Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.DiscussionAs primary care providers, it is our responsibility to understand the efficacy, safety, appropriateness of contraceptive methods for our patients. Given Karen’s history of menorrhagia and dysmenorrhea, migraines, tobacco use, and family history, elevated blood pressure, and lack of desire to become pregnant, I would recommend a contraceptive implant/intrauterine device (IUDs) or a tubal ligation/sterilization. The increased usage of intrauterine devices has contributed to decreased pregnancy rates in the United States. Evidence based practices have amplified the figure of women who are medically entitled for intrauterine devices and have permitted expedited access to the methods (Nelson & Massoudi, 2016). Presently, women can choose from three hormonal IUDs, the Mirena, Liletta, and the Skyla; or they can choose the only non-hormonal IUD, the Paragard (Nelson & Massoudi, 2016). In Karen’s case, I would advise that she utilize one of the hormonal IUD options. Additionally, if Karen chooses not to utilize a hormonal IUD, the next option she would be medically eligible for is a tubal ligation/sterilization. Nationally, more than 220 million couples chose sterilization as a desired form of contraception, as it has been proven to be safe and effective for those no longer desiring to reproduce (Sung & Abramovitz, 2021).Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.A conversation should take place with Karen to determine whether or not she desires additional children in the future. Her decision would ultimately impact the method of contraception I would recommend to benefit her well-being and family planning goals. Given the fact that Karen is in a new relationship, her relationship may escalate with her current partner. Her partner may communicate his desire to have children, which may alter her views on reproduction. With that being said, I would recommend that Karen utilize the Mirena. Studies have found the Mirena to be the most effective medical therapy for menorrhagia and dysmenorrhea, and has improved the lives of approximately 94.6% of women after using the Mirena for 6-12 months (Nelson & Massoudi, 2016). This method will offer her a period benefit by decreasing blood loss, prevent unwanted pregnancy, is reversible, and possess a decreased risk for cardiovascular disease and venous thromboembolism given her history.Are there any methods that you would not recommend for Karen? Why?The first method of contraception that I would not recommend for Karen, is the Paragard Intrauterine device considering she is currently suffering from menorrhagia and dysmenorrhea. According to Nelson and Massoudi (2016), studies have found dysmenorrhea and abnormal bleeding patterns are associated with the Paragard, causing an increase of blood loss by 30%-50%. The second method of contraceptive I would not recommend for use are combined hormonal contraceptives, such as the pill, transdermal patch, and ring. Studies have shown there is an increased risk for venous thromboembolisms and cardiovascular disease associated with certain disease processes and social habits. Due to these risks, contraindications are in place for the utilization of combined hormonal contraceptives for women with the following issues: a history of migraines, uncontrolled hypertension, age of 35 years or older with a smoking history, ischemic heart disease, past or active history of valvular heart disease, endometrial cancer or breast cancer (Cooper & Mahdy, 2021). Thirdly, I would not recommend the use of the Depo-Provera shot, as studies have found reduced bone mineral density with prolonged use and an increase in weight, approximately 2-3 kg per year (Khadilkar, 2018).ReferencesCooper, D., & Mahdy, H. (2021). Oral contraceptive pills. Treasure Island (FL): StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK430882/Khadilkar, S. (2018). Short-term use of injectable contraception: An effective strategy for safe motherhood. Journal of obstetrics and gynaecology of India, 68(2), 82–87. https://doi.org/10.1007/s13224-017-1029-9Nelson, A. L., & Massoudi, N. (2016). New developments in intrauterine device use: focus on the US. Open access journal of contraception, 7, 127–141. https://doi.org/10.2147/OAJC.S85755Sung, S., & Abramovitz, A. (2021). Tubal ligation. Treasure Island (FL): StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK549873/
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Discussion
/in Uncategorized /by RuthPart 1. A description of the behavioral risk factor you selected and how this factor is impacting your community or state. Using the Population-Based Intervention Model, suggest at least one intervention that could be put into place at each stage (downstream, midstream, and upstream) to ensure that a health prevention program addressing the behavioral risk factor would have a greater chance at succeeding. Justify why each intervention you identified would be effective.Guide: Addressing Behavioral Risk FactorsThink and state – How a Behavioral Risk Factor is Impacting my Community or StatePopulation – Based Intervention Model – Justification of One Intervention in Each Phase to Optimize Chance at SucceedingDownstreamMidstreamUpstreamSupport your information with references. (at least 3 references)Please note that your initial discussion posts will be graded based on how deeply you explore the topic.
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Cancer Of The Breast
/in Uncategorized /by Ruth5 pages paper on cancer of the breast with APA format, a power point on the same topic .
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Week discussion!
