Categories
Other

Based on the issues discussed in this unit, write a 550-600 word essay about one

Based on the issues discussed in this unit, write a 550-600 word essay about one of your recent verbal arguments (or one you witnessed). Examine your argument in terms of the elements you now understand about the argument.
Consider—
the specific issue/argument and its importance to you
the focused audience and how this knowledge may have affected your approach
appropriate/practical timing
the opposition’s perspectives, acknowledging strong points made and possible objections presented
as you close: with a new awareness of how arguments can be successful, consider what could have been presented differently in your argument as you explore why some arguments fail.
Guidelines
Use a 12-point font.
Upper left-hand corner—your name, date/unit, (title centered, if you have one), course, professor’s name
Proof carefully—paragraph development, sentence structure/boundaries, grammar/ punctuation
Essay is to be written using MLA format Links to an external site.(if external sources are used)
Use double spacing, so there is room for me to write comments.
Include your last name in the filename (example: Unit-1 AS1 Smith.)
It should be a Word (.doc or .docx) format file.

Categories
Nursing

This week, you will role-play communication and on-camera presentation skills w

This week, you will role-play communication and on-camera presentation skills
when you advocate for a patient during a virtual interdisciplinary team meeting.
*Note this week’s discussion requires you to record yourself using a webcam.
Discussion prompt:
You are invited to an interdisciplinary team meeting because a patient in your care is on the
agenda for discussion. Because of COVID-19 restrictions, and team
members’ schedules, the meeting is virtual. You are required to be on camera when
presenting.
Record yourself, using a webcam, articulating your concerns about your patient.
• Team members may not know you. You must introduce yourself, your practice role,
and your professional relationship to the patient. This patient situation could be an
experience you have had during your time as a nurse or clinical, or it could be a
made-up (realistic) scenario.
• Use an evidence-based communication strategy when voicing your concerns to the
interdisciplinary team.
• The video recording should be less than 90 seconds.
You must be visible on camera. When recording, consider your appearance, audio, and
background.
Upload your video to the discussion board along with the following written summary.
• Share the rationale for the evidence-based communication tool you used
• Discuss your experience of the role-play exercise including communication strengths
and areas for improvement.
• Provide rational for your response with at least one scholarly source using an APA
in-text citation and full reference.

