How do the mechanisms of action of antipsychotic medications, specifically their
How do the mechanisms of action of antipsychotic medications, specifically their interactions with ligand-gated ion channels, contribute to their therapeutic effects in the treatment of psychosis?
*Please review the article analysis help under materials and resources before at
*Please review the article analysis help under materials and resources before attempting.*
Please find an article and in one report:
1. Define the nature, definition, and natural history of disease
2. Talk about transmission, symptoms, mortality, and morbidity of Covid 19 and sources of Covid 19 related data
3. Analyze and interpret a published epidemiological research article related to the management of the Covid 19 pandemic using morbidity data (What is the article about)
4. Then critically assess the significance of the published epidemiological research article (what do you think about the article)
Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164711/
please write 600-700 words max on the topic and include all sources used with th
please write 600-700 words max on the topic and include all sources used with the refreneces. please see the file attached as it provides clear instructions. thank you.
Breast Cancer Case Study Discussion
Breast Cancer Case Study Discussion 1
About 5% to 10% of all breast cancers are hereditary, and genetic mutations are the cause of 80% of breast cancers in women below the age of 50 years. There are two breast cancer susceptibility genes; the BRCA1 on chromosome 17 and BRCA2 on chromosome 13 and they account for most inherited forms of breast cancer. (Norris T., 2019).
Genetic factors significantly contribute to the risk of early-onset breast cancer. In the United States, approximately 5 to 10% of BC cases are believed to have a hereditary risk. (Shen et al.,2021). However, these percentages are higher in a subset of women with early-onset breast cancer, familial history, or triple-negative breast cancer, i.e., estrogen and progesterone receptors (ER and PR, respectively) and human epidermal growth factor receptor 2 (HER2) negative, based on immunohistochemistry. Moreover, the cumulative risk of developing breast cancer by age 50 in sisters and mothers of patients under 40 years old with breast cancer was 6 and 3 times higher than the average population, respectively. (Saleem et al., 2016).
The genetic factors that may have been involved in the patient’s risk for developing breast cancer are the BRCA1 found on chromosome 17 as well as the BRCA2 found on chromosome 13.
Invasive breast cancer is defined as Breast cancers that have spread into surrounding breast tissue are known as invasive breast cancers. Most breast cancers are invasive, but there are different types of invasive breast cancer. The two most common are invasive ductal carcinoma and invasive lobular carcinoma. (American Cancer Society 2021). While carcinoma in situ is when cell changes show up as cancerous under a microscope, and they have not spread beyond where they first formed. The words “in situ” mean “in its original place.” These in situ cells are not malignant, or cancerous.
Our knowledge of the tumor receptors is vital in the treatment of breast cancer because it identifies the specific genes and receptors that need to be isolated, and treatment is specifically targeted at those receptors. A prime example is the use of Herceptin to stop the growth of breast tumors that express the HER2/neu receptors on the surface of the cell. The HER 2/neu receptor binds an epidermal growth factor that contributes to cancer cell growth.
Reference
American Cancer Society (2021) Medical and Editorial team review. Website https://www.cancer.gov.
National Cancer Institute, current catalog review (2023). https://www.cancer.gov.
Norris, T. (2019). Porth’s Pathophysiology; Concepts of altered health states (10th edition). Wolters Kluwer.
Shen L, Zhang S, Wang K, Wang X. Familial Breast Cancer: Disease-Related Gene Mutations and Screening Strategies for Chinese Population. Front Oncol. 2021; 11:740227. ]
Saleem M, Ghazali MB, Wahab MAMA, Yusoff NM, Mahsin H, Seng CE, Khalid IA, Rahman MNG, Yahaya BH. The BRCA1 and BRCA2 Genes in Early-Onset Breast Cancer Patients. Adv Exp Med Biol. 2020; 1292:1–12. 10.1007/5584_2018_147.
