The biopsychosocial model of mental illness

The biopsychosocial model of mental illness suggests that symptoms tend to develop in response to a combination of biological factors, social stressors, and psychological stressors. Develop a list of two precipitating factors or events for each of three elements of the model (bio, psycho, and social) in explaining the onset of anxiety. Please be sure to explain how they relate to the three elements.

The nature of human social interactions

His assessment is designed to help you explore one course-related topic in-depth; gather academic, peer-reviewed sources related to this topic; explain analyze and synthesize the literature on this topic. Completing the essay will help you achieve the following learning outcomes:

  1. Use concepts of religion, society, and culture to describe the nature of human social interactions
  2. Outline the sources of both cooperation and conflict in religion.
  3. Debate critically the linkages between society and faith.
  4. Describe the histories, beliefs, and practices of Judaism, Christianity, and Islam

TOPIC: What is the significance of Martin Luther and the Protestant Reformation in Christian history? What were the consequences and how has that influence later Christianity?

 

What is memory repression?

What is memory repression? How are allegedly repressed memories unlocked? Why were researchers such as Beth Loftus skeptical about the claims about repressed memories being uncovered? Can memories be recovered, and how is this different from claims about memory repression?

Effects of overweight on health

Effects of overweight on health. Review the following “How Being Overweight or Obese Affects your Health” case study and answer these questions.

How does additional body weight affect physical status?

What are some of the barriers and challenges to losing weight in the U.S.?

Discuss cultural considerations when discussing weight and weight loss with clients.

What would you suggest helping Mark achieve a healthy weight?

 

please cite resources

How the  SDOH affects the health care

  • How the  SDOH affects the health care and its delivery and the population most affected by this SDOH
  • Address 2 means of improving the SDOH and how you would implement them:
    • include which population you would target and why
    • what you  2 things would implement to improve  the SDOH
    • how you anticipate your improvement would impact the SDOH as well as obstacles you think you might encounter and why

Describe the pathophysiology of bronchiolitis

Module 07 Content

  1. Competency

Apply the foundations of pediatric nursing when caring for clients with health alterations.

  1. Scenario

You are working in a large urban pediatric clinic after-hours.

A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.

  • The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
  • Born at 36 weeks gestation.
  • Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
  • T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
  • A swab for respiratory syncytial virus (RSV) is positive.

 

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.

After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:

  • methylprednisolone 0.4 mg/kg oral BID for 3
  • Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
  • Call if needed prior to the Q4 dose.
  • Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
  • Return for re-evaluation in 3 days
  1. Instructions

In a two to three-page, provide reponses for these questions and requests for information:

 

Criteria:

  1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
  2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
  3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
  4. What are the characteristic signs/symptoms of bronchiolitis?
  5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
  6. You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
  7. What short and long-term possible complications should the nurse anticipate?
  8. What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

* Include a minimum of 2 scholarly sources

Describing the roles and responsibilities of carers

Describing the roles and responsibilities of carers and family members, clients/people being supported, health professionals, support workers and supervisors:
Briefly describe the role of each individualised plan
Describe the main responsibility of each individual when contributing to the development and implementation of an individualised plan
Describe the main responsibility of each individual to provide information to others (include the information that should be shared)

EBP process improvement and EBP initiatives

As we continue to discuss EBP process improvement and EBP initiatives, what do you think is the difference between research, quality improvement and evidence-based practice? Is there a difference or do they support each other? I have included a couple of articles that I found interesting. The articles discuss the different terms and the relationship between EBP, QI and research, and give examples of the similarities and differences that exist.

 

NEED RECENT CITATION AND REFERENCES

 

Blood pressure and thiazide diuretic

You are caring for a 53-year-old obese woman in the telemetry unit with chest pain with exertion.  She is doing well on Isosorbide and will be placed on it orally to go home.  Her blood pressure has been the problem.  She is taking a thiazide diuretic.

  • What is other blood pressure medicine good for angina and blood pressure? Describe its mechanism of action in this situation.

She has also had high cholesterol for a long time.  This has been managed well with atorvastatin 80 mg every day.  However, she now has triglycerides of 340 mg/dl.

  • What medication can be added to her atorvastatin to lower triglycerides? Describe the mechanism of action in this situation.

She takes metformin and canagliflozin for her diabetes.  She is controlled with an A1C of 7.2.  However, her weight is uncontrolled and she gains 10-15 pounds a year, despite “eating all of the right things.”

  • What is an injectable medication that the patient can be started on that will lower her A1c further and is known to help with weight reduction? Describe the mechanism of action in this situation

 

Now take all of her drugs that she will be on and put them into a drug interaction checker

  • identify any serious interactions (“monitor closely”). Based on these interactions what symptoms will you tell the patient to report immediately to her prescriber?

 

Bleeding and  thrombotic Disorders

Summarize the bleeding and thrombotic disorders: platelet and coagulation disorders in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow up tests whenever applicable)
5.Pathophysiologic rationale of treatment

 

Platelet Disorders: Talk about TWO DISORDERS: Low platelet count (Thrombocytopenia), increased platelet count (Thrombocytosis)

  • Thrombocytopenia:
  1. Etiology& Pathogenesis: different types of thrombocytopenia and what cause them, also talk about causes of defective platelet function including antiplatelet medication effects
  2. Clinical Picture: manifestations of low-platelet bleeding disorders. (in contrast to clotting factor deficiency bleeding disorder)
  3. Diagnosis: bleeding time, platelet count, Thromboelastography with platelet mapping.
  4. Pathophysiologic rationale of treatment: indications of platelet transfusion.
  • Thrombocytosis:
  1. Etiology& Pathogenesis: as a part of myeloproliferative disorder (essential thrombocytosis)
  2. Clinical Picture: Signs& Symptoms of thrombocytosis and complications
  3. Diagnosis:
  4. Pathophysiologic rational of treatment:

 

 

Coagulation Disorders: Talk about TWO DISORDERS: Hypocoagulability (Coagulopathy) and Hypercoagulability.

  • Hypocoagulability:
  1. Etiology& Pathogenesis: Acquired causes of bleeding tendency (other than genetic causes): including liver failure, uremia, vit K deficiency & warfarin overdose.
  2. Clinical Picture: manifestations of coagulopathy (in contrast to platelet disorder types of bleeding)
  3. Diagnosis: PT & PTT (how each can help diagnose extrinsic vs intrinsic pathway disorders)
  4. Pathophysiologic rationale of treatment:
  • Hypercoagulabilty:
  1. Etiology& pathogenesis: Factor V Leiden, Protein C deficiency, Protein S deficiency, antiphospholipid syndrome.
  2. Clinical Picture: Complications of hypercoagulability
  3. Diagnosis:
  4. The pathophysiologic rationale of treatment.

 

This is the textbook for information:

McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473