Nursing diagnoses for communities may be formulated regarding the following issues:
•Inaccessible and unavailable services
•Mortality and morbidity rates
•Communicable disease rates
•Specific populations at risk for physical or emotional problems
•Health-promotion needs for specific populations
•Community dysfunction
•Environmental hazards (ANA, 1986)
Topics- Select one of the community nursing diagnosis from above and develop at least one program goal and two related outcomes. Discuss the rationale for your selection of the priority problem.
200-word maximum without the references.
Minimum of two references (the course textbook can be one of the references) in APA format, articles chosen must have been published within the last 3-5 years.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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NURS 3280 Christopher Parrish Documentation Assignments
NURS 3280 Christopher Parrish Documentation Assignments
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
https://nursinghomeworkessays.com/wp-content/uploads/2022/09/Ordering-Process-Bay-v5-171x300.png300171conehttps://nursinghomeworkessays.com/wp-content/uploads/2019/09/logo-new-300x100.pngcone2022-09-03 15:57:482022-09-03 15:57:48NURS 3280 Christopher Parrish Documentation Assignments
Respond to the following questions, and if it’s relevant, include your own personal experience:
Statement: The most common major error that a speaker can make is to attempt to cover a topic that is too broad in scope.
Imagine that you are preparing to speak to a group of high school students with the purpose of motivating the students to vote. Your topic for this speech is “Teens, Politics, and Social Media.”
List the steps that you would take to narrow your topic.
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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
https://nursinghomeworkessays.com/wp-content/uploads/2019/09/logo-new-300x100.png00conehttps://nursinghomeworkessays.com/wp-content/uploads/2019/09/logo-new-300x100.pngcone2022-09-03 15:24:022022-09-03 15:24:02Teens, Politics, and Social Media.
The Role of Greek Mythology in the Development of Philosophy /Zeus and the Gods/Fate
Who were Socrates, Plato and Aristotle
The Concept of Secular Humanism (based on Human Ideas))
The Concept of Judeo-Christian Tradition ( based on God’s Revelation)
The Concept of Divine Revelation ( Old Testament and New Testament)
The importance of the Covenant in Judaeo-Christian Tradition a contract between God and Man
The Concept of Religious Theory Philosophy
Types of Belief Systems: Atheist, Agnostic, Theist, Monotheism, Polytheism
Concepts of Morality / Moral, Immoral, Amoral, Non Moral
ETHICAL THEORIES IN SECULAR HUMANISM
The Theory of Determinism
The Principle of Universal Causation
The Physical,Biological,Historical,Social/Economic,and Psychological forms of Determinism.
Who wrote these theories? What is their significance relative to Determinism?
The Theory of Behaviorism/Author/Significance?
The Theory of Relativism
The Theory of Cultural Relativism
The Theory of Situation Ethics
The Theory of Utilitarianism
The Theory of Egoism
ETHICAL THEORIES IN JUDEO-CHRISTIAN TRADITION
The Theory of Freedom (The Concept of Man’s Free Will) What does it mean?
The Concept of the Passions
The Development of Conscience must be Informed and Enlightened/ Explain?
Moral Responsibility is based upon our Freedom to Choose/ Explain?
The Theory of Absolutism
The Theory of Cultural Absolutism
ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
https://nursinghomeworkessays.com/wp-content/uploads/2022/09/Ordering-Process-Bay-v5-171x300.png300171conehttps://nursinghomeworkessays.com/wp-content/uploads/2019/09/logo-new-300x100.pngcone2022-09-03 15:22:122022-09-03 15:22:12The Development of Philosophy – nursing homework essays
Due: Facilitating group to post by Day 1; all other students post to discussion prompt by Day 4 and one other peer initial discussion prompt post by Day 6
Initial Post: Created by Facilitating Group ( I am not in the facilitating group)
This is a student-led discussion.
· The facilitating group should choose one member from their group who will be responsible for the initial post.
· On Day 1 of this week, the chosen group member will create an initial post that is to include the group’s discussion prompts, resources, and the instructions for what your classmates are to do with the resources.
