Discusión Grupal Módulo 4

Discusión Grupal Módulo 4

Discusión Grupal Módulo 4

argumentente

“La campaña de nuestro partido se va a basar en la defensa absoluta de las libertades públicas y privadas. La idea es garantizar el respeto a la libertad de los ciudadanos en la sociedad y el absoluto respeto en las cuestiones privadas. En el tema del consumo de drogas somos partidarios del respeto de la privacidad de los individuos : todo individuo puede hacer lo que quiera con tal de que no dañe a los demás. Las prohibiciones provocan más problemas que beneficios…”

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medicamentos

Luego de leer el documentos sobre el acceso a los medicamentos: las patentes y los medicamentos genéricos. Las consecuencias de considerar al medicamento como un bien de mercado y no social, argumente sobre el siguiente caso. Puede recurrir a material complementario.

“Aunque sé que esta medicina está en etapa de experimentación y que las investigaciones son todavía incompletas… creo que hay un número importante de pacientes — sin alternativas convencionales — a los que debería aplicársela. Revelarles detalles técnicos del medicamento provocaría una desconfianza que atentaría contra la acción misma del remedio. Cualquiera sea el resultado es oportuno recetarlo y observar los efectos : en el futuro tendremos mayores seguridades.”

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Congestive Heart Failure Nurse Care Plan

Congestive Heart Failure Nurse Care Plan

Mr. Kaplan is a 78-year-old jewish white male, he is a retiree and was admitted to the hospital accompanied by his grandson. He is 100kg at a height of 180cm so his calculated body mass index (BMI) was 30.9 indicating that he was overweight. When admitted, the patient complained of shortness of breath for 4 weeks which was worsening on the day of admission and worsening cough. Besides, he also experienced orthopnea, fatigue, paroxysmal nocturnal dyspnea, and leg swelling up to his thigh. Mr. Perez was admitted to the hospital for the same problem 4 months ago.

Mr. Kaplan was diagnosed with heart failure on his last admission and he had also been diagnosed with hypertension for 20 years. Before being admitted to the hospital, the patient was taking Lasix 40mg, Eliquis 5 mg, metoprolol 50 mg, amlodipine 10mg, and simvastatin 40mg for his hypertension and heart failure. The patient is not allergic to any medication and he does not take any traditional medicines at home. His family history revealed that his father had died of ischemic heart disease 4 years ago while his brother has hypertension. As for his social history, he smoked 2-3 cigarettes a day for 35 years and the calculated smoking pack-years was 5 pack years. Besides, Mr. Kaplan also drinks occasionally.

On examination, Mr. Kaplan was found to be alert and conscious but he was having pedal edema up to his knee. Besides, the patient was noted with bibasal crepitations with no rhonchi. His body temperature was normal. However, his blood pressure was found to be elevated upon admission with a record of 179/100 mmHg with an irregular pulse rate at 85beats/min. His echocardiogram showed that he had left ventricle hypertrophy while a chest X-ray was conducted and revealed that the patient had cardiomegaly. Lab investigations such as full blood count, liver function test, urea, electrolyte test, and cardiac enzyme were done upon admission. His creatinine concentration was found to be 143µmol/L. Therefore, the calculated creatinine clearance was 68.8ml/min. Besides, there was also blood found in the urine and the echocardiography showed that the patient has sinus tachycardia and EF 45%. In addition, an ECG test was performed on day 1 and the result indicated that there was a T-wave inversion. The patient’s INR was 1.04 which was lower than normal while APTT was found to be slightly higher (59.4 seconds). Mr. Kaplan’s random blood glucose was found to be normal during his hospitalization.

Mr. Kaplan was diagnosed with congestive cardiac failure (CCF) with fluid overload. The patient also suffered from hypertension. The management plan included intravenous furosemide 40mg twice daily, Eliquis 5 mg daily, simvastatin 40 mg once at night and ramipril 2.5mg once a day. Besides, the patient was asked to restrict his fluid intake to 500ml per day and oxygen therapy was given to the patient at high flow at 40L/40% using a face mask when the patient was experiencing shortness of breath.

As for his clinical progression, on day 1, the patient complained of shortness of breath, leg swelling, and orthopnea. An echocardiogram showed that he had cardiomegaly. Treatment of CCF was given. Throughout the stay in the hospital, Mr. Kaplan had responded well to the heart failure therapy as there was no more complaint of chest pain or shortness of breath on day 13 and his pedal edema had gradually improved. However, the patient’s blood pressure from day 1 to 9 was fluctuating between the range of 102/67-179/100 mmHg therefore, hypertension treatment was given and blood pressure from day 10 onwards had been seen to fall within the normal range. Furthermore, Mr. Kaplan’s renal function became progressively worse from 143µmol/L on admission to 175µmol/L on day 11 and the calculated creatinine clearance on day 11 was 56.2ml/min. Discharge medications same as hospital regimen, O2 2L/m nasal cannula as needed for shortness of breath, follow up with cardiology in 3 weeks and nephrology in 2 weeks. Home with home health services.

