Category: Nursing

PLEASE READ INSTRUCTIONS
Assignment Instructions
Create a patient scenario for the behavioral health issue assigned to you (Panic Disorder) – I WILL CREATE THE SCENARI, I PASTED AN SCENARIO PROVIDED BY CHATGPT BECAUSE I HAVEN’T DONE IT YET BUT I WILL, BUT IT WAS GOING TO BE DIFFICULT FOR YOU TO ANSWER THE QUESTIONS WITHOUT ANYTHING TO GUIDE YOU. BUT KEY POINTS ARE, MY PATIENT WILL COME WITH SYMPTOMS OF PANIC DISORDER, AND SHE WILL NEED MEDICATION, WHICH I HAVE NOT READ THE REGULATIONS BUT I DON’T KNOW IF I CAN PRESCRIBE OR NOT SINCE IM A PRIMARY CARE NURSE PRACTITIONER NOT IN THE PSYCH FIELD.
I LIVE IN ORLANDO FLORIDA SINCE IT ASKS FOR RESOURCES AROUND MY AREA.
I DON’T HAVE TIME TO DO RESEARCH. I NEED TO FOCUS ON MY WEEKLY READINGS AND EXAM AND QUIZZES
PLEASE DO A GOOD JOB AND BORDERLINE FAILING THE CLASS, I HAVE A NEW BABY AND TOO MANY THINGS ON MY PLATE
1. Include the following sections (DONT DO THIS – I WILL)
1. Patient chief complaint
2. History of present illness
3. Social history
4. Family medical history
5. Past medical history
6. Medications
7. Treatment plan
1. State and Federal Regulations
1. Identify the state where you live (Florida)
2. Identify what your state laws say about prescribing behavioral health drugs without being certified and/or credentialed as a psych-mental health NP.
3. How does the Affordable Care Act affect behavioral health care?
4. How do these factors impact the patient in the scenario you provided?
2. Community Resources
1. Provide information on how you would know if the patient you created needs support beyond what you can provide as a primary care NP.
2. Identify community resources available in your area to refer patients in need of assistance before they can establish care with a primary mental health provider.
3. Identify the facilities in your area (Orlando, FL) where you would send a patient in need of urgent assessment and intervention.
4. Identify resources in your area that are available to patients who may not be able to afford behavioral health care.
3. Legal & Ethical Considerations
1. Identify potential legal issues that could arise from how you do or do not choose to treat this patient.
2. Identify potential ethical issues that could arise from how you do or do not choose to treat this patient.
3. What follow-up is needed for your patient?
4. What do you need to do as a primary care provider to mitigate potential risks in providing care for behavioral health concerns?
Patient Chief Complaint
“I’ve been having these episodes where my heart races, I feel like I can’t breathe, and I’m going to lose control. It’s happening more often, and I’m scared something is wrong with my heart.”
History of Present Illness
The patient is a 34-year-old female who presents to the clinic with complaints of recurrent panic attacks. She reports these episodes started approximately six months ago, occurring about once every two weeks initially. Recently, the frequency has increased to twice a week, with episodes typically lasting 10-20 minutes. During these episodes, she experiences heart palpitations, shortness of breath, chest tightness, dizziness, trembling, and an intense fear that she might die or lose control. She denies any triggers but notes they often occur when she’s at work or driving. She has been avoiding driving due to fear of experiencing another episode.
The patient denies any history of heart conditions and has previously seen her primary care physician, who performed an EKG and some blood work, all of which came back normal. She has not had a full psychological evaluation and has been hesitant to seek mental health support due to stigma but admits these episodes are negatively affecting her life.
Social History
* Occupation: High school teacher, feels increasingly stressed with work due to recent changes in curriculum and classroom sizes.
* Marital Status: Married, two children ages 8 and 10.
* Substance Use: No tobacco or recreational drug use. Drinks 2-3 glasses of wine weekly. Reports drinking more coffee recently (about 3 cups/day).
* Exercise: Inconsistent, does light walking but finds herself too tired after work.
* Sleep: Reports poor sleep, averaging 4-5 hours a night, often waking up early with racing thoughts.
Family Medical History
* Father: History of hypertension, died of a heart attack at age 58.
* Mother: Diagnosed with generalized anxiety disorder, treated with medications.
* Brother: Has been treated for panic disorder.
* No family history of other significant psychiatric or cardiac issues.
Past Medical History
* History of mild asthma, well-controlled with an inhaler as needed.
* No history of major surgeries or hospitalizations.
* No psychiatric history prior to this presentation.
Medications
* Albuterol inhaler as needed for asthma.
* No current medications for anxiety or depression.
Treatment Plan
1. Pharmacological Management:
* SSRIs: Start sertraline (Zoloft) 25 mg daily to be titrated up as needed for anxiety management.
* Benzodiazepines: Prescribe a low dose of lorazepam (Ativan) 0.5 mg as needed for acute panic attacks (limited to short-term use due to dependence risk).
2. Psychotherapy:
* Refer the patient for Cognitive Behavioral Therapy (CBT) to help address anxiety, panic attacks, and avoidance behaviors.
3. Lifestyle Modifications:
* Recommend reducing caffeine intake, limiting to one cup of coffee a day.
* Encourage regular physical activity, such as a 20-minute walk daily, to help reduce stress levels.
* Practice relaxation techniques (deep breathing exercises, progressive muscle relaxation) to manage acute anxiety.
4. Follow-Up:
* Schedule follow-up in 4 weeks to assess response to medication and therapy.
* Recommend follow-up with a therapist or counselor within the next two weeks.
* Monitor for side effects of medications, particularly with SSRIs (nausea, sleep disturbances, etc.).

