Nursing Nursing Signature Assignment Endometrial cancer

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 This assignment aims to evaluate endometrial cancer in the general American women’s population and explore current evidence-based guidelines and treatments to determine a proper care plane.    

Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.

The opioid epidemic in the United States has raised critical concerns about the appropriate use of opioids for chronic pain management. As advanced nursing practice pharmacology students, understanding the risks, benefits, and evidence-based strategies is essential. How to safely approach chronic pain patients while minimizing the potential for opioid misuse and overdose?

Cav

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Cerebrovascular Accidents (CVAs):

Discuss the key pathophysiological mechanisms involved in cerebrovascular accidents (strokes). What are the major risk factors, and how do they contribute to the occurrence of a CVA?
How can primary and secondary prevention strategies (including lifestyle changes and medical management) be used to reduce the risk of stroke?
Deep Tendon Reflex Scoring:
Explain the 0 to 4+ scale for scoring deep tendon reflexes. How does this scale assist in assessing neurological health, and what can abnormal reflex findings indicate about a patient’s condition?
Diabetic Peripheral Neuropathy:
Describe the pathophysiology of diabetic peripheral neuropathy (DPN). What clinical signs and symptoms are typically seen in patients with DPN?
Discuss evidence-based health promotion strategies to prevent or manage DPN in diabetic patients, focusing on lifestyle modifications, medication management, and patient education.
Endocrine Disorders:
Cushing’s Syndrome
Discuss the pathophysiology of this disorder and its impact on overall health.
What are the major risk factors for this disorder, and how can these risks be mitigated through health promotion strategies such as lifestyle modifications, medication management, and patient education?
 

Create a Literature Review using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Literature Review includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Conducted a literature review on the use of integrative theory in clinical practice or research studies.  Use a minimum of six articles

Introduction: Discuss the historical background of integrative theory. Process use to find articles and how & why articles were selected: Keywords used in the search, data-based search, years used in the search, number of articles retrieved. The articles selected (3) how and why those these articles were selected. Summary of finding: Compare and contrast the selected articles selected of how integrative theory is used. Implication to practice: Discuss the implication of integrative theory to nursing practice. Conclusion/ recommendations: Discuss what you have drawn from reviewing literature so far. Where might the discussion proceed? APA Format & Clarity of writing: APA format corrects with no more than 1-2 minor errors: Use of a minimum of six current scholarly references.

Hindu Deity Discussion

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After studying Module 5: Lecture Materials & Resources, discuss the following:

It is said that there are over 330 million gods and goddesses within the Hindu religion and each god/goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting 2 different Hindu gods/goddesses of your choosing that you would be interested in learning more about.

For each selected Hindu deity, you must provide the following:

  1. Name and Title (Ex: Vishnu, God of Preservation)
  2. Image of the deity
  3. Brief explanation of why you chose that specific god/goddess. Below are some examples of this:
    • Maybe that Hindu god/goddess reminds you of a Christian saint or biblical character who is the Catholic patron/patroness of a particular human endeavor, career field, or avocation that somehow pertains to you
      • Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music
    • Maybe you found the specific image of that god/goddess intriguing
    • Maybe there is a pop culture reference to the deity
      • Ex: TV series, movie, book, video game, etc.
  4. Deity in Scripture
    • Summarize a story from the Hindu scriptures in which that the deity plays a major role.
      • This can be their origin story or another important story about the deity.
  5. Relationship to other Hindu Deities
    • How is this specific deity related to at least 2 other Hindu deities?
      • Ex: Is the selected deity a mother/father to another deity or possibly a husband/wife of another deity?
  6. Imagery & Symbolism
    • Explain the traditional symbolism associated with the selected deity
      • Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them

Websites for assistance in selecting specific Hindu gods/goddesses:

Please Note: You are not limited to using these websites as additional websites and/or the Van Voorst text may be beneficial for you to consider consulting. 

 

  • Your post should be at least 150 words. Incorporating sources is not required for this discussion, however, you must include all of the required elements within your post.

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Psychological

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WK1 discussion HP 111

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HP111: W1D

What Drives Us?

