Article: https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/support-groups/art-20044655
Once you have read the article, answer the following questions.
1. What are the different structures of support groups?
2. Name 5 benefits of support groups.
3. Name 5 risks and cons of joining a support group.
4. What would be one question from the list that you would ask before joining and WHY?
5. What are the red flags you should look for before joining?
The DSM-5 is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.
In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.
1 postsRe: Topic 3 DQ 2
Sampling theory is the study of the relationship between a population and a group randomly picked as the representatives of the whole population (GCU 2018). This theory can be considered biased since the researcher is picking and choosing which group to research and what population they want to represent (GCU 2018). An example of sampling theory would be taking a population of smokers and starting them on nicotine gum and see if it helps the smokers quit smoking. The sample would be the population of smokers, changing their habits by starting the nicotine gum, and testing the results (Paul 2017).
Generalizability is the extension of research findings or conclusion made from the sample during a research on a large population. Using my previous example, the researcher is generalizing the smoking population that nicotine gum would help with smoking cessation when it most likely will not help everyone. Generalizability is big in the nursing research world because we study populations as a whole and try to come up with “generalized” solutions. These solutions may not help everyone specifically but will meet the need as a community (GCU 2018).
Using 200-300 words APA format with at least two references to support this discussion.
Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.
Topic 3 DQ 1
An example of a nonexperimental research design is a study by Mäkitie et al (2020). Adescriptive study comparing differences in protocols of treatment for oral tongue cancer. Their study discusses differences in treatment protocols, comparisons were between 2 groups of patients each from Finland and Sweden. With no prior history of neck or head cancers. Patients from Finland were noted to have more improved outcomes than the Sweden group. Improved survival rates and downstaging of cancer; the Finland patients also had higher percentages with reconstructive surgeries than the Swedish patients. This study showed a strong correlation with improved patient outcomes linked to certain treatment protocols. Recommending further evaluation of treatment protocols in relation to quality of life and survival rates. This study is not highly controlled and is not considered an experimental study.
An example of an experimental research design would be a blinded study testing a drug for decreasing alcohol. Craving in persons with at risk drinking as evidenced by positive scores on Alcohol Use Disorders Identification Test-Concise (AUDIT-C). Participants and staff are blinded to participants who are placed into experimental or control group. AUDIT C scores are obtained at beginning. And end of study, diary cards are used for tracking alcoholic beverages throughout the study. And craving questionnaires are given at the beginning and end of study. Measurements for the screening tools are all recorded, and data is analyzed to see if there are significant changes in variables, independent variable, the drug, and screeners for alcohol use and craving questionnaires are the dependent variables.
Different levels of control are applied to experimental and nonexperimental studies. According to GCU (2018), nonexperimental studies are far less controlled than experimental studies. They apply a prediction regarding relationship between the variables. This is how they apply their hypothesis. Descriptive designs many times are used as a basis for future research. Experimental studies have the highest control design. A testable design with numerical outcomes for quantitative studies. These studies have a solid and strong hypothesis.
Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.
Using 200-300 APA format with at least two references to support this discussion.
Week 13 Discussion: Contraception
J.L., a 27-year-old account executive, presents to the family medicine office for her annual checkup with her primary care provider. She has no significant past medical history except heavy menses. Her medications include calcium carbonate 500 mg orally twice a day and a multivitamin daily. She exercises regularly. Her family history is significant for cardiovascular disease (her father had an MI at age 54 and died of a further MI at age 63). She notes that she has been dating her current partner for approximately 5 months. She is interested in a reliable form of contraception. After discussing the various contraceptive options, she is here for contraceptive counseling.
Questions:
1. Before prescribing an OCP regimen, what tests or examinations would you like to perform?
2. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.
3. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.
Q-1
1. Access the DxR Clinician website at https://gcu.dxrclinician.com/ .
2. Select the folder labeled: gcu_npstudents_patients.
3. Select the Darrin Lancaster – Shortness of Breath case study.
4. Upon clicking on the case, you will see the “Enter Case” button at the top of the page. Select “Enter Page.” Under “Name,” enter First Initial, Last Name, all in lower case. Leave password blank. This will give you entry into the case study.
5. Complete the Darrin Lancaster – Shortness of Breath case study.
6. Discuss the diagnostic tool you selected and explain how it was helpful. Remember that pertinent negatives also guide your diagnoses. Describe how you prioritized the data.
Support your answer with two or three peer-reviewed resources.
Q-2
A new patient has been brought to the intensive care from the C-section suite. The baby is healthy with normal APGAR scores. During closing, the surgeon noted a hemorrhage occurring in the abdomen. After the prolonged procedure to repair the artery was concluded, the patient had received 15 units of packed red blood cells. 10 units of fresh frozen plasma, and 5 units of platelets. The patient is in the ICU at risk for disseminated intravascular coagulopathy (DIC).
· What;
is the physiology behind DIC after an enormous amount of blood products?
specific assessment findings you are looking for and the diagnostic workup you need to monitor.
findings that will prompt you to begin treatment for DIC and outline appropriate treatment for DIC.
are the risk factors you need to take into consideration when developing a treatment plan for this patient?
