Prepare a 1,050- or more word paper that discusses research-based interventions to treat psychopathology. Research-Based Interventions on Stress Disorders, Anxiety Disorders, Conduct Disorders, and ADHD Paper wk 3 inv

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Prepare a 1,050- or more word paper that discusses research-based interventions to treat psychopathology.
Research-Based Interventions on Stress Disorders, Anxiety Disorders, Conduct Disorders, and ADHD Paper wk 3 inv

Select a stress disorder, anxiety disorder, conduct disorder, or ADHD

Use the Research Analysis to complete this assignment.

Prepare a 1,050- or more word paper that discusses research-based interventions to treat psychopathology.

Review and differentiate the characteristics of the selected disorder and discuss the research about intervention strategies for the disorder by completing the following:

Evaluate three peer reviewed research studies using the Research Analysis.
Conceptualize the disorder using the DSM, diathesis stress or biopsychosocial model.
Discuss the treatments or interventions that have been shown to be the most effective for your selected disorder. Why?

 

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Analyze one or more barriers in the U.S. healthcare delivery system related to cost, quality, and/or access that are evident in your selected case study.

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Analyze one or more barriers in the U.S. healthcare delivery system related to cost, quality, and/or access that are evident in your selected case study.

A person’s health may be greatly impacted by his or her access to timely, appropriate care. Yet, in the United States, there are marked differences among the quality of services that are available and each individual’s use of those services. The cost of healthcare, for instance, can greatly influence a person’s decision to visit the doctor or fill a prescription. What other factors impact healthcare-related decisions? In this Discussion, you will read three case studies that illustrate dilemmas related to cost, quality, and access to healthcare, and consider the potential influence these can have on a person’s health, financial standing, and quality of life.

To prepare for this Discussion:

Read the Week 2 Discussion Case Studies.
Select one case study on which to focus for this Discussion.
Review the information presented in the Resources, including Chapter 12 in the Shi and Singh (2015) course text and the two resources you selected.
Reflect on your selected case study and consider the following questions:
Which barriers in the U.S. healthcare delivery system related to cost, quality, and/or access are evident in the case study?
How could these barriers be addressed?
How does the use of insurance influence concerns or decisions related to cost, quality, and/or access to care for the person in this case study?
Post by Day 4 a substantive and cohesive response to the following:

Analyze one or more barriers in the U.S. healthcare delivery system related to cost, quality, and/or access that are evident in your selected case study.
Describe a potential solution for each barrier you have identified.
Explain how health insurance may influence concerns or decisions related to cost, quality, and/or access to care for the person in your selected case study.
Reminder: Be sure to cite your supporting documentation appropriately in correct APA format.

Readings
Shi, L., & Singh, D. A. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
Chapter 12, “Cost, Quality, and Access” (pp. 464–500)
Document: Week 2 Discussion Case Studies (PDF)
Select at least two resources from the following list (not Optional) to research topics for your Discussion posting and responses.

Centers for Medicare and Medicaid Services. (n.d.). Linking quality to payment. Retrieved from http://www.medicare.gov/hospitalcompare/linking-quality-to-payment.html?AspxAutoDetectCookieSupport=1
Gold, J. (2014). FAQ on ACOs: Accountable Care Organizations, explained. Kaiser Health News. Retrieved from http://kaiserhealthnews.org/news/aco-accountable-care-organization-faq/
Levi, J., Segal, L. M., Fuchs Miller, A., & Lang, A. (2013). A healthier America 2013: Strategies to move from sick care to health care in the next four years. Retrieved from http://www.kresge.org/sites/default/files/Trust-for-Americas-Health.pdf
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy People 2020. (2015). Foundation health measures. Retrieved from http://www.healthypeople.gov/2020/about/tracking.aspx
Optio

 

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COMPUTE THE AMOUNT OF SOCIAL SECURITY TAX TO BE WITHHELD FROM EACH EMPLOYEE’S GROSS EARNINGS. ASSUME A 6.2 PERCENT SOCIAL SECURITY RATE ON THE FIRST $122,700 EARNED BY THE EMPLOYEE DURING THE YEAR.

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COMPUTE THE AMOUNT OF SOCIAL SECURITY TAX TO BE WITHHELD FROM EACH EMPLOYEE’S GROSS EARNINGS. ASSUME A 6.2 PERCENT SOCIAL SECURITY RATE ON THE FIRST $122,700 EARNED BY THE EMPLOYEE DURING THE YEAR.

