Diana is a healthy 35-year-old G5P5 who vaginally delivered an 8 pound, 6 ounce baby girl with an intact perineum. Her estimated blood loss (EBL) was 500 mL. During the fourth stage of labor her vital signs, fundus, and lochia were within normal limits (WNL). She is transferred to the mother-baby unit 3 hours after birth.
What is the postpartum period?
What is the process of uterine involution after childbirth?
After the report, the nurse goes in to assess Diana. Her vital signs are WNL, but her fundus is 2 cm above the umbilicus and displaced to the right. Her sanitary pad is completely saturated with lochia rubra. Is this an expected finding 3 hours after birth?
The nurse asks Diana to dangle her feet at the bedside for several minutes. After confirming that Diana does not feel dizzy or lightheaded, she helps Diana up to the bathroom to void. Why does the nurse think that Diana’s bladder is full?
When Diana first gets out of the bed, she has a gush of blood. Is this a sign of hemorrhage?
Diana voids 500 mL of urine. Her fundus is boggy but became firm with massage and is now at the level of the umbilicus. Her lochia flow is slightly decreased. Diana has an IV of lactated Ringer (LR) solution with 20 units of oxytocin infusing at 125 mL per hour. What else can the nurse do to help Diana’s uterus contract?
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The Struggle of Aids in Our Immune System The main drama in the struggle of AIDS takes place in our immune system. From the moment that the body is infected by the first HIV virus, a battle of epic proportion begins in the immune system.
The Struggle of Aids in Our Immune System
HIV is fighting to kill the immune system, and the immune system is fighting to kill the virus. The battle will continue for the remainder of the patient’s life. In order for you to understand this battle, you will need to know more about the immune system, which is covered in chapter 3.
The Struggle of Aids in Our Immune System
Before the class next week, you should read the chapter to learn about the major components of the immune system. The two major themes that I want to focus on are Innate Immunity and Adaptive Immunity. Each of you should read about both, but you need to select one of these topics to write about for your Preliminary Post.
Option 1: Innate immunity innate is a general name for the non-specific immune responses that provide the body’s first and second lines of defense against invading pathogens. This part of the immune system is not damaged in AIDS, while the adaptive immunity is. It might be helpful to educate AIDS patients on the innate immune system to help them understand what is going on in their bodies, and how to make the most of it.
The Struggle of Aids in Our Immune System
For this discussion, choose one example of innate immunity to focus on. Choose one aspect that was particularly interesting to you. Do some research to find out a little more about it. Here is a list of examples, but you can think of other ones as well:
describe one type of chemical barrier that the body puts up to keep a pathogen from penetrating the outer wall. Under what conditions is it released? How does it work?
one part of the inflammatory response such as non-specific phagocytosis. Tell us how that works. You’d probably find it helpful to watch this video:
Tell us how an AIDS patient can work with his/her non-specific pathways to help them work to their optimal capacity, in light of the fact that his adaptive immune system is not working. For example, how can he work with his inflammatory response to get the optimal benefit?
Option 2 – Adaptive Immunity:
In Chapter 3, we also learned about the adaptive immune response. This system used a special class of white blood cells known as lymphocytes to attack specific target antigens that the body has seen in the past. This involves B-cells, T-helper cells and T-killer cells. It is these pathways that are disrupted in AIDS.
For this discussion, choose one example of adaptive immunity to focus on. Choose one aspect that was particularly interesting to you. Do some research to find out a little more about it. Here is a list of examples, but you can think of other ones as well:
Cell-free antibodies are large protein molecules that are released by B-cells as a part of the Humoral Response, which is one arm of the Adaptive Immune Response. There may be millions of B-cells in the body at birth, and each one has been programmed during development to produce a different unique type of antibody molecule that will recognize a single antigen in its lifetime. As such, our bodies have the ability to recognize almost any invading pathogen with at least one type of these antibodies. When our body recognizes a pathogen, it will begin to amplify the B-cell that makes the type of antibody that can recognize it. This will launch a whole body defense, against the pathogen.
The Struggle of Aids in Our Immune System
Describe the primary immune response, which is what happens the first time that the body recognizes an invading pathogen. Explain what happens to the single B-cell that makes antibodies against that pathogen. How long does after infection does it take for the immune response to knock down the infection?
Describe the secondary immune response, which is what happens when the same invading pathogen is involved in a re-infection of the body. Since there are now thousands of dormant B-cells that recognize the antigens on the pathogen, how is the immune response enhanced? How quickly does that occur. compared to the first encounter with that pathogen?
