I just tend to go down on myself more. I've been very stressed out lately even though stress is not something I generally have a problem with. I don't know what's wrong.
W: Well, fear can make one uneasy and act differently from what one is used to. Do you think that there was something around you, a situation a symbol a person that made you feel even more fearful?

I wanted to know what kind of situations made her fearful or uneasy

I had an idea that perhaps what made her fearful was the possibility of loneliness for life.

C: I really have no idea & #8230; there just seems to be a lot more for me to do than the people around me and it's just that I can't seem to bring myself up to where there are. I don't know if I ever will, you know.

W: What is it that…...

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References

Catania, J.A., Kegeles, S.M., and Coates T.J. (1990). Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Education Quarterly, 17(1), 53-72.

Denison, J. (1996). Behavior Change -- A Summary of Four Major Theories. Family health International, 3-13.

Fishbein, M., Middlestadt, S.E., and Hitchcock, P.J. (1994). Using information to change sexually transmitted diseaserelated behaviors. In R.J. DiClemente and J.L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp. 61-78). New York: Plenum Press.

Greene G.W., Rossi S.R., Rossi J.S., Velicer W.F., Fava J.L., Prochaska J.O. (1999). Dietary applications of the stages of change model. J Am Diet Assoc;99(6):673-8.

Evolution of Nursing Knowledge
Virginia Henderson made the point that the unique function of the nurse is to be able to help the individual, sick or not, in the routine of those activities donating to health or its recovery that he would perform unassisted if he had the necessary knowledge strength, or will. And to have it done this in such a way as to aid him in getting independence as fast as likely. It can be said that the Nursing profession tries their best.

Henderson wanted nursing research to emphasize in clinical practice. Clinical Practice Guidelines (CPGs) are evidence-based brochures that enable the submission of present evidence into regular emergency nursing training. CP cover recommendations founded on a systematic review and critical examination of the literature in regards to a clinical question. This is done in evidence-based nursing practice which involves the integration of a problem-solving method inside the context…...

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References

Henderson, Virginia. A Virginia Henderson Reader: Excellence in Nursing. New York City: Springer Pub Co, 2014.

Vera, Matt. Virginia Henderson -- The First Lady of Nursing. 6 September 2012.   23 September 2015.http://nurseslabs.com/virginia-henderson/ .

Application and Integration of AACN Synergy Care
Model In Clinical Practice

Application and Integration of AACN Synergy Care model in Clinical Practice

Objective of this paper is to discuss the integration and application of AACN Synergy Care model in Clinical Practice. The paper discusses the background of the model, philosophical underpinning the model is based and strategic knowledge used to formulate the model to enhance greater understanding on the application of the model in clinical practice.

Synopsis of the Theory's Background

American Association of Critical Care's (AACN) is based on the mutual advantages that patients and families would drive from the nurse's competencies. The core concept of AACN is that the needs and characteristics of patients and the family will be influenced by the competencies and characteristics of nurses. In early 1990s, leaders of AACN embarked on journey to define a new model that would guide nursing practice and ultimately confer certification for nursing care.…...

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References

AACN Certification Corporation (2012).The Synergy Model in Practice .American Association of Critical-Care Nurses.

AACN (2012). The AACN Synergy Model for Patient Care. American Association of Critical-Care Nurse.

AACN (2012). AACN Standard for establishing and Sustaining Healthy Work Environment. A Journey to Excellence. American, Journal of Critical Care. 14(3): 187-197.

AACN Certification Corporation (2012). About AACN Certification Corporation. American Association of Critical-Care Nurse.

GCP Laws
The author of this report shall be comparing and contrasting the differences in laws relating to global clinical practice (GCP) around the world in addition to any regulations, guidance and standard operation procedures (SOP's) that relate to the same. Finally, there will be an explanation of how they all reflect the influence of the ICH's Guideline for Good Clinical Practice E6. While different countries and cultures tend to do things a bit differently, the overall international guidelines of good clinical practice are usually reflected regardless of where one goes and what culture or country one is talking about.

One agency that is certainly focused and centered on good clinical practice would be the Food and Drug Administration (FDA) in the United States. One example of the Food and Drug Administration's adherence to good clinical practice is that they will update their rules and regulations to reflect any changes in the…...

