Neoplasia

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. Add questions to paper

Neoplasia Case Study

You have met a 67 y.o. female patient who presents with c/o dyspnea and a chronic cough for weeks. She is a smoker since she was a teenager. This is a fo9llow-up visit after testing has been completed. Testing completed included:

Pulmonary Function Testing which show a definite blockage in her airflow;

A Chest X-Ray which shows a lesion

Bronchoscopy washings which showed malignant cells.

Histology is a squamous cell carcinoma

Her diagnosis is bronchogenic lung cancer.

1. Why did this patient have a blockage in her airflow?

2. Did her lung cancer metastasize from cancer in another location in her body, or did it arise in her lungs?

3. Why did she develop dyspnea?

4. The lining of the bronchi are normally pseudostratified columnar epithelium, not squamous cell. Why did this patients cancer develop from squamous cells?

This patient is scheduled for surgery, followed by radiation therapy and chemotherapy. Surgery will remove the bulk of the tumor, and the radiotherapy is expected to shrink the remaining tumor cells. The chemotherapy is aimed at mnetastatic liver tumors that were discovered. The patient has stopped smoking.

5. Why did the APN order a liver scan when it was discovered that the patient had bronchogenic carcinoma?

6. Why did the cancer metastasize before she had enough signs and symptoms to see out her physician?

7. Have survival rates for patients with this type of cancer improved or not in recent years with treatment? If so what are the latest survival rates published?

8. What educational information should be shared with this patient?

Select an issue related to healthcare that was addressed by two U.S. presidential administrations (cu

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Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration. Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous). Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

AVSAR RAC 1

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 Avsar, P., Budri, A., Patton, D., Walsh, S., & Moore, Z. (2022).  Developing algorithm based on activity and mobility for pressure ulcer  risk among older adult residents: Implications for evidence‐based  practice. Worldviews on Evidence-Based Nursing, 19, 112–120. https://doi.org/10.1111/wvn.12545 

here is the article and I need to answer a 15 questions

Pathophysiology week 1 Discussion

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Scenario: 

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to a lack of dentures. The patient has been diagnosed with protein malnutrition.

The role genetics plays in the disease.

  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

What might be a characteristic influencing your response?

The scenario reflects this to be an unidentified race, so if this patient was African American would this create characteristics influenced by race? It may or may not just support your point with a citation. 

In this elderly female, there are several contributing factors for her presenting with these symptoms.

If you do not find any genetic factors contributing, provide a citation supporting this. As a student, be sure to support your points until you become the expert.

Discussion 7

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Although nurses take active leadership roles in hospitals throughout the U.S., they are underrepresented on hospital boards. Since a 2011 survey found that only 6%Links to an external site. of board members in 1000 hospitals were nurses (meanwhile 20% were physicians) there has been a push toward including nurses in the boardroom. As part of this push, a national coalition of organizations, including the American Nurses Association (ANA), the American Academy of Nursing (AAN), and the American Nurses Foundation (ANF) among 18 other nationally-recognized organizations, has been formed to create the Nurses on Boards CoalitionLinks to an external site., which seeks to implement a comprehensive strategy that will “bring nurses’ valuable perspective to governing boards, as well as state-level and national commissions.” With big players like AARP and the Robert Wood Johnson Foundation backing this initiative, it is likely their recommendation that nurses play bigger roles in “improving the health of all Americans” will see mores nurses becoming movers and shakers not only in their field but also in hospitals as a whole.

After completing the required readings identified above, please respond to the following prompt:

Choose one of the ten barriers identified in Addressing Barriers in Leadership for Nurses and search the library databases for at least one quality/scholarly article that pertains to the barrier and discuss/share the findings in the article.  Does the article support or refute the concept of the barrier?  What questions are left unanswered in the article?

sociology discussion post 3

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Respond to two (2) of the following prompts:

  1. Consider the social stratification of your family tree. Compare your social standing to that of your parents and grandparents. If you are unfamiliar with these people, feel free to substitute other family members or acquaintances from other generations. (USLO 3.1)
  2. What social traits did your forebears pass down to you? Is there consistency or inconsistency in your family’s status? Which theoretical approach best describes your family’s social stratification? What changes do you anticipate for your family’s future generation? (USLO 3.1)
  3. Consider your own experiences with social mobility. How do rules, laws, and societal structures promote wealth and poverty? Do you believe that rules, laws, and societal structure have a greater impact on social mobility than individual traits such as a strong work ethic? Do you believe social mobility has decreased or risen in recent years? How could rules, laws, and societal structures impact your future social mobility? What are some strategies for dealing with this future possibility? (USLO 3.2)
  4. What is the relationship between subjective, absolute, and relative poverty and inequality/inequity? Who benefits from poverty, inequality, and inequity? Can policies be enacted to eliminate various forms of poverty and break the cycle of poverty? What are the advantages and disadvantages of enacting such policies? What role does the cycle of poverty play in maintaining social stratification, especially for women through the global feminization of poverty? (USLO 3.3)
  5. Which of the three theoretical approaches (functionalist, conflict, or symbolic interactionist) would you use to explain why healthcare injustice and inequity occurs and what to do about it? (USLO 3.4)
  6. What role does healthcare injustice play in perpetuating the system of stratification? How does the healthcare system maintain social stratification? Is healthcare injustice harming our society as a whole? (USLO 3.4)

