Category: Nursing

  • Advanced Physiology and Pathophysiology

    Unit 1: Cellular Homeostasis

    Unit Introduction – Cellular Homeostasis

    Welcome to Unit 1 of the course! During Unit 1, you will be focusing on the key concepts of cellular biology and alterations at the cellular and tissue level. It is essential that advanced practice nurses have a foundational understanding of basic cellular structure and function in order to understand and apply concepts of cellular and tissue alterations. Specifically, in this first unit, your focus is to learn about the course and the advanced knowledge and skills needed by advanced practice nurses who will be caring for and educating patients across the lifespan with many different pathologies.

    Unit Learning Objectives

    Apply knowledge of homeostatic mechanisms, such as fluid and electrolyte balance, acid-base balance, and theroregulation to normal physiology and pathophysiologic conditions. (CLO 1,6)

    Compare cellular injury and adaptation. (CLO 1,6)

    Contrast two general theories of aging. (CLO 1,6)

    Apply the forces favoring and opposing the movement of water between body compartments to the different causes of edema. (CLO 1,6)

    Analyze the effect of specific hormones of fluid, electrolyte, and acid-base balance. (CLO 1,6)

    Predict fluid, electrolyte, and acid-base imbalances likely in select pathophysiologic conditions (CLO 1,6)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children 
    (8th ed.). Elsevier.

    Chapter 1, “Cellular Biology”

    Chapter 2, “Altered Cellular and Tissue Biology”

    Chapter 3, “The Cellular Environment: Fluids and Electrolytes, Acids, and Bases”

    Note: 
    Unless otherwise noted, all articles are available through the University of St. Augustine Library.

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019).
     
    ” 
    Cellular Biology
     ” 
    [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019).
     
    “ 
    Altered Cellular and Tissue Biology
     “
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019).
     
    “ 
    The Cellular Environment: Fluids and Electrolytes, Acids, and Bases
     
    ” [PowerPoint slides]. Elsevier.

    Faculty Lecture(s)

    Dunlap, J. (2020). NUR 7610  
    Chapter 2 – Altered Cellular and Tissue Biology.ppsx

    Dunlap, J. (2020). NUR 7610  
    Chapter 2 – Altered Cellular and Tissue Biology – NonRecorded.pptx

    Optional Resources

    Articles

    Xu, X., & Ren, J. (2012). Unmasking the Janus faces of autophagy in obesity-associated insulin resistance and cardiac dysfunction. 
    Clinical & Experimental Pharmacology & Physiology, 39
    (2), 200–208. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=70856882&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Guyenet, P. G., & Bayliss, D. A. (2015). Neural control of breathing and CO2Homeostasis. 
    Neuron, 87
    (5), 946–961. doi:http://dx.doi.org.prx-usa.lirn.net/10.1016/j.neuron.2015.08.001 
    https://prx-usa.lirn.net/login?url=https://search.proquest.com/docview/1709551144?accountid=158603

    Note:
     Retrieved from the University of St. Augustine Library database.

    Hafycz, J. & Naidoo, N. (2019). Sleep, aging and cellular health: aged-related changes in sleep and protein homeostasis converge in neurodegenerative disease. 
    Frontiers in Aging Neuroscience, 11
    . 
    http://dx.doi.org/10.3389/fnagi.2019.00140

    Note:
     Hafycz library link: 
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6579877/pdf/fnagi-11-00140.pdf

    Khan Academy. (n.d.). 
    Homeostasis
    . Retrieved from 
    https://www.khanacademy.org/science/biology/principles-of-physiology/body-structure-and-homeostasis/a/homeostasis

    Tooze, S., and Zoncu, R. (2015). 
    Control of cellular homeostasis: Organelles take the pilot’s seat. Molecular Biology of the Cell, 26
    (6), 1009–1010. 
    https://doi.org/10.1091/mbc.E14-12-1589

    Note:
     Tooze article web link: 
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4357499/

    Media

    Alila Medical Media. (2017, October 17). 
    Acid base balance, animation
     [Video]. YouTube. 

    Khan Academy. (n.d.). 
    Unit: Cells 
    [Video]. 
    https://www.khanacademy.org/test-prep/mcat/cells

    Khan Academy. (2015, July 30). 
    Osmosis
     [Video]. YouTube. 

    Khan Academy. (2009, December 11). 
    Krebs, citric acid cycle, cellular respiration, biology
     [Video]. YouTube. 

    Woodruff, D. (2014, January 10). 
    Altered cellular biology
     [Video]. YouTube. 

    Faculty Lecture: Altered Cellular and Tissue Biology

    Attached Files:

     Altered Cellular and Tissue Biology Transcript.pdf
     (
    84.464 KB
    )

     Altered Cellular and Tissue Biology Handout.pdf
     (
    74.54 MB
    )

    Unit 1: Discussion/Introductions

    To participate in your Introductions Discussion, click the above link and follow the instructions.

    Take a moment to introduce yourself. Things to consider are: Where do you live? What area do you work in? Where would you like to work as an FNP? Feel free to share any other fun details about yourself.

    Unit 1 & 2: Discussion Week 1 & 2

    To participate in your Unit 1 and 2 combined discussion, click the above link to navigate to the discussion board. Then click “Create Thread” and follow the instructions.

    The purpose of this combined Week 1 and 2 discussion is to examine how your body maintains homeostasis (Week 1 topics) as well as evaluate genetics and epigenetics (Week 2 topics). This Discussion is intended to allow you to show evidence of achieving the following Course Learning Outcomes (CLO):

    CLO1:
     Apply concepts of pathophysiology at the cellular and systems levels for individuals and populations across the lifespan (ILO 1; PLO 1,7; MSN Essential I)

    CLO2:
     Examine the impact of genetics and epigenetics on lifestyle and selected pathologies across the lifespan (ILO 1; PLO 1,7; MSN Essential I)

    CLO3:
     Examine concepts of inflammation and immunity  (ILO 1; PLO 1,7; MSN Essential I)

    CLO6:
     Analyze the etiology and advanced pathophysiological alterations of selected body systems for common primary care diagnoses across the lifespan  (ILO 1; PLO 1,7; MSN Essential I)

    Discussion Scenario, choose one of the following:

    Briefly explain how the body maintains homeostasis through fluid and electrolyte balance.

    Briefly explain how the body maintains homeostasis though acid-base balance.

    Compare and contrast Capillary hydrostatic pressure and Capillary oncotic pressure

    Compare and contrast Interstitial hydrostatic pressure and interstitial oncotic pressure

    Discuss the role of reactive oxygen species in cellular injury.

    Compare and contrast DNA Hydroxymethylation and DNA Methylation?

    Describe the pathophysiologic effects of alcohol exposure to a fetus? What are the long term implications?

    Discuss the inheritance pattern of cystic fibrosis. What are the chances that a couple could transmit the condition to their offspring?

    Initial Post:

    Include at least 2 scholarly, peer reviewed, timely sources (within 5 years) in your response.

    Writing should be in a professional format with APA appropriate citations and references.

    Please note that on submission to the discussion board, Blackboard often alters the formatting of the post. This is taken into consideration when faculty grade the post.

    Peer Post:

    Respond to at least 2 peers whose topics are different than your own.

    Include at least 1 scholarly, peer reviewed, timely source (within 5 years) in your response.

    Your response should either add to the content of the topic or based on research findings you include ask additional questions on the topic.

    Response should be at least 100 words excluding references.

    Faculty Questions:

    Faculty will be present during the week on the discussion board. It is expected that you will respond to any questions posed directly to you by faculty during the week. A failure to respond may result in a deduction of points as indicated in the Discussion Grading Rubric

    Please refer to the grading rubric for further details on the content expectations. You can find this under “My Grades”, “Unit 1: Discussion”.

    Initial post due date:
     Day 7 (Sunday) of Unit 1

    Peer post and Faculty response to any faculty questions due date: 
    Day 7 (Sunday) of Week 2

    Please note:
     Internet searches will often take you to non-academic information resources such as Wikipedia.com, Ask.com, Encarta.msn.com, Infoplease.com, etc. For a graduate-level course, you may not supplement your literature search with these sources because they do not come under a formal oversight or peer-review process.

    Please do not submit anything in the form of an attachment to the main forum (unless requested by the Instructor), since it is more likely to transmit viruses and becomes difficult to open.

    Unit 1: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 01, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

    Unit 1 Respondus Practice Quiz (**Webcam**) – Requires Respondus LockDown Browser

    The Purpose of the Respondus Practice Quiz is to validate the functionality of the Respondus browser on your personal device. You must first download the Respondus Browser to your device. Please see link on the left hand panel of the course title “Respondus Help” if you have not downloaded this already. Additionally, the quiz will collect information pertaining to the validation of your review of course materials.

    Unit 2: Genetics and Epigenetics

    Unit Introduction – Genetics and Epigenetics

    Deoxyribonucleic acid (DNA) underpins the genetic composition of all living things. In the 20th century, Gregory Mendel discovered the importance of chromosomes and genes as the basic units of inheritance. Since then, there has been sequencing of DNA, which is a primary constituent comprising DNA. DNA is the body’s blueprint for genetic sequencing and genetic composition. It is relevant to learn about genetics and the impact of genetic composition while caring for patients across the lifespan. For example, approximately one-third of pediatric patients have some degree of genetic disease. During Unit 2, you will focus on concepts related to genes and genetic disease, gene-environment interactions, and common genetic diseases impacting patients across the lifespan.

    Unit Learning Objectives

    Describe the following elements of inheritance: autosomal, sex-linked, carrier, dominant, and recessive.  (ILO 1; CLO 2,6; MSN Essential I)

    Evaluate pedigree charts for the inheritance patterns of genetic diseases. (ILO 1; CLO 2,6; MSN Essential I)

    Apply concepts of the Punnett square. (ILO 1; CLO 2,6; MSN Essential I)

    Apply concepts associated with genetics and epigenetics.(ILO 1; CLO 2,6; MSN Essential I)

    Discuss genetic abnormalities and resulting clinical abnormalities associated with selected genetic disorders. (ILO 1; CLO 2,6; MSN Essential I)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 4, “Genes and Genetic Diseases”

    Chapter 5, “Genes, Environment-Lifestyle, and Common Diseases”

    Chapter 6, “Epigenetics and Disease”

    Textbook PowerPoint(s)

    Chapter 4 – McCance, K. L., & Huether, S. E. (2019). 
     
    Genes and genetic diseases.
     
    [PowerPoint slide]. Elsevier

    Chapter 5 – McCance, K. L., & Huether, S. E. (2019). 
     
    Genes, environment, lifestyle, and common diseases.
     
    [PowerPoint slide]. Elsevier

    Chapter 6 – McCance, K. L., & Huether, S. E. (2019).  
    Epigenetics and dise
    ase.
     [PowerPoint slide]. Elsevier

    Faculty Lecture(s)

    Dunlap, J. (2020). NUR 7610  
    Chapter 5 – Genes, Environment-Lifestyle, and Common Diseases.ppsx

    Dunlap, J. (2020). NUR 7610  
    Chapter 5 – Genes, Environment-Lifestyle, and Common Diseases-NonRecorded.pptx

    Dunlap, J. (2021). NUR 7610  
    Chapter 6 – Epigenetics/methylation.ppsx

    Dunlap, J. (2021). NUR 7610  
    Chapter 6 – Epigenetics/demethylation-NonRecorded.pptx

    Optional Resources

    Articles

    Calzone, K., Kirk, M., Tonkin, E., Badzek, L., Benjamin, C., & Middleton, A. (2018). The global landscape of nursing and genomics.
     Journal of Nursing Scholarship, 50
    (3), 249–256. 
    https://doi.org/10.1111/jnu.12380

    Godino, L., & Skirton, H. (2012). A systematic review of nurses’ knowledge of genetics.
     Journal of Nursing Education and Practice, 2
    (3), 173. 
    https://doi.org/10.5430/jnep.v2n3p173

    Godino Web Link: 
    http://www.sciedu.ca/journal/index.php/jnep/article/view/598

    Polli, A., Ickmans, K., Godderis, L., & Nijis, J. (2019). When environment meets genetics: A clinical review of the epigenetics of pain, psychological factors and physical activity.
     Archives of Physical Medicine and Rehabilitation, 100
    (6), 1153–1161. 
    https://doi.org/10.1016/j.apmr.2018.09.118

    Wayne, M. & Cheng, H. (2017). Genetics and epigenetics of autism: A review
    . Psychiatry and Clinical Neurosciences, 72
    , 228–244. https://doi.org/10.1111/pcn.12606

    Wayne Web link: 
    https://onlinelibrary.wiley.com/doi/full/10.1111/pcn.12606

    Media

    Beverly Biology. (2016, November 14). 
    Autosomal recessive vs autosomal dominance
     [Video]. YouTube. 

    Garvan Institute of Medical Research. (2018, April 25). 
    Epigenetics and cancer detection – Dr. Right Pidsley
     [Video]. YouTube. 

    Garvan Institute of Medical Research. (2015, March 5).
     Epigenetics basics – Garvan Institute
     [Video]. YouTube. 

    National Geographic. (2018, July 12). 
    Genetics 101
     [Video]. YouTube. 

    Osmosis. (2017, July 3). 
    Klinefelter syndrome – causes, symptoms, diagnosis, treatment, pathology
     [Video]. YouTube. 

    Osmosis. (2018, January 8). 
    Fragile X syndrome – causes, symptoms, diagnosis, treatment, pathology
     [Video]. YouTube. 

    Stand Up to Cancer. (2018, April 3). 
    Cancer treatment: Epigenetics
     [Video]. YouTube. https://www.youtube.com/watch?v=PYTjTGLmg1Q

    The Children’s Hospital of Philadelphia. (2018, July 8). 
    Introduction to Beckwith-Wiedemann Syndrome (BWS)
     [Video]. YouTube. 

    Woodruff, D. (2014, January 20). 
    Genetic alterations
     [Video]. YouTube. 

    Faculty Lecture: Epigenetics Processes

    Attached Files:

     Epigenetics Processes Transcript.pdf
     (
    31.319 KB
    )

     Epigenetics Processes Handout.pdf
     (
    153.239 MB
    )

    Faculty Lecture: Chapter 5: Genes, Environment-Lifestyle, and Common Disease

    Attached Files:

     Chapter 5: Genes, Environment-Lifestyle, and Common Disease Transcript.pdf
     (
    50.962 KB
    )

     Chapter 5: Genes, Environment-Lifestyle, and Common Disease Handout.pdf
     (
    7.216 MB
    )

    Unit 2: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 02, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

    Unit 1 & 2: Discussion Week 1 & 2

    To participate in your Unit 1 and 2 combined discussions, click the above link to navigate to the discussion board. Then click “Create Thread” and follow the instructions.

    Unit 3: Inflammation and Immunity

    Unit Introduction – Inflammation and Immunity

    The components and processes of innate immunity and adaptive immunity are concepts essential to understanding the body’s response to inflammation and immunity. During Unit 3, you will focus specifically on the body’s innate lines of defense, the inflammatory process, local manifestations of inflammation, acute and chronic inflammatory processes, and active and passive immunity.

    Unit Learning Objectives

    Summarize the process of types of immunity. (ILO 1; CLO 3, 6; MSN Essential I)

    Classify examples as which of the four hypersensitivities (ILO 1; CLO 3, 6; MSN Essential I)

    Differentiate between immediate and delayed hypersensitivities, and give examples of each. (ILO 1; CLO 3, 6; MSN Essential I)

    Examine the likely causes of autoimmune disease. (ILO 1; CLO 3, 6; MSN Essential I)

    Describe the factors that influence infection by a pathogen. (ILO 1; CLO 3, 6; MSN Essential I)

    Characterize mechanisms pathogens use to circumvent host defenses. (ILO 1; CLO 3, 6; MSN Essential I)

    Describe the cause and effect of common immune deficiencies.(ILO 1; CLO 3, 6; MSN Essential I)

    Discuss common infectious diseases including infectious microorganisms and typical presentation. (ILO 1; CLO 3, 6; MSN Essential I)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 7, “Innate immunity: Inflammation”

    Chapter 8, “Adaptive Immunity”

    Chapter 9, “Alterations in Immunity and Inflammation”

    Chapter 10, “Infection”

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Innate immunity: Inflammation
     ” 
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Adaptive Immunity
     ” 
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations in Immunity and Inflammation
     ” 
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Infection
     ” 
     [PowerPoint slides]. Elsevier.

    Faculty Lecture(s)

    Dunlap, J. (2020). NUR7610  
    Chapter 3 – Innate Immunity.ppsx

    Dunlap, J. (2020). NUR7610  
    Chapter 3 – Innate Immunity-NonRecorded.pptx

    Optional Resources

    Articles

    Abushaheen, M., Fatani, A., Alosaimi, M., Mansy, W., George, M., Acharya, S., Rathod, S., Divakar, D., Jhugroo, C., Vellappally, S., Khan, A., Shaik, J., & Jhugroo, P. (2020). Antimicrobial resistance, mechanisms and its clinical significance. 
    Disease-a-Month, 66
    (6). 
    https://doi.org/10.1016/j.disamonth.2020.100971

    Birra, D., Benucci, M., Landolfi, L, Merchionda, A., Amato, L., Quartuccio, L., & Moscato, T. (2019). COVID 19: A clue from innate immunity. 
    Immunologic Research, 68
    (3), 161-168. 
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286633/

    Lopez, S., Oceguera, A, & Sandoval-Jaime, C. (2016). Stress response and translation control in rotavirus infection. 
    Viruses, (8
    )6, 162. 
    https://doi.org/10.3390/v8060162

    Senovilla, L., Galluzzi, L., Zitvogel, L., & Kroemer, G. (2013). Immunosurveillance as a regulator of tissue homeostasis. 
    Trends in Immunology, 34
    (10), 471–481. 
    https://prx-usa.lirn.net/login?url=https://www.sciencedirect.com/science/article/pii/S1471490613000963

    Note:
     Retrieved from the University of St. Augustine Library database.

    Cantó, C., Menzies, K., & Auwerx, J. (2015). Review: NAD+ metabolism and the control of energy homeostasis: A balancing act between mitochondria and the nucleus. 
    Cell Metabolism, 22
    (1), 31–53. doi:10.1016/j.cmet.2015.05.023 
    https://prx-usa.lirn.net/login?url=https://www.sciencedirect.com/science/article/pii/S1550413115002661

    Note:
     Retrieved from the University of St. Augustine Library database.

    Hess, C., & Kemper, C. (2016). Review: Complement-mediated regulation of metabolism and basic cellular processes. 
    Immunity, 45
    , 240–254. doi:10.1016/j.immuni.2016.08.003 
    https://prx-usa.lirn.net/login?url=https://search.proquest.com/docview/1814395965?accountid=158603

    Note:
     Retrieved from the University of St. Augustine Library database.

    Garn, H., Bahn, S., Baune, B. T., Binder, E. B., Bisgaard, H., Chatila, T. A., & … Renz, H. (2016). Reviews and feature article: Current concepts in chronic inflammatory diseases: Interactions between microbes, cellular metabolism, and inflammation.
     The Journal of Allergy and Clinical Immunology, 13
    , 847–56. doi:10.1016/j.jaci.2016.02.046 
    https://prx-usa.lirn.net/login?url=https://search.proquest.com/docview/1802442394?accountid=158603

    Note:
     Retrieved from the University of St. Augustine Library database.

    Media

    Alila Medical Media. (2019, October 28). 
    Cellular immunity – adaptive immunity part 1, animation
     [Video]. YouTube. 

    Alila Medical Media. (2019, October 21). 
    Induction of feber, control of body temperature, hyperthermia, animation
     [Video]. YouTube. 

    Alila Medical Media. (2019, November 4). 
    Humoral Immunity – adaptive immunity part 2, animation
     [Video]. YouTube. 

    Alila Medical Media. (2018, December 11). 
    The immune system overview, animation
     [Video]. YouTube. 

    Alila Medical Media. (2018, April 3). 
    HIV and AIDS: Infection stages, pathology and treatment, animation
     [Video]. YouTube. 

    Alila Medical Media. (2020, April 27). 
    Antibiotic resistance, animation
     [Video]. YouTube. 

    Neural Academy. (2018, August 6). 
    Immune response to bacterial infection (innate vs. adaptive)
     [Video]. YouTube. 

    Neuroscientifically Challenged. (2018, July 28). 
    2-Minutes neuroscience: HPA axis
     [Video]. YouTube. 

    Khan Academy. (2010, February 18). 
    Types of immune responses: Innate and adaptive, humoral vs. cell mediated
     [Video]. YouTube. 

    Parkes, C. (2019, June 27). 
    Nursing fundamentals – immunity, infection
     [Video]. YouTube. 
    https://www.youtube.com/watch?v=UbDF6PWoSOo

    PhysioPathoPharmaco. (2017, September 6). 
    The inflammatory response
     [Video]. YouTube. 

    Faculty Lecture: Chapter 3 – Innate Immunity

    Attached Files:

     Chapter 3 – Innate Immunity Transcript.pdf
     (
    70.668 KB
    )

     Chapter 3 – Innate Immunity Handout.pdf
     (
    8.425 MB
    )

    Unit 3 and 4 Combined Case Study Assignment

    The Purpose of this combined Unit 3 & 4 Case Study assignment is to further evaluate the physiology and pathophysiology of inflammation and immunity in the body as well as cancer. This case study assignment is intended to allow you to show evidence of achieving the following Course Learning Outcome (CLOs):

    CLO3:
     Examine concepts of inflammation and immunity  (ILO 1; PLO 1,7; MSN Essential I)

    CLO4: 
    Describe common microorganisms and resulting infectious processes  (ILO 1; PLO 1,7; MSN Essential I)

    CLO5:
     Examine relevant issues with regard to cancer biology and cancer epidemiology across the lifespan  (ILO 1; PLO 1,7; MSN Essential I)

    CLO6:
     Analyze the etiology and advanced pathophysiological alterations of selected body systems for common primary care diagnoses across the lifespan  (ILO 1; PLO 1,7; MSN Essential I)

    Directions:

    Choose one of the following case studies to develop for your assignment submission.Based on this case develop an APA formatted paper addressing the following:

    Include an introduction and a conclusion

    Use headers to identify the portions of your paper

    Paper should be in APA format including a title page and reference page.

