Discuss how the concept of “health” has changed over time. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.
With the resources specific to the MSN specialization and Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.
Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA-approved indications when referring to different medication classes used in the treatment of GAD.
To Prepare
Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used.
A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. EMS on the scene noted a stellate fracture of the windshield on the passenger side.
The patient was non-responsive at the scene when the paramedics arrived, and his pupils were unequal with the left pupil larger and sluggish to react to light. He was placed in a hard-cervical collar per the protocol and log rolled onto a long backboard.
He was breathing spontaneously at the scene, but pulse oximetry in the EMS unit revealed a SaO2 of 78% on room air. He was intubated at the scene for airway protection and transported to a Level 1 trauma center. Glasgow Coma Scale=3
After a full trauma workup, the patient was diagnosed with an isolated traumatic brain injury with acute subdural hematoma secondary to the coup-contrecoup mechanism of injury.
He was emergently taken to the operating room for craniotomy after which he was taken to the Intensive Care Unit (ICU) for close monitoring. He had an intracranial bolt for measurements of his intracranial pressure (ICP).
Question:
Explain the differences between primary and secondary traumatic brain injuries (TBIs)?
The APRN is called by the ICU staff because the patient’s ICP has risen to 22 mmHg. The APRN recognizes the urgent need to lower the ICP. The APRN institutes measures to decrease the ICP and increase the cerebral perfusion pressure (CPP). What are the factors that determine CPP?
A 68-year-old obese male presents to the clinic with a 3-day history of fever with chills and Lt. great toe pain that has gotten progressively worse. The patient states this is the first time that this has happened, and nothing has made it better, and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief.
HPI: hypertension treated with Lisinopril/HCTZ.
SH: Denies smoking. Drinking: “a fair amount of red wine” every week. General appearance: Ill-appearing male who sits with his right foot elevated.
PE: remarkable for a temp of 100.2, pulse 106, respirations 20 and BP 158/92. The right great toe (first metatarsal phalangeal [MTP]) is noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 15,000 mm3 and uric acid 9.0 mg/dl.
Diagnoses the patient with acute gout.
Question:
Explain the pathophysiology of gout.
Explain why a patient with gout is more likely to develop renal calculi.
At our hospital, the government health facility gives free service to diabetics who are under age 18 and over age 64.
However with diabetes being so prevalent and chronic leading to kidney failure and other illnesses I want to propose that my country’s government give diabetics of all ages access to free diabetes medication and free clinic follow-up with 2 free HBA1c lab tests per year and free glucose test strips for the glucose monitors.
Also, I want to propose the government strengthen the school health program to include monitoring Diabetes children while at school.
Can you see if any of the country’s or country’s government health systems provides free care for diabetes patients?
Do a Literature review of how the government healthcare system of a Caribbean country and another country (you can choose which country) has stepped in to ensure diabetics receive diabetes medication and follow-up care. This is to put together a proposal for the government and health system in my country to make diabetes care and follow-up accessible to all citizens no matter their economic status.
Develop a hypothetical health promotion plan, 3-4 pages in length, addressing a specific health concern for an individual or a group living in the community that you identified from the topic list provided.
Bullying.
Teen Pregnancy.
LGBTQIA Health.
Sudden Infant Death (SID).
Immunization.
Tobacco use (include all: vaping, e-cigarettes, hookah, chewing tobacco, and smoking) cessation.
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.). Healthy People 2030. https://health.gov/healthypeople
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze health risks and health care needs among distinct populations.
Analyze a community health concern that is the focus of a health promotion plan.
Competency 2: Propose health promotion strategies to improve the health of populations.
Explain why a health concern is important for health promotion within a specific population.
Establish agreed-upon health goals in collaboration with participants.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adheren
Diversity in the healthcare environment calls for ethical stewardship and reconciliation of ethical issues to achieve the highest quality of care.
A leader must manage diversity by;
Focusing on leveraging diversity within interdisciplinary teams;
Answer the following questions for the article A randomized trial of aerobic exercise for major depression: examining neural indicators of reward and cognitive control as predictors and treatment targets: Purpose of the study? Variables (independent vs dependent)? Sampling completed? Methods (quantitative or qualitative)? Instrument? Findings of the research?
The parents of an autistic child consult a psychiatric and mental health advanced practice PMHNP about their failure to relate to their child. The PMHNP decides that some education would be helpful to this family in dealing with the problem. What could the family NOT expect to receive as a result of the PMHNP’s teaching intervention?
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Question 12 (1 point)
According to Freudian theory, thoughts, feelings, and desires that are not in immediate awareness, but can be recalled to consciousness, are considered:
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Question 13 (1 point)
The goal of Art therapy and Music therapy is:
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Question 14 (1 point)
The focus of Strategic Family Therapy is to:
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Question 15 (1 point)
According to Glasser, the cause of all psychiatric problems is:
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Question 16 (1 point)
A mother brings her adolescent son in to be seen by a psychiatric and mental health advanced practice PMHNP. The mother wishes to hospitalize the boy. She indicates that she can no longer control his behavior and that he is dating girls of whom she does not approve and staying out past his curfew. Based on the boy’s right to treatment in the least restrictive setting, what is the psychiatric and mental health advanced practice PMHNP’s best response?
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