Study Document
… costs associated with this condition, healthcare providers have undertaken various measures to help in management and treatment. Current approaches are centered on early diagnosis and treatment. However, these approaches are not entirely effective in management of the condition as evident in the high rate of hospital admission … Borkholder, 2019).
The problem is then how do we lessen rehospitalization rates of patients with congestive heart failure. Literature has shown that early diagnosis and treatment is not entirely effective in management of the condition and reducing rehospitalization. Recent evidence shows that approaches like in-home monitoring would ……
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
...Diagnosis Introduction
From the year 1999 to 2014, the number of prescription opioids in the USA quadrupled. However, even with such an increase, there was no evidence of a reduction of pain the patients experienced. Instead, the number of deaths that resulted from overdoses of opioids increased in the same ratio as the increase in prescription figures. The Center for Disease Control provides safety guidelines for the prescription of opioids for pain alleviation in persons aged 18 years and above, in settings outside medical care facilities such as palliative care centers, and end of life care points(CDC, 2016). This paper provides a summary of the CDC guidelines on the prescription of opioids for chronic pain relief and a regime plan for opioids as APRN.
Summary of main concepts
Determining when to start or proceed with opioids for chronic pain
1. Non-first line or routine chronic pain therapy Opioids
Chronic pain is……
References
Breuer, B., Cruciani, R., & Portenoy, R. K. (2010). Pain management by primary care physicians, pain physicians, chiropractors, and acupuncturists: a national survey. Southern Medical Journal, 103(8), 738-747.
CDC, (2016). CDC Guideline for Prescribing Opioids for Chronic Pain. Center for Preparedness and Response (CPR).
Cheatle, M. D., & Savage, S. R. (2012). Informed consent in opioid therapy: a potential obligation and opportunity. Journal of Pain and Symptom Management, 44(1), 105-116.
Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—the United States, 2016. Jama, 315(15), 1624-1645.
Hudspeth, R. S. (2016). Standards of care for opioid prescribing: What every APRN prescriber and investigator need to know. Journal of Nursing Regulation, 7(1), 15-20.
Study Document
...Diagnosis Socialization into Militarization
Life definitely seems a lot more militarized now that social distancing norms have become common place and the National Guard is doing its part to make sure people are adhering to stay at home orders. All the workers at the grocery store are now wearing masks (even though they were not two months ago—so it does not make sense why all of a sudden now it is important that they all wear masks as though it is somehow keeping everyone safer or as though the mask itself was a threat to the virus and the virus was going to back away because it saw a mask). The ridiculousness with which people are simply obeying all these insane rules and orders looks very much to me like how a truly militarized nation would act. Orders come, they are not questioned, and no one says anything. Of course, if……
References
Farberov, S. (2020). Moment Idaho mom arrested. Retrieved from https://www.dailymail.co.uk/news/article-8245221/Idaho-mom-arrested-protesting-coronavirus-lockdown-closed-playground.html
WDRB. (2020). Louisville woman arrested at Kroger for violating self-quarantine order after COVID-19 diagnosis. Retrieved from https://www.wdrb.com/news/louisville-woman-arrested-at-kroger-for-violating-self-quarantine-order-after-covid-19-diagnosis/article_ed19df76-8978-11ea-afd8-33dd85093a5e.html
Study Document
… can be seen in the fact that, currently, only approximately half of all the patients who are on Medicaid receive a mental health diagnosis before being discharged when reporting to the emergency room for self-harm (Olfson et al., 2013). This statistic essentially puts half of all health ……
References
Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., ... & Davies, L. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological medicine, 30(4), 805-812.
Belmont Report. (1979). Ethical Principles and Guidelines for the Protection of Human
Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Department of Health, Education, and Welfare. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Browne, V., Knott, J., Dakis, J., Fielding, J., Lyle, D., Daniel, C., ... & Virtue, E. (2011). Improving the care of mentally ill patients in a tertiary emergency department: development of a psychiatric assessment and planning unit. Australasian Psychiatry, 19(4), 350-353.
Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand health quarterly, 5(1).
Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10(2), 155-165.
Chatterjee, R. (2018). A Simple Emergency Room Intervention Can Help Cut Suicide Risk. Retrieved from https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. American Journal of Psychiatry, 162(2), 297-303.