    Use headers to separate the topic areas

    Include at least 3 scholarly, peer reviewed research articles

    All sources should be timely and within 5 years

    Web sites used should be noncommercial (e.g., gov, edu, org) website’s. Remember that website’s are not considered scholarly but may have very useful information.

    Refer to Case Study grading rubric, found under “My Grades” for further details about how this assignment will be graded.

    This assignment will be run through the Safe Assign similarity checker to determine if there are areas of your paper that match other sources. You are responsible for checking this report to determine if any revisions are needed for your final submission.

    Case Study Choice 1 (choose only 1)

    Tonya is a 16-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, the nurse practitioner (NP) told Tonya and her mother that the lymph nodes were enlarged in her neck and she had a fever. The NP ordered blood tests and told Tonya she had mononucleosis, a viral infection requiring bed rest.

     Based on the scenario above, answer the following questions in your APA formatted paper:

    1. Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen in this scenario?

    2. Tonya’s illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections?

    3. Humoral immunity involves the activation of B lymphocytes and production of antibodies. What are the general mechanisms of action that make antibodies a key component of an immune response?

    4. Discuss the pathophysiology of the spleen involvement with this condition? What precautions if any should this patient take?

    Case Study Choice 2 (choose only 1)

    Patient Susan is a 60-year-old female who is presenting to her women health visit with her nurse practitioner. This is for her annual exam. Her last pap smear and mammogram were normal. Today, while performing her breast exam, her nurse practitioner notices dimpling in the left breast as the patient raises her arms over her head. When the NP mentions it to Susan she is surprised and denies noticing it before today. A firm, non-tender, immobile nodule is palpated in the upper quadrant of her breast. She reports no recent or abnormal drainage from her nipple. Further examination reveals palpable axillary lymph nodes.

    Susan is about 30 pounds overweight. She reports drinking a glass of white wine before bed each night. She denies any history of tobacco use. She reports use of a combination birth control pill on and off for 25 years until she reached menopause. She is not currently taking any prescription medications. She had menarche at age 10 and menopause at age 55. Further serological testing reveals the presence of a BRCA-1 gene mutation.

    Based on the scenario above, answer the following questions in your APA formatted paper:

    1. What is the significance of the BRCA1 mutation and how does this contribute to the development of breast cancer (How does is lead to the development of breast cancer? Consider the pathophysiology of this process.

    2. What risk factors are presented in this case study that may contribute to the development of breast cancer besides the BRCA1 mutation? Why do these contribute to the risk?

    3. What are the likely locations of metastasis of this type of cancer? Why? How does metastasis occur?

    4. Describe the conversation you would have with this patient as the NP provider to tell her she has breast cancer?

    Due Date: The Week 3 and 4 combinded case study is due 
    Sunday of Week 4 to the assignment link in Unit 3.

    Unit 3: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 03, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

     
    Continue on to Unit 4

    Unit 4: Cancer Biology and Cancer Epidemiology

    Unit Introduction – Cancer Biology and Cancer Epidemiology

    One of the leading causes of death in the 21st century is cancer. It is amazing to think that every cell in the human body has the potential to become cancerous. There are many factors that play a role in the incidence and prevalence of many types of cancer. For example, there is a strong positive correlation between smoking and the incidence and prevalence of developing lung cancer for both males and females. During Unit 4, you will focus specifically on cancer characteristics and terminology, the genetic basis of cancer, invasion and metastasis, clinical manifestations of select types of cancer, genetics, epigenetics, incidence and mortality trends, environmental-lifestyle factors, and selected cancers occurring in children.

    Unit Learning Objectives

    Summarize the major interactions of the nervous, endocrine, and immune systems in the stress response. (CLO 4)

    Characterize the effects of cortisol on glucose, proteins, lipids, gastric secretions, and fibroblasts in the stress response. (CLO 4)

    Characterize changes in the stress response that occur because of aging (stress-age syndrome). (CLO 4)

    Cite the method for naming and classifying benign and malignant tumors and provide examples. (CLO 5)

    Contrast the gene products of proto-oncogenes, oncogenes, and tumor suppressor gene. Classify stage 1, stage 2, stage 3, and stage 4 tumors. (CLO 5)

    Discuss common clinical manifestations of cancer in general and then common manifestations of selected specific cancers. (CLO 5)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 11, “Stress”

    Chapter 12, “Cancer Biology”

    Chapter 13, “Cancer Epidemiology”

    Chapter 14, “Cancer in Children”

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019).  
    “Stress
     .” [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Cancer Biology
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Cancer Epidemiology
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Cancer in Children
     ” 
    [PowerPoint slides]. Elsevier.

    Faculty Lecture(s)

    Dunlap, J. (2020). NUR.7610  
    Chapter 12 – Cancer Biology.ppsx

    Dunlap, J. (2020). NUR.7610  
    Chapter 12 – Cancer Biology – NonRecorded.pptx

    Optional Resources

    Articles

    Dong Hoon, L., NaNa, K., & Giovannucci, E. L. (2016). Colorectal cancer epidemiology in the Nurses’ Health Study. 
    American Journal of Public Health, 106
    (9), 1599–1607. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=heh&AN=117367922&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Cronin-Fenton, D. P., Kjærsgaard, A., Nørgaard, M., Pedersen, I. S., Thomassen, M., Kaye, J. A., & … Sørensen, H. T. (2017). Clinical outcomes of female breast cancer according to BRCA mutation status. 
    Cancer Epidemiology, 49
    , 128–137. doi:10.1016/j.canep.2017.05.016 
    https://prx-usa.lirn.net/login?url=https://search.proquest.com/docview/1925902008?accountid=158603

    Note:
     Retrieved from the University of St. Augustine Library database.

    Youlden, D. R., Cramb, S. M., Dunn, N. A., Muller, J. M., Pyke, C. M., & Baade, P. D. (2012). The descriptive epidemiology of female breast cancer: An international comparison of screening, incidence, survival and mortality. 
    Cancer Epidemiology, 36
    (3), 237–248. doi:10.1016/j.canep.2012.02.007. 
    https://prx-usa.lirn.net/login?url=https://search.proquest.com/docview/1032599941?accountid=158603

    Note:
     Retrieved from the University of St. Augustine Library database.

    Media

    Alila Medical Media. (2016, April 11). 
    Cancer, how cancer starts, how cancer spreads, where and why, animation
     [Video]. YouTube. 

    Ambry Genetics. (2017, September 27). What is hereditary cancer? What is a hereditary cancer mutation [Video]. YouTube. 

    CancerQuest. (2013, October 2). 
    Cancer biology
     [Video]. YouTube. 

    Mechanisms in Medicine. (2012a, October 26). 
    Introduction to cancer biology (Part 1): Abnormal signal transduction
     [Video]. YouTube. 

    Mechanisms in Medicine. (2012b, October 26). 
    Introduction to cancer biology (Part 2): Loss of apoptosis
     [Video]. YouTube. 

    Mechanisms in Medicine. (2012c, October 26). 
    Introduction to cancer biology (Part 3): Angiogenesis
     [Video]. YouTube. 

    Mechanisms in Medicine. (2012d, October 26). 
    Introduction to cancer biology (Part 4): Angiogenesis
     [Video]. YouTube. 
    https://www.youtube.com/watch?v=Ep_nCSEDeAE SanofiTVen

    Oncology for Medical Students. (2016, May 21). 
    Staging cancers: TNM and I-IV systems
     [Video]. YouTube. 

    Faculty Lecture: Chapter 12 – Cancer Biology

    Attached Files:

     Chapter 12 – Cancer Biology Transcript.pdf
     (
    71.594 KB
    )

     Chapter 12 – Cancer Biology Handout.pdf
     (
    272.257 MB
    )

    Video: Animated Introduction to Cancer Biology (Full Documentary)

    Video: Introduction to Cancer Biology (Part 1): Abnormal Signal Transduction

    Video: Introduction to Cancer Biology (Part 2): Loss of Apoptosis

    Video: Introduction to Cancer Biology (Part 4): Angiogenesis

    Video: Cancer: from a healthy cell to a cancer cell

    Cancer: from a healthy cell to a cancer cell

    Unit 3 and 4 Case Study

    See Submission Link in Unit 3

    Unit 4: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 04, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

    Exam 1: Study Guide

    7610 Ex 1 study guide_2022.docx

    Exam 1: Units 1-3 (**Webcam**) – Requires Respondus LockDown Browser

    NUR 7610 Learning Units 1-3

     
    Continue on to Unit 5

     

    Unit 5: Etiology and Advanced Pathophysiological Alterations of the Neurologic System

    Unit Introduction – Etiology and Advanced Pathophysiological Alterations of the Neurologic System

    The neurologic system is responsible for signaling other body systems. For example, the neurologic system controls and regulates physiologic processes with internal organs, muscles, nerves, and glands. The neurologic system transmits electrical and chemical signals throughout the body through a complex interactive system between the brain and the many bodily organs and tissues. During Unit 5, you will focus specifically on the physiological components of the nervous system, nerve impulses, central, autonomic, and peripheral nervous system, diagnostic studies to examine selected nervous system functions, pain, temperature, sleep and sensory functions, cognitive systems, cerebral dynamics, motor functions, central and peripheral nervous systems, neuromuscular junctions, schizophrenia, mood and anxiety disorders, and selected neurologic function pathologies in children.

    Unit Learning Objectives

    Correlate the structures of the neurologic system with their function and dysfunction. (CLO 1-6)

    Correlate pathophysiologic processes of the neurologic system with clinical manifestations. (CLO 1-6)

    Contrast upper and lower motor neuron syndromes. (CLO 1-6)

    Contrast the types of stroke in relation to cause and clinical presentations. (CLO 1-6)

    Discuss the biochemistry and symptom dimensions of schizophrenia. (CLO 1-6)

    Differentiate between dementia and delirium. (CLO 1-6)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 15, “Structure and Function of the Neurologic System”

    Chapter 16, “Pain, Temperature Regulation, Sleep, and Sensory Function”

    Chapter 17, “Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function”

    Chapter 18, “Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction”

    Chapter 19, “Neurobiology of Schizophrenia, Mood Disorders, and Anxiety Disorders”

    Chapter 20, “Alterations of Neurologic Function in Children”

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Structure and Function of the Neurologic System
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Pain, Temperature Regulation, Sleep, and Sensory Function
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function
     ” 
    [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Neurobiology of Schizophrenia, Mood Disorders, and Anxiety Disorders
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of Neurologic Function in Children
     ”
     [PowerPoint slides]. Elsevier.

    Faculty Lecture(s)

    Dunlap, J. (2020). NUR7610  
    Chapter 18 – Disorders of the CNS Primary Brain Injury.ppsx

    Dunlap, J. (2020). NUR7610  
    Chapter 18 – Disorders of the CNS Primary Brain Injury-Nonrecorded.pptx

    Optional Resources

    Articles

    De Strooper, B., & Karran, E. (2016). Review: The cellular phase of Alzheimer’s disease. 
    Cell, 164
    (4), 603–615. doi:10.1016/j.cell.2015.12.056 Retrieved from 
    http://www.cell.com/cell/fulltext/S0092-8674(15)01720-1?_returnURL=http%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867415017201%3Fshowall%3Dtrue

    Bhattacharya, A., Derecki, N., Lovenberg, T., & Drevets, W. (2016). Role of neuro-immunological factors in the pathophysiology of mood disorders. 
    Psychopharmacology, 233
    (9), 1623–1636. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=114513709&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Ordovas-Montanes, J., Rakoff-Nahoum, S., Huang, S., Riol-Blanco, L., Barreiro, O., & von Andrian, U. H. (2015). Feature review: The regulation of immunological processes by peripheral neurons in homeostasis and disease. 
    Trends in Immunology, 36
    (Special Issue: Neuroimmunology), 578–604. 
    https://prx-usa.lirn.net/login?url=https://search.proquest.com/docview/1718372422?accountid=158603

    Note:
     Retrieved from the University of St. Augustine Library database.

    Mullan, B. A. (2014). Sleep, stress and health: A commentary. 
    Stress & Health: Journal of The International Society for the Investigation of Stress, 30
    (5), 433–435. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=99802355&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Media

    Alila Medical Media. (2018, March 6). 
    Autonomic nervous system: Sympathetic vs parasympathetic animation
     [Video]. YouTube. 

    Alila Medical Media. (2019. August 26). 
    Blood brain barrier, animation
     [Video]. YouTube. 

    Alila Medical Media. (2017, May 15). 
    Brain stroke, types of, causes, pathology, symptoms, treatment and prevention, animation
     [Video]. YouTube. 

    Alila Medical Media. (2018, January 9). 
    Huntington’s disease, genetics, pathology and symptoms, animation
     [Video]. YouTube. 

    Alila Medical Media. (2016, March 7). 
    Alzheimer’s disease, pathology and genetics, animation
     [Video]. YouTube. 

    Creative Learning. (2019, May 25). 
    Central nervous system
     [Video]. YouTube. 
    https://www.youtube.com/watch?v=0yXMGQaVVXg

    National Geographic. (2017, August 24). 
    Brain 101
     [Video]. YouTube. 

    ProEdify. (2016, Aug, 5). 
    The nervous system: Peripheral nervous system (PNS)
     [Video]. YouTube. 
    https://www.youtube.com/watch?v=jaWrMYChc5A

    Faculty Lecture: Unit 5 – Disorders of the CNS Primary Brain Injury

    Attached Files:

     Unit 5 – Disorders of the CNS Primary Brain Injury Transcript.pdf
     (
    56.389 KB
    )

     Unit 5 – Disorders of the CNS Primary Brain Injury Handout.pdf
     (
    7.817 MB
    )

    Video: The Human Nervous System

    Video: The Nervous System In 9 Minutes

    Video: After watching this, your brain will not be the same | Lara Boyd | TEDxVancouver

    Video: Understanding Febrile Seizures (Health Guru)

    Video: Facts About Febrile Seizures In Infants

    Unit 5: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 05, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

    Unit 5 and 6: Concept Map/Endocrine Disorders – Part 1

    The purpose of this Combined Unit 5 and 6 Concept Map is to develop an in depth understanding of the pathophysiologic alterations of the neurologic system. This discussion is intended to allow you to show evidence of achieving the following Course Learning Outcome(s) (CLO):

    CLO1:
     Apply concepts of pathophysiology at the cellular and systems levels for individuals and populations across the lifespan (ILO 1, 5; PLO 1,3,7,8).

    CLO4:
     Describe common microorganisms and resulting infectious processes (ILO 3, 7; PLO 1,3,7,8)

    CLO6:
     Analyze the etiology and advanced pathophysiological alterations of selected body systems for common primary care diagnoses across the lifespan (ILO 1, 5; PLO 1,3,7,8).

    Alterations of the Neurologic System and Endocrine Disorders

    Concept Map Assignment directions:

    This Assignment consists of 3 parts:

    Part 1 (Due Friday of Week 5):

    Develop a concept map which is a visual representation of interrelated concepts, systems, or processes.

    This should be in Word or PDF format.

    Creativity is graded. You are encouraged to use different shapes/colors for key concepts. Be creative and tell a story through your creation.

    Avoid a simple linear concept map. Topics are listed at the bottom.

    What should your concept map include?

    Etiology

    Pathophysiology

    Clinical presentation

    Diagnosis/Management of the condition

    Collaborative management (Consider FNP role and other medical disciplines)

    Concept Map Resources

    Paper Format:

    There should be a title page, concept map, and reference page. No narrative portion needs to be included.

    Use appropriate APA format.

    Include a minimum of 3 scholarly, peer reviewed research articles to support the content of the concept map that are timely and within 5 years.

    Web sites used should be noncommercial (e.g., gov, edu, org) websites. Remember that websites are not considered scholarly but may have very useful information.

    Part 2 (Due Monday of Week 6):

    You will submit a Kaltura video of yourself presenting the concept map and describing your rationale for each element. This should be brief, but you should speak slowly and clearly and be fully able to explain the concepts.

    The concept map should be visible

    You should be visible

    It should be no longer than 5 minutes in length. See rubric for grading components of Kaltura video.

    Submit the Kaltura video to the discussion board for your peers to review.

    Part 3 (Due Sunday of Week 6):

    In the discussion area, respond to at least one peer who completed a different topic than yours

    Include at least 1 scholarly, peer reviewed research article to support your input

    Due Dates:

    Initial paper submission including Concept Map 
    Due by Day 5 (Friday) of Week 5

    Kaltura Video posted to discussion board by 
    Due by Day 1 (Monday) of Week 6

    Respond to at least 1 peer with a topic that is different than yours including at least a 100 word response excluding salutation/references by 
    Due by Day 7 (Sunday) of Week 6

    Choose from the below topics for your concept map:

    Phantom limb pain

    Complex regional pain syndrome

    Heat Stroke

    arteriovenous malformation

    Schizophrenia

    Stress and hypothalamic-pituitary-adrenal system dysregulation

    Neural Tube defects

    Cerebral palsy

    Alzheimer’s disease

    Type 2 Diabetes Mellitus

    Adrenal insufficiency

    Hypopituitarism

    Hyperpituitarism

    Hyperparathyroidism

    Hypoparathyroidism

    Congenital adrenal hyperplasia

    Primary hyperaldosteronism

    Secondary hyperaldosteronism

     
    Continue on to Unit 6

     

    Unit 6: Etiology and Advanced Pathophysiological Alterations of the Endocrine System

    Unit Introduction – Etiology and Advanced Pathophysiological Alterations of the Endocrine System

    The endocrine system is responsible for signaling other body systems. For example, the endocrine system controls and regulates physiologic bodily processes by synthesizing and releasing special chemical messengers called hormones. The endocrine system conveys specific chemical regulatory among cells and organs are integrated with the nervous system to communicate and control bodily processes and function. During Unit 6, you will focus specifically on the physiological components of the endocrine system, regulation of hormonal release, hormone transport, hormone receptors, hormonal effects, as well as structure and function of the endocrine glands and alterations in the endocrine system.

    Unit Learning Objectives

    Correlate the structures of the endocrine system with their function and dysfunction. (CLO 1-6)

    Correlate pathophysiologic processes of the endocrine system with clinical manifestations. (CLO 1-6)

    Correlate pathophysiologic processes of the endocrine system with clinical manifestations. (CLO 1-6)

    Compare type 1 and type 2 diabetes causes, manifestations, and treatment. (CLO 1-6)

    Contrast diabetic ketoacidosis (DKA) and hyperglycemic hyperosmotic syndrome (HHS). (CLO 1-6)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 21, “Mechanisms of Hormonal Regulation”

    Chapter 22, “Alterations of Hormonal Regulation”

    Chapter 23, “Obesity and Disorders of Nutrition”

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Mechanisms of Hormonal Regulation
     ” 
    [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of Hormonal Regulation
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Obesity and Disorders of Nutrition
     ”
     [PowerPoint slides]. Elsevier.

    Faculty Lecture(s)

    Dunlap, J. (2020). NUR7610  
    Chapter 21 – Mechanisms of Hormonal Regulation.ppsx

    Dunlap, J. (2020). NUR7610  
    Chapter 21 – Mechanisms of Hormonal Regulation – NonRecorded.pptx

    Optional Resources

    Articles

    Ravnic, D. J., Leberfinger, A. N., & Ozbolat, I. T. (2017). 
     
    Opinion: Bioprinting and cellular therapies for Type 1 diabetes.
     Trends in Biotechnology, 35
    (11), 1025–1034. doi:10.1016/j.tibtech.2017.07.006 Copyright 2017 by Elsevier Science & Technology Journals. Reprinted by permission of Elsevier Science & Technology Journals via the Copyright Clearance Center.

    Killeen, S. (2012). Diabetes and chronic kidney disease: A ticking time bomb. 
    Journal of Renal Nursing, 4
    (5), 222–227. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=82139428&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Popat, R. J., & Sui Phin, K. (2012). Disease profile: Diabetic nephropathy. 
    Journal of Renal Nursing, 4
    (2), 78–80. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=76378500&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Rogers, L. C. (2017). Pediatric thyroid testing plays an essential role in disease management. 
    MLO: Medical Laboratory Observer, 49
    (5), 18–19. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=heh&AN=122701725&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Dohee, K. (2017). The role of Vitamin D in thyroid diseases. 
    International Journal of Molecular Sciences, 18
    (9), 1–19. doi:10.3390/ijms18091949 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.86bad0996206473296b08091a6a2650d&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Media

    Alila Medical Media. (2018a, November 5). 
    Hypothalamus and pituitary gland functions, animation
     [Video]. YouTube. 

    Alila Medical Media. (2018b, November 5). 
    The endocrine system, overview, animation
     [Video]. YouTube. 

    Alila Medical Media. (2018, December 4). 
    Diabetes mellitus – symptoms, complication, pathology of Type 1 and Type 2, animation
     [Video]. YouTube. 

    Alila Medical Media. (2017, September 26). 
    Thyroid gland, hormone and thyroid problems, animation
     [Video]. YouTube. 

    Concept Map Resources

    A definition of a concept map and also a concept map of a concept map: 
    http://en.wikipedia.org/wiki/Concept_map

    A concept map definition: J.W.A.Lanzing, I. Stanchev. (1994). Visual aspects of courseware engineering. 
    Journal of Computer Assisted Learning
    .
    10
    ,69–80.

    A concept map of a concept map: 

    Home

    You can download free concept map software from: 
    http://cmap.ihmc.us/download/ 
    or use Word or PowerPoint to do concept maps (also called mindmaps).

    You can also purchase Inspiration 9 from: 
    https://www.inspiration-at.com/

    Faculty Lecture: Mechanisms of Hormonal Regulation

    Attached Files:

     Mechanisms of Hormonal Regulation Handout.pdf
     (
    35.726 MB
    )

     Mechanisms of Hormonal Regulation Transcript.pdf
     (
    74.396 KB
    )

    Unit 5 & 6 Concept Map Part 2 and 3 – Kaltura Video and Discussion

    To participate in your Unit 5 & 6: Concept Map Discussion for Kaltura submission/peer response, click the above link to navigate to the discussion board. Then click “Create Thread” and follow the instructions.