Before we get into the details about healthcare and its systems, let’s start at the

beginning. We all bring history, sometimes a lot of history, into any discussion. College

is a place to question some of those ingrained beliefs, listen to different points of view,

and grow. Outside of your profession, you get to be…you. In the U.S. you have the right

to free speech, free beliefs, and inalienable rights. Those can be as individual as you

are.

Inside your profession that is not quite true. Inside your profession you must incorporate

the professional ethics for your area, regulatory mandates, and represent your employer

in the fashion they determine is correct. Each of us must make peace with this or find a

profession without this requirement. To make peace, you need to understand what your

beliefs are. Healthcare is first and foremost a profession dedicated to people. Not just

some people. Not just those people we personally consider ‘worthy’.

All people.

If this is a concept you cannot get behind, find another profession. Everyone, including

you, will be better off.

“The idea that some lives matter

less is the root of all that is wrong

with the world.” – Dr. Paul Farmer, PIH

co-founder

1Partners is Health (PIH) is a global initiative dedicated to providing healthcare to all. The

most fundamental belief for healthcare workers regardless of specialty, is found in that

statement above. We all must be dedicated to the provision of the best healthcare

possible for everyone.

Explore what your beliefs are about healthcare.

Include the following aspects in the discussion:

• Share your feelings about these four foundational principles the Partners in

Health support.

• Why do you think poverty is a determinant of health?

• Discuss if healthcare should be provided for all citizens and if so, who will pick up

the bill.

• Cite any references. Proper grammar, sentence structure, and spelling is

required. Use your own words. 

hi

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help with this 

Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Reply includes more than 200 words of scholarly articles and that the plagiarism level remains below 20%.

Sustainable Strategies for the Treatment of Chronic Pain While Reducing Opioid Misuse and Overdose

As the opioid epidemic sweeps the silver states of the United States, it emphasizes the need for healthcare trainees, especially advanced practice nurses, to implement safe and evidence-based techniques to treat chronic pain. Moreover, although opioids can be effective in the right setting, their potential for misuse, dependence, and overdose requires a judicious and multifaceted approach to patient care. Advanced practice nurses specializing in pharmacology must be aware of strategic approaches that enhance pain relief while decreasing adverse effects.

Risk-Benefit Assessment and Patient-Centered Care.

Conducting a comprehensive assessment of the patient’s pain condition, medical history, and risk factors for opioid misuse is an important and necessary first step in the safe management of chronic pain. The Opioid Risk Tool (ORT) as well as the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) are tools that can help identify high-risk individuals (Butler et al., 2008). Shared decision-making is important: Patients should be informed about both opioid and non-opioid approaches and be involved in choosing the most appropriate treatment approach.

Use of Non-Opioids and Multimodal Pain Management

Doctors suggest multimodal pain management to decrease opioid use. Non-opioid pharmacologic options include acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants (i.e., duloxetine), anticonvulsants (i.e., gabapentin), and topical agents (Dowell et al., 2022). The treatment of chronic pain includes non-pharmacologic options like physical therapy, cognitive-behavioral therapy (CBT), acupuncture, and interventional procedures (e.g., nerve blocks), among others.

Opioid Prescribing Practices That Are Safe

Guidance on evidence-based prescribing practices is imperative for patients who need opioids. The Centers for Disease Control and Prevention (CDC) advises initiating treatment with the lowest effective dose of narcotics possible and, when practical, an immediate-release formulation (Dowell et al., 2022). Regular monitoring through urine drug screening, prescription drug monitoring programs (PDMPs), and reassessment of pain and function facilitates early detection of opioid misuse. Co-prescribing naloxone for patients at risk of overdose is also an important harm reduction strategy.

Conclusion

By applying safer chronic pain management strategies, advanced practice nurses are pivotal to combating the opioid epidemic. In the absence of early detection and treatment through multimodal pain approaches and adherence to evidence-based guidelines on opioid prescribing, however, the risk for misuse and overdose becomes exceedingly high.