Study Document
… irrational beliefs. Negative symptoms may include a lack of affect, social withdrawal, and depression (“Schizophrenia,” 2016). Dissociative identity disorder is a highly controversial diagnosis which involves individuals dissociating or separating aspects of themselves into different personalities (Gillig, 2009). Unlike schizophrenia, however, the individual is not delusional, and … a normal life. This does not happen with all sufferers of schizophrenia, however.
References
Gillig P. M. (2009). Dissociative identity disorder: A controversial diagnosis. Psychiatry, 6(3), 24–29. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719457/
Schizophrenia. (2016). National Institute of Mental Health. Retrieved from: https://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml…
References
Gillig P. M. (2009). Dissociative identity disorder: A controversial diagnosis. Psychiatry, 6(3), 24–29. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719457/
Schizophrenia. (2016). National Institute of Mental Health. Retrieved from: https://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml
Study Document
… of an individual’s daily life experience. Therefore, it is important to distinguish between moodiness/anxiety and an actual mood or anxiety disorder for appropriate diagnosis and treatment of the condition. The key factor in distinguishing anxiety/moodiness from an actual disorder is the frequency of occurrence and impact on ……
References
Jacofsky, M.D., Santos, M.T., Khemlani-Patel, S. & Neziroglu, F. (n.d.). Biological Explanations of Anxiety: Part II. Retrieved October 24, 2019, from https://www.gracepointwellness.org/1-anxiety-disorders/article/38471-biological-explanations-of-anxiety-part-ii
Javelot et al. (2014). Telemonitoring with Respect to Mood Disorders and Information and Communication Technologies: Overview and Presentation of the PSYCHE Project. BioMed Research International, 2014, 1-12.
Lebowitz, M., Pyun, J.J. & Ahn, W. (2014). Biological Explanations of Generalized Anxiety Disorder: Effects on Beliefs About Prognosis and Responsibility. Psychiatric Services, 65(4), 498-503.
Mennin, D.S., Heimberg, R.G., Fresco, D.M. & Ritter, M.R. (2008). Is Generalized Anxiety Disorder an Anxiety or Mood Disorder? Considering Multiple Factors as We Ponder the Fate of GAD. Depression and Anxiety, 25(4), 289-299.
Villaggi et al. (2015). Self-Management Strategies in Recovery from Mood and Anxiety Disorders. Global Qualitative Nursing Research, 2, 1-13.
Study Document
What is the most likely diagnosis?
John is believed to be suffering from gigantism or acromegaly.
Symptoms of acromegaly
The term 'acromegaly' has its roots in the Greek terms …
· Excessive skin odor and sweating
· Erectile dysfunction among men
· Occasional breast discharge and abnormal menstrual cycle among women
The likely diagnosis for…[break]…including the GH-releasing hormone that stimulates GH production by the pituitary (Maffezzoni & Formenti, 2018). The GH's release into an individual's bloodstream stimulates ……
References
Colao, A., Grasso, L. F., Giustina, A., Melmed, S., Chanson, P., Pereira, A. M., & Pivonello, R. (2019). Acromegaly. Nature Reviews Disease Primers, 5(1), 20.
Maffezzoni, F., & Formenti, A. M. (2018). Acromegaly and bone. Minerva endocrinologica, 43(2), 168-182.
Marieb, E. & Hoehn, K. (2018a). Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134756363
Marieb, E. & Hoehn, K. (2018b). Study Guide: Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134760230
Melmed, S. (2016). New therapeutic agents for acromegaly. Nature Reviews Endocrinology, 12(2), 90.
Study Document
...Diagnosis Horse Virus Detection and Treatment
Equine viral arteritis (EVA) is defined by Timoney (2019) in the Merck Veterinary Manual as “an acute, contagious, viral disease of equids caused by equine arteritis virus (EAV).” EAV is also known as Epizootic cellulitis-pinkeye, Equine typhoid, and Rotlaufseuche (Timoney, 2019). The virus can cause symptoms of fever, conjunctivitis, depression, anorexia, nasal discharge, skin rash, subfertility in stallions, and death on young foals and abortion in mares (Price, Rentsch, Burn & Spector, 1998).
