Conc of Pathophys week 3 discussion

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Week 3 Discussion: Myocardial Infarction (MI) (USLOs 1, 2, 3, 4)

You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military, He arrives to the emergency department after experiencing chest pain and shortness of breath.  His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of myocardial infarction (MI), respond to the following prompts:

1.

1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.
cultural
financial
environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the 
emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

Advocacy Action Plan Part 2: PEST Analysis

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KINE 4354 Public Health Advocacy and Leadership

Assignment 4.1: Advocacy Action Plan Part 2: PEST Analysis

Adapted from:

Sample Templates
,

MindTools PEST Analysis Worksheet
, and

University of Bridgeport Career Development Timeline

Instructions

Use the template below as a worksheet/workspace. The question prompts provided are intended to help you to gain a better understanding of the public health issue or need associated with your advocacy action plan. As you complete this template, you are allowed to make informal notes, use bullet points and copy and past links to websites, articles and other resources that will help you to better identify factors related to your advocacy action plan.

As you complete this template, please keep in mind the following:

· Although it is important to consider macro-level factors (i.e., what is happening at the societal level), for the purposes of this assignment you are asked to place more emphasis on micro-level factors (i.e., what is happening at the community level).

· Although all questions may not apply to your advocacy action plan, be sure to answer each question under all four categories (Political, Economic, Socio-Cultural, & Technology).

Template Components

Step 1: Identify the
Political, Economic, Socio-Cultural and Technological Aspects of the Proposed Change in Your Advocacy Action Plan

KINE 4354 Assignment 4.1: Advocacy Action Plan Part II: PEST Analysis

Factor

Opportunity

Threat

POLITICAL

Political factors to consider:

·
When is the country's next local, state, or national election? How could this change government or regional policy?

·
Who are the most likely contenders for power in your community? What are their views on public health policy, and on other policies that affect your organization?

·
Depending on the country, how well developed are property rights and the rule of law, and how widespread are corruption and organized crime?

·
How are these situations likely to change, and how is this likely to affect you?

·
Could any pending legislation or taxation changes affect your business, either positively or negatively?

·
How does government approach public health policy, areas of social justice or social responsibility, and environmental protection legislation? What impact does this have, and is it likely to change?

·
Are there any other political factors that are likely to change?

Factor

Opportunity

Threat

ECONOMIC

Economic factors to consider:

·
How stable is the current economy? Is it growing, stagnating, or declining?

·
What is the financial condition of the organization you plan to work with? Is the organization financially stable? Is there revenue to fund your idea? If not, how will you address this?

·
Are there any other economic factors that you should consider?

Factor

Opportunity

Threat

SOCIO-CULTURAL

Socio-Cultural factors to consider:

·
What is your target population's growth rate and age profile? How is this likely to change?

·
Are generational shifts in attitude likely to affect what you're doing?

·
What are your target population’s levels of health, education, and social mobility? How are these changing, and what impact does this have?

·
What social attitudes and social taboos could affect your advocacy action plan? Have there been recent socio-cultural changes that might affect this?

·
How do religious beliefs and lifestyle choices affect the population?

·
Are any other socio-cultural factors likely to drive change for your proposed advocacy action plan?

Factor

Opportunity

Threat

TECHNOLOGICAL

Technological factors to consider:

·
Are there any new technologies that you could be using?

·
In which areas do governments and educational institutions focus their research? Is there anything you can do to take advantage of this to address your proposed advocacy action plan?

·
Are there existing technological hubs that you could work with or learn from? THINK COLLABORATION!

·
Are there any other technological factors that you should consider?

Step 2: BRAINSTORM OPPORTUNITIES

Now that you have identified some of the changes that are taking place in the proposed setting for your advocacy action plan, look at each of those changes and brainstorm the potential OPPORTUNITIES that might be available for you or for the organization which you are proposing the advocacy effort for.

Potential Opportunities for Your Advocacy Action Plan

1.

2.

3.

Step 3: BRAINSTORM THREATS

Now think about the changes and think about how some of those might be barriers to the implementation of your advocacy action plan. How might you plan in a manner that the potential threats might be minimized, or avoided?

Potential Threats for Your Advocacy Action Plan

1.

2.

3.

Step 4: Notes for TAKING ACTION

Now it is time to TAKE ACTION! You will take this next step in Assignment 6.1 as you write up your final plan. Use the section below to write your main takeaways as you start to develop the main sections of your advocacy action plan.

My Advocacy Action Plan Notes:

Week 5 Unit 5 Discussion Medications for Depression and Anxiety Related Disorders2 Peer Response 800w. due10-4-23

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Week 5 Unit 5 Discussion Medications for Depression and Anxiety Related Disorders2 Peer Response 800w. due10-4-23

Instructions:

Please read and respond to the two peers' initial postings for week 2 below. Consider the following questions in your responses.