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References

FDA. (2015). Regulations. fda.gov. Retrieved 12 September 2015, from  http://www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/ucm155713.htm 

GOV.UK. (2014). Good clinical practice for clinical trials - Detailed guidance - GOV.UK. Gov.uk. Retrieved 12 September 2015, from  https://www.gov.uk/guidance/good-clinical-practice-for-clinical-trials 

ICH. (2015). Efficacy Guidelines: ICH. Ich.org. Retrieved 12 September 2015, from  http://www.ich.org/products/guidelines/efficacy/article/efficacy-guidelines.html

Clinical Practice
The general topic to be covered in this brief response is good clinical practice (GCP). Specifically, there will be a focus on how clinical practice can be the same when it comes to comparing country to country or culture to culture. There should also be a focus on how different cultures and countries can be different. There can even be variances and outliers within a singular culture rather than the disparities being between only different systems altogether. The author of this report will answer to whether good clinical practice is equally rigorous and advanced in all countries or whether there are variances from area to area as one travels around the world. Further, the author will explain why or why not that rigor exists. Examples will be provided to justify the answers given. While the rigor applies to good clinical practice does indeed vary from area to area,…...

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References

Fine, R. (2005). From Quinlan to Schiavo: medical, ethical, and legal issues in severe brain injury. Proceedings (Baylor University. Medical Center), 18(4), 303. Retrieved from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1255938/ 

Smith, R. (2010). Female Muslim doctors allowed to wear disposable sleeves for modesty: official guidance. Telegraph.co.uk. Retrieved 10 September 2015, from  http://www.telegraph.co.uk/news/health/news/7528335/Female-Muslim-doctors-allowed-to-wear-disposable-sleeves-for-modesty-official-guidance.html 

Taheri, N. (2015). Health Care in Islamic History and Experience - EthnoMed. Ethnomed.org. Retrieved 10 September 2015, from  http://ethnomed.org/cross-cultural-health/religion/health-care-in-islamic-history-and-experience

Dorothea Orem Self-Care Theory
What is state of nursing during Dorothea Orem's time?

Dorothea Orem is one of the foremost theorists in the field of nursing in the United States who developed the self-care theory between 1949 and 1957. Orem developed this theory at a time when nursing was characterized by deficits in the training of practical nurses (Basavanthappa, 2007, p.72). During this period, there was a huge need to upgrade practical nursing training and determine the subject of nursing as a profession and practice. Nurses not only knew how to talk about nursing but also struggled with the practical aspects of this profession. As a result, the quality of nursing in general hospitals was relatively low and need significant upgrade.

What are her motivating factors for her theory?

Orem was motivated by various factors to develop her theory including the state of nursing during that period. Due to the state of nursing, Orem…...

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References

Alligood, M.R. (2013). Nursing theorists and their work (8th ed). St. Louis, MO: Elsevier.

Basavanthappa, B.T. (2007). Nursing theories. New Delhi, India: Jaypee Brothers Medical Publishers (P) Ltd.

"Dorothea Orem's Self-Care Theory." (2012, February 4). Nursing Theories -- A Companion to Nursing Theories and Models. Retrieved September 12, 2015, from  http://currentnursing.com/nursing_theory/self_care_deficit_theory.html 

Green, R. (2012, September). Application of the Self-Care Deficit Nursing Theory to the Care of Children with Special Health Care Needs in the School Setting. Self-Care, Dependent-Care & Nursing, 19(1), 35-40.

Question 1 In contemporary times, there has been an increase in the development and advancement of technology for utilization in clinical practice. I would apply the evidence found in the article by Pals et al. (2015). As a physician in healthcare I would ensure that the patients I provide healthcare to are able to comprehend the new form of technology being used. This would take into account being able to properly communicate and interpret to the patient the importance and benefits to the clients. As outlined by Pals et al. (2015), health professionals as well as patients may deem and perceive new technologies as beneficial components facilitating both patients as well as health professionals in making decisions within the clinical practice. Nonetheless, it is noted that such professionals consider it challenging to assimilate such technology into their clinical work practices, and more so if there is a disparity between the potentials…...

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References

Pals, R. A., Hansen, U. M., Johansen, C. B., Hansen, C. S., Jørgensen, M. E., Fleischer, J., & Willaing, I. (2015). Making sense of a new technology in clinical practice: a qualitative study of patient and physician perspectives. BMC health services research, 15(1), 402.

Research and EBP initiatives Change in practice depends on the environment in which practice has to take place along with the strength and nature of the research evidence. It also relies on the method by which the process in being carried out. No emphasis has been laid on the effect of cultural factors or existing workplace environment in the original EBP models (Kueny, Mackin & Titler, 2015).
It can be made sure that the appropriate audience receives information about research and EBP initiatives by process of knowledge translation. The process which involves the formation, circulation and adoption of research knowledge into clinical practice is known as knowledge translation. This term has different names around the globe. For instance, in UK and Europe analogous processes are known as research utilization. Researchers in USA know these processes as research diffusion, knowledge uptake and research dissemination. Knowledge-to-action and knowledge translation are common terms used in…...

