Diabetes Mellitus Type 1

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Instructions: Select one of the topic mentioned below and discuses filling the attached form.

Topics: 

Diabetes Mellitus Type 1

Requirements

Ø The discussion must address the topic

Ø Rationale must be provided

Ø Use at least 600 words (no included 1st page or references in the 600 words)

Ø May use examples from your nursing practice

Ø Formatted and cited in current APA 7

Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.

Ø Plagiarism is NOT permitted

SOCIAL DETERMINANTS OF HEALTH

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SOCIAL DETERMINANTS OF HEALTH

Introduction: Use Walden White paper or the CDC 

According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”. 

https://www.cdc.gov/about/sdoh/index.html

To Prepare:

· Reflect on the concept of social determinants of health as presented in the resources. 

· Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.  

· Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.  

Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.   

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). 
Broadband internet access is a social determinant of health!Links to an external site.. 
American Journal of Public Health, 
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). 
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
 Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. 
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c). 

What is an electronic health record (EHR)?Links to an external site.
 Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). 
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.. 
Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). 
Digital inclusion as a social determinant of healthLinks to an external site.. 
NPJ Digital Medicine, 
4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017). 
Evaluation tools to appraise social media and mobile applicationsLinks to an external site.. 
Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022). 
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. 
Permanente Journal, 
26(3). https://doi.org/10.7812/TPP/21.156 

PN#1A

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I need a psychiatric progress note regarding a patient with PPH: of Depression, Anxiety and Insomnia . It cannot be similar, Thank you.

Here below I leave you a sample.

 Patient is a XXXX  y/o, female with Past Psychiatric History of Depression, Anxiety and Insomnia was seen today on telehealth platform for follow up and medication treatment who alleges getting better with the last treatment of trazodone 50mg at bedtime  and mirtazapine 7.5mg at bedtime, she reports decrease symptoms of sadness ,loneliness, depression , hopelessness, as well as she expresses feeling motivated, optimistic and with more energy in the morning, improve mood, self-esteem and affect because she feels useful ,decreased anxiety and stressing over her personal problems, restlessness, nervousness, as result decreased difficulty falling asleep because sleeping better and more hours at night with her previous treatment the melatonin 5mg at bedtime, also in the morning she waking up rested after a night’s sleep. Patient denies side effects of the medications, suicidal and homicidal ideation, no visual or auditory hallucinations, agitation, psychotic symptoms or paranoia .Follow up in 4 weeks.

Reflection of Scenario

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 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

Caring and reflective practice in contemporary nursing

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Provide a definition of what person-centered care means to you. Describe how you will apply principles of holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner. 

Nursing unit 1 assignment

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see attached

PICOT 2

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To Prepare:

· 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 you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· 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 2: Advanced Levels of Clinical Inquiry and Systematic Reviews-
Diabetes Type 1

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

· Identify and briefly describe your chosen clinical issue of interest.
Diabetes Type 1

· 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.

References x 4 to include:

Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)

· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)

Walden University Library. (n.d.-c).

Evidence-based practice research: CINAHL search helpLinks to an external site.

. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Nursing

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 Hello, this work is on Advanced Pathophysiology, it must have a minimum of 300 words and a bibliographic reference. The bibliography used on the topic is McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biological basis of diseases in adults and children. But you can use another one in addition to this one.  

 When highly acidic chyme enters the duodenum, which hormone stimulates the release of pancreatic secretions that contains very high bicarbonate ion content? Explain your answer.

a. Gastrin
b. Secretin
c. Cholecystokinin

d. Histamine

Learning by Grading

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APA FORMAT. 

THEY CHECK FOR PLAGERISM.

INSTRUCTIONS IN THE ATTACHMENT 

150-200 WORDS 

Response

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       Makhanu 

  

       John Green’s case presents several socioeconomic, spiritual,  lifestyle, and cultural factors that should be considered when  interacting with him as a healthcare provider.

  1. Gender Identity and Transition: John identifies as a  male but was assigned female at birth. Understanding his gender  identity and history of transitioning is crucial for providing sensitive  and appropriate care (Coleman, 2019). Questions might include:
    • Could you please share more about your gender transition journey and any specific healthcare needs related to it?
    • Are there any gender-specific health concerns or challenges you’d like to discuss?
  2. Unemployment and Financial Situation: John is  currently unemployed and has concerns about being a burden on his  family. Exploring his financial situation, any potential stressors  related to unemployment, and his support system is important (Coleman,  2019). Questions could include:
    • Can you tell me more about your current employment situation and any financial stress you might be experiencing?
    • Do you have a support network that you can rely on during this period of unemployment?
  3. Substance Use: John’s smoking and marijuana use can  have a significant impact on his health. It’s important to assess the  frequency and quantity of use and discuss potential health risks  associated with these behaviors. Questions might include:
    • Can you share more about your smoking habits, including when you started and how many cigarettes you smoke daily?
    • Tell me about your marijuana use. How often do you use it, and in what quantities?
  4. Depression: John mentions experiencing episodes of  depression. Exploring the severity, triggers, and coping mechanisms  related to his depression is important for providing mental health  support. Questions could include:
    • Could you describe your experiences with depression, including when it started and how it affects your daily life?
    • Have you sought any mental health support or counseling for your depression?
  5. HIV Status and Medication: Understanding John’s HIV  status, treatment regimen, and adherence is critical for assessing his  overall health (CDC,2020). Questions might include:
    • Can you provide more information about your HIV diagnosis, including how you’re managing it?
    • How has your experience with HIV treatment been, and have you encountered any challenges or side effects?
  6. Social Support and Family Dynamics: John has moved  back home with his parents. Exploring his relationship with his family  and the impact of this living arrangement on his mental and emotional  well-being is essential. Questions could include:
    • How is your relationship with your family, especially since you moved back home?
    • Are there any specific challenges or stressors related to living with your parents that you’d like to discuss?
  7. Spiritual and Cultural Beliefs: Assessing John’s  spiritual and cultural beliefs can help tailor care to his preferences  (Young             et al.,2016). Questions might include:
    • Do you have any spiritual or cultural practices that are important  to you, and would you like them to be incorporated into your healthcare?
  8. Access to Healthcare: John mentions obtaining  testosterone online and receiving HIV medication by mail. Understanding  his access to healthcare and the reliability of these sources is crucial  (Ball et al., 2023). Questions could include:
    • How have you been obtaining your medications, and do you have concerns about their source or quality?
    • Have you faced any barriers to accessing healthcare, such as cost or transportation?

Sensitivity to John’s unique experiences and challenges related to  his gender identity, unemployment, substance use, mental health, and HIV  status is essential to providing patient-centered care. Building  rapport and trust through open and non-judgmental communication is key  to addressing his healthcare needs effectively.