Alexander Wilson operates Metroplex Courier and Delivery Service. He has four employees who are paid on an hourly basis. During the workweek beginning December 15 and ending December 21, 2019, his employees worked the number of hours shown below. Information about their hourly rates, marital status, and withholding allowances also appears below, along with their cumulative earnings for the year prior to the December 15-21 payroll period. INSTRUCTIONS 1. Enter the basic payroll information for each employee in a payroll register. Record the employee’s name, number of withholding allowances, marital status, total and overtime hours, and regular hourly rate. Consider any hours worked beyond 40 in the week as overtime hours. 2. Compute the regular, overtime, and gross earnings for each employee. Enter the figures in the payroll register. 3. Compute the amount of social security tax to be withheld from each employee’s gross earnings. Assume a 6.2 percent social security rate on the first $122,700 earned by the employee during the year. Enter the figures in the payroll register. 4. Compute the amount of Medicare tax to be withheld from each employee’s gross earnings. Assume a 1.45 percent Medicare tax rate on all salaries and wages earned by the employee during the year. Enter the figures in the payroll register. 5. Determine the amount of federal income tax to be withheld from each employee’s total earnings. Use the tax tables in Figure 10.2 to determine the withholding for Russell. Withholdings are $112.00 for Bahamon, $323.00 for Garcia, and $258 for Price. Enter the figures in the payroll register. 6. Compute the net amount due each employee and enter the figures in the payroll register. 7. Total and prove the payroll register. Bahamon and Russell are office workers. Garcia and Price are delivery workers. 8. Prepare a general journal entry to record the payroll for the week ended December 21, 2019. Use 32 as the page number for the general journal. 9. Prepare a general journal entry on December 23 to summarize payment of wages for the week. Analyze: What percentage of total taxable wages was delivery wages? View Solution:
Alexander Wilson operates Metroplex Courier and Delivery Service He has

 

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Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live. Modify my post

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Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live.
Modify my post

Question: An explanation of the role of the advanced practice nurse in facilitating the discussion of end-of-life care with patients and their families. Explain how you would approach a family who wants “everything” done for a patient with only a limited time to live. Then, explain when it is appropriate to involve hospice and how to approach patients and/or families who refuse hospice services. Finally, explain potential outcomes of the patient in the case study you selected and how you would facilitate the discussion of end-of-life care with this patient’s family. We are in a unique position to guide patients and their families through an increasingly complex health care system toward the goal of a “good death” one that is comfortable and self-determined.

Answers:

An explanation of the role of the advanced practice nurse in facilitating the discussion of end-of-life care with patients and their families

With the aging of the US population, the number of seriously ill patients with complex conditions is expected to rise and the overwhelming majority of deaths occur among the older adult population. Older adults typically die slowly of chronic diseases, with multiple coexisting problems, progressive dependency on others and heavy care needs that are met mostly by family members. The dilemma of end-of-life care becomes a crucial issue for the advance practical nurses. As a nurse practitioner, we have a crucial role in facilitating end-of-life care discussion with patients and families. It is not that easy to explain to them about hospice or comfort measures. A lot of patients and families have misconception about end-of-life care. They are thinking about the literal word of killing or giving up someone’s life. We are here to assist elderly patients with their advanced chronic illness and their families as they experience the final phase of life. We are here to serve the patients and family members caring for patients to promote excellent communication with family, encourage appropriate advance care planning and decision making, support home care, demonstrate empathy for family emotions and relationships, and attend to family grief and bereavement (Rabow, 2004). We should have the ability to listen which is the most valuable skill that can be used and allow them the opportunity to tell “their story.” End-of-life issues are very sensitive. That is when we are all most vulnerable, cared and thinking of what we did or did not do in our lifetime. NPs who can be empathetic and “be” with the patient at this very important time will have one of the most rewarding experiences of their career (Knox, 2010).

 

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EXPLAIN HOW YOU THINK YOU WOULD REACT IF, NOW OR IN THE FUTURE, YOU DISCOVERED THAT YOU WERE INFERTILE.

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EXPLAIN HOW YOU THINK YOU WOULD REACT IF, NOW OR IN THE FUTURE, YOU DISCOVERED THAT YOU WERE INFERTILE.

1.) Explain how you think you would react if, now or in the future, you discovered that you were infertile. What do you think you would do about having children? Would you have children or did you do to have children? Explain in detail. In addition, if you already experience this, please, explain how you reacted and what did you do about having children? Did you have children or did you not have children? Explain in detail.

2.) Discuss your attitudes and opinions about gay and lesbian couples having children through assisted fertility techniques or through adoption. Explain in detail.