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References

Curtis, K., Margaret, F., Shaban, R., Considine, J. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5-6), 862-872. Retrieved from

Kueny, A., Shever, L., Mackin, M., & Titler, M. (2015). Facilitating the implementation of evidence-based practice through contextual support and nursing leadership. Journal of Healthcare Leadership, 7. doi: 10.2147/JHL.S45077

 

https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.13586

Performance Metrics in Clinical Practice Clinical performance feedback is important in today’s healthcare sector because of the ongoing commitment and efforts to enhance the quality and affordability of patient care. Feedback regarding clinical performance and practice helps in the development of patient care strategies that enhance outcomes and result in increased patient satisfaction. Clinical performance feedback from nurse practitioners and other healthcare providers is essential in improving clinical practice and patient care. As a result of the significance of clinical performance feedback, nurse practitioners are held accountable to and evaluated on various performance metrics in clinical practice. Some of the performance metrics that nurse practitioners are held accountable and assessed on include patient care measures, patient satisfaction, professionalism, medical and clinical knowledge/skills, and practice-based learning and improvement (Holley, 2016).
While these performance metrics are critical in clinical practice, patient satisfaction is of primary importance in improving patient care. Patient satisfaction is a…...

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References

Holley, S.L. (2016, February 1). Ongoing Professional Performance Evaluation: Advanced Practice Registered Nurse Practice Competency Assessment. Continuing Education, 12(2), 67-74. Retrieved November 27, 2020, from

Riebling et al. (2018, November 17). Quantifying Patient Satisfaction With Process Metrics Using a Weighted Bundle Approach. BMJ Open Quarterly, 8, 1-8. Retrieved November 27, 2020, from https://bmjopenquality.bmj.com/content/bmjqir/8/1/e000458.full.pdf

https://www.npjournal.org/article/S1555-4155(15)00851-X/fulltext

Asthma has emerged as one of the most common health problems and chronic diseases that affect children worldwide. Healthcare practitioners have become concerned with the increased prevalence of asthma among children. This study focuses on examining the role of vitamin D in prevention and/or control of asthma among children. The evaluation is conducted on the premise that vitamin D has been positively linked with enhanced control of asthma and decreased exacerbations of the condition. The study seeks to fill gaps in knowledge regarding the role of vitamin D in asthma, which remains relatively unclear. The discussion also demonstrates the clinical implications relating to the use of vitamin D in treatment of asthma.
Background and Significance

Asthma is regarded as one of the most common diseases and long-term health conditions that affect children. This condition is basically defined as a chronic inflammatory disease of the airways involving several cells and cellular elements (Yadav…...

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References

Somashekar, A.R., Privthi, A.B. & Gowda, M.N.V. (2014, October). Vitamin D Levels in Children with Bronchial Asthma. Journal of Clinical and Diagnostic Research, 8(10), 4-7.

Tachimoto et al. (2016, January 30). Improved Control of Childhood Asthma with Low-dose, Short-term Vitamin D Supplementation: A Randomized, Double-blind, Placebo-controlled Trial. European Journal of Allergy and Clinical Immunology, 71, 1001-1009.

Trollvik et al. (2011). Children's Experiences of Living with Asthma. Fear of Exacerbations and Being Ostracized. Journal of Pediatric Nursing, 26, 295-303.

Yadav, M. & Mittal, K. (2014, July). Effect of Vitamin D Supplementation on Moderate to Severe Bronchial Asthma. Indian Journal of Pediatrics, 81(7), 650-654.

Pamel Reeds Theory of Self-Transcendence
Self-transcendence refers to the ability of a human being to find meaning by being drawn towards someone or something other than themselves. The theory finds its roots from Rogers' Theory of Unitary eings (Reed, 2009, p.397). The theory puts forth four ways in which self transcendence can be accomplished. The four ways are intrapersonal, transpersonal, interpersonal and temporal (Palmer, Quinn, Palmer, & Fitzpatrick, 2010).

Aim of the theory

The aim of the theory is to provide nurses with a framework for practice and inquiry as pertains to the promotion of well-beings amidst complicated life situations.

Concept

Self -- transcendence: Reed theorizes that people who face life-threatening situations may experience an unusually expanded awareness of their environment and that self-transcendence can be expressed through their behaviors, ideas and perspectives. They become more accepting of death, let go of loss and are open to finding spiritual meaning (Haugan, Rannestad, Garasen, & Espnes,…...

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Bibliography

Haugan, G., Rannestad, T., Garasen, H., & Espnes, G. (2011). The Self-Transcendence Scale. Journal of Holistic Nursing, 147-59.

