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University of Central Florida Federal Regulation and Nutrition Discussion

 

I’m working on a nutrition discussion question and need an explanation to help me understand better.

Should the FDA require prescriptions from physicians to allow you to buy vitamins and minerals?  What about herbal supplements?  Do you have the right to choose what foods and supplements you want, or should that be regulated by a government agency? Does the federal government have a role?  (we’re not talking about prescription drugs here!).  Consider the idea of protecting people from themselves vs. freedom of choice.  

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University of Paris Value Analysis of the Tobacco Control Act Discussion

 

I’m working on a nursing discussion question and need an explanation to help me learn.

Explain the value of analysis and search for the consequences in public policy. Identify the topology that you would be employing in the attached policy involving substance abuse policy (attached)  Explain why why you would implement the policy in such a way . I have also included the actual bill for your reference.

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ACH WK 7 Performance of Different Products on Animals Discussion

 

I’m working on a nursing discussion question and need a sample draft to help me study.

  • Making a type I or type II error can have serious consequences. For this week, locate a study in which a type I or type II error was made. Consider the impact it had on the study. Were patient outcomes effected from the error? Be sure to back up your discussion with scholarly sources.
  • Initial: Due to our innovative medical care, many older adults are living longer. The older adult as a population continues to experience ageism. Share with the class how you would respond to the two age-old myths: Old people cannot learn, and old people reside in long term care facilities.
  • discuss two strategies you would use to educate a group of young adults on the myths of ageism.
  • Many older adults remain living independently in their homes despite the myth that several older adults reside in long term care facilities. Discuss two nursing interventions that would promote a safe and healthy home environment for older adults
  • Compare and contrast actual loss and maturational loss. Provide examples for both types of loss.
  • discuss how can a nurse facilitate the dying process?
  • Describe how the nurse can support a patient who is experiencing the acceptance stage of Kubler Ross’s stage of grief due to an actual loss.

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Florida National University Nursing Application of Orems Theory in Research

 

Self-Care Deficit Nursing Theory by Dorothea Orem. 

Continue with the theory you chose last week.

  • Describe two research studies that used your theory as a foundation. Describe how each study used the theory.
  • How were the concepts operationalized? When concepts are operationalized, they are turned from an abstract form to something measurable.
  • provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; and demonstrates a clear connection to the readings. 2-3 paragraph per question (3-4 sentences each paragraph) APA format, 3 references including textbook (Peterson, S. J., & Bredow, T. S. (2016). Middle range theories: Application to nursing research (4th ed.). LWW.)

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Los Angeles City College Habits of the Mind Questions

 

Read Understanding how we can help children succeed – Session IV. Reflect and respond to the following questions: (For Fall 2019 CD 1 students, incorporate what you learn about Habits of Mind in your response to these questions.)

  1. In our Understanding how we can help children succeed sessions, we have focused on how your brain grows including the learning strategies you use, which we called intelligent practice. Considering those ideas, how have our discussions changed your mindset?
  2. Learning from criticism and feedback is one of the most important parts of practicing a growth mindset. Share a time when you used feedback to learn from a challenging situation. Share a time when you did not learn from criticism or feedback. How might you respond differently in the future?
  3. Share a time when you used a fixed mindset to respond to a challenge. What could you have done differently to practice a growth mindset? What advice would you give to someone facing that challenge?
  4. How does learning about fixed and growth mindset change your perspective about children’s development and ability? What strategy or guidance approach can you use to foster growth mindset in the children in your care?

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Los Angeles City College Food Choices for Environmental Sustainability Essay

 

Eating healthy doesn’t only help us to be healthy, it can help our planet as well. The foods we choose to eat can have a significant impact on the environment. For this discussion board, please read Controversy 15: How Can We Feed Ourselves Sustainably and A CONSUMER’S GUIDE TO: Making “Green” Choices (Without getting “Greenwashed”) at the end of Chapter 15 in our textbook Nutrition Concepts and Controversies, 15th ed. In your initial post, please discuss the impact food choices have on the environment; what can be done to decrease the impact; and what you can do as a consumer to make environmentally-friendly food choices. Use only the information from the textbook to support your statements and be sure to cite the source properly using APA formatting.

Your initial post should be at least 250 words.

