Bipolar Disorders

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PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

Bipolar disorders are severe disorders of mood that include both depressive episodes and expansive, grandiose, or manic episodes. During these times, the person may engage in activities with little awareness of the consequences because of accompanying psychosis. A diagnosis of bipolar disorder includes periods of mania or hypomania and periods of depression where the mood is down, hopeless, and suicidal. The neurovegetative symptoms of bipolar depression can be incapacitating. It is also important to differentiate the psychosis of bipolar disorder from schizophrenia.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a bipolar disorder.

Learning Objectives

Students will:
  • Recommend psychopharmacologic treatments based on therapeutic end points for clients with bipolar disorders
  • Recommend psychotherapy based on therapeutic end points for clients with bipolar disorders
  • Identify medical management needs for clients with bipolar disorders
  • Identify community support resources for clients with bipolar disorders
  • Recommend follow-up plans for clients with bipolar disorders

To prepare for this Assignment:

  • Select an adult or older adult client with a bipolar disorder that you have seen in your practicum.

In 3-4 pages, write a treatment plan for your client. In which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic end points for your psychopharmacologic agent. (This should relate to HPI and clinical impression.).
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

countries and their income levels

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Select two countries with different per-capita income levels such that one could be classified as a “high income” nation and the other would not be classified in the same income category. Note: You may use The World Bank website in your Learning Resources to identify countries and their income levels.

Post a brief summary comparing the two countries and their health problems. Also, compare how the economic level and income inequality in each country influenced other social determinants (social dynamics, the status of women, education, or violence/homicide, etc.) for each country. Then, explain the impact of the determinants on the health outcome in each country

learning strategies

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learning strategies

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

  1. Click “OK” to receive your questionnaire scores.
  2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
  3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
  4. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  5. Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

learning style according the VARK questionnaire.

In a paper (750-1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

  1. Provide a summary of your learning style according the VARK questionnaire.
  2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
  4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA 7 Style Guide,

please ensure each new paragraph has a headline and is centered , introduction and conclusion paragraph is required. Please find my Vark questionnaire – visual -7 , Aural-8 , Read/write-5 , Kinesthetic -11. Multimodal Vark is my learning preference.

purpose of the four heart valves

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Choose 1 of the following questions to answer by day 3 (Wednesday) and include 2 references (in APA format). Your post should be at least 250 words. Please remember to answer to 2 of your classmates’ discussions (on 2 separate days) by Saturday.  The reply to your classmates should be at least 100 words each.  The references are not included in the word count!

Discussion Question (DQ) 1

Please explain the purpose of the four heart valves, and describe their structure and locations of the four heart valves .

 

Discussion Question (DQ) 2

What is the function of the heart? Please trace a drop of blood from the inferior vena cava (IVC) to the lungs and then from the lungs to the aorta. (Do not forget to include the valves).

leadership and management

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leadership and management

Describe the difference in roles between leadership and management. Explain how the goals of management and leadership overlap and provide one example. As a nurse leader, describe how you can facilitate change by taking advantage of this overlap.

diabetes mellitus

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Diana Nelson 

Initial Discussion- Wk 5

COLLAPSE

Top of Form

Diabetes is primarily a disorder of carbohydrate metabolism. In the United States, diabetes is the most common endocrine disorder and the 7th leading cause of death by disease (Rosenthal, L.D. & Burchum, J.R., 2021).

 

Type 1 diabetes mellitus generally develops during childhood or adolescence. Symptom onset is relatively abrupt. Primary defect in Type 1 diabetes is destruction of pancreatic cells (Rosenthal, L.D. & Burchum, J.R., 2021). The inadequate production of insulin leads to an increase in blood sugar levels.

Type 2 diabetes mellitus symptoms usually result from a combination of insulin resistance and impaired insulin secretion. Insulin is still produced in Type 2 diabetes; however, the release of insulin is delayed (Rosenthal, L.D. & Burchum, J.R., 2021). The body does not respond to the insulin, the glucose in the blood stream cannot be pushed into cells for energy. This results in fatigue and elevated blood sugar levels.