· During this week, each member of your group is to participate in the facilitation of the discussion. This means making certain that everyone is engaged, questions from students are being answered, and the discussion is expanding.
· It is the expectation that the facilitating group will address all initial peer response posts by Day 7.
Reply Posts: Non-Facilitating Students
· If you are not a member of the facilitating group, you are to post a discussion prompt response according to the facilitating group’s instructions by Day 4. Your reply posts should include substantive reflection directed to the presenters.
· You are also expected to respond to at least two other peer’s initial discussion prompt posts.
Facilitating Group’s Post (to be replied)
Week 11 Discussion: Child and Adolescent Anxiety Disorders
Introduction:
Anxiety is an emotion that is present in all humans from the time of birth and is the brain’s response to “perceived or actual danger” (Yearwood et al., 2012). An advanced practice registered nurse needs to be able to distinguish the anxiety related to fear and worry that many children experience as developmentally appropriate anxiety that occurs in childhood and that of anxiety disorders which interferes with a child’s functioning (Yearwood et al., 2012). In this week’s discussion, we will take a closer look at diagnosis, treatment options, and education resources for families with children who are diagnosed with anxiety disorder.
Types of Anxiety Disorders:
The most common types of anxiety disorder seen in children include generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, social phobia, separation anxiety disorder, selective mutism, and school refusal (Yearwood et al., 2012).
· Generalized anxiety disorder involves chronic and excessive worries in several different areas of life, such as school, family, social interactions, world events, with at least one somatic symptom (Yearwood et al., 2012).
· Panic disorder involves recurrent episodes of excessive fear (Yearwood et al., 2012).
· Obsessive-compulsive disorder involves either obsession and worries or compulsions and rituals (Yearwood et al., 2012).
· Social phobia involves feeling scared or uncomfortable in social settings. Additional forms of social phobia include selective mutism and school refusal (Yearwood et al., 2012).
· Separation anxiety involves a high level of stress, fear, and worry when separated from the home or primary caregiver (Yearwood et al., 2012).
Required Reading:
· Boland, R., Verduin, M., & Ruiz, P. (2021). Kaplan & Sadock’s Synopsis of Psychiatry Twelfth Edition. Wolters Kluwer. ISBN-13: 978-1975145569
o Chapter 8 Anxiety Disorders
· Yearwood, E. L., Pearson, G. S., & Newland J. A. (2012). Child and adolescent behavioral health. Sussex, UK: Wiley-Blackwell
o Chapter 8 Anxiety Disorders
· American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) (DSM-5). Washington, DC: APA Press. ISBN 978-0-89042-554-1
o Pp. 189-285
Recommended Reading:
· Bushnell, G. A., Compton, S. N., Dusetzina, S. B., Gaynes, B. N., Brookhart, M. A., Walkup, J. T., Rynn, M. A., & Stürmer, T. (2018). Treating pediatric anxiety: Initial use of SSRIs and other antianxiety prescription medications. The Journal of Clinical Psychiatry, 79(1), 16m11415. https://doi.org/10.4088/JCP.16m11415
· Carnes, A., Matthewson, M., & Boer, O. (2019). The contribution of parents in childhood anxiety treatment: A meta-analytic review. Clinical Psychologist, 23(3), 183. https://doi.org/10.1111/cp.12179
· Creswell, C., Waite, P., Cooper, P. J. Assessment and management of anxiety disorders in children and adolescents. (2014). Archives of Disease in Childhood, 99(1), 674-678. https://adc.bmj.com/content/99/7/674
· Nguyen, S.-A., & McAloon, J. (2018). A cross-cultural comparison of parental perceptions of childhood separation anxiety disorder symptoms and likelihood to seek help. Journal of Cross-Cultural Psychology, 49(3), 453–469. https://doi.org/10.1177/0022022118754722
· Vallance, A., & Fernandez, V. (2016). Anxiety disorders in children and adolescents: Aetiology, diagnosis and treatment. BJPsych Advances,22(5), 335-344. https://doi.org/10.1192/apt.bp.114.014183
Videos:
· Anxiety Disorders in Children and Teens
· Anxiety and depression in kids: Healthy Head to Toe
Additional Resources:
· Anxiety Disorders in Children and Adolescents Flash Cards
1. How do healthcare providers detect separation anxiety disorders in order to refer children and adolescents for mental health treatment? What evidence-based treatment modalities are available for the treatment of separation anxiety disorder?