Categories
Nursing

CASE: The patient, Mrs. Maria Perez, is a 53-year-old Puerto Rican female who ha

CASE:
The patient, Mrs. Maria Perez, is a 53-year-old Puerto Rican female who has presented for consultation regarding a personal issue she finds sensitive in nature.
The client reports a history of alcohol use disorder dating back to her late teens and involvement with Alcoholics Anonymous over the past 25 years, with increased difficulty maintaining sobriety since the opening of a nearby casino. She describes a high associated with gambling and an increased frequency of drinking and cigarette smoking while gambling, as well as concerns about the health effects of the smoking. Despite attempts at abstinence, the client reports feeling the need for alcohol during gambling activities. She has also experienced weight gain from excessive drinking. The client expresses concern about having borrowed a substantial sum from her retirement account to pay off gambling debts without her husband’s knowledge
The patient is a 53-year-old Puerto Rican female who is conscious and oriented to her surroundings. She is dressed appropriately for the weather and the season. Her speech is clear and coherent, with a clear goal. Her eye contact during the clinical interview is somewhat limited, but her mannerisms, gestures, and tics are not notable. She reports feeling “sad” and her affect is consistent with her reported mood. There is no evidence of hallucinations or delusional thinking, and her insight and judgment appear to be intact. However, she has an impaired ability to control her impulses. There are no reported suicidal or homicidal ideations at this time.
Diagnosis: Gambling Disorder, Alcohol Use Disorder.
– Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1
After a thorough history and physical from the patient, the diagnosis is gambling disorder and alcohol use disorder. Select what the PMHNP should do:
• Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region
every 4 weeks
• Antabuse (Disulfiram) 250 mg orally daily
• Campral (Acamprosate) 666 mg orally three times/day
My decision: Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region
every 4 weeks (BASE ANSWER ON THIS DECISION)
RESULTS OF DECISION POINT ONE
Client returns to clinic in four weeks. Mrs. Perez says she feels “wonderful” as she has not “touched a drop” of alcohol since receiving the injection. Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling). Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2
Select what the PMHNP should do next:
• Add on Valium (diazepam) 5 mg orally TID/PRN/anxiety
• Refer to a counselor to address gambling issues
• Add on Chantix (varenicline) 1 mg orally BID
My decision: Refer to a counselor to address gambling issues (BASE ANSWER ON THIS DECISION)
RESULTS OF DECISION POINT TWO
Mrs. Perez returns in 4 weeks and reports that the anxiety that she had been experiencing is gone. She reports that she has met with the counselor, but she did not really like her. She also started going to a local meeting of Gamblers Anonymous. She states that last week, for the first time, she spoke during the meeting. She reports feeling supported in this group.
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3
Select what the PMHNP should do next:
• Explore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings
• Encourage Mrs. Perez to continue seeing her current counselor as well as continuing the Gamblers Anonymous group
• Discontinue Vivitrol. Encourage Mrs. Perez to continue seeing her counselor and to continue participating in the Gamblers Anonymous group
My decision: Explore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings (BASE ANSWER ON THIS DECISION)
Guidance to Student
Although controversy exists in the literature regarding how long to maintain a client on Vivitrol, 8 weeks is probably too soon to consider discontinuation. The psychiatric mental health nurse practitioner should explore the issues that Mrs. Perez is having with her counselor. As will be covered in more depth in future courses, ruptures in the therapeutic alliance can result in clients stopping therapy. Clearly, if the client does not continue with therapy, the likelihood of the gambling problem spontaneously remitting is lower (than had the client continued to receive therapy). Recall that there are no FDA-approved treatments for gambling addiction. The mainstay of treatment for this disorder is counseling. Since Mrs. Perez reports good perceived support from the Gamblers Anonymous meetings, she should be encouraged to continue her participation with this group.
You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
CONCLUSION:
– Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
PRIMARY LITERATURE:
• Kelly, J. E., & Renner, J. A. (2016). Alcohol-Related disorders. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier.
• Renner, J. A., & Ward, N. (2016). Drug addiction. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier.
• Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders: Treatment improvement protocol series Links to an external site., no. 32. http://www.ncbi.nlm.nih.gov/books/NBK64350/
o Chapter 1, “Substance Use Among Adolescents”
o Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”
o Chapter 7, “Youths with Distinctive Treatment Needs”
• University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control. Journal of Psychosocial Nursing & Mental Health Services Links to an external site., 54(4), 15.
• Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology Links to an external site., 77(2), 375–381. https://doi.org/10.1111/j.1365-2125.2012.04457.x
• Hulvershorn, L. A., Schroeder, K. M., Wink, L. K., Erickson, C. A., & McDougle, C. J. (2015). Psychopharmacologic treatment of children prenatally exposed to drugs of abuse. Human Psychopharmacology Links to an external site., 30(3), 164–172. https://doi.org/10.1002/hup.2467
• Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. Journal of Gerontological Nursing Links to an external site., 42(4), 10–15. https://doi.org/10.3928/00989134-20160314-04
• Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual Diagnosis Links to an external site., 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439
• Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., Olvera, R., Swann, A. C., & Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. Comprehensive Psychiatry Links to an external site., 55(6), 1337–1341. https://doi.org/10.1016/j.comppsych.2014.04.018

Categories
Health Care

Discussion Post # 2: What can be done to mitigate the COVID-19 type crisis in Am

Discussion Post # 2: What can be done to mitigate the COVID-19 type crisis in America’s emergency rooms? This an opportunity to do research on this topic.

Categories
Criminal Justice

Resources: Scottsdale Police Department Strategic Plan, Week 3 individual assign

Resources: Scottsdale Police Department Strategic Plan, Week 3 individual assignment: Strategic Plan Evaluation
Scenario:
You are a strategy leader with the Scottsdale Police Department and your role is to communicate the details, accomplishments, progress, and concerns of the strategic plan to all stakeholders.
Review your Week 3 individual assignment: Strategic Plan Evaluation for possible details to include in your communication outline.
Write a 525- to 700-word outline for communicating the Scottsdale Police Department’s Strategic Plan internally and externally.
Include the following in your outline:
Method for communicating the strategic plan to internal and external stakeholders
Summary of main issues being addressed in the plan and why they are a concern to the public
Influence of stakeholders
Potential detractors to the plan
i will upload my week 3 assignment ass help

Categories
Homeland Security

The research paper will be a total of 13-15 pages, however, I have attached a pr

The research paper will be a total of 13-15 pages, however, I have attached a previous assignment that will be used as well. The final paper needs to flow continuously with the previous assignment and the new material for this order.

