Health 105

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Please see the attached instructions.

NEUTROPENIC SEPSIS

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NEUTROPENIC SEPSIS

 PICOT: Would early assessment, diagnosis of Neutropenic Sepsis in patients post chemotherapy treatment, as well as the immediate administration of broad-spectrum antibiotics and fluids, will be more effective in decreasing septic shock and death compared to delaying treatment 

Students will develop a 1,000-1,250 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Problem      statement Purpose      of the change proposal Literature      search strategy employed Evaluation      of the literature Applicable      change or nursing theory utilized Proposed      implementation plan with outcome measures Identification      of potential barriers to plan implementation, and a discussion of how      these could be overcome Appendix      section, if tables, graphs, surveys, educational materials, etc. are      created CONCLUSION

You are required to retrieve and assess a minimum of 7 peer-reviewed articles

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 Turnitin. Please refer to the directions in the Student Success Center.

who can help me? Leadership Homework.

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Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving. Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture? Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

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.

Professor  Note:

 

 This week you will create  a  PowerPoint presentation on the alignment of organizational  values  between you, the nurses, and the organization, and how  effective  communication is instrumental in problem resolution.

Please remember that your Title Slide and your  Reference
Slides  are not included in your total count. 

You will create a 10-15 slide Power Point presentation  with  notes pages (at the bottom of the slide). Make sure to  provide  references for your information.

Community Health.

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What is the difference between a group “at risk” for poor health and a group considered a “vulnerable” population? Provide an example of an “at risk” or “vulnerable population” group in the United States and one in another country (or immigrants within the United States). Explain why members of these groups cannot advocate for themselves or why advocating for these groups would be beneficial. What would you advocate for? Identify ethical issues that need to be addressed when working with these individuals. Provide information about the selected “at risk” group. How many individuals fall into this group and what are some issues they face. 

500 words, No plagiarism, 2 Reference in APA format.

ccbma

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ccmba test EXAM

Week 9 drug card.

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Complete attached drug card.

Provide references.

COMMUNITY AND PUBLIC HEALTH DQ 4 TOPIC 2

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The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials: “About the Affordable Care Act” “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

Why is a philosophy of science important to nursing

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Why is a philosophy of science important to nursing? Provide examples from your clinical practice that demonstrate how the scientific method influences nursing knowledge, and in turn, practice? (Essentials I, III, VI, VIII and IX)

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style. 

One page essay due tomorrow 7/20

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This is for policy and politics in nursing 

 Compare and contrast the current fee-for-service payment system with the reformed value-based payment system. How will this change improve quality of care, patient outcomes, costs, and the role of the entire healthcare team including nurses? A peer reviewed nursing journal article must be used within the essay

Post- Charlene

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 Respond to your  colleagues by providing one alternative therapeutic approach. Explain  why you suggest this alternative and support your suggestion with  evidence-based literature and/or your own experiences with clients. 

                                           Main Post

 

Discussion: Posttraumatic Stress Disorder (PTSD)

Posttraumatic Stress Disorder (PTSD)  is known as a mental health condition or a psychiatric disorder that  occurs in people who witnessed or experienced a traumatic event in which  physical harm occurred or was threatened (Bisson, Cosgrove, Lewis,  & Roberts, 2015). According to Lancaster et al. (2016), PTSD creates  long-lasting consequences of traumatic ordeals that creates intense  fear, feeling of guilt, helplessness, persistent sadness due to sudden  death of loved one, natural disaster, major accident, war or combat,  physical assault, rape, terrorist attacks. According to Pai et al.  (2017), DSM-5 diagnostic criteria related to PSTD includes flashbacks of  the trauma, nightmares, intense distress, panicking, lack of sleep or  self-disturbance, self-destructive behavior, aggressive behavior, reduce  interest, avoidance or avoiding distress memories, emotionally numb and  increase the use of alcohol and drugs. In the case study of Thomson  Family, William Thompson is a 38 years old African American who is the  younger brother of henry. William is a military person and was involved  in an Iraq war veteran who recently starts living with her brother in  Pasadena, California (Laureate Education, 2012a). Both his brother and  wife argue that William is suffering from PTSD but William does not  accept this thing and show the symptoms of avoidance when someone tries  to talk to him about that. William starts living with his brother when  he was unable to pay his mortgage and now working on jeopardy due to his  PTSD and alcoholic concerns. The behavior of William that aligns with  the DSM-5 diagnostic criteria of PTSD includes avoidance, war veteran,  alcoholic concerns, concentration issues on working due to which he was  unable to pay the mortgage due to joblessness, working in jeopardy due  to PTSD concerns and his brother also admits that William is suffering  from PTSD.