2. Discuss the role of psychotherapy and holistic treatment in children and adolescents diagnosed with anxiety disorders.
3. Due to the stigma associated with mental health, African American and Asian parents are less likely to administer psychiatric medications to their children. What medications would you prescribe for anxiety disorders in children and adolescents? What education would you provide these parents to increase medication compliance?
Peer Post 1 (To be replied)
Week 11 Discussion: Anxiety Disorders
Jeffrey Pham
November 9, 2021
Dear Group 2,
Thank you for an informative and creative presentation. It is essential to screen for and treat for separation anxiety disorder (SAD) because SAD in childhood is correlated to increased risk of developing depression, panic disorder and other various anxiety disorders in adulthood (Cooper-Vince et al., 2014). To detect SAD requires first knowing what symptoms children with this disorder commonly display in order to know what to watch for or assess for during psychiatric evaluation. According to Cooper-Vince et al. (2014), a study conducted showed children with SAD reported the following as their symptoms: Distress related to separation; worried about harm befalling attachment figure; worry that untoward will lead to separation; reluctance/refusal to go to places; fear of being alone or without attachment figure; reluctance from sleep away from attachment figure; repeat nightmares about separation; and physical symptoms (i.e. nausea, vomiting, headaches, or stomaches) about separation. While SAD also runs in family and there is an increased risk for the disorder if the first or 2nd generation relative has SAD, certain environmental factors are also risk factors, such as parental alcoholism, low birth rate, female sex, parental conflict, parental loss/absences, parent co-sleeping with child, foster care, etc. (Feriante, & Bernstein, 2021).
Given the genetic and environmental predisposition to SAD, a thorough family and birth history while thoroughly assessing for common somatic complaints and fear surrounding separation from a significant figure, such as a parent or legal guardian, can help screen for SAD (Feriante, & Bernstein, 2021). As pertain to DSM 5, to exhibit SAD, at least 3 of the 8 symptoms must present that significant impact work, school and social aspects of functioning (Feriante, & Bernstein, 2021).
The Separation Anxiety Avoidance Inventory (SAAI), an assessment tool used to screen specifically for SAD can be utilized to guide and evaluate treatment (Feriante, & Bernstein, 2021). Based on the results of the validated screening tool, treatment is implemented. In mild symptoms education and support may be sufficient, however, in moderate to severe symptoms, the standard first line therapy is CBT; if CBT is not effective, several randomized clinical trials have shown that augmenting SSRI antidepressant with CBT are the most effective in improving anxiety (Feriante, & Bernstein, 2021).
Stigma or fear of disclosing or being judged can contribute to noncompliance (Naghavi et al., 2019). To reduce stigma and promote treatment requires establishing good therapeutic alliance, gaining parents trust, answering any questions, including the parents and patients in decision-making and designing in treatment plan, and educating accurately about disease and treatment can increase compliance (Naghavi et al., 2019).
Hanging indentation was not retained
References
Cooper-Vince, C. E., Emmert-Aronson, B. O., Pincus, D. B., & Comer, J. S. (2014). The diagnostic utility of separation anxiety disorder symptoms: an item response theory analysis. Journal of abnormal child psychology, 42(3), 417–428. https://doi.org/10.1007/s10802-013-9788-
Feriante, J., & Bernstein, B., (2021). Separation Anxiety. StatPearls Publishing. Treasure Island (FL). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK560793/#_NBK560793_pubdet_
Naghavi, S., Mehrolhassani, M.H., & Nakhaee, N. et al. (2019). Effective factors in non-compliance with therapeutic orders of specialists in outpatient clinics in Iran: a qualitative study. BMC Health Serv Res 19, 413. https://doi.org/10.1186/s12913-019-4229-4
Peer Post 2 (To be replied)
Deborah Penny
Child and Adolescent Anxiety Disorders
Thank you Group 2 (Julianne, Laura B, and Marie). Your presentation about child and adolescent anxiety disorders is a subject of high prevalence due to the trajectory of undiagnosed and untreated disorders leading to self-harm and suicide.