Support your answer with two or three peer-reviewed resources.
Q-3
Choose a medication that could be prescribed or is available over the counter. Ideally, using a scenario from clinical practice, describe the presentation of a patient with an overdose of the drug. Explain the diagnostic workup. What are the differences in critical care and emergent situation conditions and disorders inclusive of drug toxicities and poison control? Provide differential diagnoses associated with the overdose and rationale for the treatment of the patient with the specific overdose. You may not select a medication that has already been profiled by another learner. Support your answer with two or three peer-reviewed resources.
Q-4
Poisonous agents that are harmful to the human body exist in one’s environment for the convenience of daily activities. Patients could intentionally ingest these agents or have an accidental ingestion. Choose an agent that is readily available. And discuss the physical and diagnostic findings associated with ingestion of the agent. Provide differential diagnoses and explain the treatment for stabilization. Support your answer with two or three peer-reviewed resources.
Q-1
Multi-organ dysfunction syndrome (MODS) presents within patients that often have multiple comorbidities which when compounded become acute. Describe a MODS case and explain the differential diagnoses followed with treatment plans. Support your answer with two or three peer-reviewed resources.
Q-2
Adult respiratory distress syndrome (ARDS) is often induced based on treatment prescribed by the provider. Discuss types of treatment that can lead to ARDS. Explain the assessment and radiographic findings of ARDS in a patient. Describe concerns that exist when managing the patient via the ventilator. Use research to support your response. Support your answer with two or three peer-reviewed resources.
Q-3
What are some of the most significant or major risk factors for trauma in adult and adult-gerontological patients? How could these situations be prevented? Use evidence-based literature or clinical guidelines to support your statements. Support your answer with two or three peer-reviewed resources.
Q-4
Explain how to approach fluid resuscitation in the trauma patient. Discuss how and why your approach might differ if the patient is geriatric. Explain what comorbidities you must consider when resuscitating and why. Identify when you would choose normal saline vs. lactated Ringer’s solution vs. blood for fluid resuscitation. Provide a rationale for using each of these options. Support your answer with two or three peer-reviewed resources.
Q-1
As a busy AGACNP, finding sufficient time to stay current with and apply best practices can be a challenge. Share your methodology for personal evaluation. Including the positives and negatives of the approach you are currently taking. Propose ways in which you could enhance your current efforts incorporating evidence-based inquiry. And evaluation without adversely affecting a healthy work-life balance. What are the benefits of using current research or experiential learning to improve your practice? Support your answer with two or three peer-reviewed resources.
Q-2
Describe a clinical situation in which you have directly applied evidence-based data to produce a successful patient outcome. If you have not yet done so in practice, describe a clinical situation in which you envision this as a possibility. Explain your process. What steps in the process would you either add or eliminate if you were to encounter this particular set of circumstances again? How could your actions lead to better patient advocacy or a community action? Support your answer with two or three peer-reviewed resources.
Q-3
As the most senior staffer and only AGACNP on your team, you are tasked by a medical surgical unit supervisor with developing a 1-hour teaching module based on a disease process from one of the following: Neurology, Cardiovascular, Pulmonary, Gastroenterology, Urology, Endocrinology, Orthopedics, Dermatology, Renal, Hematology. This is intended for a small group of new-hire, newly licensed RNs on your medical surgical unit.
You have been asked to introduce them to the key principles of noninvasive hemodynamic monitoring and other concepts they will need to firmly understand to perform their jobs. In the lesson, be sure to analyze theories regarding implementation of change in clinical practice. Also include the importance of implementing the best standard of care in the acute care setting. Using the course text and a minimum of three evidence-based, peer-reviewed resources, create and post an outline with a brief rationale of the proposed educational lesson you will deliver.
You may not repeat a disease process that one of your colleagues has already completed. In your forum responses to your colleagues, select one area of focus of their proposed lesson plans and offer additional suggestions to improve or expand that area to provide a richer, more in-depth learning experience for the learners. Support your answer with two or three peer-reviewed resources. Cite your lesson and feedback sources in APA format.
Q-4
Discuss the role of an AGACP as an educational change agent in health care. Then select one colleague’s proposed educational lesson from the first DQ in this topic. Do not select a lesson for which you have provided feedback. Analyze their method on disseminating evidence to other health care professionals. Provide constructive feedback to your colleague regarding the following.
1. Additional information that should be included in the lesson plan.
2. Structure and flow of the lesson.
3. Other supportive ideas to assist your colleague in developing a comprehensive, effective, and relevant lesson on the chosen educational topic.
Use the course text and a minimum of three evidence-based, peer reviewed resources in your response.
Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.
Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.
Word limit 500 words. Support your answers with the literature and provide citations and references in APA format. Reply to at least two other student posts with a reflection of their response.
Caregiver Role Strain: Ms. Sandra A.
Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of second-line chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families.
Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days.
Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort.
Reflective Questions
1. What are some of the stresses on Sandra’s middle-aged sisters and their families?
2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra?
3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer
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