Possible Keywords Based – hawkessays.com


The thesis statement and topic you will be using for the class project (this may evolve into something else by the time the project is due).  Remember, your topic has to be related to consumer habits and how they affect the environment. ( SOMOKE )

Provide a list of possible keywords based on your thesis.



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Two Full Paragraphs Nothing – hawkessays.com


Two Full Paragraphs Nothing

 TWO FULL PARAGRAPHS NOTHING LESS. NO SHORDY WORK. READ THE WHOLE THING BEFORE YOU START. WRITE IN YOUR OWN WORDS.

In this post, after some consideration of the Chapter 2 reading (included in a file below) , share your strengths and challenges in integrating emotions and reason in both your academic and personal life. Where are your strengths? Where would you like to develop and how will you challenge yourself to grow in these areas? 

 

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Quietly Watching Television Downstairs – hawkessays.com


Quietly Watching Television Downstairs

It is late and 3-year-old Betty is alone in her room. Her parents had just put her to bed not 10 minutes earlier. Her parents are quietly watching television downstairs. Betty begins to cry and after a short time the crying turns into more screaming than crying. Her parents hear her crying and screaming and run up to her room to see what is the matter. Her mother holds Betty in her arms and tells her she is alright. She stops after a few minutes, but when her parents leave her room, she starts crying again. Her father thought that it may be good to bring her down with them and let her lay on the couch while they watch television. Betty is quiet for the rest of the evening, falling asleep on the couch. Betty continues to cry each night for a week and each time her parents take her down to the living room with them until they go to bed or when she falls asleep. Betty’s parents are concerned that she will be unable to sleep in her room anymore. Learning (i.e., operant conditioning) has taken place for Betty and her parents.

  • Explain how learning has taken place.
  • If Betty’s parents asked you for advice (in operant conditioning terms) on how to get Betty to stay in her room and not cry, what would you tell them?

PLEASE SITE RESOURCES IF ANY IN APA FORMAT

 

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Opposing Side Might Say – hawkessays.com


Opposing Side Might Say

Let’s consider opposing viewpoints. Acknowledging opposing points of view is an important step in establishing the trust of your audience. It shows that you have carefully considered all sides of an argument and that you take objections and alternative views seriously. You can refute the opposing arguments, but always respect those who disagree with your perspective. (To refute means to disprove, counter, contradict, or negate something.) 

By Day 3, share what someone on the opposing side might say to counter your point of view on your topic. Look for a way to acknowledge them and show you understand their viewpoint, but explain why your stance on the topic is the better perspective. How can you refute the points they would make?  

MY TOPIC IS BULLYING

 

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Genetics Maternal Nutrition Environment – hawkessays.com


Genetics Maternal Nutrition Environment

Review the following topics from the Week 1 and Week 2 reading activities and select 2 topics to focus on:

  • Genetics
  • Maternal nutrition
  • Environment
  • Gender
  • Culture

Respond to the following in a minimum of 175 words:

  • What is the impact of each factor you chose on infant and/or preschool development, function, or behavior?
  • Do the topics you chose work in tandem or influence each other to facilitate infant/preschool mental health? Why or why not?
  • What is the role of the counselor as it pertains to these topics? How might learning this content support your professional counseling career goals?

 

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Week 2 Playroom Design – hawkessays.com


Engaging in playtime with children is an effective strategy when working with young clients. In these situations, you will want to create an inviting play environment with toys and games that are age-appropriate and match the development needs of the child. Attention to these details will facilitate communication and encourage children to express themselves more freely.

Imagine that you are employed in an early childhood counseling facility. The director of the facility has asked you to submit ideas for a new office with a playroom.

Create a Microsoft® PowerPoint® poster presentation with detailed speaker notes describing your ideas for the playroom.

Use the Week 2 Playroom Design Presentation PowerPoint template to complete your assignment.

Write a 75- to 100-word response to each prompt in the template.

Include relevant images to support your ideas. Note: Images are encouraged but not required.

Include speaker notes in your presentation.



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Officer Smith Begs Officer – hawkessays.com


 Step 1: Read the following Background

It is late at night and two police officers, Smith and Jones (longtime partners), are involved in a high-speed chase that has taken them several miles from a metropolitan area. Officer Smith, who is driving, loses control of the car, and the car rolls several times before coming to a stop. He is trapped in the car, and the car has caught fire. Officer Jones, who suffered only minor injuries, has called for help and is desperately struggling to free the driver. As the fire worsens, Officer Smith begs Officer Jones to shoot him in the head so he will not suffer the agonizing pain and horror of burning to death. It is late at night, no one is around to assist, and both officers realize that it will be several minutes before help arrives.

 

Part 1: Using one theory that you have studied that you agree with and one theory that you disagree with, describe how Officer Jones would act in each case.

Part 2: Describe your thoughts on the situation. Expound not only on this situation but on the concepts you are reading about this week.

Be specific and give examples, using at least two outside references, to buttress your argument. Cite all sources in APA format.

 This assignment is not about your ethics or how you think. This assignment is about using two ethical theories to discuss how they might be applied in this horrific situation. You need to be dispassionate, even cold-blooded, about the situation. 



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Reference Laws Specific – hawkessays.com


 Write a 2- page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.



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Vancomycin Infusion Reaction — – hawkessays.com


 

Description of the patient case: 

The patient is a 26-year-old Male, who presented to our ER for worsening right elbow bursitis. The patient was seen in the ER 2 days prior for the same issue, underwent a drainage procedure with documented removal of only 1cc, and was started on PO Keflex. Fluid was also sent for culture. Since the last time in the ER, the patient reported worsening pain and spreading redness around the elbow. The patient also reported some intermittent numbness and tingling in the fingers of the right hand.  The patient decided to come back in due to concerns about a possible worsening infection.  The patient denied any fevers/chills or other systemic symptoms.  The patient denied tobacco or alcohol use. 

