What is the impact of medical tourism and the contribution tourism?
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1. What is the impact of medical tourism and the contribution tourism?
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Where do you stand?
Discussion 2 – Nutrition
https://youtu.be/VJEpCjD14hw this is the youtube link
After watching the video below, post a response to the following question:
“Genetically Modified Foods,” GMO, have become a controversial topic over the last decade or so, due to health, legal and cultural ideologies. They have both advocates and proponents on both sides of the issue. Please do some research and come to your own conclusions, then answer the question…Where do you stand?
In addition to your response, give a thoughtful response to two of your classmate’s answers. (3 Total)
Be sure your initial post includes at least 200 words, proper grammar/punctuation, and references.
Be sure your replies attempt to further the progression of the conversation, include at least 100 words, are written with proper grammar/punctuation, and include references.
Describe your learning goal and explain what you need to do to achieve it.
Describe your learning goal and explain what you need to do to achieve it.
Consider what history would be necessary to collect from this patient.
Assignment: Assessing, Diagnosing, and Treating Adults With Mood Disorders
Photo Credit: Monkey Business / Adobe Stock
It is important for the PMHNP to have a comprehensive understanding of mood disorders in order to assess and accurately formulate a diagnosis and treatment plan for patients presenting with these disorders. Mood disorders may be diagnosed when a patient’s emotional state meets the diagnostic criteria for severity, functional impact, and length of time. Those with a mood disorder may find that their emotions interfere with work, relationships, or other parts of their lives that impact daily functioning. Mood disorders may also lead to substance abuse or suicidal thoughts or behaviors, and although they are not likely to go away on their own, they can be managed with an effective treatment plan and understanding of how to manage symptoms.
In this Assignment you will assess, diagnose, and devise a treatment plan for a patient in a case study who is presenting with a mood disorder.
To Prepare
· Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders.
· Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
· Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
· Consider what history would be necessary to collect from this patient.
· Consider what interview questions you would need to ask this patient.
· Consider patient diagnostics missing from the video:
Provider Review outside of interview:
Temp 98.2 Pulse 90 Respiration 18 B/P 138/88
Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)
The Assignment
Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
· Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
· Objective: What observations did you make during the psychiatric assessment?
· Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
· Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
· Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
VIDEO: Petunia Park. Walden University Blackboard.
What should a nurse do if requested to perform a duty that is beyond the scope of practice outlined in the state’s nurse practice act?
The regulation of nursing practice is delineated within each state’s nurse practice act. Nurses are responsible for knowing and understanding how their practice is regulated by the state in which they are licensed. A nurse who practices beyond their state’s legal definition of nursing is subject to disciplinary action by the regulatory agency.
Respond to the following in a minimum of 175 words:
What should a nurse do if requested to perform a duty that is beyond the scope of practice outlined in the state’s nurse practice act?
How would you assess reliability, validity, and utility?
Propose a Test and Analyze it
Imagine that you could design a psychological test of your own. For your discussion,
· Describe what you would measure and why. Be sure to include the practical need for the test and how you would go about designing it.
· How would you assess reliability, validity, and utility?
Explain why you chose to watch this particular theorist’s video.
Complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. We highly recommend that you watch as many of these videos as you can throughout the course. This is a great opportunity for you to see and hear directly from the actual theorists that you are reading about in the text. After watching one of the theorist videos, reflect on what you have learned. Compose a paper that addresses the following:
- Explain why you chose to watch this particular theorist’s video.
- Describe the parts of your personal philosophy where you agree or disagree with this theorist.
- Is there anything that surprised you in the video? If so, what surprised you?
- Would you recommend this video to another student? If so, why would you recommend it?
- What value did you receive from watching it?
Your paper should be 2 pages in length, in APA style, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately.
How these processes interact to affect the patient.
An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.
In this work, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment.
(1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following
- The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
- Any racial/ethnic variables that may impact physiological functioning.
- How these processes interact to affect the patient.
Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.
Case Study: Elizabeth Fong
Scenario:
Elizabeth Fong is a 37-year-old primigravida with a twin pregnancy at 30 weeks of gestation. She arrives at the prenatal clinic for her regular checkup. Elizabeth reports that during the past several days she has been experiencing low back pain, difficulty breathing, and the sensation that her abdomen has “expanded.” She complains of fatigue and difficulty finding a position of comfort while resting. Elizabeth states that the twins are active. Elizabeth’s fundal height measures 36 centimeters. The fetal heart rates are as follows: Twin A = 140 bpm; Twin B = 134 bpm.
Elizabeth’s laboratory data from 1 week ago reveal the following findings:
Hemoglobin: 9.2 g/dL.
Serum ferritin level: 10 mg /dL.
1-hour glucose challenge test: 130 mg/dL.
A sonogram performed during this visit shows a closed cervix, normal fetal growth, and excessive amniotic fluid.
Critical Thinking Questions
1. What is the priority nursing diagnosis at this time?
2. What are the expected outcomes associated with this diagnosis?
3. Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.
4. List interventions with rationales that correspond to the priority nursing diagnosis.
What is the priority nursing diagnosis at this time?
Case Study: Christina Diaz
Scenario:
Christina Diaz is a 16-year-old primigravida who arrives at the prenatal clinic for her first prenatal visit. Christina’s last menstrual period was approximately16 weeks ago. During the initial history, Christina tells the nurse that she is feeling fat and unattractive. She states that she has noticed ugly stretch marks and awful color changes on her breasts and abdomen.
Critical Thinking Questions
1. What is the priority nursing diagnosis at this time?
2. What is the expected outcome associated with this diagnosis?
3. Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.
4. List interventions with rationales that correspond to the priority nursing diagnosis.