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I want you to write a reflective paper no more than 700 words. No citation neede
I want you to write a reflective paper no more than 700 words. No citation needed. Please use Gibbs reflective learning cycle. Make sure you include all the Gibbs stages which are: ( description, feelings, evaluation, analysis, conclusion, action plan). I will attach an example of how other students write their reflective paper. I want you to write about this story (So I am a medical student and currently I am doing my rotation in psychiatry. I saw this male patient who is 70 year old who is diagnosed with lung cancer and metastasis in the brain. The psychiatrist told me that she should go to talk with him because last week he was delirium. so we went to see him and his daughter was there as well. So the doctor introduced herself to him and I introduced myself to him and then the patient grabbed my hand and started kissing my hand and crying and asked me to help him to get out of the hospital and then he started crying again and his daughter started crying as well. It was very very sad moment and I did not know what I should do at that moment so I started telling him that we are here to help him and I wanted him to be calm and feel safe and I told him that I am a medical student and I am not the doctor but the doctor will definitely help him. Then he said no I want you to help me you look like a nice doctor and you are the only one who can help me here). So I want you to write about this story also you can add some other details regarding emotional and medical professionals just to make the reflective paper look more interesting. Thank you
How can nurse practitioners collaborate with other healthcare professionals, com
How can nurse practitioners collaborate with other healthcare professionals, community leaders, and organizations to develop and implement effective emergency preparedness plans for families and communities?
Read the 2 pre-selected journal articles to write a literature review on the rol
Read the 2 pre-selected journal articles to write a literature review on the role of a Physician Assistant and how social determinants of health impact a patient.
Please use the following guidelines:
Discuss the significance of the academic literature by addressing the writing prompt above
Include a brief introduction, body as well as a conclusion
It should be less than 500 words
Typed, double-spaced, 12-point font with 1” margins on all sides
Use AMA formatting including in-text citations and references
Week at a Glance
DIGITAL CLINICAL EXPERIENCE: COMPREHENSIVE (HEAD-TO-TOE) PHYSIC
Week at a Glance
DIGITAL CLINICAL EXPERIENCE: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
Throughout this course, you were encouraged to practice conducting various physical assessments on multiple areas of the body, ranging from the head to the toes. Each of these assessments, however, was conducted independently of one another. For this DCE Assignment, you connect the knowledge and skills you gained from each individual assessment to perform a comprehensive head-to-toe physical examination in your Digital Clinical Experience.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE
Review this week’s Learning Resources, and download and review the Physical Examination Objective Data Checklist as well as the Student Checklists and Key Points documents related to neurologic system and mental status.
Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation with the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Comprehensive (Head-to-Toe) Physical Assessment found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
Review the Week 9 DCE Comprehensive Physical Assessment Rubric provided in the Assignment submission area for details on completing the Assessment in Shadow Health.
Also, your Week 9 Assignment 3 should be in the Complete SOAP Note format. Refer to Chapter 2 of the Sullivan text and the Week 4 Complete Physical Exam template and use the template below for your submission.
Week 9 Shadow Health Comprehensive SOAP Note Documentation Template Download Week 9 Shadow Health Comprehensive SOAP Note Documentation Template
Note: There are 2 parts to this assignment – the lab pass and the documentation. You must achieve a total score of 80% in order to pass this assignment. Carefully review the rubric and video presentation in order to fully understand the requirements of this assignment.
DCE COMPREHENSIVE PHYSICAL ASSESSMENT:
Complete the following in Shadow Health:
Episodic/Focused Note for Comprehensive Physical Assessment of Tina Jones (180 minutes)
Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 9 Day 7 deadline.
SUBMISSION INFORMATION
Complete your Comprehensive (Head-to-Toe) Physical Assessment DCE Assignment in Shadow Health via the Shadow Health link in Canvas.
Once you complete your assignment in Shadow Health, you will need to download your lab pass and upload it to the corresponding assignment in Canvas for your faculty review.
(Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.) You can find instructions for downloading your lab pass here: https://link.shadowhealth.com/download-lab-pass Links to an external site.
Review the Week 9 DCE Health History Assessment Rubric, provided in the Assignment submission area, for details on completing the Assignment.
Links to an external site.Complete your documentation using the documentation template in your resources and submit it into your Assignment submission link.