/in Uncategorized /by RuthThe rate of disasters and emergencies is on the rise across the United States and world (Hoeppe, 2016). As a DNP scholar, organizations and communities will require your expertise in times of crisis. Consider your role in leading emergency preparedness and management and address the following.Describe one evidence-based strategy for leading emergency preparedness.Identify one evidence-based strategy for shaping healthcare system outcomes in disaster.Examine the disaster risks for your local community. Identify two priority concerns. Describe the significance of these issues of concern.Identify one professional organization active in emergency preparedness or disaster response. Describe the services provided.
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Women Health – Week 3 Discussion 2nd REPLY
/in Uncategorized /by RuthPlease reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.DiscussionAs primary care providers, it is our responsibility to understand the efficacy, safety, appropriateness of contraceptive methods for our patients. Given Karen’s history of menorrhagia and dysmenorrhea, migraines, tobacco use, and family history, elevated blood pressure, and lack of desire to become pregnant, I would recommend a contraceptive implant/intrauterine device (IUDs) or a tubal ligation/sterilization. The increased usage of intrauterine devices has contributed to decreased pregnancy rates in the United States. Evidence based practices have amplified the figure of women who are medically entitled for intrauterine devices and have permitted expedited access to the methods (Nelson & Massoudi, 2016). Presently, women can choose from three hormonal IUDs, the Mirena, Liletta, and the Skyla; or they can choose the only non-hormonal IUD, the Paragard (Nelson & Massoudi, 2016). In Karen’s case, I would advise that she utilize one of the hormonal IUD options. Additionally, if Karen chooses not to utilize a hormonal IUD, the next option she would be medically eligible for is a tubal ligation/sterilization. Nationally, more than 220 million couples chose sterilization as a desired form of contraception, as it has been proven to be safe and effective for those no longer desiring to reproduce (Sung & Abramovitz, 2021).Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.A conversation should take place with Karen to determine whether or not she desires additional children in the future. Her decision would ultimately impact the method of contraception I would recommend to benefit her well-being and family planning goals. Given the fact that Karen is in a new relationship, her relationship may escalate with her current partner. Her partner may communicate his desire to have children, which may alter her views on reproduction. With that being said, I would recommend that Karen utilize the Mirena. Studies have found the Mirena to be the most effective medical therapy for menorrhagia and dysmenorrhea, and has improved the lives of approximately 94.6% of women after using the Mirena for 6-12 months (Nelson & Massoudi, 2016). This method will offer her a period benefit by decreasing blood loss, prevent unwanted pregnancy, is reversible, and possess a decreased risk for cardiovascular disease and venous thromboembolism given her history.Are there any methods that you would not recommend for Karen? Why?The first method of contraception that I would not recommend for Karen, is the Paragard Intrauterine device considering she is currently suffering from menorrhagia and dysmenorrhea. According to Nelson and Massoudi (2016), studies have found dysmenorrhea and abnormal bleeding patterns are associated with the Paragard, causing an increase of blood loss by 30%-50%. The second method of contraceptive I would not recommend for use are combined hormonal contraceptives, such as the pill, transdermal patch, and ring. Studies have shown there is an increased risk for venous thromboembolisms and cardiovascular disease associated with certain disease processes and social habits. Due to these risks, contraindications are in place for the utilization of combined hormonal contraceptives for women with the following issues: a history of migraines, uncontrolled hypertension, age of 35 years or older with a smoking history, ischemic heart disease, past or active history of valvular heart disease, endometrial cancer or breast cancer (Cooper & Mahdy, 2021). Thirdly, I would not recommend the use of the Depo-Provera shot, as studies have found reduced bone mineral density with prolonged use and an increase in weight, approximately 2-3 kg per year (Khadilkar, 2018).ReferencesCooper, D., & Mahdy, H. (2021). Oral contraceptive pills. Treasure Island (FL): StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK430882/Khadilkar, S. (2018). Short-term use of injectable contraception: An effective strategy for safe motherhood. Journal of obstetrics and gynaecology of India, 68(2), 82–87. https://doi.org/10.1007/s13224-017-1029-9Nelson, A. L., & Massoudi, N. (2016). New developments in intrauterine device use: focus on the US. Open access journal of contraception, 7, 127–141. https://doi.org/10.2147/OAJC.S85755Sung, S., & Abramovitz, A. (2021). Tubal ligation. Treasure Island (FL): StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK549873/
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1/23/2018
/in Uncategorized /by RuthI need 250 words minimun.Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births. Describe the impact of extremely low birth weight babies on the family and on the community (short-term and long-term, including economic considerations, on-going care considerations, and co-morbidities associated with prematurity). Identify at least one support service within your community for preterm infants and their family. Provide the link for your colleagues to view. Does the service adequately address needs of this population? Explain your answer.