Describe how a vaccine works. Which how does the vaccine replace the primary response? When the pathogen enters the body for the first time in a person who has already been vaccinated, does it encounter a primary immune response or a secondary immune response? Explain.
There is a second arm of the adaptive immune response known as “Cell-mediated Immunity” which is mediated by using T-cells, rather than B-cells. There two types of T-cell responses, one with the T-Helper cells and one with cytotoxic T-cells. T-Helper cells are the T-cells with the CD4 receptor on the surface, through which the HIV particles enter the cell. It is the T-Helper cells that are killed in AIDS. The second type of T-cell response is with a different type of T-cell, T-killer cells, also known as cytotoxic T cells or CD8+ cells. Here’s the question: If AIDS kills only the T-Helper cells, why are both the humoral (B-cell) and cell-mediated responses (T-cell) pathways knocked out?
The Struggle of Aids in Our Immune System Textbooks
Required Textbook:
AIDS, Science and Society, Seventh Edition. Jones & Bartlett Learning, Burlington, MA.
Author(s): Hung Y. Fan, Ross F. Conner, Luis P. Villarreal
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Bipolar Disorder and Anticonvulsant/Mood Stabilizing Medications
For this Discussion, review the Learning Resources. Create a case study of a client with the selected disorder. Include the client’s age, gender, major presenting factors (including losses and symptom manifestation), when symptoms emerged, and any other pertinent information.
Bipolar Disorder and Anticonvulsant
Consider possible medical treatments that a psychiatrist might prescribe for the hypothetical client and the role of the counselor in these treatment cases. Be creative in your description, but also be as realistic as possible. Use the DSM-5 and your other texts to construct the background story for your hypothetical client’s presentation.
Hamrin, V., & Pachler, M. (2007). Pediatric bipolar disorder: Evidence-based psychopharmacological treatments. Journal of Child and Adolescent Psychiatric Nursing, 20(1), 40–58.
Perry, P. J., Alexander, B., Liskow, B. I., & DeVane, C. L. (2007). Psychotropic drug handbook (8th ed.). Baltimore, MD: Lippincott Williams & Wilkins.
Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger.
Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning.
National Institute of Mental Health. (n.d.) Bipolar disorder among adults. Retrieved September 4, 2012, from http://www.nimh.nih.gov/health/publications/bipolar-disorder-in-adults/index.shtml?rf=
Preston, J., & Johnson, J. (2011). Clinical psychopharmacology made ridiculously simple (7th ed.).Miami, FL: MedMaster, Inc.
Bipolar Disorder and Anticonvulsant Bipolar I disorder
The client is a 24year old Caucasian female named Gina, which her symptoms point to depression. She has been feeling guilty, difficulty remembering, fatigue, sleep disturbance and weight gain. She finds herself lying awake at night, unable to sleep and worrying about everything. Her main worry stems from losing her job and afraid of how she will take care of her family since the loss of her husband. She worries her children will see her as weak and a problem due to not keeping a job and raising them alone. During the first appointment and intake interview, she noted that she never feels like herself. She finds herself crying and feeling down. She misses her husband, and everything was better and together when he was alive. She admitted to wanting to run away from everything and just hide, however she knows deep down she cannot because she is all the children have. Gina realizes and understands how her life is currently being affected in many ways and needs help to learn how to cope with it all.
The role of the counselors is to supply the emotional and lifestyle keys to help the client/s manage and decrease their mood changes. Finding the right medication for her will take some trial and error. If one does not work well for her at first, then there are others we can try. The first thing Gina will need to realize is that being diagnosed with Bipolar means this is not a quick fix and requires lifelong treatment. Starting medication at once will help balance her moods. Gina does not need to be hospitalized at this time. She will receive help from the day treatment programs where she will have the support needed to get the symptoms under control. I would like to start the medication lithium as it is the most effective in preventing bipolar episodes. However, to help manage and control the depression starting a low dose of Lexapro as it has minimal interaction with other medications.
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Chronic Pain and a Concept Analysis Paper This is an individual assignment. Using Walker and Avant method develops a concept analysis for your phenomenon of interest.
Chronic Pain and a Concept Analysis Paper
This assignment should be maximum of 5 pages (excluding references, tables, pictures, and graphics), double spaced, Times Roman, 12 font. Submit your assignment with a title page, abstract and reference page using APA 6th Edition. References must include at least 8 journals.
Chronic Pain and a Concept Analysis Paper Guideline
Discuss the importance of the concept in practice/research
APA 6 edition format references in the text and in the references list
Please use the Walker & Avant 8 steps model.