Psychotropic MedicatioSelective serotonin reuptake  inhibitors (SSRIs) are the only FDA-approved drugs that are used in the  treatment of PTSD (Ipser & Stein, 2012). In PTSD treatment  sertraline antidepressants such as Zoloft, Pfizer and Paroxetine  antidepressant HCl such as Paxil are recommended in the medication  process. SSRIs work by helping to create a balance between certain  chemicals such as neurotransmitter serotonin levels in the  brain (Feduccia, et al., 2019). This chemical balance in the brain helps  in regulating mood, improving sleep disturbance, improving appetite and  decreasing other symptoms. According to Alexander (2012), the  first-line treatment method for PTSD includes the use of Fluoxetine  (Prozac) which helps in improving the energy level, restoring daily  interest, decrease fear, unwanted thought, improve concentration and  reduce panic attacks.

In the case of PTSD along with  first-line treatment process different therapeutic approaches are also  adopted for the patient which includes the use of cognitive-behavioral  therapy (CBT). According to Paintain and Cassidy (2018), CBT is  considered the most effective type of psychotherapy and first-line  therapy which is used in both short term and long term treatment of  PTSD. The main focus of CBT therapy is the traumatic event that are  creating problems in the behavior of the patient. CBT helps in  identifying, determine, understanding and focuses upon changing the  thinking pattern and behavioral pattern of individuals involved in the  treatment process (Watkins, Sprang, & Rothbaum, 2018).

Expected Outcomes

With the help of the recommended  medication process and therapies, it becomes easy for the patient to  overcome the symptoms of PTSD. The expected outcomes from the  recommended therapy are to return a sense of control in patients along  with self-confidence, reduce symptoms of escaping and avoidance  behavior (Syros, 2017). CBT will target current problems and symptoms of  the patient and focuses on changing pattern behaviors, feelings,  thoughts that are creating difficulties in functioning (Shubina, 2015). 

References

Alexander, W.  (2012). Pharmacotherapy for post-traumatic stress disorder in combat  veterans: Focus on antidepressants and atypical antipsychotic agents. Pharmacy and Therapeutics, 37(1), 32-38. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278188/

Bisson, J. I., Cosgrove, S., Lewis, C., & Roberts, N. P. (2015). Post-traumatic stress disorder. British Medical Journal, 1(2), 351-366. doi:10.1136/bmj.h6161

Feduccia, A. A.,  Jerome, L., Klosinski, B., Emerson, A., Mithoefer, M. C., & Doblin,  R. (2019). Breakthrough for trauma treatment: Safety and efficacy of  MDMA-Assisted psychotherapy compared to paroxetine and sertraline. Frontiers in Psychiatry, 10(1), 650-678. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00650/full

Ipser, J. C., & Stein, D. J. (2012). Evidence-based pharmacotherapy of post-traumatic stress disorder (PTSD). International Journal of Neuropsychopharmacology, 15(6), 825-840. doi:10.1017/S1461145711001209

Lancaster, C. L.,  Teeters, J. B., Gros, D. F., & Back, S. E. (2016). Posttraumatic  stress disorder: Overview of evidence-based assessment and treatment. Journal of Clinical Medicine, 5(11), 105-110. doi:10.3390/jcm5110105

Laureate Education. (2012a). Academic year in residence: Thompson family case study . Baltimore, MD: Author .

Pai, A., Suris, A.  M., & North, C. S. (2017). Posttraumatic stress disorder in the  DSM-5: controversy, change, and conceptual considerations. Behavioral Sciences, 7(1), 7-21. doi:10.3390/bs7010007

Paintain, E., & Cassidy, S. (2018). First‐line therapy for post‐traumatic stress disorder: A systematic review of cognitive behavioural therapy and psychodynamic approaches. Counselling and Psychotherapy Research, 18(3), 237-250. doi:10.1002/capr.12174

Shubina, I. (2015). Cognitive-behavioral therapy of patients with ptsd: literature review. Procedia-Social and Behavioral Sciences, 165(1), 208-216. doi:10.1016/j.sbspro.2014.12.624

Syros, I. (2017). Cognitive behavioral therapy for the treatment of PTSD. European Journal of Psychotraumatology, 8(4), 1-14. doi:10.1080/20008198.2017.1351219

Watkins, L. E.,  Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A review of  evidence-based psychotherapy interventions. Frontiers in Behavioral Neuroscience, 12(1), 258-277. doi:10.3389/fnbeh.2018.00258