Gestational diabetes is diagnosed during pregnancy. Just like other types of diabetes, this form affects how cells use glucose. Women who are diagnosed with gestational diabetes are at high risk of developing DM type 2 later in life.

Juvenile diabetes previously called Type 1 diabetes is when the pancreas does not make insulin. Without insulin too much glucose stays in the blood. Elevation of blood sugar is seen in young children usually around the age of 6 with juvenile diabetes (Rosenthal, L.D. & Burchum, J.R., 2021).

diabetes mellitus

Type 2 diabetes is more prevalent than other types of diabetes. Treatment is centered around dietary modifications, exercise and medication (Rosenthal, L.D. & Burchum, J.R., 2021). Biguanides are the first line of treatment for type 2 diabetes, they work by reducing the production of glucose that occurs during digestion (Understanding Metformin for Diabetes, n.d.) For example Metformin decreases glucose production by the liver and increases tissue response to insulin. Metformin is typically started immediately after diagnosis; it is taken by mouth usually 1-3 times daily with meals. Drink plenty of fluids while taking this medication and it should be used at the same time each day (Metformin Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing – Webmd, n.d.).

 

Other dietary modifications are eating low carbohydrate foods, avoiding fast foods, concentrated sugars, and alcohol (Rosenthal, L.D. & Burchum, J.R., 2021). Short-term effects of treatment can include sudden drops in blood sugar levels and long-term effects include neuropathy, retinopathy, risk of cardiovascular diseases, stroke and loss of kidney function (Rosenthal, L.D. & Burchum, J.R., 2021).

Adult Depression

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Adult Depression

What you should know about adult depression.The Joint Commission is the largest health care accrediting body in the United States that promotes quality and safety. Healthcare organizations help patients. What you should know about adult depression was developed in collaboration with SpeakUPTM. Everybody feels blue or sad sometimes. Depression is more than just feeling sad. When you are depressed you lose interest in activities, and you may feel overwhelmed, agitated or isolated. You may feel like things will never get better. If you have these feelings for two weeks or longer, you may be depressed. Depression is a common, but serious condition. The good news is that you are not alone and you can get better and feel like yourself again. This brochure gives you information about depression, questions to ask a doctor or therapist, and advice on how to speak up if you or a loved one needs help.

2. What are the warning signs of depression?  Feeling sad, down, irritable, nervous, or out of sorts. Loss of interest or pleasure in almost all activities. Feeling worthless, guilty, hopeless, or helpless. Eating more or less than usual. Difficulty thinking or making decisions. Little or no interest in sex. Low energy, tiredness. Feeling restless or agitated. Sleeping more or less than usual. Withdrawal from others.Talking about or having thoughts of death or suicide.

Adult Depression

INSTRUCTIONS

APA FORMAT, TIMES NEW ROMAN, FONT 12, 3 PAGES (exclude cover page & reference page), 2 SCHOLARLY REFERENCE ARTICLES (Less than 5yrs)

a. Title and Introduction of brochure.

b. Summary of article ( Explain the main topics discussed)

c. Communication  (Review information that promotes communication between patients and healthcare  providers)

d. Personal Reflection  (Why did this topic interest you?)

e. Evaluation of brochure. Include the following;

i. Was the information provided in the brochure beneficial? Could you incorporate it in your patient education?

ii. What was done well, and what could have been improved in the brochure?

iii. Was the information presented clearly?

iv. Did current nursing or healthcare related research article support the information presented in the brochure?

v. What population or individuals does this article apply to (i.e., who will benefit the most from this brochure)?

vi. Who else can use this information?

vii. Will this information increase patient safety?

f. Evidence Review & Application  ( Integrate evidence from a recent (5 years) scholarly nursing journal article to support your answers)

g .Conclusion  (Restates main ideas. Includes supporting information from body of paper)