Categories
Other

An SLP, Lucy, who is a certified member of ASHA and licensed by the state, works

An SLP, Lucy, who is a certified member of ASHA and licensed by the state, works as an employee in a private practice. Lucy suspects that her supervisor and owner of the private practice, Nancy, is billing the time during which no direct client service is provided (e.g., while writing plans of care). Nancy is a certified member of ASHA and licensed by the state. Lucy has a good friend in the billing office of the practice, Mary. During the conversation, Lucy confides in Mary that this is occurring and they agree that this is a violation of billing for services that are not rendered. Is this an ethical violation? If it is an ethical violation, please identify the rule/s and principle/s of the Code of Ethics that are violated and expand your answer. If it is not a violation of the Code of Ethics, justify your answer.
Minimum Requirements:
1. a minimum of 250 words in length
2. must incorporate and cite the required readings
3. must incorporate and cite at least 2 other sources (journal articles, not books) and the required reading/seminar.
4. Follow the rubric
Please see the attachment where you will find the documents besides the one that you could find in order to make this work.
Good luck!

Categories
Nursing

A 70-year-old male patient presented to your clinic with complaint of a “wet cou

A 70-year-old male patient presented to your clinic with complaint of a “wet cough” x 2 weeks. Confirms fever, mild dyspnea on exertion, chills, tachycardia, and chest congestion. Describes cough as reproductive with clear to yellow sputum. Medical history is unremarkable. He reports nicotine dependence for 30 years smoking 1 pack per day. On inspection, patient appeared to be tachypneic with respiratory rate at 30, appeared to have shallow breathing with crackles heard in all lung fields.
Discuss at least five questions you would ask this patient to elicit a history about the patient’s symptoms.
List three physical findings in the respiratory examination that will concern you as the nurse.
What differential diagnosis would you consider as the nurse practitioner seeing this patient?

Categories
Nursing

Problem: Nicholine is an 80-year-old female that presented to her Primary Care P

Problem: Nicholine is an 80-year-old female that presented to her Primary Care Provider with intermittent, bilateral calf pain, mild dyspnea on exertion and Angina that has been going on for the past six months. She reports climbing steps makes it worse, walking makes it worse. She reports that she does not take her weekly walks anymore due to the pain associated with walking. She reports rest makes the pain better. A few weeks ago, she was diagnosed with Peripheral Vascular Disease. Use the above information to answer the following questions:
What assessment tool would you recommend as a screening tool for this patient? Why did you pick this tool? Considerations if any for picking the assessment tool? Provide references to support your answer.
Identify tool recommended in the EB article e.g https://medlineplus.gov/lab-tests/heart-disease-risk-assessment/Links to an external site.
Is there another tool/s that can be used to assess this problem? – if so, list alternate evidenced based tools which may be considered
Background of selected tool:
Define or Describe your selected tool
Indications for use/ who needs to be assessed
Rationale for this selection. Why is the tool the best selection for the problem compared to the other (not selected)?
Include Reliability and validity of the use
How is it scored
How are the scores obtained with the tool interpreted and how does the tool provide guidance to the treatment plan and improve patient outcomes. Ex. statin therapy indicated. expected outcomes. Additional therapies to support the prevention of MI, etc

Categories
Business

Prior to beginning work on this discussion forum, Read Chapter 4 of the course t

Prior to beginning work on this discussion forum,
Read
Chapter 4 of the course text, Principles of Marketing
Watch
Segment 4: Burberry in Fashion: Superbrand Chic.
Instructions:
The goal of place strategy in terms of the customer-value equation is to add value without increasing cost.
Pick one of the strategic issues listed below:
Market niche
Location
Merchandise assortment
Explain at least three elements marketers need to consider when it comes to that strategy.
Explain how Burberry implemented innovative “place” strategies to create value for current and potential customers.
Your initial post must be at least 350 words.
Be sure to use subject headers for each of the questions asked.
Review the Level Heading section of Introduction to APA Links to an external site. resource from the Writing Center for more information.
Be sure to properly cite your textbook and at least three scholarly or credible resources in APA Style as outlined in the Writing Center’s APA: Citing Within Your Paper Links to an external site. guide. Refer to the Scholarly, Peer-Reviewed, and Other Credible Sources Links to an external site. table for additional guidance on source types.