How do healthcare providers detect separation anxiety disorders to refer children and adolescents for mental health treatment?
“Anxiety is perhaps the most common of DSM diagnosed mental health disorders, yet less than one-third of affected individuals ever seek treatment. Untreated, anxiety may easily worsen, leading to the devastating signs of depression such as hopelessness, exhaustion, frequent school absences, social isolation, and negative obsessive thinking, all of which may contribute to the feared possibility of suicide” (Kuzujanakis, 2021).
According to APA, (2013), Diagnostic and Statistical Manual of Mental Disorders (DSM-IV®) diagnostic criteria for Separation Anxiety Disorder (SAD) is when the anxiety a person experiences exceeds what may be expected given the person’s developmental level and the disturbance causes significant impairment in social, academic, and occupational areas. To be diagnosed with SAD, individuals must meet at least three of the criteria on listed pages 190-191 of the DSM-IV.
The United States Preventative Task Force (USPSTF) is in the process of updating their recommendation on screening for Depression, Anxiety, and Suicide Risk in Children and Adolescents. The Draft Research Plan has proposed key questions for systematic review. One of those questions asks; Do instruments to screen for depression, anxiety, or increased risk of suicide accurately identify children and adolescents with depression, anxiety, and increased risk of suicide in primary care or comparable settings? (USPSTF, 2020). A few noteworthy screening tools for SAD are the Family Accommodation Scale (FAS), the Multidimensional Anxiety Scale for Children-Parent and Child Report (MASC-P/C) and the Revised Child Anxiety and Depression Scale (RCADS) are tools that measure anxiety on various subscales and can be completed by both parent and child. The FASA is a modified version of the Family Accommodation Scale (FAS), with changes made to measure accommodation of anxiety symptoms, rather than solely OCD symptoms. The 13-item FASA measures the degree to which family members (i.e., parents) have accommodated a child’s anxiety symptoms. Four of the items assess distress related to accommodation and negative consequences of not accommodating. (Phillips, et al., 2020). The Multidimensional Anxiety Scale for Children–Parent and Child Report (MASCC/P) is a 39-item measure of child anxiety on four subscales; Social Anxiety, Separation/Panic, Harm Avoidance, and Physical Symptoms. The Revised Child Anxiety and Depression Scale (RCADS) is a 47-item measure of youth anxiety that corresponds with DSM-IV in five anxiety subscales; Generalized Anxiety disorder (GAD), obsessive-compulsive disorder (OCD), Specific Phobia (SP), Separation (Sep) and Social (Soc) Anxiety.
Parental accommodation is an important variable that may be associated with the onset and maintenance of anxiety disorders in youth. Accommodation describes ways in which family members, primarily parents, modify their behavior to diminish, alleviate or avoid distress caused by SAP. These behaviors can include excessive reassurance about a child’s fears, modifying family routines and schedules. A classic example of this is the parent or caregiver leaving their child at daycare and continuing to hang around, placating (accommodating) their child, to try an alleviate the anxiety of separation. “Although many parents feel they are reacting to their child’s anxiety in a protective way, this protectiveness becomes maladaptive when these reactions allow the child to avoid anxiety-provoking situations in the future” (Phillips, et al., 2020).
What evidence-based treatment modalities are available for the treatment of separation anxiety disorder?
It is important for a practitioner to know the difference between SAD and “stranger anxiety” which is seen in children by twelve months of age, during periods of heightened separation anxiety from attachment figures. This is part of normal early child development and will subside around the time of preschool. “By the time children reach school age, they develop the cognitive ability to understand that what others think of them may be different from how they view themselves and this creates fear and uncertainty. One of the hallmark features of anxiety are somatic complaints that include frequent recurrent abdominal pain, muscle aches and pains, chest pain, palpitations, sweating, dizziness, shortness of breath, and headaches. It is important to follow through and assess these complaints for an actual physical condition but if no evidence is found to support a specific diagnosis, anxiety must be considered” (Yearwood, et al., 2012).