To submit your completed assignment, save your Assignment as WK9Assgn3+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select both files and then Submit Assignment for review.
Note: You must pass this assignment with a minimum score of 80% in order to pass the class. Once submitted, there are not any opportunities to revise or repeat this assignment.
Rubric
NURS_6512_Week_9_DCE_Assignment_3_Rubric
NURS_6512_Week_9_DCE_Assignment_3_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Student DCE score(DCE percentages will be calculated automatically by Shadow Health after the assignment is completed.)Note: DCE Score – Do not round up on the DCE score.
60 to >55.0 pts
Excellent
DCE score>93
55 to >50.0 pts
Good
DCE Score 86-92
50 to >45.0 pts
Fair
DCE Score 80-85
45 to >0 pts
Poor
DCE Score <79... No DCE completed.
60 pts
This criterion is linked to a Learning Outcome Subjective Documentation in Provider Note Template: Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.
20 to >15.0 pts
Excellent
Documentation is detailed and organized with all pertinent information noted in professional language….Documentation includes all pertinent documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
15 to >10.0 pts
Good
Documentation with sufficient details, some organization and some pertinent information noted in professional language….Documentation provides some of the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
10 to >5.0 pts
Fair
Documentation with inadequate details and/or organization; and inadequate pertinent information noted in professional language….Limited or/minimum documentation provided to analyze students critical thinking abilities for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
5 to >0 pts
Poor
Documentation lacks any details and/or organization; and does not provide pertinent information noted in professional language….No information is provided for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)….or…No documentation provided.
20 pts
This criterion is linked to a Learning Outcome Objective Documentation in Provider Notes – this is to be completed using the documentation template that is provided. Document in a systematic order starting from head-to-toe, include what you see, hear, and feel when doing your physical exam using medical terminology/jargon. Document all normal and abnormal exam findings. Do not use “WNL” or “normal”. You only need to examine the systems that are pertinent to the CC, HPI, and History. Diagnostic result – Include any pertinent labs, x-rays, or diagnostic test that would be appropriate to support the differential diagnoses mentioned. Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list (#1).
You also have your final DCE which is a Head-to-Toe Comprehensive Physical Exam due this week. As per the syllabus and rubric, you must pass this assignment with a combined score of 80 or better (lab pass & documentation template) to pass the course. So please do not leave a section unanswered. Remember the physical exam goes under the objective section and the diagnoses are under the assessment section. If you are confused, please reach out to me. Please thoroughly document this comprehensive visit. If you attempt to use the SOAP format, be sure to include everything in each section. But I advise you to use the template provided to make sure you do not miss a section.
Please do not add any mnemonics, bullet points or write your entire note in bold. Points will be taken off if you continue to do this. Also do not write within normal limits in your physical exam or review of systems. You should write out the symptoms (ROS) or exam findings (Physical Exam).
NB
Please if you u are not familiar with subject topic please do not take this paper
It is basically a proofread as I have given you all the materials needed
I need at least 3 references in text for the plan of care
references must be in APA
References must be less than 5 years
No dates references not accepted
Will verify plagiarism
I know the order says 3 pages but I’m providing you with enough information to be able to come out with a lengthy paper
Please don’t enter the reaserch and write about it write about this picture and
Please don’t enter the reaserch and write about it write about this picture and explain it (perspective only ) not whole reaserch !
This is for a family nurse practitioner program in USA.
Q: What specific patien
This is for a family nurse practitioner program in USA.
Q: What specific patient education and anticipatory guidance would you provide to the 50-year-old patient and his family? Research health promotion and disease prevention guidelines for the 50-year-old patient, including risk factors for disease, attitudes towards health and wellness, and barriers that may prevent access to health promotion and disease prevention interventions. Support your answer with a minimum of two APRN-approved scholarly resources.
This is in the scene of the 50 year old male seeking an annual physical exam at his primary care provder. Please talk about the USPSTP (united states preventitive services task force) and their recommendations, the CDC, and any other recommendations from peer reviewed sources that you can find.