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Week 6 Discussion

Week 6 Discussion

Week 6 Discussion

What is your perspective on key elements of family assessment, based on your text readings? Develop and post the family interview guide
you plan on using for the family interview. What underlying framework supports your interview guide (Calgary Family Assessment Model
(CFAM), described in Wright and Leahey A Guide to Family Assessment and Intervention, Family System Strengths Stressors Inventory
(FS3I)? See PDF attachment on D2L
2. Discuss family assessment in your groups. Discussion may include why family assessment is important or how assessment approaches and
structure may differ across settings. Discuss barriers, personal or institutional, to engaging in family assessment.
3. Create and upload the Family Nursing Tools: Genogram, Ecomap, Circular Conversation, and Attachment Diagram. {Make sure the name
of your family members are changed to protect their identity

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cancer

Review the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer

Words limit is 400 words. Please make sure to provide citations and references (in APA format) for your work.

 Include your opinion about holistic and allopathic care.

1. See this LINK for Complementary and Alternative Medicine   Home – Complementary and Alternative Medicine – Research Guides at Mesa Community College (libguides.com)
2. See this LINK for Complementary and Alternative Medicine in the United States. Introduction – Complementary and Alternative Medicine in the United States – NCBI Bookshelf (nih.gov)

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Replies To Two Classmates.

Replies To Two Classmates.

Replies To Two Classmates.

You must post two answers to your peer peers of 150 words. Turnitin is less than 15%.

Look these are two different replies.

Classmate #1 post:

Immigration Policy Reform

The comprehensive immigration reform is a policy that first gained momentum in the year 2001 in the United States of America, which was meant to increase the legalization of the unauthorized in I might run in the United States as one of the mechanisms of bringing in future work is required by the United States labor market. They might question whether reform would touch almost all the facets of the United States immigration system but would come with the different economic, social, and ethical implications (Brooks, 2020). There was, therefore, a need to address the immigration policy reform to overcome such challenges, as demonstrated below.

The economic impacts of illegal immigration into the United States declared that the revenue and the Taxes that the unauthorized immigrants generate do not offset the total cost of the services provided to them by the government. The center for immigration studies estimates that the cost associated with illegal immigration into the United States is at least 10.4 billion dollars annually. In addition, the willingness of the illegal immigrants to operate or work at the subpar wages would have to deflate influence the salary, which is difficult to estimate (Wolff, 2021). Most illegal immigrants often work in the jobs that Americans who are authorized to work or are unwilling to do. In most cases, the illegal immigrants will compete with the legal immigrants and the Citizens in securing job opportunities.

The presence of illegal immigrants in the United States and the legalization of the same group would lead to different social challenges, including a rise in the crime rate. This is since most of these groups are jobless and undereducated; therefore, their chances of securing well-paying jobs are low, and most of them end up in illegal activities such as drug trafficking and others (“undefined,” 2013). The ever-increasing number of illegal immigrants into the United States of America has the insinuation of an increased level of unemployment which motivate most of the individuals engage in illegal practices such as stealing, shoplifting, carjacking, and other criminal activities. Failure to reconsider the stipulations of the immigration policy reform that was meant to allow the legalization of such individuals would lead to different vices, including moral decay in the society (“undefined,” 2013). The immigrants often are concentrated in the outskirts of major cities or in the slum regions, which have higher activities and contribute to unethical practices, including racism and discrimination as the legal citizens and immigrants would react against such groups, which may result to violence (Brooks, 2020). Legalizing such individuals would only increase the burden of the government in funding and catering for the basic needs of such individuals, yet their economic productivity is diminished.

References

Brooks, T. (2020). undefined. SSRN Electronic Journal. doi:10.2139/ssrn.3751588

undefined. (2013). Immigration and Public Opinion in Liberal Democracies, 355-378. doi:10.4324/9780203095133-23

Wolff, S. (2021). The security sector governance–migration nexus: Rethinking how security sector governance matters for migrants’ rights. Ubiquity Press.

Classmate # 2 post:

The high rate of immigration is a significant issue in the United States. The immigration policy reform was introduced to control the rate of immigration in the US. The main aim of the reform was to reduce the number of people entering the US from foreign countries. It increased the border controls and security to reduce the number of foreigners entering the country through the borders. The immigration policy reform also made it illegal for employers to deliberately recruit or hire employees unauthorized to work in the US. In addition, the immigration policy reform made the use of fraudulent work or entry documents illegal. In addition, the immigration policy reform made the use of fraudulent work or entry documents illegal. The following are the social, economic, and ethical reasons for addressing the reform in immigration policy.