    Kaltura Video posted to discussion board by 
    Day 5 (Monday) of Week 6

    Respond to at least 1 peer with a topic that is different than yours including at least a 100 word response excluding salutation/references by 
    Due by Day 7 (Sunday) of Week 6

    Unit 6: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 06, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

     
    Continue on to Unit 7

    Unit 7: Etiology and Advanced Pathophysiological Alterations of the Male and Female Reproductive System

    Unit Introduction – Etiology and Advanced Pathophysiological Alterations of the Male and Female Reproductive System

    Unit 7 provides an overview of the normal structure and function of the male and female reproductive systems. It provides specific focus on the development of the male and female reproductive systems, tests of reproductive function, and impact of aging on the reproductive system. You will also review selected alterations and diagnoses in the male and female reproductive systems.

    Unit Learning Objectives

    Correlate the structures of the reproductive systems with their function and dysfunction. (CLO 1-6)

    Correlate pathophysiologic processes of the reproductive systems with clinical manifestations. (CLO 1-6)

    Compare causes of primary and secondary dysmenorrhea. (CLO 1-6)

    Contrast causes and clinical manifestations of infectious disorders of the reproductive systems, including sexually-transmitted infections. (CLO 1-6)

    Discuss causes and treatments of male and female infertility. (CLO 1-6)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 24, “Structure and Function of the Reproductive Systems”

    Chapter 25, “Alterations of the Female Reproductive System”

    Chapter 26, “Alterations of the Male Reproductive System”

    Chapter 27, “Sexually Transmitted Infections”

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Structure and Function of the Reproductive Systems
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of the Female Reproductive System
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of the Male Reproductive System
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Sexually Transmitted Infections
     ”
     [PowerPoint slides]. Elsevier.

    Faculty Lecture(s)

    Dunlap, J. (2021). NUR7610  
    Chapter 25 – Alterations of the Female Reproductive System Not including cancers.ppsx

    Dunlap, J. (2021). NUR7610  
    Chapter 25 – Alterations of the Female Reproductive System Not including cancers – NonRecorded.pptx

    Dunlap, J. (2021). NUR7610  
    Chapter 25 – Alterations of the Female Reproductive System Not including cancers other do.ppsx

    Dunlap, J. (2021). NUR7610  
    Chapter 25 – Alterations of the Female Reproductive System Not including cancers other do – NonRecorded.pptx

    Additional links disscussed in Faculty ppt:

    Pedscases. (2018, April 16a). 
    Puberty and pubertal disorders: Part 2: Precocious puberty
     [Video]. YouTube. 

    Pedscases. (2018, April 16b). 
    Puberty and pubertal disorders: Part 3: Delayed puberty
     [Video]. YouTube. 

    Optional Resources

    Articles

    Youlden, D. R., Cramb, S. M., Dunn, N. A., Muller, J. M., Pyke, C. M., & Baade, P. D. (2012). Review: The descriptive epidemiology of female breast cancer: An international comparison of screening, incidence, survival and mortality. 
    Cancer Epidemiology, 36
    , 237–248. doi:10.1016/j.canep.2012.02.007 
    https://prx-usa.lirn.net/login?url=https://www.sciencedirect.com/science/article/pii/S187778211200029X

    Note:
     Retrieved from the University of St. Augustine Library database.

    Kent, B. N. (2017). Sexually transmitted bacterial and protozoal infections. 
    Clinical Laboratory Science, 30
    (2), 114–119. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123579565&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Andrade, J., Aparecido Ayres, J., Aguiar Alencar, R., Cassamassimo Duarte, M. T., & Garcia De Lima Parada, C. M. (2017). Vulnerability of the elderly to sexually transmitted infections. 
    Acta Paulista De Enfermagem, 30
    (1), 8–15. doi:10.1590/1982-0194201700003 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122937255&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Smith, H. (2014). Sexually transmitted infections. 
    Professional Nursing Today, 18
    (1), 29–32. 
    http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103751472&site=eds-live

    Note:
     Retrieved from the University of St. Augustine Library database.

    Unemo, M., Bradshaw, C. S., Hocking, J. S., de Vries, H. C., Francis, S. C., Mabey, D., & … Fairley, C. K. (2017). The Lancet Infectious Diseases Commission: Sexually transmitted infections: Challenges ahead. 
    The Lancet Infectious Diseases, 17
    , e235–e279. doi:10.1016/S1473-3099(17)30310–9 
    https://prx-usa.lirn.net/login?url=https://www.sciencedirect.com/science/article/pii/S1473309917303109

    Note:
     Retrieved from the University of St. Augustine Library database.

    Media

    Alila Medical Media. (2014, May 4). 
    Hormonal control of the menstrual cycle, animation
     [Video]. YouTube. 
    https://www.youtube.com/watch?v=pNe43KGZTl8

    National Geographic. (2018, December 2018). 
    Pregnancy 101
     [Video]. YouTube. 

    Janux. (2015, January 10). 
    Human physiology – hormonal regulation of male reproduction
     [Video]. YouTube. 

    Khan Academy Medicine. (2015a, June 19). 
    Pathophysiology of chlamydia
     [Video]. YouTube. 

    Khan Academy Medicine. (2015b, June 19). 
    Pathophysiology, diagnosis, treatment and preventions of gonorrhea
     [Video]. YouTube. 

    Khan Academy Medicine. (2015a, June 19). 
    Pathophysiology of herpes
     [Video]. YouTube. 

    Osmosis. (2019, July 24). 
    Pelvic inflammatory disease – causes, symptoms, diagnosis, treatment, pathology
     [Video]. YouTube. 

    Faculty Lecture: Alterations of the Female Reproductive System – Part I

    Attached Files:

     Alterations of the Female Reproductive System – Part I Handout.pdf
     (
    5.332 MB
    )

     Alterations of the Female Reproductive System – Part I Transcript .pdf
     (
    70.765 KB
    )

    Faculty Lecture: Alterations of the Female Reproductive System – Cancers and Other Dysfunctions

    Attached Files:

     Alterations of the Female Reproductive System – Cancers and Other Dysfunctions Handout.pdf
     (
    8.479 MB
    )

     Alterations of the Female Reproductive System – Cancers and Other Dysfunctions Transcript.pdf
     (
    56.014 KB
    )

    Video: Male Reproductive System – Hormonal Function and Regulation

    Unit 7 & 8: Reproductive Systems Discussion

    To participate in your Unit 7 and 8 combined Discussion, click the above link to navigate to the discussion board. Then click “Create Thread” and follow the instructions.

    The purpose of this combined Unit 7 and 8 discussion is to develop an in depth understanding of the pathophysiologic alterations of the male and female reproductive systems, as well as the hematologic system. This discussion is intended to allow you to show evidence of achieving the following Course Learning Outcome(s) (CLO):

    CLO1:
     Apply concepts of pathophysiology at the cellular and systems levels for individuals and populations across the lifespan (ILO 1, 5; PLO 1,3,7,8).

    CLO2:
     Examine the impact of genetics and epigenetics on lifestyle and selected pathologies across the lifespan (ILO 1,5; PLO 1,3,7,8)

    CLO4:
     Describe common microorganisms and resulting infectious processes (ILO 1, 5; PLO 1,3,7,8).

    CLO6:
     Analyze the etiology and advanced pathophysiological alterations of selected body systems for common primary care diagnoses across the lifespan (ILO 1, 5; PLO 1,3,7,8).

    For the Unit 7 discussion, choose one of the following 5 concepts to develop for the discussion board:

    Discuss the phases of the normal menstrual cycle. Specify the roles of the hormones as well as pituitary and hypothalamus as they apply to the function and pathophysiology of the cycle.

    Describe aging from adult to older adult and the effects on the reproductive cycle for both male and female being sure to address the involved pathophysiology.

    Compare/contrast delay and precocious puberty including pathophysiology, causes and variations.

    Choose a sexually transmitted infection (STI). Describe the pathophysiology involved and typically testing to identify the pathogen. Include clinical manifestations and typical treatment. What information would you provide to a patient diagnosed with an STI?

    Discuss the pathophysiology of anemia of chronic disease. Include a plan for the ongoing monitoring of this type of patient.

    Describe the process of Erythrocyte development under normal conditions. How might hypoxia influence this process?

    Compare and contrast the physiology of acute lymphocytic leukemia and chronic lymphocytic leukemia.

    Describe the pathophysiology of a Glucose-6 phosphate dehydrogenase deficiency? How would you evaluate for this condition and what is the treatment plan?

    Initial Post:

    Include at least 2 scholarly, peer reviewed, timely sources (within 5 years) in your response.

    Writing should be in a professional format with APA appropriate citations and references.

    Please note that on submission to the discussion board, Blackboard often alters the formatting of the post. This is taken into consideration when faculty grade the post.

    Peer Post:

    Respond to at least 2 peers whose topics are different than your own and each other.

    Include at least 1 scholarly, peer reviewed, timely source (within 5 years) in your response.

    Your response should either add to the content of the topic or based on research findings you include ask additional questions on the topic.

    Response should be at least 100 words excluding references.

    Faculty Questions:

    Faculty will be present during the week on the discussion board. It is expected that you will respond to any questions posed directly to you by faculty during the week. A failure to respond may result in a deduction of points as indicated in the Discussion Grading Rubric

    Please refer to the grading rubric for further details on the content expectations. You can find this under “
    My Grades
    ”, 
    “Unit 7: Discussion
    ”.

    All references should be in APA format.

    Initial post due date:
     Day 7 (Sunday) of Unit 7

    Peer and Faculty cross post due date:
     Day 7 (Sunday) of Unit 8

    Unit 7: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 7, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

     
    Continue on to Unit 8

     

    Unit 8: Etiology and Advanced Pathophysiological Alterations of the Hematologic System

    Unit Introduction – Etiology and Advanced Pathophysiological Alterations of the Hematologic System

    Unit 8 provides an overview of the structure and function of the hematologic system. There is specific focus on major components of the hematologic system, development of blood cells and cell lines, mechanisms of hemostasis and the clotting cascade, and clinical evaluation of the hematologic system, alterations in erythrocytes physiology including selected anemias, and alterations in leukocyte, lymphoid and hemostatic function.

    Unit Learning Objectives

    Correlate the structures of the hematologic system with their function and dysfunction. (CLO 1-6)

    Correlate pathophysiologic processes of the hematologic system with clinical manifestations. (CLO 1-6)

    Compare causes, pathophysiology, and treatment for the various types of anemia. (CLO 1-6)

    Compare causes, pathophysiology, and treatment for the various types of coagulopathy. (CLO 1-6)

    Compare causes, pathophysiology, and treatment for the various types of leukemias and other types of hematologic malignancies. (CLO 1-6)

    Learning Materials

    Textbook

    McCance, K. L., & Huether, S. E. (2019). 
    Pathophysiology: The biologic basis for disease in adults and children
     (8th ed.). Elsevier.

    Chapter 28, “Structure and Function of the Hematologic System”

    Chapter 29, “Alterations of Erythrocyte Function”

    Chapter 30, “Alterations of Leukocyte, Lymphoid, and Hemostatic Function”

    Chapter 31, “Alterations of Hematologic Function in Children”

    Textbook PowerPoint(s)

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Structure and Function of the Hematologic System
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of Erythrocyte Function
     ”
     [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of Leukocyte, Lymphoid, and Hemostatic Function
     ” 
    [PowerPoint slides]. Elsevier.

    McCance, K. L., & Huether, S. E. (2019). 
    “ 
    Alterations of Hematologic Function in Children
     ”
     [PowerPoint slides]. Elsevier.

    Faculty Lecture(s
    )

    Dunlap, J. (2021). NUR7610  
    Chapter 28 – Hematologic System.ppsx

    Dunlap, J. (2021). NUR7610  
    Chapter 28 – Hematologic System – NonRecorded.pptx

    Optional Resources

    Articles

    Frey, M., Overmann, K. M., Richert, A., & Kerrey, B. T. (2016). Case review: A toddler with severe anemia, pica, and extremity swelling. 
    Journal of Emergency Nursing, 43
    (6), 578–580. doi:10.1016/j.jen.2016.08.013 
    Note: 
    Copyright 2016 by Elsevier Health Science Journals. Reprinted by permission of Elsevier Health Science Journals via the Copyright Clearance Center.

    Howell, D. A., Smith, A. G., Jack, A., Patmore, R., Macleod, U., Mironska, E., & Roman, E. (2013). Time-to-diagnosis and symptoms of myeloma, lymphomas and leukaemias: A report from the Haematological Malignancy Research Network. 
    BMC Hematology, 13
    (9). doi:10.1186/2052-1839-13-9

    Howell Web Link: 
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4176985/

    Gee, E. (2018). Principles and nursing management of anticoagulation. 
    Nursing Standard, 32
    (23), 50-63. doi: 10.7748/ns.2018.e11060

    Media

    Alila Medical Media. (2019, September 17). 
    Sickle cell disease, animation
     [Video]. YouTube. 

    Alila Medical Media. (2019, May 27). 
    Hemostasis: Control of bleeding, coagulation and thrombosis, animation
     [Video]. YouTube. 

    Alila Medical Media. (2019, June 17). 
    Red blood cell life cycle and disorders, animation
     [Video]. YouTube. 

    Alila Medical Media. (May 20, 2019). 
    Hematopoiesis – formation of blood cells, animation
     [Video]. YouTube. 

    Alila Medical Media. (2018, May 14). 
    Blood types, blood group systems and transfusion rule, animation
     [Video]. YouTube. 

    Alila Medical Media. (2019, September 30). 
    Capillary exchange and edema, animation
     [Video]. YouTube. 

    Faculty Lecture: Structure and Function of the Hematologic System

    Attached Files:

     Structure and Function of the Hematologic System Handout.pdf
     (
    5.829 MB
    )

     Structure and Function of the Hematologic System Transcript.pdf
     (
    68.515 KB
    )

    Unit 8: Check Your Knowledge Quiz

    To complete the Check Your Knowledge Quiz for Unit 8, click the above link.

    Check Your Knowledge Quizzes are due by Sunday of the week they are posted.

    Unit 7 & 8: Reproductive Systems Discussion

    To participate in your Unit 7 and 8 combined discussions, click the above link to navigate to the discussion board. Then click “Create Thread” and follow the instructions.

    Exam 2 Study Guide

    NUR 7610 Exam 2 Study Guide 2022.docx

    Exam 2: Unit 4 – 7 (**Webcam**) – Requires Respondus LockDown Browser

     
    Continue on to Unit 9

  • NUR7570900 – Primary Healthcare of the Family I

    NUR7570900 – Primary Healthcare of the Family I

    Unit 1: Foundations of the FNP Role

     

    Unit Introduction

     
    Unit 1 will focus on the foundations of FNP practice. Content includes the historical evolution of the advanced practice nursing (APN) role, models of practice, implementing evidence-based practice, and applying family and cultural theory. 

    Describe the historical development of advanced practice

    Examine the models of advanced practice

    Explore family and cultural theory

    Differentiate leadership styles

    Unit 1 content includes but is not limited to:

    Historical background of the APRN profession

    Historical development of NP curriculum

    Growth of NP profession

    Social Security Act of 1965

    Medicare

    Medicaid

    Omnibus Reconciliation Act of 1989

    Leadership Styles: Situational, Transformational, Laissez-Faire, Authoritarian, Democratic, & Servant

    Cultural and Sprititual Awareness 

    NUR7570900 – Primary Healthcare of the Family I

    Cultural and Spiritual Health Beliefs

    Lenininger’s Theory of Cultural Care Diversity and Universality

    Cultural Sensitivity

    Care of the Lesbian, Gay, Bisexual, Transgender patient

    Health Literacy

    Theory and principles of family-focused care

     

     

    Learning Objectives

    Photo Credit: [Human resource management and recruitment business concept]/[marchmeena29]/[Thinkstock]

    Learning Materials

    Required Readings

    Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). 
    Primary care: Art and science of advanced practice nursing
     
    (5th ed.)
    . Philadelphia, PA: F.A. Davis.

    Chapter 1: “Primary Care in the Twenty-First Century: A Circle of Caring”

    Chapter 2: “Caring and the Advanced Practice Nurse”

    Chapter 4: “The Art of Diagnosis and Treatment”

    Chapter 5: “Evidence-Based Practice”

    Chapter 79: “Ethical and Legal Issues of a Caring-Based Practice”

    Chapter 80: “The Business of Advanced Practice”

    Chapter 82: “Putting Caring into Practice: Caring for Self”

    American Association of Nurse Practitioners: Historical Timeline 
    https://www.aanp.org/about/about-the-american-association-of-nurse-practitioners-aanp/historical-timeline

    USAHS library Journal of the American Academy of Nurse Practitioners (JAANP)

    Berg, J. (2020). The perils of not knowing the history of the nurse practitioner role. Journal of the American Association of Nurse Practitioners, (32) 9, 602-609..pdf

    USAHS library Journal of the American Acacemy of Nurse Practitioners (JAANP)

    Loretta Ford Reflections on 50 years of change.pdf

    USAHS library Health Facilities Journal

    Strategies for Creating LGBTQ Inclusive Health Care Environments.pdf

    Florence Nightingale’s Theory and Her Contributions to Holisitc Critical Thinking in Nursing.pdf

    EXAM 1 BLUEPRINT

    NUR7570 Exam 1 Blueprint.pdf

    Unit 2: Professional Issues Influencing the FNP Role

    Unit Introduction

     

    Photo Credit: [Legislation Concept]/[Duncan_Andison/897710992]/[istock/GettyImagesPlus]

    In Unit 2, students will explore professional issues which are influencing the Family Nurse Practitioner (FNP) role and practice. Many challenges FNP graduates will likely face will be discussed, including, the primary care gap, legislative and regulatory changes at state and national levels, scope of practice restrictions, reimbursement and liability. Societal issues impacting practice such as the anti-vaccine movement, antibiotic overuse, the opioid crisis, mental health, addiction, abuse, violence, unemployment, economic hardship, and the uninsured will also be explored.

    Unit 2 content includes but is not limited to:

    Health care disparity

    Interprofessional collaboration

    Interprofessional education

    Effective communication

    Ethical concepts of care

    Patient rights: HIPAA, informed consent, treatment of minors, advanced healthcare directives

    Theory and principles of family-focused care

    Societal issues impacting health care: Opioid crisis, prescription drug abuse, antibiotic stewardship, anti-vaccine movment, Covid virus, mental health

    Scope of practice

    Reimbursement: Health insurance, Medicaid, Medicare

    Liability/malpractice insurance

    Learning Materials

    Required Readings

    Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). 
    Primary care: Art and science of advanced practice nursing
     
    (5th ed.)
    . Philadelphia, PA: F.A. Davis.

    Chapter 1: “Primary Care in the Twenty-First Century: A Circle of Caring”

    Chapter 2: “Caring and the Advanced Practice Nurse”

    Chapter 64: “Psychosocial Problems”

    Chapter 78: “Pain Management”

    Chapter 79: “Ethical and Legal Issues of a Caring-Based Practice”

    Chapter 80: “The Business of Advanced Practice Nursing”

    Chapter 82: “Putting Caring into Practice: Caring for Self”

    Faculty Lecture

    https://screencast-o-matic.com/watch/cYQrYidfUf

    Regulation of APRN Practice.pdf

    American Association of Nurse Practitioners:  AANP Scope of Practice 
    https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners
     AANP Practice Management 
    https://www.aanp.org/practice/practice-management
     Practice Information by State 
    https://www.aanp.org/practice/practice-information-by-state
     Advocacy 
    https://www.aanp.org/advocacy

    American Nursing Credentialing Center ANCC Family Nurse Practitioner Certification 
    https://www.nursingworld.org/ancc/

    American Academy of Nurse Practitioners AANP FNP Certification Exam 

    Homepage

    Care of the Transgender Patient EduBright Log-in Information provided in Course Announcment

    EXAM 1 BLUEPRINT

    Unit 3: Health Promotion, Maintenance, and Disease Prevention in the Pediatric Population

    Unit Introduction

     

    Photo Credit: [Female Physician Uses Tablet Computer and Controls EKG]/[gorodenkoff]/[Thinkstock]

    Health promotion is a cornerstone of nurse practitioner practice. Unit 3 focuses on health promotion and wellness in the pediatric population. Content will include child and family health assessment as well as developmental management in pediatric primary care, including infants, early childhood, school-age children, and adolescents. Content will focus on anticipatory guidance, common developmental issues, developmental red flags, and wellness. Modifiable and nonmodifiable risk factors in health promotion will be addressed through the concepts of primary, secondary, and tertiary prevention.

    Learning Objectives

    Distinguish primary, secondary, and tertiary prevention

    Identify and interpret normal and abnormal findings commonly identified during the well-child exam

    Examine adolescence (sports physical, anticipatory guidance)

    Discuss issues facing the population (obesity, smoking, gaming)

    Apply clinical guidelines and the principles of evidence-based practice to clinical case scenarios.

    Unit content includes but is not limited to:

    Developmental management and milestones of infants, children, and adolescents

    Primary, secondary, tertiary prevention

    Tanner staging

    Screening guidelines

    Screening tools and diagnostics

    Sports physical

    Autism

    Family Theory

    Mental health

    Genetic Screening in Pregnancy

    Annual childhood wellness exams

    Newborn screenings and assessment

    Immunizations

    Anticipatory guidance

    Overweight & obesity

    Eating disorders

    Sexuality

    Addiction

    Infant, children, and adolescent injuries

    Newborn screening

    Learning Materials

    Required Readings

    Hollier, A. (2021). 
    Clinical guidelines in primary care (4th edition). 
     Advanced Practice Education Associates.

