Discussion 1 Hematopoietic:  J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.  Past Medical History (PMH):  Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.  Case Study Questions Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.

Assessment 3 Instructions: Disaster Recovery Plan – ... 07/06/2023, 18:48 Course Navigation  Tutorials Support Log Out Elisha Cochran Lesa Williams Stephanie Guernsey   FACULTY 8 NEW COACH Assessment 3 Instructions: Disaster Recovery Plan Develop a disaster recovery plan to lessen health...

Module 2 Discussion       Patient Information After studying Module 2: Lecture Materials & Resources, discuss the following: It is very important for all mental health professionals to take very detailed and thorough historical information from their patients. This information should include an adequate social history, complete medical history, and a full mental status examination with a probable treatment plan. Describe three reasons it is important to gather detailed and extensive information from any patient before you counsel him/her or make medication suggestions.  Use evidence-based research to support your position. Define malingering.  Discuss two ways to differentiate between malingering and a DSM5 diagnosis.  Use evidence-based research to support your position.   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. 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. Module 3 Discussion       Anxiety Case After studying Module 3: Lecture Materials & Resources, discuss the following:   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.)

Assessment 2 Instructions: Quality Improvement Initiative ... 08/08/2023, 18:01  Mitchell LaFleur  Course Navigation  Tutorials Support Log Out  Shawn CD Owi Agh Ct H3322 FACULTY Assessment 2 Instructions: Quality Improvement Initiative Evaluation Prepare an evaluation (5-7 pages) of an...

INFLUENCING HEALTH POLICY Module 1 Discussion 1    Nursing & Health-Care-Policy Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States.   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.  Grading Rubric  Your assignment will be graded according to the grading rubric. Module 2 Discussion  Advocacy What examples of advocacy do you see in your own nursing practice? List and discuss 2 examples.   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.

Practicum Focus Sheet, Assessment 1 Practicum Focus Sheet Assessment 1 Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, assessing the health problem you’ve defined from a leadership, collaboration, communication,...

SMART Goals, word document For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic, Timely. Be sure to answer the following questions for each goal summary: Can you measure it? Is it attainable? Is it realistic? What is the time frame you have set for completing that goal?   Format: Each goal summary should be at least 100 words – totaling 500 words for this assignment (added to the speaker notes). The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.  The presentation should consist of 10-15 slides (excluding the introduction and reference page).   How to Format a PowerPoint Presentation in APA StyleLinks to an external site. Goodwin University. (2019, October). APA style - 7th edition. https://goodwin.libguides.com/c.php?g=29109&p=7298502 This Assignment must be submitted to Turnitin. Module 3 Discussion No unread replies.No replies.       Internalizing Disorders After studying Module 3: Lecture Materials & Resources, discuss and reflect on the following: Create a 5-7 minute video using Canvas Capture. Reflect on your first experience treating a toddler, school-aged child, or adolescent with a mood or anxiety disorder. Describe a clinical situation, in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen).  Describing the clinical experience should take less than 3 minutes.  Discussing your reflection should take 3-5 minutes.

Assessment 4 Instructions: Health Promotion Plan Presentation ... 07/06/2023, 18:48 Course Navigation  Tutorials Support Log Out Elisha Cochran Assessment 4 Instructions: Health Promotion Plan Presentation Build a slide presentation (PowerPoint preferred) of the hypothetical health promotion plan...

Module 1 Assignment egin Research for Your Case Presentation Begin research for your Case Presentation based on what you have chosen in Module 3 Discussion ii. Due in module 7. No submission in this module. Module 2 Discussion No unread replies.No replies.    The 50-Year-Old Patient Evaluation & Management Plan A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history and examination rules out worsening heart failure, acute illness, and worsening kidney disease. The CBC results indicate hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition. Discuss the following: Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron deficiency, and what would those results show? Should the practitioner consider a blood transfusion for this patient? Explain your answer. Which medication(s) should be considered for this patient? What considerations should the practitioner include in the care of the patient if erythropoietic agents are used for treatment? What follow-up should the practitioner recommend for the patient?   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.

Assessment 1 Instructions: Learning Theories and Diversity &... 08/08/2023, 18:04 Shawna Smith Ashadah Austin Course Navigation  Tutorials Support Log Out Shawn Dwight 3322 FACULTY COACH Assessment 1 Instructions: Learning Theories and Diversity Create a 5-7-page high-level teaching plan for a...

Case Study: Kel Student Name Affiliation Course Instructor Due Date Case study: Kel Presenting Problems Kel exhibits a wide range of problematic symptoms suggestive of a serious mental health problem, such as severe depression symptoms, which include unwavering melancholy and hopelessness, interest loss in once-enjoyed hobbies, and functional impairment. She also has a severe lack of energy and acute weariness, which interferes with her day-to-day activities, including employment and self-care. The severity of her disease is further highlighted by the significant weight loss she experienced over two months due to a decreased appetite, social separation from friends and coworkers, neglectful communication, work impairment as a certified public accountant, and excessive sleep combined with chronic weariness. These signs indicate a severe and complicated major depression disorder (MDD). Primary and Differential Diagnosis It is critical to evaluate a primary diagnosis and differential diagnoses during the diagnostic procedure to ensure a complete picture of Kel's mental health situation. According to the DSM-5 criteria, Kel's major diagnosis is Major Depressive Disorder (MDD). Kel has several classic MDD symptoms, including a prolonged and severe low temperament, forfeiture of interest in earlier liked actions, significant weight loss, exhaustion, social withdrawal, decreased work performance, and sleep difficulties. These symptoms match the MDD diagnosis, and the severity of her condition and its duration necessitates quick attention and management. While MDD is the primary identification, it is critical to deliberate discrepancy diagnoses to rule out other potential illnesses that may present with similar symptoms. Bipolar Disorder is considered, but it is less likely because Kel has no history of manic or hypomanic episodes. Dysthymic Disorder, characterized by persistent, less severe symptoms over a longer time, is also considered, although Kel's symptoms are noticeably severe and incapacitating (Melrose, 2019). Adjustment Disorder, connected to specific stresses, is a possible alternate diagnosis, but it is less plausible given Kel's symptoms' persistence and intensity. Her severe Major Depressive Disorder is still treated with evidence-based treatments and strategies.