Compare and contrast your initial posting with those of your peers.  

1. How are they similar or how are they different?

2. What information can you add that would help support the responses of your peers?

3. Ask your peers a question for clarification about their post.

4. What most interests you about their responses? 

5. Summaries at least 1 evidence based article that supports there point.

Please be sure to validate your opinions and ideas with citations and references in APA format.

·
Response 1 400 words IA

·

This case scenario is quite interesting since this is about a young female patient who reports multiple symptoms starting three weeks ago. This is where one researches and I believe this patient may be having an episode of major depressive disorder. I dare to come to come up with this diagnosis since she presents multiple symptoms starting about three weeks ago. Going over the multiple sections to cover this week in the “Diagnostic and Statistical Manual of Mental Disorders” I found that she presents with subjective information such as having insomnia, diminished ability to concentrate, lack of interest, weight loss due to loss of appetite, crying spells with no apparent reason. This young lady also reports feeling “tired & fatigued” and has lost interest in activities she usually enjoys. The key for me here was finding all these symptoms under the diagnostic criteria for major depressive disorder box (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022). Although she does not meet all the criteria, she presents more than five symptoms with onset about three weeks ago and according to our manual symptoms must be present at least two weeks (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022).

Regarding her headache, and according to our book this patient can be reporting somatic complaints such as pain and aches instead of reporting an actual feeling of sadness (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022).

The classification of medication that I would recommend for this patient would be antidepressants. Our prescriber's book has a long list such as sertraline, paroxetine, trazodone, and escitalopram among many (Stahl, 2021). I would focus on a common drug that I see very often, and that is sertraline. Sertraline would be a good option for her since is an SSRI (selective serotonin reuptake inhibitor) (Stahl, 2021)

and I remember Dr. Kubiak mentioning that serotonin can be the usual one to blame for depression along with norepinephrine. This drug can boost the neurotransmitter serotonin and can also block the serotonin reuptake pump (Stahl, 2021)

References:

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

Stahl, S. M. (2021). Stahl’s essential psychopharmacology: The Prescriber’s Guide (7th ed.). Cambridge University Press.

Response 2. 400 words sy

What diagnosis do you believe may apply to this individual?

This patient presented with symptoms of headache, fatigue, sleep disturbance, weight loss, loss of interest in activities, and frequent crying spells, all of which are indicative of major depressive disorder (MDD). Signs that a patient might be suffering from MDD include avoiding certain situations that they enjoy, inability to concentrate, and being unable to go to work due to fatigue. MDD can disrupt the patient's daily life by affecting their home, work, and social life (Salvo et al., 2022). According to the DSM-5, to be diagnosed with MDD, patients must experience 5 or more symptoms in the last week.

What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?

Treatment for this patient will include antidepressants. Antidepressants are classified into different types based on their work and chemical structures. There are four main groups: monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs).

SSRIs are a broad category of antidepressant medications. Since this patient has no significant past medical or psychiatric history and takes no regular medications, my recommendation would be fluoxetine 10 mg for 4 weeks, then increasing the dose to 20 mg daily if the drug is well tolerated by the patient (Arcangelo et al., 2021). SSRIs tend to be well-tolerated and are relatively cost-effective. Patients who take SSRIs exhibit fewer side effects in comparison to those who take Tricyclic Antidepressants (TCAs) and Monoamine Oxidase Inhibitors (MAOIs). Therefore, SSRIs are often considered the first line and primary choice for the treatment of mood and anxiety disorders. The class of SSRIs includes Fluoxetine (Prozac), Fluvoxamine (Luvox), Paroxetine (Paxil), Sertraline (Zoloft), Citalopram (Celexa), and Escitalopram (Lexapro). Side effects include weight gain, insomnia, sexual dysfunction, gastrointestinal issues, and agitation (Arcangelo & Peterson, 2021).

References

Arcangelo, V. & Peterson, A. (2021). Pharmacotherapeutics for advanced practice: A practical approach. (5th ed.). Wolters Kluwer

Imiuwa, M. E., Baynes, A., & Routledge, E. J. (2023). Understanding target-specific effects of antidepressant drug pollution on molluscs: A systematic review protocol. PLoS One, 18(6) https://doi.org/10.1371/journal.pone.0287582Links to an external site.