 

nursing process

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Mr. Boyd Case Study

You are a home health nurse visiting an older couple in the community in order to assess the couple’s functional ability and the potential for their needing assistance with ADLs. Mr. and Mrs. Boyd are 72 and 67 years old, respectively, and have been married for 45 years. They have lived in the same neighborhood since Mr. Boyd retired from his bank manager job 12 years ago. Mrs. Boyd has been a housewife since their marriage. Mr. and Mrs. Boyd have one child, a son who lives in another city about 500 miles away.

There are no other family members in their community. As you sit with both of them at the kitchen table, Mrs. Boyd tells you to direct all your questions to her because Mr. Boyd has trouble understanding questions. She goes on to explain that Mr. Boyd used to garden and maintain the yard but no longer seems interested in doing anything. He sleeps a great deal, seems to be eating less and has lost 10 pounds, He is often uncommunicative when she speaks to him.

She says that her husband is getting quite forgetful, has received a diagnosis of early dementia and that this worries her because he was always socially engaging and a man who could speak on several subjects. Mrs. Boyd tells you that she makes all the decisions and spends most of her time planning meals, doing housework, and attending her ladies’ church group. She says that she could really use some help with outdoor tasks because these tasks had been handled by Mr. Boyd until just recently. When you ask what she means by “recently,” Mrs. Boyd replies that a change seems to have occurred within the last 6 months. You thank Mrs.

Boyd for sharing this information with you, and you indicate that most of the questions can be directed to her but that you will be asking Mr. Boyd some questions as part of the assessment. Mrs. Boyd seems concerned by this but agrees to give you an opportunity to try and ask some questions of Mr. Boyd. You begin your assessment by asking Mr. Boyd about his ADLs, and clarifying the information with Mrs. Boyd. Mr. Boyd was unable to offer any additional information and seemed overwhelmed by the questions and began to cry.

Mrs. Boyd added the additional information that Mr. Boyd needs help with all of his ADL’s, showering, getting dressed and brushing his teeth. . Mrs. Boyd begins to cry and hold Mr. Boyd’s hand. Once you have completed your assessment on Mr. Boyd use the information from the case study to complete your Basic Nursing Care Client Assessment, and the Pain and Morse Falls assessments.

Upon completion of your Assessments on Mr. Boyd, organize the data as if you were gathering it to enter on an EHR under assessment. Create an SBAR note on one of the problem you identified through your assessment (see sample and review chapters on documentation to be sure you remember how to do this) regarding needing to call the physician about the problem. Then create a nurses note inclusive of all of the problems that you identified and would document on the HER as a nurses note (review documentation chapter and ATI documentation to refresh how to do this). Lastly you will create a plan of care for one of your client’s problems by completing the concept map that uses the Nursing Process (Review the chapters on nursing process if needed to refresh).

Identify the problem your patient has (ex. At risk for falling) by using the data (subjective and objective) that supports that this is a problem. You will need to set a specific, measurable outcome (goal) to achieve with a timeframe for when you will hope to achieve the goal. Find interventions (things you do to solve the problem) in your Perry and Potter textbook in the chapters that are relevant to the problem you identified for your patient (put the page # and source for the interventions you used) and then cite your full reference on the concept map. Evaluate what you would like to have happen if the interventions you chose worked out for your patient. This is a work alone and not a team assignment. 

safety of infants

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safety of infants

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

The growth, development, and learned behaviors that occur during the first year of infancy. Have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants. And develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes. That outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience. As well as the demographic of the caregiver/patient (socioeconomic level, language, culture. And any other relevant characteristic of the caregiver) for which the presentation is tailored.

safety of infants

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor. And improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource. And a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations. Located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment. Solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines. Which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Health History and Medical Information

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Health History and Medical Information

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

 Health History and Medical Information

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.