The etiology of EVA starts with respiratory exposure: the virus invades the respiratory tract, where it then proceeds to duplicate itself in the tonsillar tissue and nasopharyngeal epithelium, as well as in bronchial macrophages (Timoney, 2019). Cells infected by EVA then transmit the virus to the lymph nodes, resulting in further multiplication of the virus and ultimate release into the carrier’s blood stream. Within one week, EVA will localize in small blood……
References
Center for Food Security and Public Health. (2009). Equine viral arteritis. Retrieved from http://www.cfsph.iastate.edu/Factsheets/pdfs/equine_viral_arteritis.pdf
Price, S. D., Rentsch, G., Burn, B., & Spector, D. A. (1998). The Whole Horse Catalog: The Complete Guide to Buying, Stabling and Stable Management, Equine Health, Tack, Rider Apparel, Equestrian Activities and Organizations... and Everything Else a Horse Owner and Rider Will Ever Need. Simon and Schuster.
Timoney, P. (2019). Overview of Equine Viral Arteritis. Retrieved from https://www.merckvetmanual.com/generalized-conditions/equine-viral-arteritis/overview-of-equine-viral-arteritis?query=Equine%20Viral%20Arteritis
Timoney, P. J., Creekmore, L., Meade, B., Fly, D., Rogers, E., & King, B. (2008). 2006 Multi-State Occurrence of EVA. https://www.animalagriculture.org/resources/Documents/Conf%20-%20Symp/Symposiums/2016%20Equine/EDF%20Resources/EVA/USDA%20EVA_2006_Multistate_USAHA.pdf
Virginia Department of Health. (2016). One health notes, 1(1). Retrieved from
http://www.vdh.virginia.gov/content/uploads/sites/123/2016/12/OneHealthJan2016.pdf
Study Document
… to stay healthy is to look hard for things that might be wrong” (p. 136). This leads to a type of over-treatment and over-diagnosis. Patients should instead be taught how to care for themselves, the importance of eating right, the value of exercising, and why they should ……
References
Glasziou, P., Moynihan, R., Richards, T., & Godlee, F. (2013). Too much medicine; too little care. BMJ, 347, f4247.
Lichtenfeld, L. (2011). Overdiagnosed: Making people sick in the pursuit of health. The Journal of Clinical Investigation, 121(8), 2954-2954.
Moynihan, R. (2015). Preventing overdiagnosis: the myth, the music, and the medical meeting. BMJ: British Medical Journal (Online), 350.
Welch, H., Schwartz, L. & Woloshin, S. (2011). Overdiagnosed. Beacon Hill.
Study Document
...Diagnosis Introduction
Psychopathology has been viewed differently throughout history and throughout various cultures. The ancient Chinese, Greeks and Romans viewed it psychopathology as a spiritual issue, and they all had their own ways of treating it—from dietary interventions to music interventions to getting more fresh air out of doors and in a natural setting, and so on (Kyziridis, 2005). The Egyptians viewed it as a physical disorder. The Hindus viewed it as an issue of finding the right balance between the physical and the spiritual. In the Middle Ages, it could be viewed as anything from demonic possession to a sign of holiness (Smith, 2007). Indeed, nothing really has changed because as Wedge (2011) points out, “there is no consensus in the medical community about what behaviors constitute a particular ‘disorder’.” Bleuler helped to popularize the idea of the “split mind” in modern times, which has been used to characterize schizophrenia—but……
References
Kyziridis, T. (2005). Notes on the history of schizophrenia. German Journal of Psychiatry 8, 42-8.
McGuire, P.K. et al. (1995). Abnormal monitoring of inner speech: a physiological basis for auditory hallucinations. The Lancet 346, p. 596-600.
Nimgaonkar,V. (2006). Causes of schizophrenia. PA: University of Pitt.
Smith, D. (2007). Muses, Madmen, and Prophets: Hearing Voices and the Borders of Sanity. NY: Penguin Books.
Watson, J. C. (2011). Treatment failure in humanistic and experiential psychotherapy. Journal of Clinical Psychology, 67(11), 1117-1128. doi:10.1002/jclp.20849
Wedge, M. (2011). Six problems with psychiatric diagnosis for children. Retrieved from https://www.psychologytoday.com/us/blog/suffer-the-children/201105/six-problems-psychiatric-diagnosis-children
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