3.) Picture groups of kindergarten boys and girls playing on the playground at recess. List at least three clear differences you are likely to see in the groups’ activities, interactions, and behaviors. Based on what you’ve read in this chapter, what might explain these differences? Explain in detail.

4.) Imagine you are looking for a new romantic relationship and you meet someone with whom you really it off. You enjoy the same activities, you share similar attitudes and beliefs, and you find each other physically and sexually attractive. As the relationship progresses and begins to grow more intimate, your new partner confides in you that he or she is transgender and has undergone sex reassignment surgery. How do you think you might react to this news? What do you think might happen from that point on in the relationship? Explain in detail.

5.) Imagine that you wake up tomorrow morning and your sexual orientation has changed (from straight to gay, from gay to straight, or from either to bisexual, etc.). Discuss how you might feel about such a change and how such a transformation would alter your life and your view of the world around you. Explain in detail.

6.) Imagine for a moment that you are the parent of a son or daughter (your choice) who informs you that he or she is gay. How do you think you would react? What would be the three most important things you would want to tell your child after hearing the news? Explain in detail.

 

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Identify two limitations of the model. State how the model is or might be used in your particular clinical area of nursing practice.

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Purpose- To demonstrate an understanding and use of theoretical Nursing Models.

Identitfy the nursing model of sister callista roy adaptation model.
Mention some backround on its development/developer
Describe/Explain the components of the model
Identify two strengths of the model
Identify two limitations of the model.
State how the model is or might be used in your particular clinical area of nursing practice.
Reference Page.

Purpose- To demonstrate an understanding and use of theoretical Nursing Models.

Identitfy the nursing model of sister callista roy adaptation model.
Mention some backround on its development/developer
Describe/Explain the components of the model
Identify two strengths of the model
Identify two limitations of the model.
State how the model is or might be used in your particular clinical area of nursing practice.
Reference Page

 

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Assume a large physician group practice has a low return on equity (ROE). How could Du Pont analysis be used to identify possible actions to help boost profitability?

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Assume a large physician group practice has a low return on equity (ROE). How could Du Pont analysis be used to identify possible actions to help boost profitability?

IMPORTANCE OF INVENTORY TURNOVER RATIO!!!

A. One asset management ratio, the inventory turnover ratio, is defined as revenues di- vided by inventories. Would this ratio be more important for a medical
device manu- facturer or a hospital management company?

B.Assume that Old Gatorland and Badger Manor, two operators of nursing homes, have fiscal years that end at different times:say, one in June and one in
December. Would this fact cause any problems when comparing ratios between the two businesses?

C. Assume a large physician group practice has a low return on equity (ROE). How could Du Pont analysis be used to identify
possible actions to help boost profitability?

 

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Candy is a 13 year old who lives with her father and younger sister. Her mother died when Candy was 6 years old and her sister was 4 years old.

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Candy is a 13 year old who lives with her father and younger sister. Her mother died when Candy was 6 years old and her sister was 4 years old.

Candy is a 13 year old who lives with her father and younger sister. Her mother died when Candy was 6 years old and her sister was 4 years old. Her father works a 12 hour shift full time to support himself and his daughters, and Candy makes sure she and her sister get to school each morning, take care of the house after school, and prepare their father’s dinner so he can eat as soon as he gets home from work. All three are very close and on his days off, Candy’s father is very devoted to his children. Candy began her menses when she was 11 years old and experiences regular periods every 28 days. She has excelled in school, being on the honor rolls consistently for the past 3 years. The past semester Candy’s school performance began to decline and she has been complaining of being tired “all of the time.” Her father notes that Candy “looks pale” and makes an appointment for Candy to be seen at the clinic .

At the clinic, the nurse practitioner performs a nursing history during which Candy’s father shares the observations he has made and Candy verifies the information. The nurse practitioner’s assessment reveals Candy is a clean, appropriately dressed, pale adolescent who appears fatigued. Candy’s vital signs are:

Temperature: 35.9 C (96.6 F)

Pulse: 116 beats/minute

Respirations: 30 breaths/minute

Blood pressure: 90/60

Candy’s lab values are:

Hemoglobin: 10 g/dL

Hematocrit: 28%

Total Iron Binding Capacity (TIBC): 450 mg/dL

Serum iron: 35 microgram/L (Broyles, 2006). You will need to answer the following questions and summarize in 1-2 paragraphs.

Be sure to include the diagnosis, differential diagnosis, pathophysiology, epidemiology, physical exam findings, diagnostic testing any needed referrals, management plans, patient education and follow-ups. Please submit to dropbox by the assigned due date.