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HC 4420 University of Denver Medicare Purchasing Program Discussion

 

What types of health care payment models incorporate the concept of value-based purchasing? Cite to at least one source in your readings. Do you believe that Medicare’s hospital value-based purchasing program and the shifting reimbursement paradigm sparked by the Affordable Care Act will improve quality and reduce costs? How do you predict that physicians will respond to the newest value-based purchasing models?

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St Thomas University Polycystic Ovary Syndrome Discussion Response

 

All replies must be constructive and use literature where possible.

Yerenis Llanes.

  • Polycystic Ovary Syndrome

When females feature high levels of androgens, the underlying medical condition is known as hyperandrogenism. Chronic anovulation is one of the most common conditions that come along with hyperandrogenism. The disorder mainly associated with this condition is polycystic ovary syndrome (PCOS).

  • Pathophysiology and Symptomology/Clinical Manifestations 

           Pathophysiology of this condition entails a vicious cycle that entails such issues as ovarian, metabolic, and neuro endocrine dysfunction. Other features clinical and biochemical hyperandrogenism (McCartney & Marshall, 2016). The main clinical manifestations include virilization, acne, hirsutism, and androgenic alopecia. The presence of virilization should be taken seriously because most of the times it implies that there is a likelihood of the patient having an androgen-producing tumor. Hirsutism entails the growth of hair among women in a pattern that would typically be associated with men. More than 80% of all women with hyperandrogenism present with this symptom.

Differential Diagnoses 

           Three key diagnoses for this condition include iatrogenic Cushing Syndrome (E24.2), polycystic ovarian syndrome (E28), and ovarian tumor (C56. 9). Iatrogenic Cushing’s syndrome (ICS) is typically associated with steroid use, particularly high-dose or prolonged usage. Sometimes topical steroid therapy may bring about systemic side implications, but this is rare though not impossible (Pektas, Dogan, & Cinar, 2017). PCOS is mainly characterized by excess male hormone or infrequent menstrual periods. In some situations, the ovaries may fail to release eggs on a regular basis. They may develop follicles. Lastly, ovarian tumor occurs when the tissue found on the surface of the ovaries develops abnormal cells. The low malignant potential tumors rarely develop into cancer. They respond well to medication interventions.

Patient Education

           For this condition, patient education is critical since it enables the patient understand some behavioral patterns that they should embrace, as well as the best practices needed. Most importantly, it should be noted that education and counseling about PCOS should take into consideration the fact that the condition is culturally sensitive (Witchel, Oberfield, & Peña, 2019). Therefore, patient education should be tailored to fit into the specific values and belief systems of each individual. Self-care should be promoted. The patient should be encouraged to join peer support groups so as to share and get access to indispensable experiences from other people going through the same condition. The counselor should also spend considerable time discussing with the patient issues to do with fertility. All along, the approach should be empathetic.

Management

           Management should entail lifestyle interventions, counseling, and the administration of relevant drugs that can help alleviate the severity of each of the different symptoms associated with the condition. The focus on any intervention should on the complaints of the patient. Some of the most common interventions here would include local treatments for acne and hirsutism, spironolactone, combined oral contraceptive pills, and metformin. Other management aspects would entail regular follow-up, management of any identified comorbidities, and transition plans. Clomiphene can also be used in situations where the patient is struggling to get pregnant. However, it should be used cautiously as it increases the likelihood of the conception of twins. In situations where the patient is experiencing excessive hair growth, hair removal drugs can be prescribed.

References

Pektas, S. D., Dogan, G., & Cinar, N. (2017). Iatrogenic cushing’s syndrome with subsequent adrenal insufficiency in a patient with psoriasis vulgaris using topical steroids. Case reports in endocrinology, 2017.

McCartney, C. R., & Marshall, J. C. (2016). Polycystic ovary syndrome. New England Journal of Medicine, 375(1), 54-64.

Witchel, S. F., Oberfield, S. E., & Peña, A. S. (2019). Polycystic ovary syndrome: pathophysiology, presentation, and treatment with emphasis on adolescent girls. Journal of the Endocrine Society, 3(8), 1545-1573.

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Nursing The Process of A Needs Assessment Discussion

 

I’m working on a nursing question and need an explanation and answer to help me learn.

Discuss the process of a needs assessment. How does the process apply to both curriculum development and curriculum evaluation?

Keating, S. B., & DeBoor, S. S. (2018). Curriculum Development and Evaluation in Nursing Education (4th ed.). Springer Publishing Company. Read Chapters 3 & 4.