    Chapter 2: Child Growth and Development

    Chapter 7: Genetic Disorders

    Chapter 8: Hematologic Disorders

    Chapter 19: Physical Examinations

    Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). 
    Primary care: Art and science of advanced practice nursing (5th ed.)
    . Philadelphia, PA: F. A. Davis

    Chapter 3: Health Promotion

    Hagan, J.F., Shaw, J.S., & Duncan, P.M. (Eds.) (2017) Bright futures: Guidelines Pocket Guide. American Academy of Pediatrics (4thed).

    Focus on major milestones, immunizations, screening, and anticipatory guidance.

    Bright Futures Pocket Guide 4th Ed..pdf

    CDC Pediatric and Adolescent Immunization Schedule: 
    https://www.cdc.gov/vaccines/growing/immunization-schedule.html

     
    Assessing Infant Reflexes.pdf

    CDC Heads Up: 
    https://www.cdc.gov/headsup/

    American Academy of Pediatrics (AAP): COVID 19 Interim Guidance Return to Sports  
    https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19-interim-guidance-return-to-sports/

    American Academy of Pediatrics (2019). Sports Participation in Children and Adolescents: The Preparticipation Physical Evaluation ebook available in USAHS library 
    https://ebookcentral.proquest.com/lib/univ-staugustine-ebooks/reader.action?docID=5764488&ppg=1

    CDC COVID-19 Vaccines 
    https://www.cdc.gov/coronavirus/2019-ncov/vaccines/keythingstoknow.html?s_cid=10493:cdc%20covid%20vaccine:sem.ga:p:RG:GM:gen:PTN:FY21

    Jordan, R. G, Farley, C. L, and Grace, K. T. (Eds.) (2018). Prenatal and postnatal care: A woman-centered approach. Wiley-Blackwell. 978-1119318347 2nd ed

    Chapter 11: Genetic Counseling, Screening, and Diagnosis

     
    NIPT.pdf
     :  Non-invasive Prenatal Testing

    https://www.cdc.gov/newbornscreening/index.html
    :  CDC Newborn Screening Portal

    Ensuring the Success of Newborn Sceening

    Newborn Screening Program – Role of the Laboratories (podcast)

    https://newbornscreening.hrsa.gov/about-newborn-screening
     What Is Newborn Screening and Why Is It Needed

    https://www.babysfirsttest.org/
     What is Newborn Screening 
    BOOKMARK THIS PAGE

    What Your State Offers

    What to Expect (parent resources)

    What should I do before birth

    What are the screening procedures

    What happens to the blood sample

    How should I respond to results

    What are the screening outcomes

    View Resources (know what is available for families)

    Pediatric Immunizations Flash Cards: 
    https://quizlet.com/_b6fj0g?x=1jqt&i=1gy2pv

    Pediatric Health Promotion and Wellness Cards: 
    https://quizlet.com/_a9odbi?x=1jqt&i=1gy2pv

     

    Unit 4: Health Promotion, Maintenance, and Disease Prevention in Women

    Unit Introduction

     

    Credit: [Visiting nurse taking care of a patient]/[monkeybusinessimages]/[Thinkstock]

    Unit 3 focuses on the elements of a well woman exam, an important part of health promotion and disease prevention. A well woman exam is typically once a year and includes at least a breast examination, a pelvic examination, and a pap smear. Accordingly, Unit 3 will address normal and abnormal findings of adult female health across the lifespan and anticipatory guidance.

    Learning Objectives

    Upon the completion of this unit of study, students will be able to:

    Examine assessment and management of well woman exam normal and abnormal findings

    Describe the menstrual cycle (normal and abnormal findings)

    Explore the topics of contraception, ovarian disorders, cancer, menstrual cycle, and breast disorders commonly identified during the well woman exam

    Apply clinical guidelines and the principles of evidence-based practice to clinical case scenarios

    Examine health promotion, wellness, and screening in the adult female patient

    Apply best evidence to care of the well pregnant patient and family planning.

    Pelvic exam & Pap smear

    Clinical breast exam

    Genitourinary exam

    Sexually Transmitted Infections

    Abnormal Uterine Bleeding

    Ammenorrhea

    Breast Disorders

    Menopause

    PCOS

    Vulvodynia and Dyspareunia

    Atrophic Vaginitis

    Lichen Sclerosus

    Endometriosis

    Vaginal Candidiasis

    Bacterial Vaginosis

    Menstrual Cycle/Menses

    Disorders of the menstrual cycle

    Contraception

    Cancer

    Osteoporosis

    Cervical cytology interpretation

    Screening guidelines

    Diagnostic studies (ordering and interpreting)

    Learning Materials

    Required Learning Materials

    Hollier, A. (2018). 
    Clinical guidelines in primary care (3rd ed.).
     Advanced Practice Education Associates.

    Chapter 1: “Cardiovascular Disorders”

    Chapter 2: “Dermatologic Disorders”

    Chapter 4: “Endocrine Disorders”

    Chapter 6: “Genetic Disorders”

    Chapter 8: “Hematologic Disorders”

    Chapter 15: “Pulmonary Disorders”

    Chapter 16: “Sexually Transmitted Diseases”

    Chapter 17: “Psychiatric Disorders, Violence, Abuse, and Neglect Issues”

    Chapter 19: “Women’s Health Disorders”

    Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019).
     Primary care: Art and science of advanced practice nursing (5th ed.).
     Philadelphia, PA: F. A. Davis.

    Section 2: “Skin Problems”

    Section 5: “Respiratory Problems”

    Section 6: “Cardiovascular Problems”

    Chapter 46, 47, 48, 51: “Women’s Health Problems” exclude pg: 682, 684, 685, 686

    Jordan, R. G, Farley, C. L, and Grace, K. T. (Eds.) (2018). Prenatal and postnatal care: A woman-centered approach. Wiley-Blackwell. 978-1119318347 2nd Reuben, D.B., Herr, K. A., Pacala, J.T., Potter, J.F., & Semia, T.P.

    Chapter 1: “Reproductive Tract Structure and Function

    Chapter 25: “Components of Postnatal Care” pg 412 “Contraception”

    NUR7570900 – Primary Healthcare of the Family I

    Faculty Lecture

    Periods 101.pptx

    Sexually Transmitted Diseases.pptx

    Well Woman Exam.pptx

    Well Woman Exam Study Guide.pdf

    Digital Lesson: Contraception

    Attached Files:

     Unit 4 Contraception.pdf
     (
    1.797 MB
    )

     Mark Reviewed

     

     

    Unit 5: Health Promotion, Maintenance, and Disease Prevention in Pregnancy

    Unit Introduction

     

    Photo Credit: []/[ DjelicS/1251402398]/[E+/GettyImagesPlus]

    In Unit 5, students will examine care of the pregnant woman within the Family Nurse Practitioner scope of practice. Aspects of care to be discussed include low-risk pregnancy management, identification of red flags during pregnancy, prenatal and postnatal care, appropriate referral, medication management, and diagnostic testing and interpretation.

    Unit 5 conditions include, but are not limited to:

    Abortion

    Back/pelvic pain

    Breast tenderness

    Breastfeeding & breastfeeding complications

    Cervical pain

    Clinical methods for dating pregnancy

    Constipation

    Diagnostic screening & testing (ordering and interpretation)

    NUR7570900 – Primary Healthcare of the Family I

    Dizziness/Syncope

    Edema

    Estimated due date

    Fatigue

    Genetic screening/counseling

    Gestational diabetes/hypertension/STI/UTI treatment during pregnancy

    Headache

    Health promotion/anticipatory guidance

    Heartburn

    HELLP Syndrome

    Hemorrhoids

    Leg cramps

    Leukorrhea

    Mastitis

    Medications and vaccines during pregnancy

    Nausea and vomiting of pregnancy

    Physiological changes during pregnancy

    Placenta previa

    Placental abruption

    Postpartum contraception

    Preeclampsia

    Prenatal and postnatal care

    Restless leg syndrome

    Rh-Incompatibility disease

    Round ligament pain

    Shortness of breath

    Signs of pregnancy (positive, probable, presumptive)

    Skin changes

    Supine hypotension syndrome

    Urinary Frequency/Incontinence

    Visual changes

    Learning Materials

    Required Readings

    Hollier, A. (2018). Clinical guidelines in primary care. Advanced Practice Education Associates. 978-1892418258 3rd ed.

    Chapter 9: “Lactation and Breastfeeding”

    Chapter 14: “Pregnancy”

    Jordan, R. G, Farley, C. L, and Grace, K. T. (Eds.) (2018). Prenatal and postnatal care: A woman-centered approach. Wiley-Blackwell. 978-1119318347 2nd ed.

    Chapter 3: “Maternal Physioloogifcal Alterations during Pregnancy”

    Chapter 5: “Preconception Care”

    Chapter 6: “Prenatal Care: Goals, Structure, and Components

     
    “Nutrition during Pregnancy”
    .   
    “Fish during Pregnancy:” 

    Chapter 8: “Pregnancy Diagnosis and Gestational Age Assessment”

    Chapter 11: “Genetic Counseling, Screening, and Diagnosis”

    Chapter 13: “Common Discomforts of Pregnancy”

    Chapter 15: “Medications during Pregnancy”

    Chapter 17: “Health Disparities and Social Issues in Pregnancy”

    Chapter 20: “Psychosocial Adaptations in Pregnancy”

    Chapter 23: “Triage During Pregnancy”

    Chapter 25: “Components of Postnatal Care”

    Chapter 26: “Lactation and Breastfeeding”

    Chapter 28: “Bleeding During Pregnancy”

    Chapter 30: “Preterm Labor and Birth”

    Chapter 31: “Hypertensive Disorders of Pregnancy”

    Chapter 32: “Gestational Diabetes”

    Chapter 35: “Hyperemesis Gravidarum”

    Chapter 38: “Common Complications during the Postnatal Period”

    Chapter 39: “Common Breastfeeding Problems”

    Chapter 41: “Obesity”

    Chapter 40: “Perinatal Loss”

    Chapter 43: “Hematologic and Throbmoembolic Disorders”

    Chapter 49: “Dermatological Disorders” page 717-718 ICP

    Chapter 50: Infections Diseases” page 724-725 GBS

    Chapter 51: “Sexually Transmitted Infections and Vaginitis”

    NUR7570900 – Primary Healthcare of the Family I

    Required Media

    Faculty Lectures

    Unit 5: Learning Module

     
    Unit 5 Postpartum Care & Complications.pptx

     
    Unit 5 L&D.pptx

     
    Unit 5 Pregnancy Complications.pptx

     
    Unit 5 Prenatal Care in Family Practice.pptx

     
    Unit 5 Preconception Counseling.pptx

     

    Unit 6: Health Promotion, Maintenance, and Disease Prevention in Men

     

    Unit Introduction

     

    Unit 6 focuses on the men’s health screening and subsequent normal and abnormal findings. Unit content includes health promotion, wellness, and screening in adult male patients. Applying evidence-based guidelines to abnormal findings of men’s wellness exam. Exploring assessment and management of common conditions of the prostate and urogenital system commonly identified during the well-men’s exam. Demonstrating competency with screening, identification, and clinical management evidence-based guidelines of common primary care conditions including but limited to:

    Well men’s yearly exam components

    Screening for psychosocial mental health conditions: anxiety, depression, suicide, alcoholism, addiction, sleep disorder, bipolar, schizophrenia, anorexia nervosa, bulimia, PTSD, Munchohausen Syndrome

    Screening for substance abuse (behaviors associated with substance-seeking and abuse)

    Treatment of substance-induced disorders including opioid, cannabis, stimulants, nicotine/tobacco, hallucinogen, inhalant, sedative, hypnotic, anxiolytic, caffeine, and alcohol (intoxication, withdrawal, mental disorders)

    Motivational interviewing

    Screening for men’s health conditions: testicular cancer, colon cancer, prostate cancer, cardiovascular disease, endocrine disorders, erectile dysfunction, breast cancer, lung cancer, skin cancer

    The U.S. Health Statistics: Leading cause of death, morbidity and mortality, life expectancy, cancer statistics

    Vaccines and immunizations

    Sensitivity versus specificity

    Primary, secondary, tertiary prevention

    Assessment techniques including cremasteric reflex, transillumination of the scrotum, prostate exam, testicular exam, inguinal hernia

    Complimentary and prescriptive therapy

    Diagnosis and treatment of priapism, torsion of the appendix testes, testicular torsion, benign prostatic hyperplasia, prostatitis, epididymitis, erectile dysfunction, varicocele, balanitis, phimosis, Peyronie’s disease, cryptorchidism

    Photo Credit: [Male Patient And Doctor Have Consultation In Hospital Room]/[monkeybusinessimages]/[Thinkstock]

    Learning Materials

    Required Readings

    Hollier, A. (2018). 
    Clinical guidelines in primary care (3rd ed.).
     Advanced Practice Education Associates.

    Chapter 10: Men’s Health Disorders

    Chapter 16: Sexually Transmitted Diseases

    Chapter 17: Psychiatric Disorders, Violence, Abuse, and Neglect Issues

    Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). 
    Primary care: Art and science of advanced practice nursing (5th ed.).
     Philadelphia, PA: F. A. Davis.

    Chapter 43: Common Urinary Complaints

    Chapter 44: Urinary Tract Disorders

    Chapter 45: Kidney and Bladder Disorders

    Chapter 46: Common Reproductive System Complaints: Nocturia in Men, Chronic Pelvic Pain Syndrome in Men, Testicular Pain, Testosterone Deficiency, Erectile Dysfunction

    Chapter 49: Prostate Disorders

    Chapter 50: Penile and Testicular Disorders

    Chapter 51: Sexually Transmitted Infections

    Chapter: 64: Common Psychosocial Complaints

    Chapter 65: Substance Use Disorders

    Chapter 68: Anxiety, Stress, and Trauma-Related Disorders

    CDC Men’s Health
     
    https://www.cdc.gov/nchs/fastats/mens-health.htm

    CDC Gay and Bisexual Men’s Health
     
    https://www.cdc.gov/msmhealth/index.htm 
     
    https://www.cdc.gov/msmhealth/for-your-health.htm

    CDC Cancer Screening
     
    https://www.cdc.gov/cancer/dcpc/prevention/screening.htm

    USPSTFH Adult Preventive Health Care Schedule 2019 

    USPSTFHealthCareSchedule2019.pdf

    Adult Immunization Schedule
     
    https://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html#table-age
    Quick Review of Primary, Secondary, and Tertiary Prevention Definitions 
    https://www.iwh.on.ca/what-researchers-mean-by/primary-secondary-and-tertiary-prevention

    Covid-19 Immunization Schedule 
    https://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html#table-age

    Unit 7: Change title to Health Promotion, Maintenance, and Disease Prevention in the Adult and Older Adult Population

    Unit Introduction

     

    Photo Credit: [Sick aged man sitting at the table]/[yacobchuk]/[Thinkstock]

    Unit 7 unit focuses on wellness screenings and health promotion for adults and older adults and subsequent normal and abnormal findings. Emphasis is placed upon diagnosis and treatment of illness, wellness promotion, critical analysis and application of evidence, and critical decision-making in the care of the aging patient. The safety and functional status of the adult and older adult will be highlighted using screening tools to assess for medical illnesses, mental status, physical status, and environment.  Management of abnormal findings will be addressed as well.

    Unit Learning Objectives

    Identify age-appropriate primary, secondary, and tertiary prevention, screening, and health promotion.

    Apply the physiologic changes of aging and the impact on medication management.

    Correlate assessment findings and evidence-based guidelines to manage common conditions identified during the wellness screening visit.

    Interpret the adult immunization schedule.

    Demonstrate competency with screening, identification, and clinical management evidence-based guidelines of common primary care conditions including but limited to:

    Adult wellness exam components

    Screening for psychosocial mental health conditions, substance abuse, emotional and physical abuse

    Treatment of substance-induced disorders including opioid, cannabis, stimulants, nicotine/tobacco, hallucinogen, inhalant, sedative, hypnotic, anxiolytic, caffeine, and alcohol (intoxication, withdrawal, mental disorders)

    Pathophysiologic changes related to aging

    Fall prevention and falls

    The U.S. Health Statistics: Leading cause of death, morbidity and mortality, life expectancy, cancer statistics

    Vaccines and immunizations

    Primary, secondary, tertiary prevention

    Cognitive and neurologic assessment techniques

    Screening and management for health conditions including dementia, delirium, confusion, cognitive impairment,

    Alzheimer’s, menopause, sexual dysfunction, glaucoma, cataract, visual impairment, hearing impairment, osteopenia

    and osteoporosis, hormone therapy, arthritis, incontinence, malnutrition, cardiovascular disease, endocrine conditions, anemias, and nutritional health NUR7570900 – Primary Healthcare of the Family I

    The U.S. Health Statistics: Leading cause of death, morbidity and mortality, life expectancy, cancer statistics

    Vaccines and immunizations

    Primary, secondary, tertiary prevention

    Cognitive and neurologic assessment techniques

    Complimentary and prescriptive therapy

    Application of BEER’s Criteria

    Special considerations of managing older adult healthcare: multiple co-morbidities, continuity of care, lifestyle modifications, loss, isolation

    End-of-life issues, palliative care, hospice

    Learning Materials

    Required Readings

    Hollier, A. (2021). 
    Clinical guidelines in primary care. 
    Advanced Practice Education Associates (4
    th
     ed.)
    .

    Chapter 3: Dermatologic Disorders

    Chapter 5: Endocrine Disorders

    Chapter 9: Men’s Health Disorders

    Chapter 10: Neurologic Disorders

    Chapter 12: Orthopedic Disorders

    Chapter 13: Psychiatric Disorders and Mental Health Disorders

    Chapter 18: Women’s Health Disorders

    Chapter 19: Physical Examinations

    Dunphy, L.M., Winland-Brown, J.E., Porter, B.O., & Thomas, D.J. (2019). 
    Primary Care: Art and science of advanced practice nursing
     (5th edition). Philadelphia, PA: F.A. Davis.

    Adults

    Chapter 43: Common Urinary Complaints

    Chapter 44: Urinary Tract Disorders

    Chapter 45: Kidney and Bladder Disorders

    Chapter 46: Common Reproductive System Complaints: Nocturia in Men, Chronic Pelvic Pain Syndrome in Men, Testicular Pain, Testosterone Deficiency, Erectile Dysfunction

    Chapter 49: Prostate Disorders

    Chapter 50: Penile and Testicular Disorders

    Chapter 51: Sexually Transmitted Infections

    Chapter: 64: Common Psychosocial Complaints

    Chapter 65: Substance Use Disorders

    Chapter 68: Anxiety, Stress, and Trauma-Related Disorders

     Older Adults/Geriatrics:

    Chapter 3: Health Promotion

    Chapter 6: Neurologic Problems sections on Common Complaints Confusion, Alzheimer’s Disease

    Section 2: Skin Problems

    Section 5: Respiratory Problems

    Section 6: Cardiovascular Problems

    Chapter 78: Palliative Care

    Chapter 81: The 15-Minute Hour: Practical Psychotherapy for Primary Care, Appendix A Physiological Influences of the Aging

    Centers for Disease Control Adult Immunization Schedule

    CDC Adult Immunization Schedule 2022.pdf

    Lectures

  • How to Cite Apa From a Website

    APA Citation or referencing is quoting or paraphrasing somebody’s work in your own words to bring out an intended meaning within a context. Citation is a part of writing needed to authenticate your academic work to make it fit for the intended purpose. Citation or referencing gives your paper a backup for your sentiments.  It gives the reader access to the sources and the intern validates your paperwork by proving that the work is not of the author’s original idea. How to Cite Apa From a Website:

    What is APA’s style of reference citation?

    American Psychological Association (APA) is the most preferred style for citation in social sciences and in academic
    paper writing
    .  This style applies the author and the date format where both the author’s name and publication year are in the main text.  Citations can be sourced from books, websites, journal articles, magazines, newspaper articles, micro visual media, and electronic media.

    There have been several revisions to accommodate the dynamic writing arena. The latest is the Apa 2019 the 7
    th
    edition which has an updated full guide has been. Let us discuss how to cite APA from a website

    How to cite a website in APA

    To cite from a website thorough research has to be carried out. After settling on credible websites and online articles that you would prefer citing from it is prudent to read further. Online citation tools can be used to help you cite from different websites and use them as your source.

    The website citations should contain the author’s Last Name and first initials. (Year, Month, and Date the article was Published). Title of the web page. The Name of the Website then always indicates the URL of the webpage.

    Note that in the cases where the online source document doesn’t follow the structure or have the necessary parts, they can only be used if they don’t belong to other source categories.

    An example of APA format from a website citation

    Austerlitz, S. (2015, March 3).
    How long can a spinoff like ‘Better Call Saul last?
    FiveThirtyEight. 

    The below list is the basic checklist for a webpage citation from a website.

    The author’s name and the other authors if more than one. The surname is to be followed by first initials.

    The year, the month, and the day must be written in brackets. The exact dates are to be indicated if available.

    The title of the writing must be in italics.

    The website name is to follow

    URL must be mentioned to authenticate the website.

     The first line of each citation is left adjusted. Every subsequent line is indented 5-7 spaces.

    For example Johnson, A. (2018, May 24). “It doesn’t need to be this way”: The promise of specialized early intervention in psychosis services. IEPA. https://iepa.org.au/network-news/it-doesnt-need-to-be-this-way-the-promise-of-specialised-early-intervention-in-psychosis-services/

    However, when it comes to adding text to
    social media
    posts you must ensure to keep the original capitalization of any spellings, hashtags, and emoji’s where applicable. The links should not be left out too.

    Citing a website in APA in the 7th edition

    APA 7
    th
    edition is the latest guide in citation and referencing including the electronic guide. In the 7
    th
    edition, there are possibilities of electronically citing short and long URLs in-text.

                    You can reference from a page within the website or from the entire website. When referencing from a page within a website, follow this format the below format:

    The format to be followed is the name of the author, the date of publication, and the title of the web page. The publisher of the site or sponsors can be mentioned if any is provided and finally the URL. The dates must be indicated as provided on the website for credibility. 

    the cases where the author and the publisher are one, the publisher is omitted from the reference to avoid repetition. This format is often used in downloaded documents in pdf. 

    When citing from an entire website, the structure remains the same with the name of the author, the date published, and the URL but in this case, you will indicate the URL of the home page of the website. This is to authenticate the website and uphold your source document.