References

Butler, S. F., Fernandez, K., Benoit, C., Budman, S. H., & Jamison, R. N. (2008). Validation of the revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R). The Journal of Pain, 9(4), 360-372. https://doi.org/10.1016/j.jpain.2007.11.014

Dowell, D., Ragan, K. R., Jones, C. M., Baldwin, G. T., Chou, R., & Paulozzi, L. (2022). CDC clinical practice guideline for prescribing opioids for pain—United States, 2022. MMWR Recommendations and Reports, 71(3), 1–95. https://doi.org/10.15585/mmwr.rr7103a1

With opioid deaths increasing, AMA urges expansion of proven treatment | American Medical Association. https://www.ama-assn.org/press-center/press-releases/opioid-deaths-increasing-ama-urges-expansion-proven-treatment

Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years.

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Please ensure that the Reply includes more than 200 words of scholarly articles and that the plagiarism level remains below 20%.

Discussion Post: The Opioid Epidemic and Chronic Pain Management

The problem of opioid drugs in the United States has evolved into a severe epidemic that hurts the well-being of people, their relatives, and society. Thus, the students of advanced nursing practice pharmacology need to determine the stimulant applicability and the issues connected with opioid use in the aspect of chronic pain treatment. It is estimated that millions of Americans experience chronic pain; however, the administration of opioids for chronic pain has brought about the current problem (Olfson et al., 2023). Therefore, the best approach to chronic pain patients should incorporate research-based solutions to ensure that there is minimal compromise of the health of this patient through opioids while, at the same time, providing them with the requisite pain relief that they need.

Risks and Benefits of Opioid Use

Opioids are strong pain relievers, and they, therefore, can be useful in managing the chronic pain of patients. However, recreational use is attached to specific dangers, which are addiction, tolerance, dependence, and overdose possibilities. Dowell (2022) has mentioned that opioids are effective only in acute pain, but for chronic pain, more harm is incurred than benefit. Hence, it is important to take over every patient and look for other options for managing the pain before prescribing opioids.

Evidence-Based Strategies for Safe Opioid Use

To reduce the risk of opioid abuse and deaths, advanced practice nurses should follow evidence-based procedures. According to CDC, the following are some of the measures that can be taken;

Comprehensive Patient Assessment: Assess the pain characteristics, comorbidities, extent of expected opioid use, and specific risks of opioid abuse before initiating therapy with opioids. This consists of psychiatric check-ups, such as checking for substance use disorder and other mental health disorders.

Use of Non-Opioid Therapies: The non-pharmacological and non-opioid therapies, including physical therapy, psychological therapy, and other medications like nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, should be the first-line interventions for chronic pain.

Lowest Effective Dose: When opioids in any form are required, it is advisable to administer the minimum dose just adequate to alleviate the arising pain and for the shortest possible time only (Olfson et al., 2023). Clinically review the evaluation of a patient’s pain and functional status to identify whether opioids should be continued or not.

Patient Education: Provide patients with an understanding of the general dangers associated with opioids that involve the use of these drugs and dependency, overdoses, and the like. Promote proper storage and disposal of opioids to help minimize this problem among other people as much as possible.

Monitoring and Follow-Up: There should be effective prescription and boosting follow-up checks as the patient vessels continue to take opioids regularly (Dowell, 2022). This includes the detection of illicit use of substances through urine tests, the use of prescription drug monitoring programs (PDMPs), and regular assessment of the patient’s pain and general condition. 

Conclusion

Chronic pain is one of the most pressing issues nowadays, and opioids are one of the most problematic substances that need special attention. It is noble for any APN to find ways of providing patients with relief from pain while at the same time minimizing the risks that are associated with opioid use and abuse. Despite the risks that are associated with opioid consumption, it is necessary to prevent the misuse and consumption of opioids concerning patient-centered approaches that will allow attending to people with chronic pain.

References

Dowell, D. (2022). CDC clinical practice guideline for prescribing opioids for pain—United States, 2022. MMWR. Recommendations and reports, 71.  

https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?os=www.nbcchicago.com&ref=app

Olfson, M., Waidmann, T., King, M., Pancini, V., & Schoenbaum, M. (2023). Population-based opioid prescribing and overdose deaths in the USA: an observational study. Journal of General Internal Medicine, 38(2), 390-398.    

https://link.springer.com/article/10.1007/s11606-022-07686-z