Nursing homework help

 The disorder in my discussion being presented is Generalized Anxiety Disorder (GAD). GAD is one of the most prevalent psychiatric conditions in the United States. Individuals with a poor health status are at a greater risk for GAD. Other factors include being female, lower socioeconomic class, poor education, and a large amount of lifestyle stress (Locke et al., 2015).
The exact cause for GAD is unknown. However, studies have shown that patients with GAD have shown more significant activity in parts of the brain related to mental activity and introspective thinking after anxiety episodes. Additional studies involving twins have shown that a person’s environment and genetic make-up affect whether or not an individual will be diagnosed with GAD (Locke et al., 2015).
In the patient diagnosed with GAD, I first chose Zoloft 50 mg oral daily for treatment. I decided on this medication because Zoloft is a selective serotonin reuptake inhibitor (SSRI), and SSRIs are the preferred treatment choice for patients with GAD (Locke et al., 2015). After four weeks of taking Zoloft, the patient had a HAM-A score of 18.
The HAM-A or Hamilton Anxiety Rating Scale was first used in 1959 and is a survey of 14 questions. Both psychological and somatic symptoms relating to anxiety are assessed in the HAM-A questionnaire.   If patients score greater than 17, then symptoms considered are mild. However, a score of 25-30 indicates moderate to severe anxiety (Thompson, 2015). The patient in the scenario originally had a HAM-A score of 26 that decreased to 18 after one month of taking Zoloft. This was a significant improvement.
At the first follow-up visit, I would increase the Zoloft to 75 mg. With a HAM-A score of 10 on the follow-up visit, I would not change the dosage of Zoloft at that time and continue to schedule follow-up visits with the patient. Since GAD is a chronic disorder, it is recommended that medication therapy continues for twelve months before considering a slow wean off Zoloft (Rosenthal & Burchum, 2018). I would also highly suggest that the patient undergo psychotherapy treatment. It has been shown that patients with moderate to severe GAD show more significant improvements when medication and psychotherapy are combined (Locke et al., 2015).
References
Locke, A. B., Nell, K., & Schultz, C. D. (2015). Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults. American Family Physician91(9), 617–623.
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s Pharmacotherapeutics for Nurse Practitioners and Physician Assistants (1st ed.). Elsevier .
Thompson, E. (2015). Hamilton rating scale for anxiety (ham-a). Occupational Medicine65(7), 601–601. https://doi.org/10.1093/occmed/kqv054
 
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Nursing Homeworks

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

  1. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
  2. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
  3. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
  4. List the steps in adjustment to illness and how the patient copes with each step.
  5. Explain the health professional’s role in teaching the patient at different life stages.
  6. Define the role of the family in patient education.
  7. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?
 
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Nursing Homeworks

Choose a topic related to health that has meaning to your personal health, interests, and well-being. This may be a disease, such as diabetes, or healthy fitness activity.
Conduct a database search comparing one of the following database directories with Google Scholar.

  • CINAHL and Google Scholar
  • PubMed and Google Scholar

Explain how you were able to narrow down the number of articles hits you had initially, and present within your post a summary of the credible article you chose as your resource. How do you know your article choice is credible? Which database do you prefer and why?
How will using a database search facilitate your:

  • scholarly work;
  • nursing work (evidence-based practice); and
  • personal self-development?
 
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Nursing homework help

Discover which agencies, in your state (Miami Florida ), are responsible for public health of citizens.
·         Research if there are centralized or decentralized management of state responsibilities?
·         Determine minimum 3 key indicators of health
Please APA style , one page with two reference,(One of the reference have to be my book )
This is the book refrence
Maurer, F. A., & Smith, C. M. (2013). Chapter 3: The United States Health Care System. In Community/public health nursing practice: Health for families and populations (p. 56). St. Louis: Elsevier/Saunders
 
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Nursing homework help

– Teaching middle school football players and their parents about likelihood of concussion and head injury in foot ball, measures taken to  prevent head injury and recognize concussion and head injury.
Nursing diagnosis should be focus on knowledge deficit.
a.  Develop nursing diagnosis (NANDA)
b.  Develop two (2) learning objectives
c.  State methodology (teaching methods)
d.  Provide and utilize teaching aids
e.  State needed resources
Also show evaluation  of teaching with reference used for the paper
  • attachment

    PEDS_teaching_plan.docx.docx
  • attachment

    RubricDetailNURS317L-ADevelopingFamilyand….pdf
 
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Nursing homework help

  1. What are the responsibilities of community and public health nurses in promoting health and decreasing illness and injury in populations, families, and individuals?
  2. APA style
  3. 3 paragraphs
  4. 2 reference
  • attachment

    Chapter05.pptx
  • attachment

    Chapter06.pptx
 
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