What is diagnosis?
List 3 differential diagnosis (rule out by physical exam, diagnostic testing and/or labwork).
Discuss the pathophysiology, epidemiology and risk factors for the diagnosis.
Is there any other diagnostic testing that you would like to perform?
Is there a relationship between Candy’s change in school performance and her diagnosis?
Discuss the relationship between the symptoms and the diagnosis.
Discuss the significance of the laboratory values.
Discuss the cause and effect relationship between Candy’s level of growth and development and her diagnosis.
What other data would be helpful for the nurse practitioner to have?
What are the priorities of care for Candy?
What pharmacological and not pharmacological education would you give to this patient and her father?
What other responsibilities should the nurse practitioner delegate to Candy and her father?
To view the Grading Rubric for this assignment, please visit the Course Home.

How to Submit

When you are ready to submit your Assignment, click the Dropbox tab and select this unit’s basket from the dropdown menu, then attach your file. Make sure to save a copy of the Assignment you submit.

 

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Introduction to Qualitative Research.

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Introduction to Qualitative Research.

Quantitative and Qualitative Research in Clinical Settings

Some people consider the difference between the terms “quantitative” and “qualitative” to be similar to the difference between facts and feelings. These individuals might argue that quantitative approaches are better or more appropriate than qualitative approaches, particularly in health care. They might support this argument by saying that quantitative approaches are based on numbers and concrete evidence rather than on subjective observations and opinions.

Based on the information presented in this week’s Learning Resources and Media, do you think this an accurate way of distinguishing quantitative and qualitative methods of research? Is one method inherently superior to the other? How would you describe the difference between quantitative and qualitative research to someone who was completely unfamiliar with these concepts?

This Discussion explores the characteristics of quantitative and qualitative research methods as well as the application of each in the practice setting. You examine the suitability of each method to evidence-based practice. You are encouraged to make connections between general characteristics and abstract research concepts to realistic scenarios and actual experiences in your responses to this week’s Discussion prompts.

To prepare:

Review Dr. Shi’s comparison of the characteristics of quantitative and qualitative research presented in this week’s media presentation and in the “Overview of Qualitative Research Methods” tutorial.
Reflect on the Learning Resources focusing on the use of quantitative and qualitative research in health care.
With the two articles you reviewed in mind (one quantitative and one qualitative), think about how those types of research projects influence, or support, evidence-based nursing practice. Ask yourself: Which methodology is most appropriate for supporting evidence-based practice? What characteristics of that methodology support my conclusion? SEE ATTACHED FILES FOR ARTICLES

By Tomorrow 08/29/17, write a minimum of 550 words in APA format with a minimum of 3 references from the list below which include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Analyze how quantitative and qualitative research projects can be applied to evidence-based nursing practice. (SEE ATTACHED FILES FOR ARTICLES)

2) What characteristics of quantitative or qualitative research make it the most appropriate for addressing evidence-based practice problems? Support your position.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Introduction to research and analysis. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this week’s video, the presenters discuss the use of research in health care and how health care professionals can select appropriate research topics. The video also discusses how to identify organizational sources of data for health care research.

Tutorials

Walden University. (n.d.). Overview of quantitative research methods. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/qualitative/index.html

This tutorial provides an overview of qualitative research design and methods, including the key questions to consider when using a qualitative methodology.

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

This excerpt discusses methodologies for developing research evidence in nursing and compares quantitative and qualitative research methods. This section of Chapter 2 also introduces levels of evidence and how the various levels are used in evidence-based practice.

Chapter 3, “Introduction to Quantitative Research”

Chapter 3 provides an overview of quantitative research methods, including sampling and research settings. The chapter also outlines the steps of quantitative research from the formulation of a research project to communicating research findings.

Chapter 4, “Introduction to Qualitative Research”

Chapter 4 introduces qualitative research methods and examines the use of qualitative research in nursing.

Select and read one article that uses quantitative methodology and one article that uses qualitative methodology:

Bonner, L. M., Simons, C. E., Parker, L. E., Yano, E. M., & Kirchner, J. E. (2010). ‘To take care of the patients’: Qualitative analysis of Veterans Health Administration personnel experiences with a clinical informatics system. Implementation Science, 563–570. doi:10.1186/1748-5908-5-63

Note: Retrieved from the Walden Library using the Academic Search Complete database. [Qualitative]

This article presents a qualitative analysis of interview transcripts with Veteran Health Administration (VA) personnel and examines themes relating to participants’ interactions with and assessment of the VA electronic health record (EHR).

Fletcher, A., Cooper, J. R., Helms, P., Northington, L., & Winters, K. (2009). Stemming the tide of childhood obesity in an underserved urban African American population: A pilot study. ABNF Journal, 20(2), 44–48.