Kliewer, S., 2004, 'Allowing spirituality into the healing process', The Journal of Family Practice 53(8), 616 -- 624. PMid:15298831

Kozier, B., Erb, G., Berman, A. & Snyder, S., 2004, Fundamentals of nursing: Concepts, process and practice, 7th edn., Prentice Hall, Sydney.

Monareng, L. V. (2012). Spiritual nursing care: A concept analysis. Journal of the Democratic Nursing Organization of South Africa.

Dieting: How to Live for Life, in light of research on the nutritarian diet suggested by the author, Joel Fuhrman. Given the wide range of health problems associated with bad eating habits, books like these can be important for patients to read and understand. In this paper, I will assess the credibility of Fuhrman's argument by focusing on two specific points in the book. I will review the literature on these two topics of interest, and then reach an assessment about whether The End of Dieting is a good book to recommend to patients.
The Book

I selected this book because it is written for a general audience and therefore its language is accessible and I would be able to suggest it to patients or clients. Patients may be spoiled for choice when it comes to popular culture books about diet, health, and nutrition. Most of those books offer tips on…...

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References

Fuhrman, J. (2014). The End of Dieting. Harperone.

Fuhrman, J. & Singer, M. (2015). Improved Cardiovascular Parameter With a Nutrient-Dense, Plant-Rich Diet-Style. American Journal of Lifestyle Medicine, October 15, 20151559827615611024

Rolls, B.J., Drewnowski, A. & Ledikwe, J.H. (2005). Changing the Energy Density of the Diet as a Strategy for Weight Management. Journal of the American Dietetic Association 105(5): 98-103.

experimental -- the specific design is Randomized Controlled Trial. This was not a cause-probing study but a correlational study. The type of question was related to therapy; it was a rigorous design because it utilized a control group.
The type of comparison called for in the research design was pretest-posttest. The comparison strategy was effective in illuminating key relationships, such as the strong correlation between one-on-one RN attention with patients and improved sense of well-being.

The study is unclear as to whether it was cross-sectional or longitudinal; one could interpret it as the former, assuming that measurements were taken at a single point in time; or one might assess it as the latter, assuming that measurements were conducted over a period of time of several months to a year. In either case, it is unclear what the number and timing of data collection points was and so it cannot be said…...

Clinical Practice GuidelinesClinical practice guidelines (CPGs) are sets of recommendations that aim to optimize patient care. They are based on the best available evidence and are developed by consensus among experts. CPGs are designed to be applicable to a range of clinical situations and to be updated as new evidence emerges (Li et al., 2018). While they are not legally binding, they often carry significant weight within the medical community. As a result, CPGs can play an important role in shaping clinical practice. However, their success depends on uptake by clinicians and adherence to the recommendations. To be successful, CPGs must be accessible, evidence-based, and relevant to the needs of clinicians.As CPGs are documents that provide recommendations for the clinical management of specific conditions, they are designed to help clinicians make evidence-based decisions about diagnosis, treatment, and other aspects of patient care. They are developed by panels of experts who…...

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ReferencesGomes, Fabiano A., Raphael O. Cerqueira, Yena Lee, Rodrigo B. Mansur, Flavio Kapczinski, Roger S. McIntyre, Lakshmi N. Yatham, Michael Berk, Roumen Milev, and Elisa Brietzke. \\\\\\\\\\\\\\\"What not to use in bipolar disorders: a systematic review of non-recommended treatments in clinical practice guidelines.\\\\\\\\\\\\\\\" Journal of Affective Disorders 298 (2022): 565-576. S. A., Alexander, P., Reljic, T., Cuker, A., Robby, N., Wiercioch, W., ... & Djulbegovic, B. (2018). The Influence of Activity Roles and Use of a Structured Framework on Developing Hematology Clinical Practice Guidelines. Blood, 132, 2237. https://www.sciencedirect.com/science/article/pii/S0006497119382862https://www.sciencedirect.com/science/article/abs/pii/S0165032721012258Li,

SOCIOLOGY Sociology: Social Work Clinical PracticePart 1Answer to Prompt 1Since the client is a young adult aging out of foster care, he is unaware of how they would respond to him when they would get to know he belongs to a foster home. Also, he is worried about employment opportunities in the outer world since he has learned that there are not many bright chances for young adults like him in the practical world. His negative feelings about the outside world and worries about his employment are the problems that he faces currently.The clients problem could potentially guide my intervention since changing attitudes towards the outside world and eliminating employment worry would be a short-term therapy. The clients problem would be determined by formulating goals and setting the timeline, which is already detected in this case. The cataloging of tasks and planning them in order reflects the clients actual problem…...

