Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature.

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Alzheimer’s Disease

Write a 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.

• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.

• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.

• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

Alzheimer’s Disease 76-year-old Iranian Male BACKGROUND Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.” Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right
words” in a conversation and then will shift to an entirely different line of conversation. SUBJECTIVE During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so the PMHNP performs a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia. MENTAL STATUS EXAM Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Selfreported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When the PMHNP asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation. Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive) RESOURCES § Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources.

Create a list of the patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence.

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COPD

See attach case study and answer the question pertaining to the question below:

Question: Create a list of the patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence.

2 peer reviewed references less than 5 years old

Explain the controversy that surrounds dissociative disorders. Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.

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Assignment: Controversy Associated With Dissociative Disorders

To Prepare

Review this week’s Learning Resources on dissociative disorders.

Use the Walden Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment.

The Assignment (2–3 pages)

Explain the controversy that surrounds dissociative disorders.

Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.

Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Create a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards.

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Study Guide Forum

Assigned disorder: Vascular Dementia

Create a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5 but also supported by at least three other scholarly resources.

Areas of importance you should address, but are not limited to, are:

Signs and symptoms according to the DSM-5

Differential diagnoses

Incidence

Development and course

Prognosis

Considerations related to culture, gender, age

Pharmacological treatments, including any side effects

Nonpharmacological treatments

Diagnostics and labs

Comorbidities

Legal and ethical considerations

Pertinent patient education considerations

assigned disorder: Vascular Dementia

Prepare a presentation for the class that reviews the IOM recommendation, your personal interpretation of how this will positively impact the nursing profession (supported by evidence), what changes have been made as we approach the end of the year, and what changes are still necessary.

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Nurses should practice to the full extent of their education and training.

Prepare a presentation for the class that reviews the IOM recommendation, your personal interpretation of how this will positively impact the nursing profession (supported by evidence), what changes have been made as we approach the end of the year, and what changes are still necessary. Include a minimum of three scholarly sources in your paper. The presentation may be in whatever format you prefer but you must upload the presentation with an outline to Canvas. Please see the rubric for specific details on completion.

“Utilitarianism can be seen as favoring a short term goal over a long term goal.” Using your reading in this course so far and other research, discuss the ethical ramifications of this statement.

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Problems in theories

Option A:

“Utilitarianism can be seen as favoring a short term goal over a long term goal.”

Discussion:

Using your reading in this course so far and other research, discuss the ethical ramifications of this statement.

Option B:

“Moral obligations are relative. The closer one is to me, the greater the obligation that I have. I have less obligation to the person in the next continent than I have to the person in the (house/apartment/condo) next to mine.”

Discussion:

Using your reading in this course so far and other research, discuss the ethical ramifications of this statement.

Use 2 references each for A&B

Discuss any differences in health outcome statistics for the health problem between the two countries. Is there any evidence for why these differences or lack of differences occur?

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Global Health Factors

Step 1: Identify a global health problem.
Choose ONE health problem that affects people around the world, and that is impacted by cultural practices. Find reliable statistics that support the global nature of this problem.

Step 2: Gather data.
Find scholarly sources, research and gather global data about the health problem you have identified. For example, the World Health Organization posts disease and health risk prevalence data on a country-by-country basis. Searching websites of humanitarian organizations such as Doctors Without Borders, Operation Smile, and the Bill and Melinda Gates Foundation can provide additional context about the health problem.

Step 3: Create the slide presentation.
Address the following points in your 10 slide presentation:

Nursing perspectives of the problem

Describe the global impact of the health problem. Example topics could be comparing the impact across populations, communicable disease spread, environmental impacts

Describe the ways culture influences the risk factors, treatment and/or prognosis of the problem. Examples can be language barriers, food preparation, folk medicine usage etc. You may connect to one culture or multiple cultures in answering this prompt

Identify one or two cultural care strategies that nurses could use to improve the health problem

Health care system impact on the problem

Consider how the structure of a health care system affects the way the problem is addressed
Consider how the structure of a health care system affects the way the problem is addressed. Compare at least two countries with different health care systems- for example, you may discuss access to care, diagnostic and treatment options, public policies and economic considerations such as costs to the patient

Discuss any differences in health outcome statistics for the health problem between the two countries. Is there any evidence for why these differences or lack of differences occur?
Be sure to use statistics to substantiate the health problem. Make sure that you use APA format to properly cite any sources.

Step 4: Add presenter’s notes.
Include talking points and details in the notes area for each slide. These notes should document what you would say to an audience about each slide if you were to present in person.

Evaluate Utilitarianism in terms of what you think is right about it and what you think is wrong about it. Evaluate the theory of Categorical Imperative in terms of what you think is right about it and what you think is wrong about it.

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wo Popular Ethical Approaches

Evaluate Utilitarianism in terms of what you think is right (if anything) about it and what you think is wrong (if anything) about it.

Evaluate the theory of Categorical Imperative in terms of what you think is right (if anything) about it and what you think is wrong (if anything) about it.

Conclude by describing how either, both, or neither fits into your personal life.

Briefly describe the history of hospitals in the United States. Briefly discuss the major changes hospitals have experienced over the past 20 years. Discuss how these changes have affected the delivery of health care in the United States.

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The Current Roles of Hospitals

Write a two-page paper describing the current role of hospitals in the United States. In your paper, respond to the following questions.

Briefly describe the history of hospitals in the United States.

Briefly discuss the major changes hospitals have experienced over the past 20 years.

Discuss how these changes have affected the delivery of health care in the United States.

MY HOSPITAL IS HENRICO DOCTORS HOSPITAL/HCA VIRGINIA
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