Nutritional Principles in Nursing

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Module 06 Discussion – Common Medication-Nutrient (Food) Interactions

Directions:

For this discussion forum, find three interactions between medications and nutrients (food). List the interaction, foods to avoid while taking the medication, and describe key points that should be included in client education regarding the interactions.

You can use Epocrates to find your information https://online.epocrates.com/, or Medline Plus http://www.nlm.nih.gov/medlineplus/druginformation.html, or any other evidence based resource.

life-span development

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Research Paper Assignment Guide

Prompt:

The Research Paper assignment is designed to integrate your developing skills in self-reflection, scientific knowledge, awareness of research methods, and critical thinking, as they relate to the field of developmental psychology. You may find that your topic for the Research Paper is related to your focus in the Autobiographical Developmental Essay (e.g., you may choose to focus on the same or similar developmental stage) and/or the Theory Essay (e.g., you may choose to explore more of the theories you discussed). You may also wish to tackle a completely new developmental stage and/or topic, and that is just fine! The important part of selecting your focus for this assignment is that you follow your own natural curiosity about the human condition.

Your Research Paper should be at least 1000 words double-spaced (the last page will be your references page which does not count towards your word count)using 12-point font and 1-inch margins. You must incorporate at least 3 peer-reviewed journal articles as sources, in addition to your textbook.

Preparation:

Ensure that you are up to date on your reading assignments for the course (through Chapters 15 and 16, Middle Adulthood).

Review key characteristics of each major developmental stage to help with your focus for the paper.

Reflect on the major area of development in which you are most interested (e.g., physical, cognitive, social, emotional).

To complete this assignment, you will:

Step 1: Select one of the major developmental periods you have studied thus far in the course: infancy, early childhood, middle childhood, adolescence, early adulthood, or middle adulthood.

Step 2: Select a phenomenon or construct that features prominently in your chosen developmental stage. The construct should reflect one or more of the major areas of human development (physical, cognitive, social, emotional). For instance, if you are focusing on adolescence, perhaps you select the construct of egocentrism, which includes both cognitive and social components.

Step 3: Review the section(s) of the Santrock text that are relevant to your developmental stage and construct.

Step 4: Prepare a research paper that addresses the following:

Step 4.1: Describe, in detail, the developmental stage you are focusing on for this research paper. You should briefly review the major developmental tasks of this stage as they pertain to physical, cognitive, social, and emotional development.

Step 4.2: Describe, in detail, your selected construct of interest. Be sure to define the construct and discuss its relevance during your selected stage of development. If the construct first appears earlier in development, or somehow changes with development across various stages, you will need to discuss how the construct changes over time.

Step 4.3: Pick at least one theory that helps to explain the relevance of your construct to your chosen developmental stage. Explain the theory and its application to your construct and stage.

Step 4.4: From the available 12 peer-reviewed journal articles, select and read at least 3 peer-reviewed journal articles that have some relevance to your topic and/or proposed study. Some articles may contribute information about your topic of study, or they may contribute information about research methods that could be applied to your specific topic of study. You are not required to understand or discuss the statistics involved in these articles, but you should be able to glean some information from the articles with relevance to your topic or proposed methods.

Step 4.5: Now, consider yourself a scientist. Imagine you can conduct any study you like about this construct in your chosen developmental stage. Put forth at least 1 research question, and describe the method(s) you would use to collect the data (e.g., observational, survey/interview, standardized test, case study, physiological measures). Explain what type of study design you would use (e.g., descriptive, correlational, experimental). What is your hypothesis about what the results of the study will be? Why would this study be important to conduct, and how might it contribute to new knowledge in this area of developmental science?

Step 4.6: Prepare a references page that lists each of your sources in APA style. Note that you will need to list your textbook as well as each of your 3 peer-reviewed journal articles. The References page will be the last page of your research paper.