I’m considering using Chronic Pain by concept analysis using Walker and Avant model, as the first step of my DNP project based on my PICOT question: For Primary care providers at my clinical location, does the implementation of the CDC Guideline for Prescribing Opioids for Chronic Pain (Dowell, Haegerich, & Chou, 2016), compared to no protocol impact improving the safety and effectiveness of pain treatment in eight weeks?
Chronic Pain and a Concept Analysis Paper
Defining chronic pain in this specific CDC scenario is a key aspect of this project, I’m expecting to provide the necessary tools to my colleagues about the necessary interventions handling this patient based on the actual value of what is considered an “opioid epidemic”. This intervention will directly respond to the VI Essential of DNP Interprofessional Collaboration for Improving Patient and Population Health Outcomes (AACN DNP Essentials, 2006).
Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC Guideline for Prescribing Opioids for Chronic Pain — the United States, 2016. MMWR. Recommendations and Reports,65(1), 1-49. doi:10.15585/mmwr.rr6501e1
AACN, DNP Essentials. (2006). Retrieved from https://www.aacnnursing.org/DNP/DNP-Essentials
Please include some information from the AACN DNP Essentials (any relation to one of the sixth essentials)
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Discuss Health Promotion Activities and Cancer Testing
You want to discuss health promotion activities with them, including self-breast exam (SBE) and mammography for the wife and prostate self-exams for the husband. The wife states she is embarrassed to admit she has never done a breast self-exam or had a mammogram and didn’t think they were useful anyway. The husband tells you he read in the magazine in your waiting room that blood tests to check for prostate cancer don’t need to be done anymore.
Provide evidence-based information to the wife about the recommendations for SBE and mammography and your recommendations to her based on the evidence.
Describe changes in her breasts that should be reported to her health care provider.
Critique the use of serum prostate-specific antigen (PSA)to diagnose prostate cancer.
Provide your evidenced-based recommendations to the husband for PSA testing.
Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position and suggestions
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Developing Health Programme and Evaluation Summative Assessment
Developing Health Programme and Evaluation Summative
The summative assignment is a 3,500-word formal response to the letter by the health promotion specialist. The response should suggest a comprehensive health promotion programme specifically designed to address the identified need. The good rationale should be provided for all recommendations and all advice should be based upon a critical evaluation of existing literature and the evidence base. The letter is written in the first person by the student in the role of the health promotion specialist.
You must achieve a mark of 50% or greater to pass the module.
Developing Health Programme and Evaluation Summative Assessment Guidelines
The following can be used as a guide to the structure and presentation of your summative assignment. I recommend the use of sub-headings within your main text so to highlight the structure you have applied to your work.
Title page
This is the first page of your work and must contain the title of this module, the module code, the name of the module leader, your student number (NOT your name), the date of submission and the accurate word count. Word count is a maximum of 3500 words but final word count can be less than this. The word count DOES NOT INCLUDE your title page, the content of tables/figures in your main text, reference list and appendices. Please ensure that page numbers are included and that your introduction is on page one.
Developing Health Programme and Evaluation Summative Introduction
As you are replying to a letter with a letter, your introduction will start with brief and pleasant formalities (e.g. dear Sir/Madam, thank you for your letter in which you asked for my advice regarding…..). More importantly, your introduction should tell the reader what your aims and intentions for writing are and how you plan to structure the remaining letter (using sub-headings) so to address the various issues and components related to the health promotion intervention you are recommending.
Main text
In this section you should provide the following:
A critical appraisal of research literature and audit data relevant to the health promotion need identified in the manager’s letter. This is so you can convince the manager that you are knowledgeable of this specific topic and are aware of the many complex issues involved.
A procession of recommendations so to ensure that any intervention:
Is fully planned in advance and the plans are constructed so to meet specified goals
Is based upon a recognized health promotion framework
Takes into account the philosophy and practice of empowerment and change management
Recognizes how policies at the micro, meso and macro level of society need to be considered and developed together so to promote healthy public policy
Considers the duration, location, cost, and delivery of the initiative
Recognises potential barriers to success and identifies potential contingency measures
Will be properly and effectively evaluated according to its processes, immediate impact and long-term health gains.
Justification, based upon relevant literature, MUST be provided for everything you recommend. Remember, you are writing to convince the manager that your advice is informed, evidence-based, rational and of high quality. If you do not convince the manager then your advice may not be followed and, indeed, the intervention may never occur. The markers of your assignment will be taking the role of the manager and your final mark will be influenced by how comprehensive, inclusive and persuasive your approach has been.
Developing Health Programme and Evaluation Summative Conclusion
This is where you pleasantly end your letter by briefly reminding the manager of the importance of planning, conducting and evaluating health promotion interventions properly. Don’t forget to end with “Yours sincerely” but don’t then proceed to write your name. Remember, this assignment is marked anonymously.
