Please see the attached file for detailed information and rubrics.

TO PREPARE

· Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.

· Select a specific personality or paraphilic disorder from the 
DSM-5-TR to use for this Assignment.

· Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. 

THE ASSIGNMENT

In 2–3 pages:

· Explain the controversy that surrounds your selected disorder.

· Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.

· Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.

· Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

Discussion Topic

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This week our readings took us into Specific Aspects of Health Promotion for the following conditions: Weight Management and Digestive Wellness, Cardiovascular Wellness, and Respiratory Wellness.

Imagine you are leading a focus group which is implementing one of the nursing interventions learned for a specific health problem. 

Having you as a moderator of a community focus group that will explore knowledge, believes, attitudes and behaviors about your selected health problem [you may select any health problem]:

1.
Define your group and the setting for the activity, applying statistical principles of sample size and homogeneity.

2.
Create and share an opening question to explore perceptions of the health risks associated with your topic of interest.

3.
Create a question that should explore beliefs and perceptions about external influences related to your selected topic.

4.
Create a third question that will help you in understanding the perception (in group members) of roles towards improving the health problem.

Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359.

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.

Bottom of Form

Representation in Congress

Assignment

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 11, 12

· Lesson

· Minimum of 2 scholarly sources in addition to the textbook.

Instructions

Research the proportion of women, African Americans, Native Americans, Hispanic Americans, Asian Americans and openly gay or lesbian members of Congress.

1. Reflect on what these patterns say about the nature of representation.

2. Why do some groups tend to be underrepresented in Congress?

3. Why do you see a trend in which more women and minorities are being represented?

4. Do you think the underrepresentation of women and minorities affect Congress's business?

5. How might we as a people address this situation and strive towards equal representation? Make sure to cite sources used.

Requirements

· Length: 1.5-2 pages (not including title page or references page)

· 1-inch margins

· Double spaced

· 12-point Times New Roman font

· Title page

· References page (minimum of 2 scholarly sources in addition to textbook if cited)

Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

The Struggle for Democracy, 2018 Elections and Updates Edition

Or
[email protected]

PWD: Bryanthierry@09

 Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition Adolescent With Diabetes Mellitus (DM) Case Studies The patient, a 16-year-old high-school football player, was brought to the emergency room in a coma. His mother said that during the past month he had lost 12 pounds and experienced excessive thirst associated with voluminous urination that often required voiding several times during the night. There was a strong family history of diabetes mellitus (DM). The results of physical examination were essentially negative except for sinus tachycardia and Kussmaul respirations. Studies Results Serum glucose test (on admission), p. 227 1100 mg/dL (normal: 60–120 mg/dL) Arterial blood gases (ABGs) test (on admission), p. 98 pH 7.23 (normal: 7.35–7.45) PCO2 30 mm Hg (normal: 35–45 mm Hg) HCO2 12 mEq/L (normal: 22–26 mEq/L) Serum osmolality test, p. 339 440 mOsm/kg (normal: 275–300 mOsm/kg) Serum glucose test, p. 227 250 mg/dL (normal: 70–115 mg/dL) 2-hour postprandial glucose test (2-hour PPG), p. 230 500 mg/dL (normal: <140 mg/dL) Glucose tolerance test (GTT), p. 234 Fasting blood glucose 150 mg/dL (normal: 70–115 mg/dL) 30 minutes 300 mg/dL (normal: <200 mg/dL) 1 hour 325 mg/dL (normal: <200 mg/dL) 2 hours 390 mg/dL (normal: <140 mg/dL) 3 hours 300 mg/dL (normal: 70–115 mg/dL) 4 hours 260 mg/dL (normal: 70–115 mg/dL) Glycosylated hemoglobin, p. 238 9% (normal: <7%) Diabetes mellitus autoantibody panel, p. 186 insulin autoantibody Positive titer >1/80 islet cell antibody Positive titer >1/120 glutamic acid decarboxylase antibody Positive titer >1/60 Microalbumin, p. 872 <20 mg/L Diagnostic Analysis The patient’s symptoms and diagnostic studies were classic for hyperglycemic ketoacidosis associated with DM. The glycosylated hemoglobin showed that he had been hyperglycemic over the last several months. The results of his arterial blood gases (ABGs) test on admission indicated metabolic acidosis with some respiratory compensation. He was treated in the Case Studies Copyright © 2018 by Elsevier Inc. All rights reserved. 2 emergency room with IV regular insulin and IV fluids; however, before he received any insulin levels, insulin antibodies were obtained and were positive, indicating a degree of insulin resistance. His microalbumin was normal, indicating no evidence of diabetic renal disease, often a late complication of diabetes. During the first 72 hours of hospitalization, the patient was monitored with frequent serum glucose determinations. Insulin was administered according to the results of these studies. His condition was eventually stabilized on 40 units of Humulin N insulin daily. He was converted to an insulin pump and did very well with that. Comprehensive patient instruction regarding selfblood glucose monitoring, insulin administration, diet, exercise, foot care, and recognition of the signs and symptoms of hyperglycemia and hypoglycemia was given. Critical Thinking Questions 1. Why was this patient in metabolic acidosis? 2. Do you think the patient will eventually be switched to an oral hypoglycemic agent? 3. How would you anticipate this life changing diagnosis is going to affect your patient according to his age and sex? 4. The parents of your patient seem to be confused and not knowing what to do with this diagnoses. What would you recommend to them?