Please find a peer-reviewed article from the past five years that is focused the impact of nursing burnout. Initial post should discuss
The relevance and prevalence of nursing burnout
The detrimental impact of nursing burnout to the client
the detrimental impact of nursing burnout to the team/ teamwork of the unit.
Cite your article and list the article at the end utilizing APA formatting.

Continue your literature search (based off PICOT question I uploaded) and implement the first 2 phases of the critical appraisal process. The steps include:
1. rapid appraisal for studies to keep,
2. evaluation of the “keeper” studies.
For this post, please conduct the first two steps of the critical appraisal process and upload three additional articles to help answer your PICO question.
( The article uploaded just in case for review.)

Please I need this to be done by the same person who did my last job because he will use the information he used in the last job unless he is not available then anyone with relevant mastery can do it but note that this assignment has to tie with the first one. The clinical question he wrote was “In elderly patients with chronic pain (P), how do the non-pharmacological methods of pain control (I) compared to pharmacological therapy (C) help to control the pain and the quality of life (O) of the patients within six months of treatment (T)?”
The hypothesis you gave was “Elderly patients with chronic pain who receive non-pharmacological pain management strategies will experience greater improvements in pain levels and quality of life within six months compared to those who receive pharmacological interventions alone.”
This was the feedback I had from my prof. so please you can help straighten it out to tie with her feedback:
“So this is a great start, I have just one pointer… For your PICOT question, I think the intervention should be Non-pharm IN ADDITION TO pharm vs comparison group of pharm ALONE. Right now your question looks like it’s non-pharm vs pharm but your hypothesis doesn’t match that… ”
Any questions I will be happy to clarify. Thank you so much for coming to my rescue.

Whether John and Jane, considering their cognitive impairments, can be deemed capable of making informed decisions and providing adequate care for Baby A or whether Baby A should be placed in a foster care setting designed for medically fragile infants to ensure proper medical care and monitoring.
I choose case 1 from PDF file and write follow to the instructor from PDF file.

Often healthcare providers report that study results are reliable and valid. If you make that claim, you need to have a good understanding of what the terms mean. As you appraise the evidence from a research study, you will need to determine the validity of the results.
1. List and describe (provide examples) 3 factors that could impact the validity of study findings.
2. Of the two articles that you found for your PREVIOUS assignment (based off your PICOT question) what possible threats are there to the validity of the results?
PICOT: In perimenopausal and menopausal women, how does hormone replacement therapy (HRT) compared to no HRT affect mood stabilization and managing depression over both shorter and longer periods?
the articles uploaded together with paper based on those articles.

In this exercise, you will complete a MindMap Template to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap Template.
Stroke
Multiple sclerosis
Transient Ischemic Attack
Myasthenia gravis
Headache
Seizure disorders
Head injury
Spinal cord injury
Inflammatory diseases of the musculoskeletal system
Parkinson’s
Alzheimer’s

Make a three -slide power point with references and nursing notes Summarizing the validity of qualitative and quantitative evidence. It will be based on the PICOT Question and 4 articles refence below
PICOT Question: In adults with type 1 diabetes(P), how does the implementation of continuous glucose monitoring systems (I) compare to standard fingerstick blood glucose monitoring (C) affect
improvement of patient-reported quality of life and satisfaction with diabetes management
(O) within NA (T

Instructions

one group of principles of excellence: Pathway to Excellence

Provide an introduction to the principles of excellence chosen and explain your rationale for selecting this set of principles.
What two aspects from principles of excellence will you use in your quality improvement plan? Please provide a rationale for this choice.
Discuss the ways in which the use of the principles of excellence would enhance the quality improvement plan and serve to address the clinical event you analyzed in the root cause analysis (Unit 4).
How will the selected principles of excellent help to address the legal, ethical, and professional implications associated with the quality improvement plan?
Format of the paper:
Adhere to APA formatting for paper organization, citations, and references.
Provide a title page.
Please use at least one scholarly source that is less than five years old to support your work.

use the following article
Dai, Y., Min, H., Sun, L., Wang, X., Zhu, C., & Gu, C. (2024). Assessing women’s and health professionals’ views on developing a midwifery-led mobile health app intervention in pregnancy: A descriiptive qualitative study. Journal of Advanced Nursing, 00, 1–13. https://doi.org/10.1111/jan.16086