2023 Recently the narcotic Vicodin was reclassified by the DEA being changed from a CIII to

2023 Nursing DEA

Recently the narcotic Vicodin was reclassified by the DEA being changed from a CIII to 2023

Recently the narcotic Vicodin was reclassified by the DEA, being changed from a CIII to a CII. There are a few circumstances in which the DEA can and will reevaluate and reclassify controlled substances, and Vicodin met these criterion.

Do a basic web search to research the DEA criterion for reclassifying a controlled substance.

  • Do you believe they were justified in their decision?
  • Does this help to control the overuse without preventing patients from getting the medication who actually need it?
  • Or does it delay and make it harder for patients to get the medication and do little to control the abuse?

Find research to support your position and write a 2-page paper that defends your stance, using APA format. Remember to cite all your sources. You will be scored on your grammar and organization as well, so be sure and spend time revising before submitting.

Please make sure they are 2 complete pages

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2023 In sociology it is important to understand how to analyze a social

2023 Nursing I need help

In sociology it is important to understand how to analyze a social 2023

  

In sociology, it is important to understand how to analyze a social problem using the micro and macro analytic perspectives. In an essay (1,000-1,500 words) you will analyze the problem of human trafficking.   

Use the following analytic framework to construct your essay. Required: a minimum of three scholarly sources to support the analysis (your text can be one source). Be sure this is an integrated, fully developed essay (e.g., do not simply provide a response in each category of the analytic framework below). As with all analytic essays, you should have a well-formulated introduction and conclusion.

1. Problem Statement about Human Trafficking 

What is the social problem? 

In this section of the essay, encapsulate the essence of the social problem of Human Trafficking: 

What is the extent, scope, and severity of this problem? (Use your text or other scholarly sources to support your description of the problem.) Briefly summarize the negative consequences of this problem to society as a whole and/or to specific groups of people. Why is it important to understand and address this social problem? Why change the status quo?   

1. Vision of Change and Goal Clarification 

What is the envisioned change as it relates to the social problem of Human Trafficking? 

In this section of the essay, briefly describe what things would “look like” if the social problem were effectively addressed, minimized, eliminated, or if prevention steps were taken to alleviate undesirable consequences of the problem. What are specific goals to achieve the desired change (e.g., test and implement local programs to address and reduce the problem). Who stands to gain or lose if the envisioned change is realized? 

2. Historical Background and Current Conditions   

What contextual factors influence this social problem?   

1. Possible Directions to Achieve Desired Change 

What is needed to achieve the vision of change and address the identified social problem?   

1. Future Prospects: Suggested Strategies to Alleviate the Problem 

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2023 Write a graduate school master level two page double space paper that answers

2023 Nursing Nursing

Write a graduate school master level two page double space paper that answers 2023

Write a graduate school (master) level two page double space paper that answers the following questions in field of (medical/health) nurse practitioner (APA 6th ed) using three sources:

Analyzing an Ethical Decision

In your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear cut answer of how to address the issue, but your ethical decision making must be based on evidenced based practice, and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. For this Assignment, you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter and how these issues are typically addressed in (Iowa or Illinois) state.
Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.
Select an article that was published within the last five years.
Summarize the moral/ethical issue in the article (no more than 1 paragraph)
Describe the moral and ethical dilemmas surrounding the issue
Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state (Iowa of Illinois)
Outline the process of ethical decision making you would use to address this ethical dilemma

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2023 Week 8 GI Case Study H Pylori infection Questions As an NP student needs to determine the

2023 Nursing Week 8. The initial post should have a minimum of four paragraphs . Each post should be supported by two references from journals no older than 5 years. Please I need references.

Week 8 GI Case Study H Pylori infection Questions As an NP student needs to determine the 2023

 

Week 8

GI Case Study: H. Pylori infection

Questions: As an NP student, needs to determine the medications for recurrent H. Pylori infection.

According to the ACC/AHA Guidelines, what medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format.

ACC/AHA Guidelines

Chief complaint: “ I have recurrent H. Pylori infection”.

HPI: M.C. a 46-year-old hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has pmhx of dyspepsia, GERD.

She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods.

Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms.

PMH:

H. Pylori infection gastritis

Diabetes Mellitus, type 2

Surgeries: None

Allergies: NKDA

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Social history:

High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis.

mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: No edema. No palpitations.

Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.

Skin: No lesions. No rash. No itching.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Dry. Intact.  

PSYCH: Normal affect. Cooperative.

Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

A:

Primary Diagnosis: Recurrent H. Pylori infection gastritis

Secondary Diagnoses:

Dyspepsia

Differential Diagnosis:

Peptic Ulcer Disease

Previous medication plan: two months ago and failed.

  1. Clarithromycin 500 mg po BID for 2 weeks
  2. Omeprazole 40 mg po BID for 2 weeks and then po daily.
  3. Cipro 500 mg po BID for 2 weeks

Plan: Tests

Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results.

Urea breath test 8 weeks after treat with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test.

Labs: No new labs are needed.  

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 8 weeks to reevaluate her symptoms.

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