Developing Health Programme and Evaluation Summative Reference list
A reference list would not normally be included in a letter however it is important to include one here so the manager can see the sources of literature that you have used throughout your letter to support and justify your recommendations. The manager may also want to access and read some of this literature you have mentioned so please ensure that all references are correct and are presented using the Swansea University recommended version of the APA referencing system. You are NOT required to present a bibliography for this assignment.
Developing Health Programme and Evaluation Summative Appendix
Please include the letter you wrote for the formative assessment – the letter to which you are replying – as appendix one. Without the inclusion of the formative letter, it is impossible to determine whether the summative assignment is responding in an appropriate and acceptable manner. This may result in marks being unable to be awarded for some content in the summative assignment. Other information may be included as additional appendices so long as it is relevant to your letter. Please ensure that all appendices are properly labeled and are referred to in your main text.
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Tidal Model and Therapeutic Interactions You will document your therapeutic interactions with an assigned client(s) (use only initials for clients to maintain confidentiality) using the theory of the interpersonal communication skills, essential interpersonal elements, and the Ten Commitments.
Tidal Model and Therapeutic Interactions
Within the introduction, you are to provide an introduction to the paper, information about who the resident is, who you are and what commonalities you and the resident share.
Using specific paraphrasing and personal quotes to demonstrate understanding. (Your paraphrases or quotes, not the clients).
You will consistently demonstrate your understanding and ability to exhibit each of the communication skills, for example, open questions, reflecting feelings, clarification and each interpersonal element, for example, concreteness, warmth, at least once throughout the paper. Name the skill/element that you are using to demonstrate understanding – see the attached assessment of interpersonal skills for a list of skills that should be used at least once in your assignment.
This assignment must be done as a Word document following APA sixth (6th) edition format. There should be approximately one page per Commitment. Submit the document with your last name as the file name.
The paper is to be ten to twelve (10-12) pages in length, not including the title page, references, or appendices
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Schizoaffective Disorder with Bipolar Type 5. Advance human rights and social justice and economic justice. (2 pages)
Schizoaffective Disorder with Bipolar
For this section, think of the NASW Code of Ethics. As social workers, we are to fight against social and economic injustices. There are many examples of these injustices in our everyday experiences as those of our clients. Think of the Flint Water Crisis, think of the cancellation by HART of bus lines in the rural areas, think of wage inequality, lack of access to internet services, discrimination, and oppression, etc. We know how many social and behavioral determinants of health are related to where individuals live and the daily stresses that they face. This section wants you to think about these macro issues and apply them to your client’s condition(s). Do provide examples.
Identify and discuss possible systemic and environmental factors that influence conditions contributing to the health issues/problem, illness or disease in question.
For this section, think of your policy classes. You have identified issue(s) above, now think about how you are going to create change to address this injustice. You may think of strategies stemming from working to empower client and local groups, agencies efforts, or strategies to foster changes to state legislation and federal policy as examples. The key issue to describe here is what you can do like the change agent.
Identify relevant macro policy issues and discuss what strategies can be utilized by you as a practitioner to influence change on a macro policy level. Give specific examples to demonstrate strategies.
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Cultural Competence in Infectious Disease Outbreaks
Importance of Cultural Competence in Infectious Disease Outbreaks and Response
Cultural competence is important when public health practitioners need to address infectious disease outbreaks in cross-cultural communities. Before beginning this assignment, learn about cultural competence in public health: https://npin.cdc.gov/pages/cultural-competence.
Choose one of the scenarios to discuss:
Measles outbreaks in the U.S. have continued to occur due to lack of vaccination. Most notably in the Somali community in Minnesota in 2017 and in the Amish community in Ohio in 2014. Devise a program to facilitate vaccination in response to one of these outbreaks. Conduct a needs and a capacity assessment to identify cultural commonalities and differences to be addressed, and the ability of your program to address them.
The lack of cultural competence in the recent Ebola epidemic of 2014-2016 in West Africa has been implicated as a reason that the outbreak was not contained sooner. If you were a public health practitioner responding to this outbreak, how would you include cultural norms and leaders in how you communicate with the community in order to control and prevent the disease from spreading?
You may choose another scenario but should gain approval before using it. Please be concise in your writing and keep the page length under 5 pages total. Follow APA formatting for a research paper
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Identify an important regulation or lack of regulation in occupational safety and health regarding the disposal of bloodborne pathogens in Saudi Arabia. How does this regulation affect the healthcare industry’s practices in Saudi Arabia? How could it be improved? In the event the law is silent on this matter, how would regulation positively impact the industry.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
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