As a Nurse Practitioner, write a Case study that demonstrates your critical thinking skills, diagnostic skills, utilization of evidence-based practice, clinical judgment, pharmacological management, follow-up plan, and how you would promote preventive care for this patient.
Describe in an essay your plan for continuing your education as a life-long learner.
PICOT;
In young and middle-aged adults who have acute diabetes and cardiovascular disorders (CVD) complications, how effective is routine screening and monitoring compared to only seeking care, monitoring, and screening when critically ill in reducing the patients’ hospital readmissions over one year?
Describe the population’s demographics and health concerns. Describe the proposed evidence-based intervention. explain how your proposed intervention incorporates health policies and goals that support healthcare equity for the population of focus. Compare your intervention to previous practice or research. Explain what the expected outcome is for the intervention. Describe the time for implementing the intervention and evaluating the outcome. Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.
Has the Covid-19 pandemic changed everything or has it made the familiar clearer?
“In different ways and for different reasons, a sense that the COVID-19 pandemic has changed everything has come to dominate public, personal, and intellectual life.
The social entanglements it created have been both for better and for worse, but they have always exceeded the pathogen’s physical effects on bodies.
Anthropologists recognize in these patterns not only a rupture but also the familiar as if what can be seen now is not new but has simply been made clearer”. (Adams and Nading 2020: 461).
Do you agree? Give reasons for your answer, drawing on relevant concepts and approaches introduced in Health, Illness, and Society Part 1 as well as your personal experience.
Personality disorders
Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.
Succinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria.
Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
Briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship.
Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.
Briefly describe Borderline Personality Disorder, including the DSM-5 diagnostic criteria. Explain a therapeutic approach and a modality you might use to treat a client presenting with Borderline Personality Disorder. Explain why you selected the approach and modality, justifying their appropriateness.
Psychotherapy With Trauma and Stressor-Related Disorders
Succinctly, address the following:
Briefly explain the neurobiological basis for PTSD illness Please watch this video from this link: https://www.youtube.com/watch?v=RkSv_zPH-M4)
Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard” treatment from a clinical practice guideline perspective, and why using the gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.
Diagnosis – Subluxation of Radial Head
A 5-year-old boy presents to your clinic with a 1-day history of refusing to use his left arm. His father states that his son and his older sister were cared for by a babysitter the previous day.
The babysitter said she had been playing with the children in the front yard when the patient ran after a ball that was rolling toward the street. She grabbed the patient’s left forearm and pulled him away from the street. Thereafter, the patient was irritable and holding his left arm close to his body with the elbow in a flexed position.
On physical examination, the child has no bony tenderness, erythema, or swelling of the joints, but on passive motion, the child resists and cries in pain. Today, his vitals are as follows: weight 40.5 lbs, height 43.0 inches, BP 110/76, HR 100, RR 26, and Temperature is 98.6 F.
Sickle cell anemia is an autosomal recessive condition. Genetic mutations in the β-globin gene cause an alteration in the formation of hemoglobin by changing the sixth amino acid from glutamic acid to valine
What is the underlying pathophysiology of myelomeningocele? Describe the pathophysiology of hydrocephalus in infants with myelomeningocele
A myelomeningocele is a severe form of spinal cord malformation, visible at birth, and the affected infant has abnormally developed cranial neural tube
Discuss the hemodynamic consequences of a patent ductus arteriosus (PDA). Failure of the patent ductus to close at birth results in blood bypassing the systemic circulation. Oxygenated blood is pumped into the lungs, resulting in pulmonary overflow and systemic hypoperfusion
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