very aggressive and confused, while at other times he is more calm and lucid.
Summarize the clinical case.
What is the DSM 5-TR diagnosis based on the information provided in the case?
Which pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment.
Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in the 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.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

ANSWER
Clinical Case Summary

TM is a 79-year-old man with a six-year history of dementia who has experienced a recent decline in his cognitive and behavioral functioning. His wife reports increasing hostility, aggression, and visual hallucinations, along with two incidents of wandering. His condition fluctuates between periods of agitation and confusion and periods of relative calm and lucidity.

DSM-5-TR Diagnosis

Based on the information provided, the most likely DSM-5-TR diagnosis for TM is mixed dementia with behavioral variant frontotemporal dementia (bvFTD). This diagnosis is supported by the patient’s progressive cognitive decline, behavioral changes, and relative preservation of language and motor function. The visual hallucinations suggest the presence of Lewy bodies, which are characteristic of Alzheimer’s disease, leading to the mixed dementia diagnosis.

Pharmacological Treatment

According to clinical guidelines, the first-line pharmacological treatment for behavioral and psychological symptoms of dementia (BPSD) in bvFTD is a non-selective serotonin reuptake inhibitor (SSRI), such as citalopram or sertraline. SSRIs are generally well-tolerated and effective in reducing symptoms of aggression, agitation, and apathy.

Rationale for SSRI Treatment

SSRIs are thought to work by increasing serotonin levels in the brain. Serotonin plays a role in regulating mood, behavior, and impulse control. By increasing serotonin levels, SSRIs may help to reduce the symptoms of agitation, aggression, and apathy associated with bvFTD.

Non-Pharmacological Treatment

In addition to pharmacological treatment, non-pharmacological interventions are also recommended for managing BPSD in bvFTD. These interventions include:

Environmental modifications: Creating a calm and predictable environment can help to reduce anxiety and agitation.

Psychoeducation: Educating the patient and caregiver about dementia and BPSD can help to improve communication and understanding.

Behavioral therapy: Behavioral therapy techniques, such as positive reinforcement and redirection, can be helpful in managing specific behaviors.

Rationale for Non-Pharmacological Treatment

Non-pharmacological interventions are important for managing BPSD because they can help to address the underlying causes of the behaviors and promote positive coping mechanisms. They are also generally considered to be safer and less expensive than pharmacological treatments.

Treatment Appropriateness, Cost, Effectiveness, Safety, and Adherence

The treatment plan for TM should include a combination of pharmacological and non-pharmacological interventions. SSRIs are a suitable pharmacological option for TM, given their effectiveness in reducing aggression and agitation in bvFTD. The cost of citalopram is relatively low, and it is generally well-tolerated by most patients.

Non-pharmacological interventions, such as environmental modifications, psychoeducation, and behavioral therapy, should also be implemented. These interventions can help to reduce the need for medication and improve overall quality of life for both the patient and caregiver.

Adherence to the treatment plan is essential for achieving optimal outcomes. The patient’s caregiver should be involved in all aspects of treatment, and regular monitoring is necessary to assess the effectiveness of the interventions and make adjustments as needed.

Local Pharmacy Medication Cost Research

A search of local pharmacies indicates that the cost of citalopram varies depending on the generic brand and dosage. A 20mg generic citalopram prescription for a month’s supply costs approximately $10-$15. This is a relatively low cost compared to other medications used to treat BPSD.

Conclusion

TM’s case highlights the complex nature of dementia and the challenges of managing BPSD. A combination of pharmacological and non-pharmacological interventions is often the most effective approach to managing these symptoms. With careful assessment, appropriate treatment selection, and regular monitoring, it is possible to improve the quality of life for both the patient and caregiver.

References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (DSM-5-TR). American Psychiatric Publishing.

National Institute for Health and Care Excellence. (2018). Dementia: assessment, investigation and management. NICE guideline [NG29].

Sources
uncexchanges.org/2022/07/15/que-factores-ponen-un-nino-en-riesgo-de-trastornos-de-conducta-alimenticia-o-conductas-alimenticias-desordenadas/

FULL ASSIGNMENT INFORMATION IS ATTACHED
Prompt:
Create a Strategic Process Framework to support an evidence-based healthcare service or change in current service relevant to your current practice or support of your DNP scholarly project. This will inform your business proposal and financial plan due in Module 7.
Your strategic framework needs to address how your proposal or initiative will help your organization achieve its mission, vision, and goals. For example, how will your plan be operationalized, are there steps?
A potential budget request? Once implemented, give preliminary thought to how you will monitor which key performance indicators (some mentioned last week) you might track?
IN 5 PAGES, EXCLUDING THE DEMOGRAPHIC & REFERENCE PAGE