provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting.

Week 4: Nursing Theory

15

Identify your specialty area of professional practice. Select a nursing theory from the list of specialty track specific theories provided in the lesson plan or one of your own findings. Address the following: (1) briefly identify concepts of the nursing metaparadigm (remember the selected theory may not include all four concepts); (2) provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting.

· Theory selected: American Association of Critical Care Nurses (AACN) Synergy Model for Patient Care

Discussion has to be a minimum of 300 words with using one outside scholarly reference that is less than 5 years old

 

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Has religion been the driving factor for the CULTURAL PRODUCTION (art, architecture,music, etc) of the country at that time in history?

Subject:
History

 

Number Of Pages:
6     Double-spaced (1350 words)

 

Number Of Sources:
0

 

Type of Document:
Essay

 

Academic Level:
College/University

 

Citation Style:
MLA

 

Attachment(s):
N/A

 

Solution Files(s):
N/A

 

Description:

 

MUST USE J STOR FOR SOURCES. The class is called cultural foundations. The professor wants us to analyze a specific culture during the medieval time period 7-18th century and answer the question “Would you say that relgion has been the driving factor for the CULTURAL PRODUCTION (art, architecture,music, etc) of the country at that time in history, If not, what was?” My professor is very focused on us ANSWERING THE QUESTION. She likes a very direct and analytical argument. You can choose any culture (country or region ) from strictly the 7-18 th century and focus on their material culture and if religion played an influential role. Thank you ! :).

 

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Domesticates as History

Choose a domesticated food animal or plant and write a 1500-word essay about it.  Some things to include: where and when your subject was first domesticated (archaeological evidence), what it was used for, how it is important culturally (food rules, rituals, gods), where its grown and used today. Think about the benefits and drawbacks of raising this domesticate, how efficient it is now and in the past, and the effects of modern factory farming on it (if any). Describe some recipes both traditional and new that include this domesticate. Have you ever eaten it? Is it familiar or foreign to you? If there is controversy over its continued use, how do you feel about ending its exploitation?

**Attached is a pdf of the official instructions

Adult/Geriatric depression

Adult/Geriatric Depression

BACKGROUND INFORMATION

The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse.

SUBJECTIVE

During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression).

To prepare for this Assignment:

· Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy( Use laureate media interactive media below to make treatment decisions)

·

The Assignment

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

· At each decision point stop to complete the following:

o Decision #1

§ Which decision did you select?

§ Why did you select this decision? Support your response with evidence and references to the Learning Resources.

§ What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

§ Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

o Decision #2

§ Why did you select this decision? Support your response with evidence and references to the Learning Resources.

§ What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

§ Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

o Decision #3

§ Why did you select this decision? Support your response with evidence and references to the Learning Resources.

§ What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

§ Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

· Also include how ethical considerations might impact your treatment plan and communication with clients.

RESOURCES

§ Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.

d Readings

Note: All Stahl resources can be accessed through this link provided.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Chapter 6, “Mood Disorders”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389. Retrieved from https://www.researchgate.net/profile/Marie_Asberg/publication/22697065_A_New_Depression_Scale_Designed_to_be_Sensitive_to_Change/links/09e41513f85c708fee000000.pdf

Required Media

Laureate Education. (2016g). Case study: An elderly Hispanic man with major depressive disorder [Interactive media file]. Baltimore, MD: Author.

Note: This case study will serve as the foundation for this week’s Assignment.

 

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