Note: Retrieved from the Walden Library using the Academic Search Complete database. [Quantitative]

This article presents the quantitative findings of a pilot weight control study performed by the Kids for Healthy Eating and Exercising (KHEE) club in Jackson, Mississippi. This program may be considered a model for successful methods of addressing the nationwide problem of childhood obesity.

Lavoie-Tremblay, M., Paquet, M., Duchesne, M., Santo, A., Gavrancic, A., Courcy, F., & Gagnon, S. (2010). Retaining nurses and other hospital workers: An intergenerational perspective of the work climate. Journal of Nursing Scholarship, 42(4), 414–422. doi:10.1111/j.1547-5069.2010.01370.x

Note: Retrieved from the Walden Library using the CINAHL Plus with Full Text database. [Quantitative]

This article outlines a quantitative study on work climate perceptions and intentions to quit among health care workers belonging to three distinct generations: baby boomers, Generation X, and Generation Y. The article offers suggestions for retention strategies based on the findings of this study: identifying areas of work climate improvement that are relevant to workers across the three generations in the study.

Watts, S., Gee, J., O’Day, M., Schaub, K., Lawrence, R., Aron, D., & Kirsh, S. (2009). Program evaluation. Nurse practitioner-led multidisciplinary teams to improve chronic illness care: The unique strengths of nurse practitioners applied to shared medical appointments/group visits. Journal of the American Academy of Nurse Practitioners, 21(3), 167–172.

Note: Retrieved from the Walden Library using the CINAHL Plus with Full Text database. [Qualitative]

This article offers a qualitative analysis of case studies of shared medical appointments (SMAs) or group visits for three different chronic diseases. Using the six criteria in a novel chronic care model (CCM), the article illustrates how nurse practitioners (NPs) play a variety of roles in the development, implementation, and sustainability of SMAs as a method of improving the quality of life and care for patients with chronic diseases.

 

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Please choose any common health problem/procedure in SURGICAL NURSING AREA.Select two (2) patients/clients with common health problems/diseases or undergoing common procedures in your specialty(SURGICAL NURSING).

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Please choose any common health problem/procedure in SURGICAL NURSING AREA.Select two (2) patients/clients with common health problems/diseases or undergoing common
procedures in your specialty(SURGICAL NURSING).

Topic: Please choose any common health problem/procedure in SURGICAL NURSING AREA
Order Description
Select two (2) patients/clients with common health problems/diseases or undergoing common
procedures in your specialty(SURGICAL NURSING). Prepare a specialty nursing assessment and care case study for each of
these patients, using the tables provided (appendix C). This is not an essay, you must be succinct when
completing the tables and support the information presented with evidence-based literature.
The focus of this assignment is on the specific assessment and care undertaken by a specialty
nurse in your setting. This will include seemingly basic elements of nursing care, but the purpose of
this assignment is for you to focus on the specific elements pertinent to your specialty. Ask yourself:
what is the focus of my nursing assessment and care as a specialist nurse for patients with these
specific specialty problems/procedures?
You may choose to focus your assessment of the patient at any point of their journey whilst in your care.
Approximately 2500 words (1000 words each case study +
introduction & conclusion) +/-10%
What to include in your assignment:
• Briefly introduce your overall assignment and what you will cover (one paragraph)
• Introduce the first case study patient (and family where appropriate) by stating their name/s
(pseudonym) and health problem/procedure and reason for needing nursing care in your
specialty setting (one paragraph)
• Nursing Assessment: Complete the table (appendix C) regarding specialty nursing assessment
required for this patient in your specialty setting, including:
? specialty assessment for the patient in the specialty (select from physical,
psychosocial, sociocultural or ethico-legal assessment areas)
? normal / expected assessment findings
? reason for any differences in findings for this patient
? nursing strategy required to address this assessment finding
? all citing evidence-based literature
• Nursing Care: Complete the table (appendix C) regarding specialty nursing care required for this
patient in your specialty setting by:
o Identifying approximately two (2) issues requiring specific specialty nursing care for
your patient.
o Making a nursing diagnosis (or specific statement) about each specific issue requiring
care.
o Describing three (3) key specialty nursing actions to implement, for each of these
issues.
o Evaluating and/or analysing the rationale (supported with evidence-based literature) for
each action.
• Discuss the significance of the specialty nurse role in relation to assessment and care for this
patient in your specialty (one paragraph)
• Evidence-based literature sources must be cited for each element of these tables
• Then repeat the above for an additional patient
• Make an overall conclusion to your assignment and what you have covered (one paragraph).

 

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