    Citing a government website APA using edition

    This is an example of how to cite a government website APA 7th edition Queensland Health. (2016, July 26).
    Food safety fact sheet 51: Food allergies
    . Queensland Government.

    Queensland Health. (2019, April 4).
    Influenza (The flu)
    . Queensland Government. 

    General guidelines on how to cite a government website

    When we talk of a government website that has no specific authors, use the agency mentioned on the post for the citation for accountability.

    These agencies’ names will not appear as the author’s names but will appear as the source. For example, the U.S. Department of Health and Human Services, National Institutes of Health). This is enough reference for the reader or your instructor.

    Be to provide the specific date, month, and year the agency published the article on the webpage.

    Do not use the article review date as this might interfere with sourcing requirements.

    The title of the webpage must be in italics

    At the end of the reference remember to add the URL

    Organizations and
    government institutions’
    website citations might have an author or might not. In the event, there is no specific author the publishing agency can be cited with the date of first publication.

    Citation of APA from a website in text

    An in-text can e created in a citation anytime you quote or paraphrase someone’s work or words and put them in your own.

    In text format in APA is where the citations are included in your
    research paper
    . The name of the author, the page, and the year of publication are included in a context. This gives your readers an explanation of your source documents. These brief text citation point the author to a comprehensive list of references.

    This method is advantageous to the readers because it allows the reader to interact with the sources at previews within the context of an in-text. In a webpage or an online article citation, the last mane of the author and the year of publication in bracket is indicated. For example, (Hepburn, Omolon, 2010).

    Note that authors could not necessarily be a people but could also be an organization. For example (American Psychological Association. 2015). In online pdf articles, for direct referencing, you could include the page number: (Omolloh, 2005, p. 14). For sources such as websites and e-books that do not have page numbers, you could cite a paragraph number.

    For instances where the author is not known, you can use the title and the date in the in-text for citation. The title should be shortened in the case of longer titles. Where there are no dates you could use the name and n.d to indicate (no dates). The citation must always redirect the reader to the relevant source elements. Below are general guidelines for in-text citations;

    The name of the authors in the bracket

    The author’s name is part of the  narrative

    Groups or organizations are reared as authors

    Multiple writings are separated by a semi-colon

    The direct quote should include the page number

    Electronic sourcing in APA citation

    Electronic citation in APA is an automated way of retrieving or sourcing references virtually.

    Electronic e-resources are: e-mail, E-Maps, e-journals, databases, E-books, E-journals, Databases, E-photos CDs/DVDs, E-conference minutes, E- Reports, E-Manuscripts, E-Theses, E-Newspaper, Websites, Newsrooms, and FAQs

    To cite the electronic sources in the text, below are the guidelines for print sources

    Ensure spaces between the initials.

    The volume numbers of the periodic articles should be italicized

    The issue number should be in the brackets and goes

    In-text citation, the name of the and year of publication must appear in alphabetical order

    When citing direct quotes from the author, the year and the quoted page must appear

    The rules may not apply if the online sources have no page numbering. In such cases, paragraph numbers are used or any identical features.

    Important Note:
    Most electronic citations require bracketing as it is required in the APA style. The style dictates that the bracket should strictly surround the reference. The name of the author, the year of publication, and the page number should all be in the bracket.

    Here are the general guidelines

    The general guidelines are:

    All the author’s names should be arranged alphabetically

    Citations with the same surname are to be listed alphabetically using the second and the third name.

    In cases where the title is not italicized in the reference list, double quotation marks can be used or the title capitalized.

    When using capitals for the title all the words should be capitalized in accentuated format.

    The proper nouns including the names of the author initials D. Hepburn.

    For direct quotations, a paragraph, a section number, a table number, or a chapter number can be used as a source reference.

    When the title of the work is italicized in the referencing list, the title cases should be in capital and italicized.

    Are you stuck and have no idea where to start? Have started writing and can proceed further? We are your one-stop shop for all your citation and reference writing.

    Our trained citation writing team is at your disposal. We are well-versed in both academic and professional citation writing. Our team is equipped and trained in different academic levels and for different works. Below is our deliverable:

    Your timely delivery of the edited citation

    Freely edited and revised work

    Nonplagiarized work

    Academically acceptable standards

    A well-researched.

    24/7 customer service

    Summary

    Apa citation or referencing from a website is an enjoyable task when you have all the required information at your fingertips but can also be a nightmare if you are green. APA style of citation is widely used and accepted in most social sciences works and academic writing. In the in-text citation, the last name of the author or authors, the date, the year of publication, and the pages are to be indicated in parentheses.

    The revised APA 7th edition is more lined to an author-date style. This means the author’s surnames and the dates both in the text and the reference list should be in capital and have since been adopted. Are you looking for someone to write your citation work? Well, reach out to
    onlinenursingpapers.com
    for outstanding citation work.

  • Best Genetics Essay Topics

    Students majoring in biology are conversant with genetics topics. Not everyone enjoys coming up with appropriate topics for a genetics essay. At the same time, there are many reasons for this, the technicality of the topic being the main one.

    It should be one of the most enjoyable tasks for college students to find exciting genetics topics. Once you understand genetics’ fundamental concepts, brainstorming essay topics should take a few minutes.

    You will be surprised by how quickly you can write genetics titles after doing this. Check out a few of our top-rated genetics essay topics for ideas.

    Tips on choosing the best genetics essay topics

    The first step toward success is selecting the best genetics essay topic. With so many genetics topics to choose from, it’s easy to become confused. We recommend that you explore tips on selecting a topic for your essay and contribute new ideas to this rapidly expanding field of study.

    Know your interests

    You should specify your primary genetics interests. This complex science has numerous intriguing aspects of investigating. Review your lectures and read specialized literature and internet sources to identify interesting phenomena and facts.

    It would be best to consider your highest-scoring previous assignments to determine which genetic field you excel in. If you are interested in the topic, you will spend more time researching relevant sources and writing a
    high-qualit
    y essay.

    Make sure you have enough data sources

    Even if the topic is highly engaging, you will fail due to a lack of credible sources. Consult a tutor to determine the availability of sources once you have a clear idea of your potential essay topic.

    Then you can search the Internet for relevant resources for your assignment. If there are problems with data sources, you should modify your topic.

    Brainstorm your ideas

    When deciding on a topic for your genetics essay, you should generate several ideas before selecting the best one. It is essential to determine what is pertinent to discuss in modern genetics. You can compile a list of exciting topics and decide which ones merit your time and attention.

    Narrow your topic down

    Your topic should focus on a specific subfield of genetics rather than providing general information. A focused topic will be engaging to investigate and relevant to research. You can formulate a substantial thesis and analyze and discuss data. Adhere to the instructor’s instructions, and avoid overgeneralizing in your essay.

    The best genetics essay topics

    The following is a list of the best genetics essay topics:

    Genetic engineering: risks and potential benefits

    Engineering genetics: gene therapy

    Genetic testing: benefits and drawbacks

    Implications for ethics of human genetics research

    The genetics of mycobacterium tuberculosis evolution

    The significance of genetics to the development

    Diabetes genetic risks in diagnostics

    Mitosis, meiosis, and variation in genetics

    Medical and psychological genetic counselling

    Involvement in genomics, genetics, and nursing

    Developmental disability genetics

    The effects of genetically modified foods on human health

    Food science and genetic modification technology

    The importance of genetics in healthcare patients

    Genetic diversity and the importance of the facial appeal

    Residence and genetic disease predisposition

    Genetic counselling and risks of hypertension

    Cystic fibrosis genetic counselling

    Community health status: growth, gender, and genes

    Possible genetic advancements

    Hot genetics topics to write about

    Haemophilia, a genetic disease

    Genetic variation in DNA sequences: DNA profiling

    Genetics or Social Construction in Race?

    Genetic Tests: Benefits and Drawbacks

    Genetic Variation and Natural Selection

    Genetic modification through plant genetic engineering

    Cystic Fibrosis, a genetic disease

    The Development of Molecular Genetics and DNA

    Genetic testing, human traits, and family pedigree

    The Genetic Effects of Darwin’s Theory of Evolution

    Genetic examination and screening

    Cancer and Genetic Alterations

    Epigenetics and Cocaine Addiction in Neurobiology

    Multifactorial Traits in Human Genetics

    The sequencing of genetic material

    Genetic engineering essay topics

    When writing a genetic engineering essay, you can use the following topics.

    The advantages of genetic engineering as a significant element of people’s life

    The ecological consequences of the discharge of genetically altered organisms

    Genetic engineering’s ethical implications

    The Impact of Genetic Engineering on the World

    Genetically modified foods to combat world hunger

    A contrast between genetic engineering and eugenics

    Plant genetic engineering’s role in global security

    Workplace genetic engineering

    Food genetic engineering: progress and hazards

    Is the world prepared for genetic engineering?

    The Importance of Human Genetic Engineering

    Interesting genetics essay topics

    Criminal Behavior: Environmental and Genetic Influences

    Athletic Performance Explained by Genetic Difference

    promises and concerns related to genetic research

    Genetics of the PARK2 gene, which is associated with Parkinson’s disease

    Pros and Cons of Genetically Modified Organisms

    Arguments Against Genetic Modification

    Genetic counseling and Marfan syndrome

    Genetics and the Impact of Sexual Behavior on Bisexuality

    The Field of Genetics and Its Application

    Reproduction, genetics, and biotechnology

    The Function of Genetic Information in Cancer Treatment

    Mammary Cancer Chromosomal analysis and genetics

    Risk factors for breast cancer: Influences of nutrition and genetics

    Fitness Genetic Basis Natural Population Variations

    Influences of biology and genetics on criminality

    Effects of Genetic Diversity Interaction

    Simple & easy genetics essay topics

    You can choose any of the topics below when writing a genetic and behavior essay or any type of genetics essay.

    The Relationship between genetics and environmental behavior

    The effects of genes and nurture on dyslexics Tourette syndrome

    The connection between genetics and religion

    An examination of the role of genetics and environment in the development of alcoholism

    Understanding the fundamentals of genetics and disease

    The importance of genetics and DNA discoveries

    The application of genetics in insurance and its implications

    Why is genetics important and how does it affect our lives?

    The role of genetics and individuality in personality formation

    What impact does genetics have on food security?

    Economic status inheritance: education, class, and genetics

    Mendel’s laws and their importance in modern genetics

    Good essay topics on genetics

    The genetic and environmental influences on biofilm growth

    Ethical concerns regarding genetics technology

    Genetics’ major scientific breakthroughs concerning introns and exons

    What role do genes play in autoimmune conditions?

    The genetics, structure, function, and regulation of alpha-amylase

    The genetics of dependence inherited or acquired behavior

    The importance of family, community, and culture above genetics

    The life and work of the father of genetics, Gregory Mendel

    The Illinois establishment of a state fisheries genetics program

    The importance of selective genetic engineering

    Genetics and potential causes for autism spectrum disorders

    The genetic engineering of humans in nightmares and dreams

    Theory and evidence evolutionary revolution

    An analysis of scientific knowledge regarding genetic founder mutations

    James Watson’s contributions to science DNA and heredity

    Is homosexuality a personal decision or a genetic predisposition?

    Aspects of the relationship between environment and genetics

    Evolutionary factors that have influenced genetics

    Intelligence, environment, culture, and genetics

    The new genetics of mental illness by Edmund s. Higgins

    “How genetics and evolution affect our fear of immigrants”

    Conservatives’ human patterns and genetics denial

    Genetics: alcoholism and a typical developmental pathway

    Genetics essay topics for college students

    Below are some topics for your genetics essay during your college study.

    How has the approach to genetic research evolved in the twenty-first century?

    Who does genetics and who can study it?

    Is it possible to take drugs to extend life at the genetic level?

    What factors contributed to DNA modifications in people, animals, and plants?

    Is there a hereditary component to alcohol and drug addiction?

    Is intelligence inherited genetically?

    Could the variations of DNA influence the tendency to criminality?

    What genetic information are saliva and hair storing?

    Genetics and Homosexuality

    The most well-known genetics misconceptions

    Which science fiction films or television programs best depict the future of genetics?

    What scientific advances have been made in the field of genetics?

    How do men’s and women’s genetics differ?

    Is it necessary to teach students about genetics while they are still in school?

    How are the DNA-altering experiments progressing?

    Human genetics essay topics

    Can a human’s country of origin be checked with a genetic test?

    Which diseases are genetically transmissible?

    How to prevent diseases transmitted genetically

    The study of human genetics

    Do genetic tests for determining a person’s nation of origin always work?

    Are there genetic tests for athletic performance?

    Human genetics and metabolism

    Is the tendency to be overweight transmitted genetically?

    What happens to the body when my statin gene is damaged?

    How similar is the DNA of every person on the planet?

    Do genes store mentality-related information?

    What is the human body is predetermined and what can be altered?

    Programming the creation of hormones and neurotransmitters with the aid of DNA

    Can a human with knowledge of DNA structure double or triple his lifespan?

    Molecular genetics essay topics

    Molecular genetics. What exactly is it, and how does one learn it?

    How are molecular genetics experiments and research conducted?

    What can scientists do to help in molecular genetics research and study?

    At the molecular level, inheritance and variability of living things

    The distinction between subcellular and molecular levels

    What are the various methods for storing genetic information?

    Methods for studying molecular genetics that is chemical and physical

    The study of viral DNA. An illustration of the Covid-19 epidemic

    How far has the complicated study of the cell come, and what tools does the typical scientist now have?

    The study of prokaryotic genetics, which plays an important role in microorganism genetics

    The discovery of the chemical composition of a gene is one of the most significant advances in molecular genetics

    Bacterial genetic transformation

    What are the X-ray diffraction methods used in molecular genetics research?

    Bacteria, viruses, and multicellular creatures

    Gene stability and mutation

    Current genetics essay topics

    The field of genetics research is rich with contemporary topics ready for inquiry. Here are some fascinating current genetics essay topics.

    The molecular structure of man versus bat

    What are the implications of genomics firms pursuing an IPO?

    The impact of 5G technology on the human DNA

    Characteristics of double-stranded RNA-binding proteins

    Investigating the possible use of gene editing in the treatment of COVID-19

    The impact of social engineering on genetics

    Distinguishing between unethical and ethical gene therapy

    Who should be aware of the many genetic disorders?

    Is genetic screening an invasion of a person’s privacy?

    The ethical implications of prenatal screening for newborns

    Can gene therapy be used to treat diseases?

    Can gene therapy cause individuals to reject people who are different from them?

    In summary

    This blog’s essay topics and samples serve as a beginning point for any student struggling with a genetics essay. You can use the topics, examples, and questions to learn how to produce an essay and select the most suitable topic.

    Choosing the best topic and writing such an essay can be challenging. Read this post to find the answers you’ve been seeking regarding the genetics essay.

  • Assessing and Treating Patients With Psychosis and Schizophrenia Assignment

    Assessing and Treating Patients With Psychosis and Schizophrenia Assignment

    Introduction

    The case study involves a 34-year-old Pakistan female with delusional thoughts. She was selected for a husband when she was nine years old and is now in an “arranged marriage.” She moved to the U.S during her teenage age. The patient was previously admitted for 21 days due to what was described as a brief psychotic disorder. Before the admission, she reported seeing Allah and believed she was prophet Mohammed Assessing and Treating Patients With Psychosis and Schizophrenia Assignment. The husband was so concerned to a point he could not leave the wife to take care of the children.  One evening she was out of control, and she was arrested by the police and admitted to a psychiatric unit.  Today she looks cool and denies any previous delusional thoughts claiming that the husband wants to get her out of the house to marry another wife as the TV tells her. Her current weight is 140 lbs., and her height of 5’ 5. Her pervious medical records show no major concerns. Also, the laboratory examinations are within the normal limit.  She has been on Risperdal but stopped taking the medication one week after discharge because she believed the husband would poison her to marry another wife. The mental status examination shows that the client is alert and well-oriented X4. She is appropriately dressed for the event and weather. She demonstrates no abnormal motor activities. Her speech is slow and interrupted. She has impaired judgement and insights.  She has constricted, affected, and euthymic self-reported mood. She denies auditory or visual hallucinations but admits the TV talks to her.  She currently denies suicidal or homicidal thoughts. On PANSS admission, she scores 40, 20, and 60 on the positive, negative symptoms scale, and general psychopathology scale. Thus, she is diagnosed with schizophrenia, a paranoid type.

    BUY A PLAGIARISM-FREE PAPER HERE

    Decision #1;

    Start Invega Sustenna 234 mg IM X1 followed by 156 mg IM on day four and monthly thereafter

    Invega is an effective antipsychotic medication that has proven effective in the treatment of psychotic and mood symptoms in patients with schizophrenia (Nucifora Jr et al., 2019). The reasoning for choosing to start with Invega Sustenna is that the patient returns with improved symptoms after four weeks. The client demonstrates decreased PANSS score of 25%. Besides, the client tolerates the medication. The client should not take Zyprexa due to poor response and weight gain. Also, the client cannot start with Abilify due to non-response Assessing and Treating Patients With Psychosis and Schizophrenia Assignment. When the patient is given Abilify, she is unable to sleep at night and participate in the PANNS rating tool because she continually nodes off during the assessment. The efficacy of Invega Sustenna (Paliperidone), a long-acting injectable formulation for inpatients with schizoaffective disorder, was demonstrated through randomized case-controlled studies conducted in adults aged 18-65. The study was conducted based on the DSM-5 criteria for the diagnosis of schizophrenia. In the study, Paliperidone demonstrated effectiveness in delaying and reducing relapse compared to placebo (Alphs et al., 2022). The study demonstrates the efficacy and safety of Paliperidone long-acting injection (PLAI) when used as a monotherapy treatment or adjunctive therapy in the treatment of patients with schizoaffective disorder. Poor adherence rates to oral medications have been reported in the schizophrenic population. The occurrence of previous or current adverse events of treatments was associated with poor attitudes to antipsychotic treatment (Alphs et al., 2022). In a prospective study, the fear of adverse effects of antipsychotic medications was the main reason for non-adherence to oral medications. The ethical consideration, in this case, is the safety of the patient. Patient safety is a key issue in healthcare that predicts treatment outcomes. Considering the patient has delusional thoughts, it would be ethical to administer an injection to promote adherence and improve the symptoms.

    Decision #2;

    Continue same made but instruct administering nurse to begin injections into the deltoid at this visit and moving forward

    Invega Sustenna can be administered in the gluteal muscle or the deltoid. However, during initiation of the therapy, Invega Sustenna should be administered at the deltoid muscle and either at the gluteal muscle or deltoid during maintenance therapy. In this case, the injection should be administered at the deltoid region because the patient complains of pain at the injection site; thus, she has trouble when sitting down. Switching of therapy would not be recommended since the patient is demonstrating significant therapy response despite the pain at the injection site. The patient cannot switch from long-acting Paliperidone to Haloperidol decanoate. Studies investigating the effectiveness of LAI Paliperidone palmitate (PP) to LAI Haloperidol decanoate (HD) in the treatment of individuals with schizoaffective disorder discovered no significant difference in the efficacy of the two treatments. Randomized controlled trials also support that there is no evidence for the superiority of long-acting PP to HD (Parellada et al., 2018). However, patients treated with Haloperidol decanoate (HD) demonstrated increased akathisia and the need for more medications to manage Parkinsonism and akathisia associated with the use of HD (Di Lorenzo et al., 2019). Moreover, the patient cannot be administered Abilify due to poor adherence to oral therapy. Besides, Abilify does not bind to D2 receptor-like Invega, thus can be ineffective in this patient. The decisions are achieved by considering the efficacy and tolerability of the medication. Assessing and Treating Patients With Psychosis and Schizophrenia Assignment The choice of medication should not cause harm to the patient but ensure patient safety and improve the treatment outcomes.

     

    Decision #3
    ; Continue with Invega Sustenna and counsel the patient that weight gain from the medication is not the same as other effective drugs can cause. Also, make an appointment with a dietician and exercise psychologist. Then follow-up the patient after one month.

    For most patients using Invega Sustenna, significant weight gain is noted. However, clinical monitoring of weight gain is recommended (Deslandes et al., 2018). In this case, the patient should continue with the Invega Sustenna dose and be educated on the side effects of the medication, such as weight gain. Pain education is a powerful intervention that can promote medication adherence. Thus, the patient should be educated on how to manage the side effects of the medication, which as weight gain, by consulting a dietician and exercise psychologist. Ethically, it would not be advisable to shift to another agent if the current treatment demonstrates efficacy for at least six months. Besides, although Abilify Maintena could be a good option for treatment of the patient, it is recommended for patients with good adherence to oral Abilify. Also, Abilify is associated with side effects such as akathisia (Mustafa et al., 2019). Thus, since the patient is receiving long-acting IM medications, tolerability and efficacy of the medication should be first tested orally before giving the first injection. Nevertheless, if the patient receives Abilify Maintena, a 2-week overlap oral therapy would be necessary to boost the blood levels lagging behind the injection dose. Further, the patient cannot receive Qsymia because it is a weight loss medication indicated for obesity treatment. Literature shows that Qsymia should be administered as an adjunct to a reduced-calorie diet and increased physical activity which individuals with a BMI greater than 30 kg/m
    2
    ; however, in this case, the patient has a BMI of 28.9 kg/M
    2,
    which does not meet the criteria for defining obesity. Further, Qsymia is associated with cardiovascular toxicities such as increased blood pressure, heart rate, and heart load (Ritchey et al., 2019). The ethical decisions here are guided by the tolerability and efficacy of the medication. Patient education and follow-up are also key to promoting medication adherence since the patient is concerned about weight gain.

