Review of Literature

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Assistance with review of literature. 

DB

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  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

** the national healthcare issue/ stressor I selected is : mental health and substance abuse

** this summary should be 3 pages long 

** APA format

Discussion: Social Determinant of Health

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Discussion

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Course Outcomes

This discussion enables the student to meet the following course outcomes:

  • CO 1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (POs 1, 2)
  • CO 4: Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (POs 1, 2)
  • CO 5: Conduct focused and comprehensive health histories and examinations for various patient populations. (POs 1, 2)

Due Dates

Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).

Total Points Possible

The total points possible for this assignment is 75.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (NP) must assess all facets of clients’ health during a comprehensive health history. Identify the assigned topics listed by the first letter of your first name. For example, if your first name is Gilda then your assigned topic is education access and quality. Select an objective related to your assigned social determinant from the Healthy People website.

First Letter of Your First NameTopicA – EEconomic stabilityF – JEducation access and qualityK – OHealth care access and qualityP – SNeighborhood and built environmentT – ZSocial and community context

Complete the following requirements:

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes.
    2. Select an objective related to your assigned social determinant from the Healthy People website linked above. Identify the status of the objective and the population to whom the objective applies.
    3. Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
    4. Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.
  2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
    1. Cite a scholarly source in the initial post.
    2. Cite a scholarly source in one faculty response post.
    3. Cite a scholarly source in one peer post.
    4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
    5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
  3. Engagement in Meaningful Dialogue:Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice:
    1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
    2. Faculty Response: Respond to at least one faculty post.
    3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
  4. Professionalism in Communication:Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
  5. Reference Citation: Use current APA format to format citations and references and is free of errors.
  6. Wednesday Participation Requirement:Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.
  7. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

fundamentals M 6

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Infection Topic

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Module 06 Content

1.

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Pick from MRSA, C-Diff, Tuberculosis, OR Varicella Zoster

Complete the 
ATI Systems Disorder template for your assigned infection topic. 
Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA). 

Triage

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Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered?

  • 10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp
  • 22-year-old female with a close fracture of the left arm
  • 60-year-old male with a laceration in the leg complaining of shortness of breath
  • 15-year-old girl with glass embedded in the eyes
  • 52-year-old male with a pulse of 30 and a blood pressure of 70/30

week 3 discussion answers

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Please respond to each discussion post with 4 to 5 sentences with apa references for each 

Nursing assignment 1-b

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After studying Module 2: Lecture Materials & Resources, submit the following:

  • Starting with the precursor substance tyrosine or tryptophan, identify and briefly describe each chemical step required to create each neurotransmitter. 

Submission Instructions:

  • The typewritten description is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
  • Complete and submit the assignment by 11:59 PM ET on 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.

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

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Health Promotion Proposal, Part 2 Content

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Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

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SOAP note

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SOAP note Heart Failure

Unit 12 Discussion Impulsivity and Compulsivity. 800w. 4 references. Due 11-13-23.

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Unit 12 Discussion Impulsivity and Compulsivity. 800w. 4 references. Due 11-13-23.

1. Please describe the role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors. 

2. Please provide two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction. 

3. Summarize the following article “Behavioral Functions of the Mesolimbic Dopaminergic System: an Affective Neuroethological Perspective” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2238694/

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

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

1. Role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors. The mesolimbic pathway is the dopamine pathway. This pathway extends from the “VTA of the brainstem (mesencephalon) to the nucleus accumbens in the ventral striatum which is part of the limbic system (Stahl, 2021, p. 90). This pathway is important as it is involved in the regulating motivation and reward. Hyperactivity of the mesolimbic pathway called hyperdopaminergia, is significant in the display of positive symptoms seen in psychosis, schizophrenia, and depression and can result in impulse, agitation, hostile, and aggressive symptoms. In addition, the hyperactivity of the DA pathway can be because of various psychostimulants. Such as, cocaine and methamphetamine (Stahl, 2021, p.90). In terms of impulsivity and compulsivity Stahl (2020, p.541) states, “Impulsivity can be thought of as the inability to stop the initiation of actions and involves a brain circuit centered on the ventral striatum, linked to the thalamus (T), to the ventromedial prefrontal cortex (VMPFC), and to the anterior cingulate cortex (ACC). Compulsivity can be thought of as the inability to terminate ongoing actions and hypothetically is centered on a different brain circuit, namely the dorsal striatum, thalamus (T), and orbitofrontal cortex (OFC). Impulsive acts such as drug use, gambling, and obesity can eventually become compulsive due to neuroplastic changes that engage the dorsal habit system and theoretically cause impulses in the ventral loop to migrate to the dorsal loop.” 2. Two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction. According to Hartney (2021), compulsions are considered obsessions with repeated thoughts that create a feeling of distress (Hartley, 2021). The person’s behavior reduces anxiety and fear. An example to consider is obsessive compulsive disorder. In this disorder, the obsession revolves around the need to wash their hands. In the case of addiction, the desire to use will far outweigh the reality that there may be negative consequences. Such as financial strains, health issues, social problems, legal problems and/or decreased self-esteem (Hartney, 2021). Hartney (2021), suggests for treatment of the OCD behavior should include antidepressant medications like serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). These medications may be augmented with antipsychotics at the discretion of the provider. In terms of impulsivity, Kozak and her colleagues (2018) denote there are strong overlaps in the neural circuitry and functional mechanisms between impulsivity traits and addiction, which has directed treatment approaches. Therefore, it has been recommended, SUD treatment should include subjective and objective data and target the pharmacological, behavioral, and neurophysiological areas to individualize the patient’s care (Kozak et al., 2018). This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 17:11:39 GMT -05:00 https://www.coursehero.com/file/139195954/Discussion-12-ImpulsivityCompulsivitydocx/ For example: Alcohol use disorder – Naltrexone, Aripiprazole, and Topiramate were successful in decreasing impulsivity behaviors and Problem gambling – paroxetine was found to be successful in impulsivity (Kozak et al., 2018). References: Hartney, E. (2021). The difference between an addiction and a compulsion. Retrieved on March 30, 2022, from https://www.verywellmind.com/the-difference-between-an-addiction-and-acompulsion-22240 Kozak, K., Lucatch, A. M., Lowe, D., Balodis, I. M., MacKillop, J., & George, T. P. (2019). The neurobiology of impulsivity and substance use disorders: implications for treatment. Annals of the New York Academy of Sciences, 1451(1), 71–91. https://doi.org/10.1111/nyas.13977 Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.). p. 90 & 54, Cambridge: Cambridge University Press.