Economic reasons involve the factors related to immigration that affect the country’s economic condition. One of the economic reasons for addressing immigration policy reform is increased pressure on employment. Most people migrate from their home countries to the US in search of employment opportunities (Chishti et al., 2021). Immigration increases the number of people in the US who are willing to work. This increases competition to the limited number of job opportunities available for Americans. Most employers prefer to hire immigrants since they are cheaper than skilled Americans. The immigration policy reform was introduced to reduce the number of people in the labor market and ensure more job opportunities for Americans (Chang, 2018). The other economic reason is income. Most immigrants are seen as a source of cheap labor since they are given a low salary. Low income reduces the purchasing power of the people, which affects economic growth. The immigration policy reform helped maintain proper income levels by ensuring that employers hire documented immigrants.

The social reasons entail the factors that affect the social life and well-being of the people. A significant social reason for addressing the immigration policy reform is the high crime rate. A high rate of immigration is associated with an increased crime rate in the US. The immigration policy reform was introduced to control illegal immigration, thus reducing the crime rate (Gubernskaya & Dreby, 2017). The other social reason is pressure on the available public services. The high immigration rate increased pressure on the public services available in the US, such as public hospitals and schools. The reform aimed at reducing this pressure to enhance the accessibility of public services among Americans (Chishti et al., 2021). Ethical reasons entail the factors that aim to enhance morality in society. Honesty is a significant ethical value in society. The immigration policy reform enhances honesty by ensuring that the immigrants are truthful in entering the US.

References

Chishti, M., Gelatt, J., Meissner, D., & Initiative, R. U. I. P. (2021). Rethinking the US Legal

Immigration System.

/orders/www.migrationpolicy.org/sites/default/files/publications/Rethinking-LegalImmigration-Roadmap_FINAL.pdf

Chang, H. (2018). The Economics of Immigration Reform The Economics of Immigration Reform Repository Citation Repository Citation. /orders/scholarship.law.upenn.edu/cgi/viewcontent.cgi?article=2991&context=faculty_scholarship

Gubernskaya, Z., & Dreby, J. (2017). US immigration policy and the case for family

unity. Journal on Migration and Human Security, 5(2), 417-430.

/orders/journals.sagepub.com/doi/pdf/10.1177/233150241700500210

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PMHNP Clinical Journal

Name:

Date:

Clinical Location:

Guide: As a Psychiatric Mental Health Nurse Practitioner (PMHNP) use the above table to write your clinical reflection journal on your 4th week of clinicals

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Class Project

Class Project

Class Project

PROJECT COMPONENTS

The project should address the following Aspects of Cultural Assessment:

1. Ethnic/racial identity: How does the group identify itself in terms of ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both?

2. History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values?

3. Language-communication process: What is the primary spoken language? What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in speak the language of their grandparents?

4. Health Beliefs and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used?

5. Religious Belief and Spirituality: Discuss religious articles & practices. How is spirituality is defined in the culture? Remember that Religious Beliefs and Spirituality are different concepts.

6. Lifecycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death?

7. Nutritional Behavior/Diet: Are there restrictions? Are there common practices?

8. Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group?

Based on the Cultural Assessment Data, the group will design a Cultural Health Promotion Plan:

9. Cultural Health Promotion Plan: Identify a health risk or health problem the project will address. Describe why this is an issue for your chosen target group and how culture plays a role in the health risk or problem.

10. Health Promotion Strategies/Methods: Based on the health risk/problem identified, describe the strategies/methods that you will implement. Focus on primary and secondary prevention strategies. Refer to Healthy People 2020 Topics and Objectives. You may access the website at: /orders/www.healthypeople.gov.

11. Project Evaluation Methods: State the outcomes you expect to achieve. State how you will measure/assess the effectiveness of the project.

CHECK ATTACHED DOC

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Health Promotion: Prevention Of Disease

Health Promotion: Prevention Of Disease

Health Promotion: Prevention Of Disease

Discussion: 

1. Review the safety and effectiveness of alternative and complementary medicine for the treatment of Obesity. 
2.  Include your opinion about holistic and allopathic care.
3. See this LINK for Complementary and Alternative Medicine
4. See this LINK for Complementary and Alternative Medicine in the United States.

Word limit 500 words

Please make sure to provide citations and references (in APA format) for your work.

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Appeal Letter

Is there anyone who can help with a appeal letter?

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