     

    Conclusion

    Current evidence shows that most patients with schizophrenia disorder have challenges adhering to oral antipsychotic medications. In this case, the patient is diagnosed with schizophrenia, a paranoid type. The first choice for treating the patient is Invega Sustenna (Paliperidone) 234 mg IM, a second-generation antipsychotic medication that has proven effective in the treatment of patients with schizoaffective disorder. Assessing and Treating Patients With Psychosis and Schizophrenia Assignment Paliperidone monotherapy demonstrated effectiveness in the treatment of patients with schizophrenia compared to placebo (Alphs et al., 2022). Invega Sustenna can be administered in the gluteal muscle or the deltoid muscle. However, during the initiation of therapy, the injection should be administered during the deltoid therapy. Thus, the second choice of therapy is to continue with the same dose of Invega Sustenna but administer it to the deltoid muscle. However, significant weight gain is reported among schizophrenia patients treated with Invega Sustenna. Thus, since the medication is working effectively, she should continue with Invega Sustenna but be educated on the benefits and risks of the treatment. The client should be referred to a dietician and exercise psychologist. Also, she should be followed up after one month to monitor medication adherence and clinical monitoring of weight gain.

    References

    Alphs, L., Brown, B., Turkoz, I., Baker, P., Fu, D. J., & Nuechterlein, K. H. (2022). The Disease Recovery Evaluation and Modification (DREaM) study: Effectiveness of paliperidone palmitate versus oral antipsychotics in patients with recent-onset schizophrenia or schizophreniform disorder. 
    Schizophrenia Research
    , 
    243
    , 86-97.

    Deslandes, P. N., Ward, E. H., Norris, K., & Sewell, R. D. (2018). Effectiveness of paliperidone long-acting injection in clinical practice. 
    Therapeutic Advances in Psychopharmacology
    , 
    8
    (5), 139-145.

    Di Lorenzo, R., Ferri, P., Cameli, M., Rovesti, S., & Piemonte, C. (2019). Effectiveness of 1-year treatment with a long-acting formulation of aripiprazole, haloperidol, or Paliperidone in patients with schizophrenia: a retrospective study in a real-world clinical setting.
    Neuropsychiatric Disease and Treatment
    , 
    15
    , 183.

    Mustafa, S., Bougie, J., Miguelez, M., Clerzius, G., Rampakakis, E., Proulx, J., & Malla, A. (2019). Real-life assessment of aripiprazole monthly (Abilify Maintena) in schizophrenia: a Canadian naturalistic non-interventional prospective cohort study. 
    BMC psychiatry
    , 
    19
    (1), 1-9.

    Nucifora Jr, F. C., Woznica, E., Lee, B. J., Cascella, N., & Sawa, A. (2019). Treatment-resistant schizophrenia: Clinical, biological, and therapeutic perspectives.
    Neurobiology of Disease
    , 
    131
    , 104257.

    Parellada, E., Bioque, M., Serrano, M., Herrera, B., García Dorado, M., & SHADOW Study Group. (2018). An open-treatment six-week study of the clinical effectiveness of Paliperidone Palmitate in schizophrenia: data from acute units in Spain (SHADOW study). 
    International Journal of Psychiatry in Clinical Practice
    , 
    22
    (3), 191-199.

    Ritchey, M. E., Harding, A., Hunter, S., Peterson, C., Sager, P. T., Kowey, P. R., … & Anthony, M. S. (2019). Cardiovascular safety during and after use of phentermine and topiramate. 
    The Journal of Clinical Endocrinology & Metabolism
    , 
    104
    (2), 513-522 Assessing and Treating Patients With Psychosis and Schizophrenia Assignment.

     
     // 
    Delusional Disorders

    Delusional Disorders

    Pakistani Female With Delusional Thought Processes

    BACKGROUND

    The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her when she was 9 years old). She presents following a 21-day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month.

    Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control,” which resulted in his calling the police and her subsequent admission to an inpatient psych unit Assessing and Treating Patients With Psychosis and Schizophrenia Assignment

    During today’s assessment, she appears quite calm and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She says she knows this because the television is telling her so.

    She currently weighs 140 lbs., and she is 5’ 5.

    SUBJECTIVE

    Client reports that her mood is “good.” She denies auditory/visual hallucinations but believes that the television talks to her. She believes that Allah sends her messages through the TV. At times throughout the clinical interview, she becomes hostile towards you but then calms down.

    A review of her hospital records shows that she received a medical workup from a physician, who reported her to be in overall good health. Lab studies were all within normal limits.

    Client admits that she was tolerating her Risperdal well but stopped taking about a week after she got out of the hospital because she thinks her husband is going to poison her so that he can marry an American woman Assessing and Treating Patients With Psychosis and Schizophrenia Assignment.

    MENTAL STATUS EXAM

    The client is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is slow and, at times, interrupted by periods of silence. Self-reported mood is euthymic. Affect is constricted. Although the client denies visual or auditory hallucinations, she appears to be “listening” to something. Delusional and paranoid thought processes as described above. Insight and judgment are impaired. She is currently denying suicidal or homicidal ideation.

    You administer the PANSS which reveals the following scores:

    -40 for the positive symptoms scale

    -20 for the negative symptom scale

    -60 for general psychopathology scale

    Diagnosis: Schizophrenia, paranoid type

    RESOURCES

    PANSS Scale. Available at: 
    http://egret.psychol.cam.ac.uk/medicine/scales/PANSS

    § Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276. doi:10.1093/schbul/13.2.261

    https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

    § Clozapine REMS Program. (n.d.). Clozapine REMS: A guide for healthcare providers. Retrieved September 7, 2016, from 
    https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

    http://www.ima.org.il/FilesUpload/IMAJ/0/40/20149.pdf

    § Paz, Z., Nalls, M., and Ziv, E. (2011). The genetics of benign neutropenia. Israel Medical Association Journal, 13(10), 625–629. Retrieved from 
    http://www.ima.org.il/FilesUpload/IMAJ/0/40/20149.pdf

    Decision Point One

    Select what you should do:

    Start Zyprexa (olanzapine) 10 mg orally at BEDTIME

    Start Invega Sustenna 234 mg IM X1 followed by 156 mg IM on day 4 and monthly thereafter

    Start Abilify (aripiprazole) 10 mg orally at BEDTIME

    Assessing and Treating Patients With Psychosis and Schizophrenia Assignment

  • Different Types of Research Methodologies

    Before organizing a research project or formulating research questions, you must decide on a research methodology. There are numerous ways to categorize distinct types of research methodologies. Depending on your field and topic, you must choose a suitable methodology to define the nature of your research. Different Types of Research Methodologies:

    There are both scientific and non-scientific research areas. Each type possesses unique qualities and functions. This blog explains in depth the various types of research methodologies.

    Definition of research methodology

    A research methodology is a plan for how to carry out certain research. It specifies the tools or procedures used to identify and analyze data on a research topic. It is also how a researcher designs a study to get reliable and trustworthy data while satisfying research objectives.

    Research methods definition

    Research methods are the tools used to do research. Research methods are the strategies, processes, and techniques used to acquire data or evidence for analysis to gain new knowledge or a better understanding.

    Factors to consider when choosing the different types of research methodologies

    Consider the following factors while selecting a research methodology:

    The research objective

    Consider the purpose of the research project. Researchers can better choose a methodology and research approach when they know what information they need at project completion to meet their goals.

    Significance of statistics

    Another consideration is whether you need concise, data-driven study results and statistical replies. Alternatively, consider whether the study questions necessitate understanding reasons, perspectives, opinions, and motivations.

    Nature of the research

    If the goals and objectives are
    exploratory
    , qualitative data-gathering techniques will probably be needed for the study. The research will need quantitative data-gathering methods if the aims and objectives are to measure or test something.

    Sample size

    How big does the sample need to be for the research questions to be answered and the goals to be met? Depending on your sample size, you may need to interview people in person for smaller samples or use online surveys for larger ones.

    Time available

    Consider strategies such as random or convenience sampling and instruments that enable data collection in a few days if time is limited. If additional time is available for data gathering, conducting in-person interviews and observations is possible.

    Types of research methodologies

    Any research employs various research methodologies, including data collecting, research structure design, data analysis, and so on. The term refers to the systematic procedure of conducting research.

    The basic goal of conducting research using research methodology is to discover answers. There are various types of research methodologies used in research. Among them are the following:

    Qualitative research methodology

    Regardless of the facts, the qualitative research methodology is descriptive and subjective. Observation and description play a larger role in this practice. This sort of methodology seeks to examine the knowledge, attitudes, actions, and views of individuals regarding the issue of the study.

    Methods such as grounded research, case study, action research, disclosure analysis, and ethnography are utilized. The qualitative research methodology is founded on the phenomenon’s quality. In qualitative approaches, data intensity, quantity, and frequency are irrelevant. It emphasizes unreliable evaluation or measurement of data.

    In qualitative research, the sample size is irrelevant. It comprehends emotions, perspectives, and impressions. The efficient qualitative method is extremely targeted, adaptable, and yields rapid results. However, qualitative methodologies are susceptible to misunderstanding and misuse.

    Quantitative research methodology

    This research methodology evaluates the significance of the study idea. This is a numerically based systematic research process. Laboratory experiments, econometric and mathematical computations, surveys, simulations, and other methods are part of the quantitative research methodology.

    In quantitative research methodology, the important factor is the measurement, quantity, or amount. The analysis and measurement of data and the interaction between variables are critical components of quantitative research techniques. It entails a quantitative study that quantifies attitude, behavior, and performance. This strategy simplifies data interpretation.

    It necessitates approaches that you can apply on a greater scale. You can efficiently convert the data collected for use in quantitative research methods into graphs or charts. As a result, an interpreter will have a tough time influencing it. The data in question can be evaluated numerically using this method.

    The findings of quantitative research can be evaluated and comprehended. As the name implies, the quantitative method collects and analyses data in numerical form. Adopting this type of research methodology necessitates large-scale and representative data sets. This approach is relatively costly.

    Descriptive research methodology

    Descriptive research methodology uses analysis to outline the characteristics of the population or issues under consideration. This descriptive methodology is more concerned with the “what” of the research topic than with the “why.”

    Since the researcher has no control over the variables in this research design, they can only describe the facts as they happened or are happening. Observations, surveys, and case studies are the most common approaches used in descriptive research.

    In descriptive research, you can use several variables to explain the facts. It can analyze unquantifiable themes and events, is naturally observable, and is faster than quantitative experiments.

    Analytical research methodology

    In analytical research methodology, the research is based on facts that have already been proven. Researchers often do more research to find more information that backs up and verifies what they already know. It also helps come up with new ideas about the research subject.

    Analytical research uses small details to make hypotheses that are more likely to be true. The analytical study shows why a claim is true in this way. There are many ways to do this research, such as meta-analysis, scientific or literary trials, and finding out what the public thinks.

    In this methodology, the researcher also evaluates the information critically. Depending on the study’s goal, the analytical methodology also often uses quantitative methods.

    Applied research methodology

    Applied research methodology employs action research that focuses on a single topic and generalizes its findings. The researcher considers the variables constant and makes predictions, making the methodology simple to locate in applied research.

    Applied research aims to resolve a pressing problem affecting society or a business/industrial organization. Applied research is regarded as a non-systematic investigation. A business, government entity, or individual typically performs this study to address a specific issue.

    Fundamental research methodology

    The most important parts of fundamental research methodology are developing a theory and making generalizations. It tries to find facts that will be used in many different ways and add to what is already known in a certain field.

    Several fields are linked together, and the goal is to figure out how to change old things or make something new. You can find a summary written in everyday language and use logical conclusions in your research. Examples of fundamental research are research on the generalization of human behaviour or pure mathematics.

    Exploratory research methodology

    The foundation of exploratory research methodology is theories and their explanations. Its sole purpose is to research the study questions rather than to propose concrete and conclusive solutions to existing challenges. Rather than providing clear evidence, exploratory research expands our understanding of the subject.

    The structure is flawed, but the approaches provide a versatile and exploratory approach. The hypothesis is not tested, and the results are not useful to the outside world. The findings are usually on a similar topic, which aids in the improvement of the research.

    Although large-sample research work can be quantitative, most exploratory research is qualitative. Due to its flexibility and open-ended nature, it is also known as interpretive research or a grounded theory method.

    Conceptual research methodology

    This research is about an idea or theory that is hard to explain. It is used by thinkers and philosophers who want to develop a new idea or look at what they already know differently.

    Conceptual research is a method in which the research is done by looking at and making sense of the information that already exists on a given topic. It doesn’t include doing any experiments in the real world.

    Famous philosophers have often used this thinking methodology to develop new ideas and insights about how the world works. It is also used to look at the ones already there from a different angle. Philosophers came up with the ideas so they could observe their surroundings and sort, study, and sum up the information they had.

    Mixed-method approach methodology

    The mixed method approach methodology combines quantitative and qualitative methods to provide alternative viewpoints, provide a complete picture, and present multiple findings. The quantitative methodology delivers definitive facts and data, whereas the qualitative methodology focuses on the human element.

    This methodology yields intriguing outcomes since it provides precise and exploratory data.

    Empirical research methodology

    Empirical research is a style of research methodology that relies on verifiable data to generate findings. In other words, the evidence used in this kind of research is purely based on scientific data collection or observation methods.

    Depending on the data sample, that is, numerical or
    non-numerical data
    , you can use qualitative or quantitative observation methods in empirical research. A scientific study is conducted as part of empirical research to determine the experimental probability of the research variables.

    Theoretical research methodology

    Theoretical research methodology, commonly referred to as pure or basic research, focuses on developing knowledge, regardless of its practical use. Here, data collecting is utilized to produce new general concepts to understand a particular topic better or solve a theoretical research question.

    Results of this kind are frequently aimed toward the creation of theories. They are usually based on documentary analysis, the construction of mathematical formulas, and the reflection of high-level scholars.

    Conclusive research methodology

    The objective of conclusive research methodology is to answer the research question. A well-considered structure facilitates the formulation and solution of hypotheses and provides the results. Here, the results are generic.

    It is essential to determine the research objectives and data requirements for this study, as conclusive research findings typically serve a particular purpose. Using a conclusive research methodology, the outcomes of exploratory studies can be confirmed and quantified.

    Typically, a conclusive research methodology employs quantitative data collection and analysis techniques. Conclusive research frequently uses a deductive research strategy.

    Benefits of using different types of research methodologies

    Here are some advantages of using different types of research methodologies:

    A topic’s critical analysis analyzes and verifies the investigation. This enables the researcher to do more accurate research on the experiment

    Quantitative methods produce outcomes in the form of numerical data that you may use to further research. Without going into detail, results can be generated using numbers

    Mixed methods research helps researchers escape the limits of a single methodology to define results

    Genuine research supports researchers in defining the research area and expanding their understanding

    In conclusion

    The various
    types of research
    methodologies on this blog serve as a starting point for any student struggling with research methodologies. This blog provides a comprehensive plan that helps keep researchers on track, making the process simple, efficient, and manageable.

    These types will assist you in selecting the methodology that best serves your objectives. Choosing the best research methodology and writing a research paper can be difficult. This article contains the answers to your questions regarding research methodology types.

  • Discussion: Treatment for a Patient With a Common Condition

    Discussion: Treatment for a Patient With a Common Condition

    Patient Assessment

    Insomnia is a common complaint among the adult population with predisposing, precipitating, and perpetuating factors increasing the likeliness of occurrence for many individuals. The factors that are likely contributing to insomnia in this patient includes being a woman older than 45, having recently lost her spouse, and a recent diagnosis of depression (Patel et al., 2018, pg. 1018). This patient reports worsening depression since her husband passed away 10 months ago, so I would follow-up with specific questions regarding to the onset of her depressive symptoms and what, if any, grief counseling she received. To further assess the worsening of her sleep habits that negatively impact sleep quality, I would ask her the following open-ended questions:

    How often do you take naps?

    How much alcohol or caffeine do you have throughout the day, particularly in the evening?

    What type of stimulating activities does the patient partake in prior to bed, such as watching TV or using the computer/phone?

    Discussion: Treatment for a Patient With a Common Condition

    What type of activities are you involved in throughout the day?

    These questions would give insight into possible nonpharmacological remedies that would promote better sleep quality. If the patient is excessively sleeping throughout the day, falling asleep in front of the TV, or having caffeine in the evening then changing these behaviors can help improve sleep quality. Relaxation techniques such as meditation and paced diaphragmatic breathing are sleep promoting activities that can be used to replace some of the patient’s poor sleep habits (Patel et al., 2018, pg. 1018-1020).

    BUY A PLAGIARISM-FREE PAPER HERE

    Collaboration

    It is important to maintain privacy standards when gathering information about a patient to ensure HIPAA laws are not violated. However, if the patient allows accompanying family members, or caregivers, to provide their input they could help ensure a thorough clinical history is obtained, especially for the patient’s sleep problems and depression (Patel et al., 2018, pg. 1019). As the patient’s depressive symptoms and difficulty sleeping worsened after the death of her husband, I would ask family members, or caregivers, the following questions:

    What type of mood changes have they seen in the past 10 months since the patient’s husband passed away?

    Has the patient expressed difficulty accepting her husband’s death?

    How often does the patient avoid, or excessively bring up, her deceased husband?

    Discussion: Treatment for a Patient With a Common Condition

    I would ask these questions to assess the patient for signs that she is having difficulty grieving her husband’s death. If symptoms such as inability to accept her husband’s death, decreased social activities, intense emotional pain, and the absence of positive mood have persisted longer than 6 months then the patient may be suffering from a complicated grief disorder (Szuhany et al., 2020, pg. 2).

    Diagnostic Tests and Exams

    A comprehensive examination should include a detailed sleep history. Laboratory data, questionnaires, and sleep logs can be used to rule out sleep-related disorders or to reveal medical conditions that may impact the patient’s sleep. Discussion: Treatment for a Patient With a Common Condition Sleep diaries are useful to measure the amounts of sleep the patient gets, circadian rhythm disturbances, and unhealthy sleep hygiene behaviors. There are multiple self-reported questionnaires designed for different purposes such as measuring quality of sleep, as with the Pittsburgh Sleep Quality Index, or how sleepy an individual is throughout the day, such as the Epworth Sleepiness scale (Bollu & Kaur, 2019, pg. 71) Discussion: Treatment for a Patient With a Common Condition. It is also important to review the patient’s past medical history and current medications to reduce the risk of drug-drug interactions (Neubauer et al., 2018, pg. 2). Patient records from any prescribing providers should be requested and an opportunity to communicate potential medication changes should be attempted.

    Differential Diagnosis

    A differential diagnosis I would consider is prolonged grief disorder (PGD), or complicated grief, depending on the results of the patient’s response to questionnaires and input from her family or caregivers. PGD is characterized by difficulty adapting after the death of a loved that results in impairments. PGD symptoms last longer than 6 months (Szuhany et al., 2020, pg. 2). In this case study scenario, the patient appears to have some difficulty coping with her husband’s death for the past 10 months. Research has shown complicated grief to negatively impact sleep quality, however, psychological interventions targeting grief and appropriate pharmacological treatment has been shown to enhance sleep quality (Szuhany et al., 2020, pg. 7) Discussion: Treatment for a Patient With a Common Condition.

    Antidepressant Therapy

    Studies have shown that some types of antidepressant medications may disrupt sleep while others may improve sleep. Selective serotonin reuptake inhibitors (SSRIs) are linked to reports of daytime somnolence and treatment emergent insomnia. Sedative antidepressants are often used to address depressive symptoms and insomnia in patients with depressive disorders (Wichniak et al., 2017, pg. 4). Doxepin, a tricyclic antidepressant (TCA), is an H-1 receptor antagonist that is FDA-approved for insomnia, but only when used in low doses of 3-6mg. The antidepressant effects of doxepin occur at higher doses between 25-300mg. I would consider replacing the patient’s current depression medication with a low dose of doxepin, after an appropriate taper-down of her current SSRI, sertraline. If the patient tolerates doxepin well at the low dose for insomnia, I would increase the dose to 25mg to treat her depressive symptoms (Bollu & Kaur, 2019, pg. 73).

    Trazodone blocks serotonin 5-HT2a receptors while acting as an agonist to serotonin 5HT2c receptors. With the addition of being a weak serotonin inhibitor reuptake, the net result is the accumulation of extracellular serotonin in the brain. This increases the risk of serotonin syndrome with the use of trazodone (Stern et al., 2016, pg. 29). Patel et al. (2018) warns against the use of trazodone in the elderly population due to adverse effects such as dizziness and cardiac arrhythmias. Doxepin, on the other hand, is FDA approved for insomnia and is shown to improve sleep onset, duration, and quality (pg. 1021).

    References

    Bollu, P. C., & Kaur, H. (2019). Sleep Medicine: Insomnia and Sleep. Missouri medicine, 116(1), 68–75.

    Neubauer, D. N., Pandi-Perumal, S. R., Spence, D. W., Buttoo, K., & Monti, J. M. (2018). Pharmacotherapy of Insomnia. Journal of Central Nervous System Disease. 
    https://doi.org/10.1177/1179573518770672

    Patel, D., Steinberg, J., & Patel, P. (2018). Insomnia in the Elderly: A Review. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 14(6), 1017–1024. 
    https://doi.org/10.5664/jcsm.7172

    Stern, T. A., Favo, M., Wilens, T. E., & Rosenbaum, J. F. (2016). Massachusetts General Hospital psychopharmacology and neurotherapeutics. Elsevier.

    Szuhany, K. L., Young, A., Mauro, C., Garcia de la Garza, A., Spandorfer, J., Lubin, R., Skritskaya, N. A., Hoeppner, S. S., Li, M., Pace-Schott, E., Zisook, S., Reynolds, C. F., Shear, M. K., & Simon, N. M. (2020). Impact of sleep on complicated grief severity and outcomes. Depression and anxiety, 37(1), 73–80. 
    https://doi.org/10.1002/da.22929

     

    Discussion: Treatment for a Patient With a Common Condition Response

    Thank you for your informative post. You have provided a different approach in patient interviewing. The patient complained of symptoms of Insomnia. I originally believed that the insomnia was caused by her difficulty with the loss of her husband. I did not include assessment questions for poor sleep quality, such as caffeine intake, how many hours of sleep, or daytime functioning and activities. Sleep disturbances can be cause by excessive caffeine intake, alcohol use, substance abuse, and other medications. (Shultz & Videbeck, 2013). My thought process was that if the clinician can fix what is causing the depressive symptoms, the insomnia could resolve as well. It is theorized that insomnia is precursor to worsening depression and usually a sign that medications are not effective. (Manzar et al., 2021).

