Select a client whom you observed or counseled that suffers from a disorder related to trauma.

Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:

  • Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for this client.
  • Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
  • Explain any legal and/or ethical implications related to counseling this client
  • Using proper citation in APA Format, at least three references no more than five years old

Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health.

Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection.

-Attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC:

Joint Commission & LGBTQ Community.pdf ( you can use it for any additional information)

-No plagiarized please everything need to be paraphrased.

-I need a minimum of 300 words.

-APA style

-2References

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

What are social determinants of health? 

What are social determinants of health?  Explain how social determinants of health contribute to the development of disease.  Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain

Discuss the historical application of statistics in the field of health care.

Discuss the historical application of statistics in the field of health care. Describe an example, other than Florence Nightingale’s contributions, where statistical application has greatly influenced or changed health care operations or practice.

GI Case Study

Chief complaint: “I have recurrent H. Pylori infection”.

HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.

PMH:

H. Pylori infection gastritis

Diabetes Mellitus, type 2

Surgeries: None

Allergies: NKDA

Vaccination History: Up-to-date

Social history:

High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea.

Cardiovascular: No edema. No palpitations.

Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

Assessment:

Primary Diagnosis: Recurrent H. Pylori infection gastritis

Secondary Diagnoses: Dyspepsia

Differential Diagnosis: Peptic Ulcer Disease

Previous medication plan: two months ago and failed.

  1. Clarithromycin      500 mg po BID for 2 weeks
  2. Omeprazole      40 mg po BID for 2 weeks and then po daily.
  3. Cipro      500 mg po BID for 2 weeks

Plan: Tests

Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results.

Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test.

Labs: No new labs are needed.

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 8 weeks to reevaluate symptoms.

As a future nurse practitioner, it is important that you determine the medications used for recurrent H. Pylori infection.

Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education.

Below is the website for the American Academy of Gastroenterology Clinical Guidelines (ACG) for the updated H. Pylori therapy. Feel free to consult other peer-reviewed articles within 5 years of publication.

Follow APA guidelines

http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

How did your society or era perceive sexuality in general and homosexuality in particular?

Week 8 – Heterosexism

Choose a topic below and discuss the role of sexuality in that culture. You can choose particular people or divide the periods or tribes up to write this.

1) Ancient Greeks and sexuality (1500 BCE – 200 CE)

2) Native Americans and the third sex (1400 – 1800 CE)

3) Ancient Romans and homophobia (300 BCE – 500 CE)

4) Christianity and homophobia (300 – 1600 CE)

5) Islam and homophobia (662 – 1600 CE)

6) Modern homophobia in the United States (1960 – 2000)

7) Homosexuality in India (1940 – 2009)

8) The AIDS crisis (1983-1993)

9) Castro District – San Francisco (1940-1985)

10) Yoruba Culture and Homosexuality (1500-2000)

11) Any topic of your choosing with professor approval

Instructions

Answer the following questions in numerical format (#1-6). 2-3 pages. MLA format. 12 Font Times New Roman only.

All work must be properly cited and unless otherwise noted; do not include pure opinion.

1. Outline the basic history of the event(s). You can use a timeline or write it out.

1. How did your society or era perceive sexuality in general and homosexuality in particular?

1. What role did religion play in perceived norms on sexuality and homosexuality?

1. What values, beliefs and attitudes are reflected in the role of sexuality in your topic?

1. What were the benefits, punishments, detriments to not adhering to your topic’s norms?

1. How did your topic’s views on sexuality influence modern American perceptions and values, beliefs and attitudes.

Identify and fully describe a technology element that could be involved in providing care to a patient with your selected disease process and the patient practice.

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in the current course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • Use primary sources published within the last 5 years. Provide citations and references for all sources used.
  • Your case report should be no more than 10 double-spaced pages, including references.
  • You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

Choose a specific focus of patient practice (e.g., acute care hospital, clinic, primary care, long-term care, home health). Select a particular disease process (congestive heart failure, fall, diabetes, etc.). Identify and fully describe a technology element that could be involved in providing care to a patient with your selected disease process and the patient practice. Define how this technology will integrate treatment, monitoring or communication from the identified care setting to the home and then to ongoing care through the clinic.

Your case report must include the following:

  1. Introduction with a problem statement and your disease process described from the focus of patient practice.
  2. Synthesized literature review.
  3. Description of the case/situation/conditions. Use a real life patient situation or condition to describe your case, including the problems the patient encounters and the barriers to care.
  4. Describe at least one technology that may be used as a solution to the patient situation or condition described in your case.
  5. Describe how the technology can be used specifically in the case you have proposed.
  6. Summary of the case integrating proposed solutions(s).
  7. Keep in mind and integrate a Christian worldview when summarizing proposed solutions.
  8. Conclusion.

Using the \”Telehealth Template,\” write a 750-1,000 word paper on a telehealth technology that can be used in your current practice.