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ReferencesHartney, E. (2021, November 13). 10 cognitive distortions identified in CBT. Very Well Mind.   A. M., Chavira, D. A., & Stein, M. B. (2009). Issues in the assessment of social phobia: a review. The Israel Journal of Psychiatry and Related Sciences, 46(1), 13–24.Nash, J. (2021, December 3). How to perform psycho-education interventions: 14 topics. Positive Psychology.  https://positivepsychology.com/psychoeducation/ National Institute of Mental Health. (n.a.). Social anxiety disorder: More than just shyness.  https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness#:~:text=Social%20anxiety%20disorder%20(also%20called,to%20make%20and%20keep%20friends .Pietrangelo, A. (2019, December 12). 9 CBT techniques for better mental health. Health Line.  https://www.healthline.com/health/cbt-techniques Psychology Tools. (n.a.). Safety behaviors: Information handout.  https://www.psychologytools.com/resource/safety-behaviors/ Psychology Tools. (n.a.). Unhelpful thinking styles: Information handout.  https://www.psychologytools.com/resource/unhelpful-thinking-styles/ Ranjbar, N., Erb, M., Mohammad, O. & Moreno, F.A. (2020). Trauma-informed care and cultural humility in the mental care of people from minoritized communities. Focus: The Journal of Lifelong Learning in Psychiatry, 18(1), 8-15.  https://doi.org/10.1176/appi.focus.20190027 Sharma N. & Gupta V. (2021). Human behavior in a social environment. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from:  https://www.ncbi.nlm.nih.gov/books/NBK574501/ Wright, J.H., Brown, G.K., Thase, M.E. & Basco, M.R. (2017). Learning cognitive-behavior therapy: An illustrated guide (2nd Ed.). American Psychiatric Pub. https://www.verywellmind.com/ten-cognitive-distortions-identified-in-cbt-22412 Letamendi,

1. The Role of Exercise in Preventing Cardiovascular Disease in Men: A Comprehensive Examination

Introduction: Highlight the prevalence and impact of cardiovascular disease (CVD) among men and emphasize the role of exercise as a preventive measure.

Body:
Discuss the physiological mechanisms by which exercise improves cardiovascular health, including increased blood flow, improved blood pressure regulation, and enhanced lipid profiles.
Explore the specific types and intensities of exercise that are most effective in reducing CVD risk.
Review evidence from clinical trials and observational studies demonstrating the association between regular exercise and lower incidence of CVD events.

Conclusion: Summarize the key findings supporting the protective....

1. The Neurobiological Basis of Schizophrenia: Exploring the Complexities of Brain Abnormalities

- Investigate the structural and functional brain abnormalities associated with schizophrenia, including alterations in neurotransmitter systems, connectivity, and neural circuitry.
- Discuss the role of genetic and environmental factors in shaping these brain abnormalities and their contribution to the development of schizophrenia.
- Explore the potential links between neuroinflammation, immune dysfunction, and the pathophysiology of schizophrenia.

2. Hallucinations and Delusions: Unraveling the Subjective Experiences in Schizophrenia

- Analyze the phenomenology of hallucinations and delusions, examining their characteristic features, content, and impact on the individual's subjective reality.
- Explore the neurobiological mechanisms underlying these psychotic....

1. The impact of early childhood trauma on adult mental health
2. The effectiveness of cognitive-behavioral therapy in treating depression and anxiety
3. The role of mindfulness techniques in stress management and emotional regulation
4. The ethical considerations in conducting therapy with children and adolescents
5. The prevalence and treatment of substance abuse disorders in clinical psychology
6. The intersection of genetics and environmental factors in the development of mental illness
7. The cultural considerations in providing therapy to clients from diverse backgrounds
8. The importance of self-care and burnout prevention for clinical psychologists
9. The role of attachment theory in understanding and treating relationship issues
10. The challenges....

Nursing Theory and Practice

The Impact of Nursing Theories on Patient Outcomes
The Role of Critical Thinking in Nursing Practice
Ethical Decision-Making in Nursing: Frameworks and Case Studies
Interdisciplinary Collaboration and its Implications for Nursing Care
Innovations in Nursing Education: Exploring Future Trends

Nursing Research and Evidence-Based Practice

The Importance of Nursing Research for Improving Patient Care
Conducting Nursing Research: Research Designs, Methods, and Analysis
Translating Research Findings into Clinical Practice: Challenges and Strategies
The Role of Technology in Nursing Research and Evidence-Based Practice
Evaluation of Nursing Interventions: Methods and Impact

Nursing Management and Leadership

The Transformational Leader in Nursing: Inspiring and....