Assessment 2 Instructions: Ethical and Policy Factors in Care ... 21/04/2023, 11:50 Course Navigation  Tutorials Support Log Out Shawn Dwight 2299 Nancy Jarrett Camille Jorek   FACULTY 6 NEW COACH Assessment 2 Instructions: Ethical and Policy Factors in Care Coordination Select a community...

Assessment 1 Instructions: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Psychiatric SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SI/HI: _______________________________________________________________________________ Sleep:  _________________________________________         Appetite:  ________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Psychiatric History: Inpatient hospitalizations: Outpatient psychiatric treatment: Detox/Inpatient substance treatment: History of suicide attempts and/or self injurious behaviors: ____________________________________ Past Medical History Major/Chronic Illnesses____________________________________________________ Trauma/Injury ___________________________________________________________ Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Current psychotropic medications:  _________________________________________ ________________________________ _________________________________________ ________________________________ _________________________________________ ________________________________ Current prescription medications:  _________________________________________ ________________________________ _________________________________________ ________________________________ _________________________________________ ________________________________ OTC/Nutritionals/Herbal/Complementary therapy: _________________________________________ ________________________________ _________________________________________ ________________________________ Substance use: (alcohol, marijuana, cocaine, caffeine, cigarettes) Family Psychiatric History: _____________________________________________________ Social History Lives: Single family House/Condo/ with stairs: ___________ Marital Status:________ Education:____________________________ Employment Status: ______ Current/Previous occupation type: _________________ Exposure to: ___Smoke____ ETOH ____Recreational Drug Use: __________________ Sexual Orientation: _______ Sexual Activity: ____ Contraception Use: ____________ Family Composition: Family/Mother/Father/Alone: _____________________________ Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________ ________________________________________________________________________ Health Maintenance Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____ Exposures: Immunization HX: Review of Systems: General: HEENT: Neck: Lungs: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Activity & Exercise: Psychosocial: Derm: Nutrition: Sleep/Rest: LMP: STI Hx: Physical Exam BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (percentile) _____ General: HEENT: Neck: Pulmonary: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Derm: Psychosocial: Misc. Mental Status Exam Appearance: Behavior: Speech: Mood: Affect: Thought Content: Thought Process: Cognition/Intelligence: Clinical Insight: Clinical Judgment: Plan: Differential Diagnoses 1. 2. Principal Diagnoses 1. 2. Plan Diagnosis #1 Diagnostic Testing/Screening: Pharmacological Treatment: Non-Pharmacological Treatment: Education: Referrals:

Module 1 Discussion Name Affiliation Course Instructor Due date Module 1 Discussion Relationship between Mental Illness and Religion There are many facets and complex interactions between mental illness and religion. Understanding that there is no inherent conflict between mental illness and religious beliefs is crucial. How they interact varies widely based on personal experiences and cultural settings. The 44-year-old white Australian man's mental health problems and religious views are related to his belief that he was possessed by a spirit following his use of an Ouija board. His early use of the Ouija board, a device frequently connected to spiritual or paranormal activities, perhaps contributed to the onset of his delusions. His conviction that a spirit had taken over and was living inside him is in line with the signs of a mental illness, especially a delusional disease. This situation is not unusual since people struggling with mental health disorders often view what they are going through via the prism of their spiritual or religious beliefs. In this instance, the man's ability to understand his experiences from a religious perspective, despite his nonreligious upbringing, illustrates how flexible the relationship between mental illness and religion can be. Another facet of the relationship between mental illness and religion is illustrated by the man's decision to endure two exorcisms and seek assistance from a local church. Rituals and practices for dealing with alleged spiritual or demonic forces are included in many religious and spiritual traditions, and they can provide consolation to people going through upsetting symptoms (Cook, 2021). It is important to understand that although some might find that religious or spiritual support helps, it cannot replace evidence-based mental health care. The fact that the exorcisms, in this instance, were unable to relieve the man's symptoms emphasizes how crucial it is to receive the proper psychiatric evaluation and treatment.

DO CASE STUDY 3 THROUGHOUT ADVANCED HEALTH ASSESSMENT Module 1 Discussion No unread replies.No replies.     Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Answer the following questions. Please be specific and relate your questions to your specific case (s). Assignments per case study are below. What are the barriers to interpersonal communication? What are the procedures and examination techniques that you will use during the physical exam of your patient? Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are. Submission Instructions: You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned. You will reply to your peers who have posted on the other two case studies (One of each). 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 other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).  All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each. 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.

Assessment 2 Instructions: Applying Research Skills – ... 07/03/2023, 21:34 Course Navigation  Tutorials Support Log Out Elisha Cochran Trilla Mays Stephanie Guernsey   FACULTY COACH Assessment 2 Instructions: Applying Research Skills Create a 2-4 page annotated bibliography and summary based on...