Salvo, G. D., Bianco, M., Teobaldi, E., Maina, G., & Rosso, G. (2022). A Psychoanalytic-Derived Brief Psychotherapeutic Approach in the Treatment of Major Depression: Monotherapy Studies. Medicina, 58(10), 1335. https://doi.org/10.3390/medicina58101335

MBTI

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Personal Review of Management and Leadership in Nursing

This assignment comprises of writing a paper which covers the six main learning outcomes of this course. Using your textbook and the results of your personality test, you will answer the question prompts below in narrative form (no Q & A and no bulleted lists). Please follow all the APA 7th edition rules.

Instructions:

1. Take the 

Myers-Briggs Type IndicatorLinks to an external site.
 assessment to examine your individual strengths and experiences in preparation for assuming management and leadership roles.

https://www.16personalities.com/free-personality-test

2. Write 5-6 pages using the headings and corresponding prompts below, which you should used in your paper:

I.
Leadership and Management Theory

· How can you apply a leadership and management theory to achieve high quality nursing care for your patients and collaborate effectively with your health care team? Identify the citation(s) for the leadership or management theory you chose in answering this question.

· Are you more of a leader or a manager? Please explain why you feel this way. In view of your results of the personality test, how can you strengthen aspects of your personality to grow more in leadership or in management? Which competencies do you need to strengthen to become the leader or manager you want to become?

II.
Change Theory

· How do you deal with change at your practice setting? What personality traits would you utilize to promote change in your facility and how did you decide which traits you would use? Are there traits that you would not agree with and why do you think they appear?

III.
Communication Style

· What did you learn about yourself taking the personality test? Which type of communicator are you? What are areas that you can strengthen to be more effective? To be more therapeutic? What are some barriers to effective communication styles which you have observed in yourself? Note: You may need to read between the lines in the results, as your communication style is not measured directly.

IV.
Performance Improvement and Quality Improvement

· How can you manage both performance improvement and quality improvement at the same time? Answer this using your understanding of your results of the personality test and your textbook/lectures about leadership and management.

· How can you apply the principles of performance improvement and/or quality improvement into your practice? Choose one principle and explain how you can implement it at your workplace.

V.
Evidence-based Practice and Improvement

· Evidence-based practice (EBP) has been emphasized all throughout your BSN program. How does EBP relate to achieving desirable performance outcomes and quality improvement?

VI.
Supervision Style

· Compare and contrast effective and ineffective supervision styles which you have observed in your workplace. When doing so, make sure to apply principles of delegation, authority, responsibility, and accountability.

3. Your paper should be

. a total of 5-6 pages of the body (not including the cover and reference page)

. sourced with two (2) scholarly references within the last five years.

. written in the formatting and citation style of 

APA, 7th editionLinks to an external site.

· Be sure to 

meet with a writing tutorLinks to an external site.
 after you have an outline/paper to ensure a quality submission.

· Follow the 

template


 Download template
carefully, as it is already pre-formatted in APA for you.

Final p9

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Please follow all directions 

help

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Critique a Aanp organization

Write a 2 page critique of this meeting using APA format for any cited resources and create a document that describes: 

  1. The Organization
  2. Mission, goals, and focus
  3. Membership

Wk 4 Video part 3

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Provide a response 3 discussions prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Responses exhibit synthesis, critical thinking, and application to practice settings…. Responses provide clear, concise opinions and ideas that are supported by at least two scholarly sources…. Responses demonstrate synthesis and understanding of Learning Objectives…. Communication is professional and respectful to colleagues…. Presenters’ prompts/questions posed in the case presentations are thoroughly addressed…. Responses are effectively written in standard, edited English.

Questions:

1.  What role can patients themselves play in their treatment?

2.  In cases of comorbid bipolar disorder and PTSD, how can a trauma-informed care approach enhance treatment outcomes?

3.  What other diagnosis can you apply to the patient in this case?

Discussion

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** Read the document, NCLEX-RN Test Plan version (April 2023) pdf that is posted below.

Respond to the following:

Question will be posted in chat

maternal m1 diss

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  • Review primary, secondary and tertiary prevention using Healthy People 2030 as a guide for current initiatives related to the health of women and infants.
  • Relate the three levels of prevention to the health of infants and at-risk women in your community.
  • Describe how a prevention program could positively impact specific risk factors for the health of women and infants in your community.

Q&A

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Answer the following questions:

1. What is a suffix? Write an example of its use.

2. What is a prefix? Write an example of its use.

3. What is the definition of word root? Write an example of its use.

3. What is an eponymous? Write three examples.

4. What is an acronym? Write an example.

5. What is an initialism in Nursing? Write an example.

6. What is a combining form? Write an example.

7. When do you use a combining vowel? Write an example.

8. What is a number prefix? Write three examples of its use in medical terminology.

9. What are the other four levels of body organization that follow after the cellular level? 

10. Make a list of the systems that form the human body.