    I agree that the family should be incorporated into treatment planning with the patient’s consent. Information from the family can be valuable because more than likely, the have seen the patient at their worst and best. The patient may be too acute for expression of feelings or may be in denial of certain symptoms that the family may observe.

    RCTs have shown that low dose Doxepin can have sedative effects by blocking histamine receptors. (Yeung et al., 2015). However, studies show that TCAs can impair cognition and increase risk of delirium in the elderly. (Yeung et al., 2015). Although, it is prescribed at low doses, increasing the medication may develop these effects Discussion: Treatment for a Patient With a Common Condition.

     

    References

    Shultz, J. M., Videback, S. L. (2013). Lippincott’s manual of psychiatric nursing care plans 9
    th
     ed. 
    sleep disorders. https://dl.uswr.ac.ir/bitstream/Hannan/138867/1/9781609136949.pdf

    Manzar, M. D., Jahrami, H. A., & Bahammam, A. S. (2021). Structural validity of the Insomnia Severity Index: A systematic review and meta-analysis. 
    Sleep Medicine Reviews
    , 
    60
    . https://doi.org/10.1016/j.smrv.2021.101531

    Yeung, W.-F., Chung, K.-F., Yung, K.-P., & Ng, T. H.-Y. (2015). Doxepin for insomnia: A systematic review of randomized placebo-controlled trials. 
    Sleep Medicine Reviews
    , 
    19
    , 75–83. https://doi.org/10.1016/j.smrv.2014.06.001 Discussion: Treatment for a Patient With a Common Condition

     

     

    Discussion: Treatment for a Patient With a Common Condition sample post 2

    List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. 

    What time do you go to sleep/how many hours do you sleep at night?

    This is to note a lack of sleep. When elderly patients don’t get the recommended hours of sleep (5-7 hours a night), this can lead to medical and psychiatric effects (Patel et al., 2019).

    Are you taking your medication regularly like you’re supposed to?

    Many times patients with depression may not take their medications at the correct time or even may skip taking the medication completely. It is important to ask this just to rule out her symptoms occurring because of an irregular drug schedule.

    Do you have family or friend support?

    Patients without any strong support in their life whether it be in the form of family, friends, neighbors, or someone else may have increased depression. This can lead to extra worries and from there, insomnia.

    Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. 

    Children

    What differences have you noticed in her day-to-day schedule?

    Do you notice a difference in her sleeping pattern or schedule?

    How many meals does she consume a day?

    Friends

    Has she been in regular communication with you?

    Have you notice a difference in her?

    Relatives

    Has she been in regular communication with you?

    Do you have any concerns you would like to discuss about her privately?

    Driver

    Has she asked for drives often or does she stay to herself at her home?

    Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. 

    Sleep study/diary

    Allows practitioner to look at sleeping patterns

    Mini Mental State Exam (MMSE)

    Look at any cognitive impairment

    Geriatric Depression Scale (GSD)

    Look at any cognitive impairment and help assess where her depression stands currently

    Blood work (??)

    Change in certain levels

    List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. 

    Insomnia

    Recurrent depression

    List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. 

    Trazodone, 15mg HS. This treats depression and insomnia.

    Mirtazapine, 15mg HS. This treats depression, insomnia, and helps in stimulating appetite. I would pick this one over Trazodone because this could help stimulate her appetite if she lacks one.

    ORDER A PLAGIARISM-FREE PAPER HERE

    For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?

    Mirtazapine, 15mg HS. Mirtazapine off-label is used to treat insomnia and appetite stimulant with the FDA approval for depression. Patients with high cholesterol and on MOAs should let their practitioner know before start this drug. The black box warning includes paradoxically causing depression and anxiety and in worst cases lead to suicidal idealationlation. Medications such as Mirtazapine and other anti-depressants also have a black box warning of increased mortality in the elderly (Crock et al., 2017).

    Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. 

    The patient would come back every 4 weeks to determine if this treatment is right for her. A change in the medication (with the correct tapering) is dependent on any changes in symptoms.

    References:

    Crocco, E. A., Jaramillo, S., Cruz-Ortiz, C., & Camfield, K. (2017). Pharmacological Management of Anxiety Disorders in the Elderly. 
    Current treatment options in psychiatry
    , 
    4
    (1), 33–46. 
    https://doi.org/10.1007/s40501-017-0102-4

    Patel, D., Steinberg, J., & Patel, P. (2018). Insomnia in the Elderly: A Review. 
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
    , 
    14
    (6), 1017–1024. 
    https://doi.org/10.5664/jcsm.7172

    Discussion: Treatment for a Patient With a Common Condition

    Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being. Discussion: Treatment for a Patient With a Common Condition

    Reference: 
    Abbott, J. (2016). 
    What’s the link between insomnia and mental illness?
     Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29

    For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.  

    Case: An elderly widow who just lost her spouse. 

    Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

    Metformin 500mg BID 

    Januvia 100mg daily 

    Losartan 100mg daily 

    HCTZ 25mg daily 

    Sertraline 100mg daily 

     
    Current weight: 88 kg

    Current height: 64 inches

    Temp: 98.6 degrees F

    BP: 132/86 

    By Day 3 of Week 7

    Post
     a response to each of the following:

    List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. 

    Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. 

    Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. 

    List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. 

    List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. 

    For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?

    Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. 

    Read 
    a selection of your colleagues’ responses.

    By Day 6 of Week 7

    Respond to at least two of your colleagues on two different days in one of the following ways:

    If your colleagues’ posts influenced your understanding of these concepts, be sure to share how and why. Include additional insights you gained.

    If you think your colleagues might have misunderstood these concepts, offer your alternative perspective and be sure to provide an explanation for them. Include resources to support your perspective.Read
     a selection of your colleagues’ responses and respond to 
    at least two
     of your colleagues on 
    two different days 
    and

    Note:
     For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on 
    Submit
    , you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on 
    Submit!

    Discussion: Treatment for a Patient With a Common Condition sample post 3

    Treatment for a Patient With a Common Condition

    List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. 

    Did you start on the sertraline?

    Have you made any adjustment on your medications?

    What do you do before trying to go to sleep?

    It is essential to ask the patient if she started on sertraline and if she has adjusted her current medications to establish if it is necessary to increase her current medication. It is also vital to understand activities that the patient engages in before going to sleep to educate the patient on the importance of relaxing exercises. Özkan and Rathfisch (2018) mentioned that relaxing exercises before going to bed reduce the risks of heart attack and prevent depression.

    Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why Discussion: Treatment for a Patient With a Common Condition. 

    Individuals who would help provide patient assessment information are her adult children, especially those who are close to her or involved in her care. Specific questions I might ask include:

    Does anyone in your family have a history of insomnia?

    Have you noticed any recent changes in your mother’s mood?

    What are your concerns or suggestions regarding your mother’s care?

    It is crucial to understand the patient’s family medical history to establish if insomnia might be associated with genetic disorders. It is essential to engage the family members to understand the patient’s family history, including the risks of developing various diseases (Jazieh et al., 2018).

    Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

                
    A complete blood count test would be necessary to check for disorders, such as thyroid disease and low iron levels, and provide for baseline values if her primary care provider did not capture them. A basic metabolic panel (BMP) test would help provide information regarding the patient’s body’s metabolic and chemical balance. I would also assess her heart, lungs, and neck to identify risks associated with sleep apnea, including a large neck. Another instrument for assessing the patient is the Hamilton Depression Rating Scale to identify if her current medication has helped lower her MDD.

    List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. 

    The differential diagnosis for the patient includes anxiety disorders, depression, and bipolar disorder. Thus, the most likely diagnosis for the patient includes depression. Her husband died ten months ago, and she might still be grieving his death, causing depression. Insomnia is a common sign of depression (Fang et al., 2019) Discussion: Treatment for a Patient With a Common Condition.

    List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. 

    It is vital to start by prescribing selective serotonin reuptake inhibitors (SSRIs) for patients with depressive symptoms (Jakobsen et al., 2017). Thus, I would maintain the current dose of sertraline 100mg daily and add Lexapro 10mg orally daily to help address depressive symptoms. I would also add melatonin
     
    6mg to help improve insomnia. Sertraline helps improve serotoninergic transmission and exhibits half-life elimination, which is suitable for once-daily administration (Lewis et al., 2019). On the other hand, Lexapro is associated with increased nervousness, restlessness, and insomnia, worsening the patient’s experience of having trouble sleeping.

    For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?

                
    Contraindications for melatonin include renal and hepatic dosing. Clinicians must be cautious with dialysis patients because it would be difficult to clear melatonin, increasing adverse effects (Posadzki et al., 2018). Furthermore, the metabolism of melatonin would be slow in patients with impaired liver functioning (Posadzki et al., 2018). Therefore, it is crucial to assess the patient’s liver and renal functioning before prescribing melatonin to avoid adverse effects.

    Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. 

                
    I would require the patient to report to the office after four weeks. Still, I would check the patient weekly through telehealth or phone calls. I expect an improvement in her depressive symptoms, including insomnia, after four weeks. The patient would keep a sleep log and document hours of sleep and sleep quality. I would also monitor the adverse reactions associated with the prescribed medications.

     

    References

    Fang, H., Tu, S., Sheng, J., & Shao, A. (2019). Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. 
    Journal of Cellular and Molecular Medicine
    , 
    23
    (4), 2324–2332. 
    https://doi.org/10.1111/jcmm.14170

    Jakobsen, J. C., Katakam, K. K., Schou, A., Hellmuth, S. G., Stallknecht, S. E., Leth-Møller, K., Iversen, M., Banke, M. B., Petersen, I. J., Klingenberg, S. L., Krogh, J., Ebert, S. E., Timm, A., Lindschou, J., & Gluud, C. (2017). Selective serotonin reuptake inhibitors versus placebo in patients with major depressive disorder. A systematic review with meta-analysis and trial sequential analysis. 
    BMC Psychiatry
    , 
    17
    (1). 
    https://doi.org/10.1186/s12888-016-1173-2

    Jazieh, A. R., Volker, S., & Taher, S. (2018). Involving the family in patient care: A culturally tailored communication model. 
    Global Journal on Quality and Safety in Healthcare
    , 
    1
    (2), 33–37. 
    https://doi.org/10.4103/jqsh.jqsh_3_18

    Lewis, G., Duffy, L., Ades, A., Amos, R., Araya, R., Brabyn, S., Button, K. S., Churchill, R., Derrick, C., Dowrick, C., Gilbody, S., Fawsitt, C., Hollingworth, W., Jones, V., Kendrick, T., Kessler, D., Kounali, D., Khan, N., Lanham, P., . . . Lewis, G. (2019). The clinical effectiveness of sertraline in primary care and the role of depression severity and duration (PANDA): A pragmatic, double-blind, placebo-controlled randomised trial. 
    The Lancet Psychiatry
    , 
    6
    (11), 903–914. 
    https://doi.org/10.1016/s2215-0366(19)30366-9

    Özkan, S. A., & Rathfisch, G. (2018). The effect of relaxation exercises on sleep quality in pregnant women in the third trimester: A randomized controlled trial. 
    Complementary Therapies in Clinical Practice
    , 
    32
    , 79–84. 
    https://doi.org/10.1016/j.ctcp.2018.05.008

    Posadzki, P. P., Bajpai, R., Kyaw, B. M., Roberts, N. J., Brzezinski, A., Christopoulos, G. I., Divakar, U., Bajpai, S., Soljak, M., Dunleavy, G., Jarbrink, K., Nang, E. E. K., Soh, C. K., & Car, J. (2018). Melatonin and health: An umbrella review of health outcomes and biological mechanisms of action. 
    BMC Medicine
    , 
    16
    (1). 
    https://doi.org/10.1186/s12916-017-1000-8 
      Discussion: Treatment for a Patient With a Common Condition

  • How to write a project management report

    Project management reports are an important way to communicate the progress and status of a project. They are typically written for an audience of project stakeholders, such as the project sponsor, project manager, and project team. The purpose of a project management report is to provide an overview of the project’s current status, achievements to date, and challenges.

    This article guides how to write an effective project management report. It covers the key elements that should be included in the report, as well as tips on how to make the report as clear and concise as possible.

    What is a project management report?

    A project management report is a formal document that outlines the progress, risks, and issues associated with a project. It is typically prepared by the project manager weekly or monthly and shared with the project sponsor and other key stakeholders.

    The purpose of a project management report is to provide visibility into the project’s health and enable informed decision-making. It should include an overview of progress to date, upcoming work, risks, issues, and any decisions that need to be made.

    A well-crafted project management report can help keep a project on track and ensure that all stakeholders know its status. If you are responsible for preparing project reports, there are a few things to remember. First, focus on what is most important and relevant. Second, use clear and concise language.

     Types of project management reports

    By understanding the different types of reports and when to use them, project managers can effectively communicate project status and progress to their teams and stakeholders.

    There are four main types of project management reports: status, performance, forecast, and lessons learned. Each type of report serves a different purpose, but all should be clear, concise, and easy to understand. The best way to ensure this is to use data visualization techniques such as charts, graphs, and infographics.

    Status reports

    Provides
    information report
    on the current status of a project. It is typically used to communicate with the project sponsor or client. The report includes information on the project’s progress, any risks or issues that have arisen, and any changes to the project schedule or budget.

    Performance reports

    Track key indicators to gauge whether the project is on track. It is typically used to communicate with project stakeholders and to track the project’s overall performance.

    A performance project management report typically includes information on the project’s schedule, budget, and scope. It may also include information on risks and issues and details on how the project is progressing.

    Forecast reports

    Predict future trends based on past performance. Lessons learned reports document successes and failures for future reference. Forecasting is a critical component of project management, allowing managers to estimate future resource demand and plan accordingly.

    A forecast report is a status report that includes information about expected future demand for a product or service. This information can be used to decide production levels, staffing needs, and other resource allocations.

    Lessons learned

    Lessons learned project management report is a document that captures the knowledge gained during a project. It is used to help improve future projects by sharing the lessons learned with others.

    The report should cover all aspects of the project, from start to finish, and be written clearly and concisely. It should identify what went well and what could have been improved upon

    Elements of a project management report

    A project management report contains information about a project’s current status, risks and issues, and forecasts for the future. It is used by project managers to communicate with stakeholders about the progress of a project and to make decisions about how to manage it best.

    There are four main elements of a project management report:

    Executive Summary

    A brief overview of the most critical points in the report.

    Project Status

    A detailed description of the project’s current status, including information on progress, risks, and issues.

    Project Forecast

    A projection of the expected future state of the project based on current trends and information.

    Recommendations

     Suggestions for how to improve the project or address specific problems

    Project management report template

    There are a lot of different project management templates that you can use to help you keep track of your projects. However, not all of these templates are different. Here are a few things to look for in a good project management template:

    Ease of use: The template should be easy to understand and use. It should be intuitive and user-friendly

    Flexibility: The template should be flexible enough to accommodate different types of projects

    Customizability: The template should be customizable so that you can tailor it to fit your specific needs

    Reporting features: The template should have built-in reporting features so that you can track the progress of your projects easily

    Steps of writing a project management report

    Whether you are new to project management or have been managing projects for years, understanding how to write and format a project management report is essential to the success of your projects. Here are some tips on writing and formatting a Project Management report:

    Make sure the purpose of your report is clear. What are you trying to achieve with this report

    Keep your audience in mind. Who will be reading this report? What do they need to know

    Use simple language that everyone can understand

    Logically organize your thoughts and information. Use headings and subheadings to make it easy to read.

    Use charts, graphs, and other visuals to illustrate your points. This makes your report more interesting and easier to understand

    A clear and concise executive summary. This should provide an overview of the report’s main points, as well as its conclusions and recommendations.

    A description of the project’s objectives and goals. This section should explain what the project is trying to achieve and why it is crucial.

    An analysis of the project’s risks and challenges. This will help decision-makers understand potential problems impacting the project’s success.

    A breakdown of the project’s budget

    Edit and proofread the final copy. Make sure it flows smoothly from beginning to end before sending it off or publishing it online.

    Parts of a project management report

    There are many different parts to a project management report.

    The executive summary

    This section is a brief overview of the entire report. It should include the main points of the report, as well as any recommendations or conclusions. Here are eight tips for writing an effective executive summary:

    Start with a brief description of the project

    Include the main objectives of the project

    Summarize the key results of the project

    Highlight any lessons learned during the project

    Describe the overall impact of the project

    Give an overview of the financial performance of the project

    Discuss any risk factors that may have affected the project

    Table of contents

    The table of contents typically includes an executive summary, which gives an overview of the project; a section on objectives, which details what the project aims to achieve; a section on scope, which defines the boundaries of the project; and a section on a timeline, which lists the milestones and deadlines for the project.

    The introduction

    The introduction should provide background information on the project and explain why it was undertaken. It should also state the project’s scope and list any constraints placed on it. The introduction of a project management report should provide an overview of the report’s contents.

    It is essential to set the context for the reader so they can understand what they are about to read. The introduction should also explain how often the report will be updated and who will access it.

    The body

    This report section includes all the detailed information about the project. This consists of a description of the project, its objectives, and how it was managed.

    When creating the body section of your project management report, be sure to include key information such as objectives, strategies, risks and issues, costs, and schedule. Be as specific as possible in this section to ensure that your team is on the same page and understands what needs to be done.

    Include any relevant data and analysis that will help support your findings. This is where you will go into detail about what went well and what could be improved upon. Be sure to support your claims with evidence, so everyone knows what needs to happen moving forward.

    End with a summary of your findings and recommendations. This section should be concise and to the point.

    Risks and issues

    Highlights potential problems that could impact the success of the project. This section should list all known risks and issues, as well as the status of each risk or issue

    budget section

    The budget section of a project management report typically includes an overview of the estimated costs for the project, as well as a breakdown of those costs by category. If expected costs arise, it is important to have expected expenses and
    contingency plans
    . The budget should be regularly updated throughout the project to ensure accuracy and to help identify any potential cost overruns.

    The appendices section

    The appendices section of a project management report provides supporting documentation for the information presented in the report. This section can include items such as charts, data tables, and other visual elements that help to support the findings in the report.

    The appendices section can also include detailed information on methodology and data sources. An appendices section helps the readers easily find and reference the supporting materials for the project.

    Without an appendices section, it can be difficult for readers to track down the information they need to understand the project. Including an appendices section in your project management document will help ensure that your readers have all the information they need to make informed decisions about the project.

    Project management report writing services

    Project management writing can be challenging if you don’t have the time or the skill set to produce a
    high-quality paper
    . The good news is there are writing services available that can help you.

    You should, however, vet the company you wish to engage with before you commit your money. Check out for reviews and ask for samples. Here are some things to consider when choosing a service:

    Make sure the service offers a wide range of templates for different types of reports

    Look for a service that offers customization options so that you can tailor your reports to your specific needs

    Choose a service with experienced project management report writers who understand the intricacies of project management reporting.

    Make sure the service offers 24/7 customer support if you have any questions or problems.

    Check the pricing options to find a service that fits your budget

    The importance of project management writing services

    As the world of business becomes more complex, the need for project management writing services increases.

    These services allow businesses to communicate their goals and objectives to various audiences. By doing so, they can ensure that all stakeholders are on the same page and that everyone understands the project’s objectives.

    Project management writing services also help businesses to track their progress. By having a clear and concise record of what has been accomplished, companies can avoid duplication of effort and wasted resources.

    Additionally, these services can help businesses to identify areas where improvement is needed.

    Ultimately, project management writing services are valuable to businesses of all sizes. Helping companies communicate their goals and objectives, track their progress, and identify areas for improvement can help businesses be more successful.

    Bottom line

    Writing a project management report is not as daunting as it may seem initially. By following the tips outlined in this article, you can produce a well-written, organized, and informative report that will benefit you and your reader. With a bit of practice, planning, and effort, you will be able to write clear, concise, and professional reports.

  • Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment

    Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment

    Introduction

    A PMHNP (psychiatric-mental health nurse practitioner) is a professional who is responsible for providing mental health care to patients and their families in a range of settings. A patient and their family may require the PMHNP to make a number of decisions while delivering services to them. These decisions are usually designed to improve the condition of the patient and their family. Also important to the PMHNP is ensuring that their patients receive safe, competent, and ethical care. For example, there are three medical decisions that a PMHNP should make for a middle-aged white male who is showing signs of Generalized Anxiety Disorder (GAD). These decisions will be described in this paper Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment.

    ORDER HERE

    Decision 1

    Provide the patient with the finest start-up medication that will improve his conditions by having the desired influence on Generalized Anxiety Disorder (GAD) symptoms. This is the first step in the process of treating GAD. Patients suffering from anxiety disorders will benefit from this decision, which is primarily intended for the administration of first-line medication. As a result, because the primary symptoms of GAD that the patient is experiencing, which include chest tightness and shortness of breath, as well as a sense of impending doom, can be addressed with one type of medication, Paxil 10 mg administered orally daily, the patient will be prescribed this medication.

    Reasons for the above decision

    The authors of Allan, McCormack, and Virani (2011) state that it is critical to begin any drug treatment with low doses to reduce the likelihood of a patient experiencing side effects from the medication. In most cases, the patient will not be exposed to a greater number of prescriptions for oral dosages right away but will instead be exposed to other pharmaceuticals intended for progressive management. As a result, low-dose Paxil 10 mg was provided, which is the recommended dosage for a patient suffering from generalized anxiety disorder (GAD) (Khalsa, Bystritsky, Cameron & Schiffman, 2013). Because of the modest doses that have been advised, the drug is often taken orally, and the patient will be needed to take it daily. Additionally, this is where physicians can assess drug reactions and outcomes in order to decide on another course of action if the first one does not materialize Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment.

    Anticipated outcome

    According to Khalsa, Bystritsky, Cameron, and Schiffman (2013), Paxil is critical in regulating serotonergic pathways and, as a result, has a positive impact on the symptoms of generalized anxiety disorder. As a result, the predicted benefits include the patient no longer experiencing tightness in the chest or shortness of breath, a reduction in anxieties, as well as a reduction in the HAM-A score.