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E Poster Biomedical Ethics
/in Uncategorized /by RuthE-Poster: Chapter 12Objective: The students will complete an E-Poster, The purpose of the poster is to serve as a summary and an advertisement of the work that supplements the researcher’s presentation. The poster could be thought of as an illustrated version of the abstract with visual displays of data and small blocks of text that explain the project and support the data.ASSIGNMENT GUIDELINES (10%):Students will judgmentally measure the readings from Chapter 12 in your textbook. This assignment is planned to help you examination, evaluation, and apply the readings and strategies that can apply to any health care institution.Choose a free topic from your readings on chapter 12EACH E-Poster SHOULD INCLUDE THE FOLLOWING:The E-Poster needs to include the following:1. Introduction2. Statement of the issue3. Evidence supporting the issue4. Prediction of the issue5. Conclusion6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.
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Weeks 3 project theories in nursing
/in Uncategorized /by RuthWeek 3 ProjectYour “Personal Philosophy and Theoretical Concepts” Paper is due this week. Your paper should contain the following sections:Nursing Autobiography: A brief (1 page) discussion of your background in nursing. This does not include future goals.The Four Metaparadigms: Describe what the literature says about the basic four metaparadigms/concepts of patient, nurse, health, and environment. Do not relate the metaparadigms to the theory you have chosen.Briefly describe the theory you have chosen.Two Practice-Specific Concepts: in separate subsections discuss each of your two concepts:What is the definition of the concept (outside of the theory)?How does your theorist define your concept?How does this concept apply to your clinical setting? Give an example of how nurses in your area provide care that correlates with the theorist’s definition of the concept.You MUST use the attached template here to complete your paper.The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 3-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.Please don’t make this paper using Watsons theories. thank you I have attached the weeks two draft paper. u can use the same template as weeks two.
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Case study7
/in Uncategorized /by RuthCharlie Dee is a 56-year-old male client with a 30-year history of smoking two packs of cigarettes per day. He is seeing nurse practitioner Sandra Gee for the first time after being diagnosed with chronic obstructive pulmonary disease. Pattern appraisal begins with eliciting the client’s description of his experience with this disease, his perceptions of his health, and how the disease is expressed (symptoms). Mr. Dee states that he has a productive cough that is worse in the morning, gets short of breath whenever he is physically active, and always feels tired. Through specific questions, the nurse practitioner discovers that Mr. Dee has experienced a change in his sleep patterns and nutritional intake. He is sleeping for shorter periods and eating less. She also learns that Mr. Dee’s wife smokes, and that they have indoor cats for pets. He does not think that his wife will be amenable to changing her habits or getting rid of the cats. During this appraisal, the nurse seeks to discover what is important to Mr. Dee and how he defines healthy.Mutual patterning involves sharing knowledge and offering choices. Upon completion of the appraisal, the nurse summarizes what she has been told and how she understands it. In this way, the nurse and the client can reach consensus about what activities would be acceptable to Mr. Dee. Ms. Gee provides information about the disease and suggestions that will increase his comfort. Noninvasive interventions include breathing retraining, recommendations for a high-protein high-calorie diet, eating smaller meals more frequently, sleeping with the head elevated, and using progressive relaxation exercises at bedtime. The nurse recommends that the Dees buy a high-efficiency particulate air (HEPA) filter and humidifier to assist in removing environmental pollutants and maintaining proper humidity in the home.Because Mr. Gee has expressed a desire to quit smoking, the nurse suggests that he use forms of centering, such as guided imagery and meditation, to supplement the nicotine patches prescribed by his physician. She also provides him with written material about the disease that he can share with his wife. At the end of the visit, Mr. Dee states that he feels better knowing that he has the power to change some things about his life.Critical thinking activities1. Review two published research articles with Rogerian science as the framework guiding the research process. Identify the middle-range theory that was developed or guided the research process in each of the articles.2. What is the nature of the evidence generated by research of the middle-range theory in critical thinking activity 1?3. What philosophical tenets from Nightingale contributed to the basis for development of the Rogerian conceptual model?4. Locate three publications and discuss how the authors used Rogerian science in nursing education.5. Analyze your clinical practice, and identify areas in which practice based on Rogerian science would improve nursing care. Enumerate the changes and the anticipated positive outcomes.
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Communicable Disease Chain
/in Uncategorized /by RuthSelect a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.Using 200-300 words APA format with references.
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Practicum Experience Plan (PEP)
/in Uncategorized /by RuthPLEASE FOLLOW THE INSTRUCTIONS BELOW4 REFERENCESZERO PLAGIARISMAs you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. For this practicum experience, be sure to develop goals and objectives that allow you to synthesize knowledge and skills related to assessment, diagnosis, and treatment planning.To PrepareReview your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims?Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be:SpecificMeasurableAttainableResults-focusedTime-boundReflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.The AssignmentRecord the required information in each area of the Practicum Experience Plan template, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during
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