Paper details

Telehealth encompasses a wide range of basic to complex health care delivery options, with an equally expansive array of technologies to employ. For the assignment, you will locate a scholarly article on telehealth published within the last 5 years in a peer-reviewed journal. You will compose a paper containing a precis, mind map, and discussion. The precis will focus on the scholarly article pertaining to telehealth technology. The mind map and discussion will help to generate and illustrate ideas about how the identified telehealth technology can be used in your current practice.

DPI Project Content Connection: While telehealth may not be directly associated with your project, this assignment will help prepare you in learning how to review and present literature. In future courses, you will develop Chapter 2 of your manuscript in which you will review at least 50 sources related to your DPI topic. Learning how to succinctly synthesize scholarly sources is a very useful skill. The precis portion will help you learn how to summarize (future assignments will assist in synthesis), and the mind map portion will help you learn how to organize your ideas and establish connections between topics and subtopics.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • Use primary sources published within the last 5 years. Provide citations and references for all sources used.
  • You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:

Using the \”Telehealth Template,\” write a 750-1,000 word paper on a telehealth technology that can be used in your current practice. The paper will include a precis, mind map (provided as the Appendix), discussion of the mind map, and conclusion, according to the following:

Introduction

Provide an introduction that is succinct and includes a thesis or main idea. The essence of the paper should be contained within the thesis, and the thesis statement should make the purpose of the paper clear. You may also use the introduction to provide an overview of the organization of the paper and establish the purpose for each section.

 Precis

Donald Davidson, in his book, American Composition and Rhetoric, discusses the precis as follows:

\”A precis is not an outline, but a summary or digest. It is useful as an exercise in grasping the essential ideas of an already completed composition and instating these ideas in concentrated form. The precis shears away all elaborations of the thought and gives only what is left, in such a way as to make the summary a complete composition. It does not, therefore, skeletonize the original composition so much as it reduces its scale. Many of the articles in the Reader\’s Digest are only precis, so skillfully done that the average reader does not know that he is reading a summary. Since the precis says a great deal within a brief space, it is of great service in taking notes on library assignments and general reading.\”

The precis should be an organization of ideas (including logical sequencing of points), contain clear and meaningful expression, and use language suitable to the situation. Your precis section should only cite the article you are reviewing. When finished, the precis section should summarize a single scholarly article on the topic of telehealth and should be four statements long:

  1. A statement of what was studied (i.e., argued, discussed, deliberated).
  2. A statement of focus of the current scholarly article selected (i.e., how it was organized and completed).
  3. A statement of what information was identified or learned from the scholarly article.
  4. A statement of why the information in the article is important to your field of study.

Mind Map

Brainstorm to generate ideas about how the identified telehealth technology can be used in your current practice using a mind map. Include the final mind map as the Appendix at the end of the paper.

Create your mind map according to the following:

  1. Take a sheet of paper and write an identifiable main idea in the center of the page, using only one to three words. (You may also achieve this via an electronic sheet of paper.)
  2. Draw a branch off your main idea. On the branch, write or draw a main topic related to your main idea.
  3. Continue to branch off from your main idea with main topics as needed.
  4. From your main topics, branch off with subtopics.
  5. From your subtopics, branch off with supporting details (write or draw). Continue to add more details. You are free to add more topics, subtopics, or any other items.
  6. When you stand back and survey your work, you should see a sort of map: hence the name for this activity. At this point, you can start to form conclusions about how to approach a potential area of practice change. At the end of the day, what you do with the particular mapcluster set, or web that you have produced depends on what you need.
  7. If you create your mind map on physical paper, you may scan it in as an image and insert the image into your document. If you create the mind map electronically, you may either convert the electronic map to an image or use the snipping tool. Usually you can find this tool by searching in the start menu.

Mind Map Discussion

In this section, discuss the mind map based on the scholarly article reviewed in the precis. In your discussion of the mind map:

  1. Include a critical evaluation of ideas and connections related to the topics and subtopics, as well as how this information could be used in practice.
  2. Include support from two additional scholarly sources (i.e., primary sources published within the last 5 years).
  3. Provide citations in text for all sources used and accompanying references in the References section. In addition, refer to the mind map in the appendix and cite it properly in text.

Conclusion

In the conclusion, provide a summary of ideas and support the main claim of the paper. Be sure to summarize key points rather than restating the material.

Portfolio Practice Immersion Hours:

It may be possible to earn Portfolio Practice Immersion hours for this case report. Enter the following after the references section of your paper:

Practice Immersion Hours Completion Statement DNP-805

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

How can you incorporate your Christian worldview to help in providing quality care?

While completing a health assessment, you notice that there are indications that the patient may have been cutting herself. You inquire about the marks and she indicates that she scratched her wrist when she tried to break her fall. How do you handle this information? How can you incorporate your Christian worldview to help in providing quality care? What are the key elements to accurately obtaining the needed information for effective treatment?