    Difference between what was expected and the results of the decision.

    A number of factors contributed to the similarity between the expected and actual results of the decision. First, after four weeks, the patient no longer had any of the symptoms of GAD that she had been experiencing, which included chest tightness and shortness of breath. Aside from that, the patient indicated that he had seen a drop in his anxiety about work during the previous 4 or 5 days and that his HAM-A score had decreased to 18 from 20 (partial response).

    Decision 2

    As stated by Farach et al. (2012), the second intervention, which is, in this case, the second decision, is critical in improving the conditions of a patient because the practitioner will be cognizant of the outcomes realized from the first intervention, allowing him to make a more effective decision in the end. Therefore, the second decision will be to increase the dosage of Paxil, which will be delivered orally once a day, from 10 mg to 20 mg per day. This is unquestionably the most successful therapy technique for the patient because further symptoms will be lessened while other symptoms will be permanently eliminated.

    Reason for decision 2

    Because Paxil 10 mg delivered orally once a day was beneficial in alleviating the patient’s symptoms, I did not see the need to change the medicine. This was the primary reason for increasing the amount of medication provided when making the original decision. Nonetheless, since the patient was still having symptoms of GAD, the dosage was increased from 10 mg to 20 mg per day.

    Anticipated outcomes

    Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment According to Blanchfield (2007), increasing the dosage of a beneficial medicine enhances the likelihood of a positive response. As a result, the increase in the dosage to 20 mg was meant to alleviate further the symptoms of GAD that the patient was experiencing, as well as to lower the HAM-A rating.

    Difference between what was expected and the results of the decision.

    The projected outcomes of the second option, like the first, were comparable to the results of the decisions for a variety of reasons. First, the patient reported an even greater reduction in his symptoms after another four weeks, and his HAM-A score had dropped to ten. This was a 61 percent reduction in symptoms, indicating that the same drug should be continued.

    Decision 3

    In light of the significant reduction in GAD symptoms that the patient was experiencing, the current Paxil dosage of 20 mg, which will be delivered orally once a day, was decided to be maintained. The medicine will be kept in place for a total of 12 weeks in order to conduct a thorough study of its effects on the patient. First, however, it is necessary to discuss with the patient whether the dosage should be increased in order to shorten the amount of time he will be required to take the drug. During the discussion, the patient will be made aware of the greater likelihood of experiencing side effects with Paxil.

    Reason for decision 3

    There are several reasons for keeping the current dosage of Paxil in place, the most important of which is that not only is the patient experiencing an excellent response to the medication as evidenced by the significant reduction in symptoms (more than 50% reduction in symptoms), but he is also not experiencing any side effects from the medication. Also, because the patient is responding to the medicine and there is nothing in the patient’s situation that indicates the necessity for an augmentation agent, there is no reason to add an augmentation agent.

    Anticipated outcomes

    The decision to maintain the existing Paxil dosage of 20 mg was made with the goal of not only minimizing the symptoms of GAD even further but also ensuring that the patient does not wind up experiencing any of the medication’s side effects.

    Difference between what was expected and the results of the decision.

    The projected outcomes of the third decision were similar to the outcomes of the first and second decisions. In addition, symptoms of a generalized anxiety disorder (GAD) were reported to be completely gone after twelve weeks of the patient.

    Ethical considerations that impacted the treatment plan and communication with the patient.

    In making treatment decisions and communicating with the patient, we took into account an ethical factor relating to the necessity of respecting the patient’s right to autonomy (Rpnas, 2019). As a result, because it ultimately affects the patient’s life, all decisions had to be based on what he wanted. For example, a patient might need to know that raising his medicine dosage could improve his condition more quickly, allowing him to spend less time on medication overall, but that he might also end up suffering from one or more negative effects as a result.

    Conclusion

    In conclusion, Paxil, which is taken orally, was the most effective medicine for the patient who was suffering from a generalized anxiety disorder. However, to avoid the patient being exposed to the negative effects of Paxil, it was necessary to prescribe low doses that were gradually increased over a period of time. Furthermore, to ensure that all decisions were made ethically, it was necessary to discuss with the patient the risks and benefits of every possible alternative treatment option. As a result of my efforts, the patient’s autonomy was recognized and respected. The treatment that was provided as a result was not only effective but also ethical.

    References

    Blanchefield, C. (2007). Increase the Dose or Give it a Few More Weeks. 
    SSRN Electronic Journal
    . DOI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922351/

    McCormack, J., Allan, G., & Virani, A. (2011). Is bigger better? An argument for very low starting doses. 
    Canadian Medical Association Journal
    , 
    183
    (1), 65-69. DOI: 10.1503/cmaj.091481

    Rpnas. (2019). Code of Ethics | RPNAS. Retrieved 28 December 2019, from https://www.rpnas.com/about/code-of-ethics/

    Bystritsky, A., Khalsa, S. S., Cameron, M. E., & Schiffman, J. (2013). Current diagnosis and treatment of anxiety disorders. 
    P & T: a Peer-Reviewed Journal for Formulary Management, 38, 
    1, 30-57.

    Farach, F. J., Pruitt, L. D., Jun, J. J., Jerud, A. B., Zoellner, L. A., & Roy-Byrne, P. P. (2012). Pharmacological treatment of anxiety disorders: Current treatments and future directions. 
    Journal of Anxiety Disorders, 26, 
    8, 833-843 Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment.

     

    Assignment: Assessing and Treating Patients With Anxiety Disorders

    Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders.

    To prepare for this Assignment:

    Review this week’s Learning Resources, including the Medication Resources indicated for this week.

    Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

    The Assignment: 5 pages

    Examine
     Case Study:
    A Middle-Aged Caucasian Man With Anxiety
    .
    You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment

    At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

    Introduction to the case (1 page)

    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 (1 page)

    Which decision did you select?

    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 (1 page)

    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. Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment

    Decision #3 (1 page)

    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.

    ORDER HERE

    Conclusion (1 page)

    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.

    NURS_6630_Week6_Assignment_Rubric

    Grid View

    List View

    Excellent

    Point range: 90–100

    Good

    Point range: 80–89

    Fair

    Point range: 70–79

    Poor

    Point range: 0–69

    Introduction to the case (1 page)

    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.

    9 
    (9%)
     – 10 
    (10%)

    The response accurately, clearly, and fully summarizes in detail the case for the Assignment.

    The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.

    8 
    (8%)
     – 8 
    (8%)

    The response accurately summarizes the case for the Assignment.

    The response accurately explains the specific patient factors that impact decision making with prescribing medication for this patient.

    7 
    (7%)
     – 7 
    (7%)

    The response inaccurately or vaguely summarizes the case for the Assignment.

    The response inaccurately or vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.

    0 
    (0%)
     – 6 
    (6%)

    The response inaccurately and vaguely summarizes the case for the Assignment, or is missing.

    The response inaccurately and vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.

    Decision #1 (1–2 pages)

    • Which decision did you select?

    • 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.

    18 
    (18%)
     – 20 
    (20%)

    The response accurately and clearly explains in detail the decision selected.

    The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.

    The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.

    The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.

    The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.

    Examples provided fully support the decisions and responses provided.

    16 
    (16%)
     – 17 
    (17%)

    The response accurately explains the decision selected. Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment

    The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.

    The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.

    The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.

    The response accurately explains how ethical considerations impact the treatment plan and communication with patients.

    Examples provided support the decisions and responses provided.

    14 
    (14%)
     – 15 
    (15%)

    The response inaccurately or vaguely explains the decision selected.

    The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.

    The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.

    The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.

    The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.

    Examples provided may support the decisions and responses provided.

    0 
    (0%)
     – 13 
    (13%)

    The response inaccurately and vaguely explains the decision selected.

    The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.

    The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.

    The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.

    The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.

    Examples provided do not support the decisions and responses provided, or is missing.

    Decision #2 (1–2 pages)

    • Which decision did you select?

    • 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.

    18 
    (18%)
     – 20 
    (20%)

    The response accurately and clearly explains in detail the decision selected.

    The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.

    The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.

    The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.

    The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.

    Examples provided fully support the decisions and responses provided.

    16 
    (16%)
     – 17 
    (17%)

    The response accurately explains the decision selected.

    The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.

    The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.

    The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.

    The response accurately explains how ethical considerations impact the treatment plan and communication with patients.

    Examples provided support the decisions and responses provided.

    14 
    (14%)
     – 15 
    (15%)

    The response inaccurately or vaguely explains the decision selected.

    The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.

    The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.

    The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.

    The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.

    Examples provided may support the decisions and responses provided.

    0 
    (0%)
     – 13 
    (13%)

    The response inaccurately and vaguely explains in detail the decision selected.

    The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.

    The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.

    The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.

    The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.

    Examples provided do not support the decisions and responses provided, or is missing.

    Decision #3 (1–2 pages)

    • Which decision did you select?

    • 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.

    18 
    (18%)
     – 20 
    (20%)

    The response accurately and clearly explains in detail the decision selected.

    The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.

    The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.

    The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.

    The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.

    Examples provided fully support the decisions and responses provided.

    16 
    (16%)
     – 17 
    (17%)

    The response accurately explains the decision selected.

    The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.

    The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.

    The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.

    The response accurately explains how ethical considerations impact the treatment plan and communication with patients.

    Examples provided support the decisions and responses provided.

    14 
    (14%)
     – 15 
    (15%)

    The response inaccurately or vaguely explains the decision selected.

    The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.

    The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.

    The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.

    The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.

    Examples provided may support the decisions and responses provided.

    0 
    (0%)
     – 13 
    (13%)

    The response inaccurately and vaguely explains in detail the decision selected.

    The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.

    The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.

    The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.

    The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.

    Examples provided do not support the decisions and responses provided, or is missing.

    Conclusion (1 page)

    • 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.

    14 
    (14%)
     – 15 
    (15%)

    The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient.

    The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.

    12 
    (12%)
     – 13 
    (13%)

    The response accurately summarizes the recommendations on the treatment options selected for this patient.

    The response accurately explains a justification for the recommendation provided, including clinically relevant resources that support the recommendations provided.

    11 
    (11%)
     – 11 
    (11%)

    The response inaccurately or vaguely summarizes the recommendations on the treatment options selected for this patient.

    The response inaccurately or vaguely explains a justification for the recommendations provided, including clinically relevant resources that inaccurately or vaguely support the recommendations provided.

    0 
    (0%)
     – 10 
    (10%)

    The response inaccurately and vaguely summarizes the recommendations on the treatment options selected for this patient, or is missing.

    The response inaccurately and vaguely explains a justification for the recommendations provided, including clinically relevant resources that do not support the recommendations provided, or is missing.

    Written Expression and Formatting – Paragraph Development and Organization:

    Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

    5 
    (5%)
     – 5 
    (5%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

    A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

    4 
    (4%)
     – 4 
    (4%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

    Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

    3.5 
    (3.5%)
     – 3.5 
    (3.5%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

    Purpose, introduction, and conclusion of the assignment is vague or off topic.

    0 
    (0%)
     – 3 
    (3%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. 4  (4%)  – 4  (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3 or 4) grammar, spelling, and punctuation errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5  (5%)  – 5  (5%) Uses correct APA format with no errors. 4  (4%)  – 4  (4%) Contains a few (1 or 2) APA format errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3 or 4) APA format errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) APA format errors. Total Points: 100 Name: NURS_6630_Week6_Assignment_Rubric Generalized Anxiety Disorder Middle-Aged White Male With Anxiety BACKGROUND INFORMATION The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignment. He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at. In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26. Client has never been on any type of psychotropic medication. MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation. You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26. Diagnosis: Generalized anxiety disorder RESOURCES § Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0 Decision Point One Select what you should do: Begin Paxil 10 mg po daily Begin Imipramine 25 mg po BID Begin Buspirone 10 mg po BI Assessing and Treating Patients With Anxiety Disorders : Middle-Aged Caucasian Man Case Study Assignmen

  • Psychosocial assessment

    A psychosocial assessment accurately and thoroughly examines a patient’s emotional, and physical health. It also involves their capacity to contribute to the community and their perception of themselves.

    Social workers and medical professionals usually carry it out. It is a tool used to find out about an individual and predict their current and future behavior. Therefore, it is an important factor in every healthcare system that aids in creating a managerial and implementation plan for the medical staff. In this article, we will help you understand more.

    What is a psychosocial assessment?

    The first question that strikes your mind is probably what psychosocial assessment is. A psychosocial assessment is a thorough evaluation that includes an analysis of requirements and risks. However, researchers have established the risk aspects of suicide and self-harm. 

    The purpose of assessing an individual’s needs is to pinpoint the psychological and social aspects that may have contributed to a self-harming act. In the long run, a management strategy can be achieved based on the findings of this assessment.

    A psychosocial assessment is essential in developing a healthcare strategy, particularly for palliative care patients. It involves studying a patient cautiously and thorough examination to provide them with the highest possible care.

    Who conducts psychosocial assessment? 

    If you think anyone can offer psychosocial assessment, you are wrong; why? Medical professionals, mainly psychologists, psychiatrists, and mental, and social workers, are licensed to provide a psychosocial evaluation. However, since nurses are familiar with the services, they frequently help doctors with psychological exams. 

    Psychologists are particularly well-suited to serve as mental health providers and administer psychological evaluations because of their extensive training and experience in evaluation. 

    Psychosocial assessment tools

    Psychosocial assessment, like any other health service, requires the help of advanced technology to boost efficiency. Here, the psychological assessment tool comes in handy. 

    Psychosocial assessment tool (PAT) is an easy-to-use, caregiver-reported screener of family psychosocial threats in pediatric health. It has been validated in both Spanish and English 4-grade levels. The PAT is offered in a web-based version for clinical usage.

    Psychosocial assessment tool enables the determination of a family’s areas of concern as well as resilience across numerous fields using a social-ecological framework. These frameworks can include family resources and structures, child problems, family problems, sibling problems, and acute stress. 

    Why psychosocial assessment is necessary 

    The importance of psychosocial assessment cannot be overstated. Below is the importance;

    It is a crucial component of the healthcare program as it helps set up the governance and activity plan for the medical staff. The answers obtained through a questionnaire can help develop a customized healthcare strategy to give the patient the best medical assistance available. 

    Authorities usually undertake a thorough psychological assessment in hospitals for patients with terminal illnesses, victims of crimes or natural disasters, and criminals. The aim of this is to help them develop a healthcare strategy that would reduce the patient’s stress on their body and mind and aid in a speedy recovery.

    According to specialists, psychosocial evaluations are crucial for helping war or catastrophe victims recuperate not only emotionally but also mentally and physically. However, according to research, if physical health gains are needed, emotional and mental therapy are essential.

    It should be noted that Psychosocial assessment can have a significant effect on family connections. According to ‘Science Direct, n. d’ it involves self-reports, interviews, assessments, and a review of family history. 

    Psychosocial assessment helps to ascertain the present situation of a patient (or changes, either positive or bad, if this is a subsequent evaluation) and to ascertain which services would be most useful in removing the existing obstacles client.

    Your agency may constrain the services that are accessible to you. Doing a thorough examination is crucial so that you and the patient may make decisions using all the information at your disposal. 

    It is crucial to discuss preventive elements using a strength-based strategy. A person’s mental health is positively impacted by the factors which help that person be resilient under trying circumstances. Social support, managing stress, physical well-being, a sense of fulfillment, consciousness, and a healthy mindset are examples of factors that people may manage.

    Components of an ideal psychosocial assessment

    For psychosocial assessment to be practical, there are important elements that must be met. However, the reason for psychosocial assessment does not matter much. What matters is it ought to be equally detailed and complete regardless of the severity of the patient’s problem. 

    What to consider in psychosocial assessment

    In order to fully understand a patient’s current emotional and mental state, a suitable assessment must factor in all factors of their life, including both positive and
    negative memories
    , their medical history, how the patient currently perceives themselves, problems, and society. 

    Assessing these factors will help the medical staff determine how long it may take for the individual to achieve optimal health. Additionally, they will understand the patient’s treatment preferences.

    How to conduct a psychosocial assessment

    Although psychological testing may seem frightening, it is intended to be helpful. Psychologists examine and analyze a patient’s behavior using quizzes and other assessment instruments to make a diagnosis and provide treatment.

    Psychosocial assessment can be achieved in a number of ways

    The person performing the assessment develops a warm rapport with the person so that the client feels at ease speaking to the assessor. 

    The physical or mental issues that the patient is experiencing are examined extensively so that the physician has a complete understanding causes, symptoms, and effects of the issues.

    Along with the patient’s personality, likes, dislikes, temperament, and other factors, his strengths and shortcomings are taken into account.

    The assessor makes an effort to learn as much as possible about any current social or psychological events that might have had a substantial impact on the patient.

    The diet of the patient, any inclinations (if any), interactions, and current and former lifestyles are all taken into account during the assessment.

    To ensure that the answers given by the patient to the assessment are accurate, every piece of data is then double-checked with relatives and friends of the patient.

    Following cross-checking, the assessment is written in a comprehensive manner so that it may be utilized to convey details about a patient to specialists who might need it, not just the examiner.

    It is important to note that the evaluation is expected to include a comprehensive account of the patient’s medical as well as psychological history. 

    Also, it should include a reason for the need for treatment, information about previous medications, allergies, any legal concerns, social functioning, history of drug abuse (if any), history of violence or stigmatization, depression, etc.

    Psychosocial assessment summary

    After carefully implementing filling out the psychosocial assessment form, you should then include your general impressions of the patient. 

    You can also include the services you believe will be most beneficial to them in this part. However, due to its reliance on your agency’s basic services, this area will probably have the lowest level of standardization.

    It is necessary for every individual who works in social services to be able to do psychosocial assessments. It is, therefore, advisable that they practice doing so under close supervision to help them acquire this essential skill.

    Psychosocial assessment questions

    While conducting a psychosocial assessment, an assessor should understand the questions to ask. This will help them understand the patient well and offer the best medication advice. 

    A psychosocial assessment is suitable for adult and elderly patients. However, there are cases where it is conducted on young victims of rape or victimization.

    Below are general ideas of psychosocial assessment questions that can be asked, although they don’t apply to every patient.

    Have you had the main caregiver? If so, describe them and your connection with them

    Do you have additional caregivers? If so, how would you describe your interactions with each of them?

    How do you believe your health has affected your relationships, and how do you see them?

    What is the state of your finances right now? Do you owe any money to anyone? Do you have any property?

    How many different jobs have you held?

    Do you have any legal problems?

    Do you hold a religious belief?

    What do you enjoy doing when you have free time?

    Have you ever abused alcohol or other drugs? Do you use alcohol or drugs frequently?

    What do you value most in life? Or rather, what objectives are currently most significant to you?

    How would you describe your own self-perception?

    Have you ever physically harmed someone else or yourself?

    Have you ever tried to end your life?

    Do you ever consider killing yourself? Or do you anticipate attempting it in the future?

    Do you ever want to hurt someone else seriously? If so, how do you plan to go about it?

    Do you slit yourself or make any attempts at self-harm?

    Do you struggle with eating disorders?

    Do you struggle with sleep issues?

    Have you experienced physical violence from another individual in the last year?

    Do you currently have an abusive partner?

    Have you ever experienced sexual abuse? If so, then by who?

    Have you seen anybody being abused?

    Have you ever had hallucinations?

    From the above random questions, you will realize that these queries are helpful in determining a potential health risk of a patient. In the event that it is discovered that they have suicidal or self-destructive inclinations, the proper psychiatric treatments can be set up to resolve the issue.

    Psychosocial assessment template

    An assessment template is necessary to create a plan and direction to conduct an assessment. Some inquiries, such as family history, might not change. However, based on the social service psychosocial assessment template you choose, other inquiries made of a client will change depending on their circumstance.

    For instance, in
    psychosocial assessment
    nursing, an old patient with premature Alzheimer’s disease would not be asked the same questions as someone with a drug dependency problem.

    Here is a social work psychosocial assessment template with examples

    A template for a general psychosocial assessment is available in the AGS Social Worker’s Toolkit.

    Older people’s psychosocial assessment template 

    Template for the psychosocial assessment of substance abuse

    Template for conducting psychosocial assessments with service members and veterans

    Template for a psychosocial assessment of abuse victims, either physical or psychological

    The teenage psychosocial assessment template

    Psychosocial assessment example

    As you will see in the psychosocial assessment nursing example below, the psychosocial assessment example gives a good idea of how a fillable psychological assessment is. 

    ‘Mr. Atkinson is ready to receive care and is amiable and helpful to people that approach him. In fact, his clients say he is a very kind man who strives to keep a very positive attitude about his business in spite of everything that has happened. He aspires to better himself and repair his broken bonds with his family and ex-wife.’

    While there are various types of assessments, the above psychosocial assessment sample can be categorized as a family psychosocial assessment example. 

    Psychosocial nursing interventions

    Apart from pharmacological therapy, psychosocial interventions have been embraced as a significant element of managing severe mental diseases. 

    The purpose of implementing psychosocial
    nursing assessment
    and intervention is to help in the diagnostic evaluation of a patient’s psychopathology.

    Social work psychosocial assessment

    A psychosocial assessment scrutinizes a person from a comprehensive viewpoint. You’ll notice that physical health is a significant component of a psychosocial assessment report that you might not find in other types of assessments.

    In social work psychosocial assessment, evaluation is a thorough review of a people’s feelings and physical and mental health. The individual’s self-perception and capacity for communal participation are also included.

    Psychosocial assessment example paper

    A typical assessment strategy used by most physicians is a psychosocial assessment questionnaire. If you are unfamiliar with this process, you should check some of the psychosocial assessment examples available online. 

    Final thoughts

    Hopefully, you have learned the importance of a psychosocial assessment and how it solves many mental health diseases that people experience. However, you should not be scared of psychosocial evaluation and assessment if you become a victim. Instead, you should view it as an opportunity for therapists to determine the best solution to your issues. If you are required to write a psychosocial assessment paper but don’t know how to handle it, we can help you. We have professional writers who will provide quality writing services at affordable prices. Visit
    onlinenursingpapers.com
    for more.