References

(should include 3 articles and Santrock text)

Conrod, P. J., & Nikolaou, K. (2016). Annual Research Review: On the developmental neuropsychology of substance use disorders. Journal of Child Psychology and Psychiatry, 57, 371-394. https://acamh.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.12516

Dirks, M. A., De Los Reyes, A., Briggs-Gowan, M., Cella, D., & Wakschlag, L. S. (2012). Annual Research Review: Embracing not erasing contextual variability in children’s behavior – theory and utility in the selection and use of methods and informants in developmental psychopathology. Journal of Child Psychology and Psychiatry, 53, 558-574. https://psyc.umd.edu/sites/psyc.umd.edu/files/pubs/Dirks,%20De%20Los%20Reyes,%20Briggs-Gowan,%20Cella,%20&%20Wakschlag%20(2012).pdf

Glenn, C. R., Kleiman, E. M., Kellerman, J., Pollak, O., Cha, C. B., Esposito, E. C., Porter, A. C., Wyman, P. A., & Boatman, A. E. (2020). Annual Research Review: A meta-analytic review of worldwide suicide rates in adolescents. Journal of Child Psychology and Psychiatry, 61, 294-308. https://kleimanlab.org/wp-content/uploads/2019/09/Glenn_et_al-2019-Journal_of_Child_Psychology_and_Psychiatry.pdf

Koss, J. J., & Gunnar, M. R. (2018). Annual Research Review: Early adversity, the hypothalamic-pituitary-adrenocortical axis, and child psychopathology. Journal of Child Psychology and Psychiatry, 59, 327-346. https://acamh.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.12784

Lau, J. Y. F., & Waters, A. M. (2017). Annual Research Review: An expanded account of information-processing mechanisms in risk for child and adolescent anxiety and depression. Journal of Child Psychology and Psychiatry, 58, 387-407. https://acamh.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.12653

Mandy, W., & Lai, M-C. (2016). Annual Research Review: The role of the environment in the developmental psychopathology of autism spectrum condition.Journal of Child Psychology and Psychiatry, 57, 271-292. https://efisiopediatric.com/wp-content/uploads/2016/10/mandy2016.pdf

McAdams, T. A., Cheesman, R., & Ahmadzadeh, Y. I. (2023). Annual Research Review: Towards a deeper understanding of nature and nurture: combining family-based quasi-experimental methods with genomic data. Journal of Child Psychology and Psychiatry, 64, 693-707. https://acamh.onlinelibrary.wiley.com/doi/pdf/10.1111/jcpp.13720

Newlove-Delgado, T., Russell, A. E., Mathews, F., Cross, L., Bryant, E., Gudka, R., Ukoumunne, O. C., & Ford, T. J. (2023). Annual Research Review: The impact of Covid-19 on psychopathology in children and young people worldwide: Systematic review of studies with pre- and within-pandemic data. Journal of Child Psychology and Psychiatry, 64, 611-640. https://acamh.onlinelibrary.wiley.com/doi/pdf/10.1111/jcpp.13716

Odgers, C. L., & Jensen, M. R. (2020). Annual Research Review: Adolescent mental health in the digital age: facts, fears, and future directions. Journal of Child Psychology and Psychiatry, 61, 336-348. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221420/

Russell, M. A., & Gajos, J. M. (2020). Annual Research Review: Ecological momentary assessment studies in child psychology and psychiatry. Journal of Child Psychology and Psychiatry, 61, 376-394. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428969/

Santrock, J. W. (2023). Life-Span Development (19th ed.). McGraw-Hill Higher Education (US).

Thomas, M. S. C., Ansari, D., & Knowland, V. C. P. (2019). Annual Research Review: Educational neuroscience: progress and prospects.Journal of Child Psychology and Psychiatry, 57, 477-492. https://acamh.onlinelibrary.wiley.com/doi/pdf/10.1111/jcpp.12973

Williams, N. J., & Beidas, R. S. (2019). Annual Research Review: The state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field. Journal of Child Psychology and Psychiatry, 60, 430-450. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389440/pdf/nihms-983463.pdf

EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

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In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT (attached below)
  • Reflect on your current healthcare organization (Behavioral health hospital-children services/adults) and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection (attached below)
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization (Behavioral health hospital), including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change (psychiatric related). Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted (attached below)
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) (attached below)

    Rubric (please follow and read):

    Part 4: Disseminating Results/ Create a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project: Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation. Explain how you would plan knowledge transfer and dissemination. Describe measurable outcomes with the implementation of EBP best practice. Summarize lessons learned.
    -The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
    -The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

PE 3

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  1. Compose a written comprehensive psychiatric and/or psychotherapy evaluation of a patient you have seen in the clinic.