Factors that might have influenced the pharmacokinetic and pharmacodynamic processes of the patient

The patient was not responding to the trial of oral antibiotics.  Keflex 500mg PO QID instructed to take one tablet by mouth four times a day for 5 days.  Once inpatient, the patient was started on IV vancomycin.  Following the initial dose of Vancomycin 1.5gm IV loading dose, he had a mild vancomycin infusion reaction with a pruritic rash on the abdomen that resolved with PO Benadryl dose.  Following doses of vancomycin were tolerated better with Benadryl pre-treatment and slowing infusion rate.

One factor to consider in this case was the rate of the IV infusion.  “Red Man Syndrome” is used to describe the adverse effect of vancomycin infusion.  This anaphylactoid reaction is caused by vancomycin degranulation of mast cells and basophils resulting in histamine release independent of IgE (Rivera & Ryan, 2022).  Another factor that may be worth noting is gender.  According to Alvarez-Arango et al. (2021), White patients were found more likely to experience Red Man Syndrome than non-White patients.  Red Man Syndrome was also identified as more likely to affect male rather than female patients (Alvarez-Arango et al., 2021).  

A personalized plan of care

According to Rosenthal & Burchum (2021), one patient may experience adverse effects from a medication, while others may not.  Asking the patient to report symptoms during and after the initiation of medication can help with identifying adverse reactions and implementing a plan to treat symptoms.  In assessing the risk-to-benefit ratio of medication, one must consider the severity of the side effects (Rosenthal & Burchum, 2021).  In this case, vancomycin 1gm IV q12hrs (15mg/kg dosing) was continued.  The infusion rate was extended to 120 minutes.  The patient was also pretreated with Benadryl 50mg by mouth to prevent infusion reaction.

                                                                                                       References:

Alvarez-Arango, S., Michelle, O. S., Sequist, T. D., & Burk, C. M. (2021). Vancomycin infusion reaction — moving beyond “Red man syndrome”. The New England Journal of Medicine, 384(14), 1283-1286. doi:https://doi.org/10.1056/NEJMp2031891

Rivera, C. G., & Ryan, K. L. (2022). Call to Pharmacists: End Use of “Red Man Syndrome.” Annals of Pharmacotherapy56(1), 102–103. https://doi.org/10.1177/10600280211021417

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.



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Patient Suddenly Became Light – hawkessays.com


 COLLAPSE

Pharmacokinetics is the study of how drugs are metabolized, distributed, excreted, and absorbed by the body (Rosenthal & Burchum, 2021). Pharmacodynamics, simply put means what a drug does to the body, “is the study of the biochemical, physiologic, and molecular effects of pharmaceuticals on the body” (Farined, 2021).

            The patient case I will be discussing and analyzing is a 60-year-old male with a past medical history of diabetes, hypertension, alcohol abuse, and hyperlipidemia who presented to the emergency department for acute kidney injury while he was at home working in his garage. The patient was admitted to the neurology/Med-Surg unit where I work. The patient suddenly became light-headed, with right arm weakness, numbness in his right hand, and blurry vision. A stroke code was activated, and the patient was immediately taken for a CT scan to rule out hemorrhagic stroke, consent was obtained by the neurology doctor for possible Tissue plasminogen activator (TPA) administration. My unit is part of the inpatient stroke team, and TPA was immediately started on the patient post-CT scan. Tissue plasminogen activator (TPA) is a drug of choice when an ischemic stroke is of concern because the pharmacodynamics of TPA works by dissolving blood clots that are blocking the blood flow to the brain (National Institute of Neurological Disorders and Stroke, 2022). With the start of the TPA medication, as one of the stroke team champions, I was assigned to closely monitor and assess the patient for any neurological changes as well as any changes in his vital signs until the patient was taken to the intensive care unit. Without realizing it I was evaluating the pharmacodynamics and pharmacokinetics of the TPA administered.

Factors that may have influenced the pharmacokinetic and pharmacodynamic processes of the patient would be his age, health, sex, other medical conditions such as hypertension, diabetes, hyperlipidemia, etc., and genetic makeup. Also, additional considerations would be considered, If the patient is taking any over-the-counter medication, such as vitamins and/or supplements, as these could potentially have negative side effects on his prescribed medications. Fortunately, the patient declines the use of any of these medications.

Based on the patient’s unique medical and social history, contributing variables, and the medical plan of care, it was decided to intensively monitor the patient throughout his hospital stay for any neurological abnormalities brought on by the TPA administration.

Due to the stroke, I would advise him to continue his prescribed long-term anticoagulant. However, before choosing which anticoagulant to administer to the patient, I would want to speak with the patient and go over the advantages and disadvantages of the various types of anticoagulants that are available. I would make sure the patient understands the reasons why the medication is prescribed before making any recommendations. Furthermore, it is crucial to inform him about the anticoagulant signs and symptoms of bleeding he should watch out for. According to Rosenthal and Burchum (2021), monitoring is a critical component of medicine administration, After the patient leaves the hospital, I would encourage him to follow up with an assigned neurologist and his primary care physician for close monitoring and to make sure he comes back for any scan that might be required.

References

 Farined, A. (2021). Dose-response relationships. https://www.merckmanuals.com/professional/clinicalpharmacology/pharmacodynamics/dose-response-relationships

National Institute of Neurological Disorders and Stroke. (2022). Tissue plasminogen activator for acute ischemic stroke (alteplase, activase®). https://www.ninds.nih.gov/aboutninds/impact/ninds-contributions-approved-therapies/tissue-plasminogen-activator-acuteischemic-stroke-alteplase-activase

 Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.



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