Treatment for anxiety should take a multimodal approach that involves education about the disorder to parent and child. Behavior therapy should be the first course of treatment and last about 6-8 weeks which should be enough time to start seeing some resolution of symptoms. Cognitive Behavioral Therapy (CBT) is evidence-based therapy and is the treatment of choice. In addition, family therapy is an absolute, especially if the parents/family have maladaptive behaviors that fuel the patient’s anxiety disorder. “If after 6 to 8-weeks of therapy with little to no resolution of symptoms across multiple areas such as home, school, interpersonal, and social, then a medication trial may be necessary, but therapy should be ongoing.
Discuss the role of psychotherapy and holistic treatment in children and adolescents diagnosed with anxiety disorders.
Psychotherapy and holistic treatment examples could be mindfulness and meditation, which depending on a person’s preference could be advantageous in reducing anxiety, or at the very least, make the person aware of how their body is responding to stimuli. However, not every person enjoys meditation and mindfulness. Deep breathing and quiet spaces can make the symptoms worse by bringing the anxiety to the forefront.
Due to the stigma associated with mental health, African American and Asian parents are less likely to administer psychiatric medications to their children. What education would you provide these parents to increase medication compliance?
Patients’ beliefs about psychotropic medications are important factors influencing medication adherence and can easily compromise treatment effectiveness and interfere with recovery. This is not just a problem for psychotropic drugs, it is also a concern for medications prescribed for chronic medical diseases like hypertension and diabetes mellitus. One facet of increasing medication compliance is to provide culturally-sensitive care. It isn’t uncommon for children and youth who have anxiety to refuse any form of treatment. Denial is sometimes a self-protective measure, meant to lessen the anxious person’s already overwhelming feelings of shame. Societal attitudes have also traditionally been a barrier to mental health treatment, with many believing that mental illness is a sign of personal weakness. Educating a patient about the cause and effect of a medication may provide insight and understanding that allow for adherence. Communication is always a good thing because it builds a dialogue, which in turn builds respect and trust.
Questionnaires are a good way to start dialogue and one specific to medication adherence is the “Beliefs about Medicines Questionnaire Specific Scale (BMQ). It is a tool that has two sections; BMQ-Specific (Specific-Necessity and Specific-Concerns; 10 items), which assesses beliefs about the medication prescribed for personal use, and the BMQ-General (General-Harm and General-Overuse; eight items), which assesses beliefs about medication in general. The two sections of the BMQ can be used in combination or separately” (Verhagen, 2017). Having the patient fill out the BMQ is a good starting point, and the questionnaire can be completed either before or during the visit.
What medications would you prescribe for anxiety disorders in children and adolescents?
For a patient with a pediatric anxiety disorder that does not respond to an adequate trial of Cognitive Behavioral Treatment (CBT), treatment with a selective serotonin reuptake inhibitor (SSRI) is recommended. SSRIs have been found to be efficacious in clinical trials of pediatric anxiety disorders. SSRIs are most extensively studied class and are generally better tolerated than the other antidepressants. Selection between modalities should be guided by child/parent preferences. “Sertraline, a selective serotonin reuptake inhibitor (SSRI) can be started at an initial dose of 12.5 to 25 mg/day for a minimum of seven days and titrated up to 50 mg/day in increments of 12.5 mg (child) or 25 to 50 mg (adolescent) per week. If an adequate clinical response is not seen after six to eight weeks of treatment, subsequent trials should be tried following dose increases of 12.5 mg/day for children and 25 to 50 mg/day for adolescents to a maximum of 200 mg/day” (Glazier-Leonte, et al., 2019). Patient education about the US Food and Drug Administration “black box” warning is mandatory and part of disclosure. The warning states that children and adolescents taking antidepressant medication, are at increased risk for suicidal thinking or behavior and recommends close monitoring of patient’s clinical status during the early weeks of antidepressant treatment and limiting the duration of their use.
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References
American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM- 5®). American Psychiatric Publishers. https://www.psychiatry.org/psychiatrists/practice/dsm
De las Cuevas, C., Motuca, M., Baptista, T., Villasante-Tezanos, A. G., & Leon, J. (2019). Ethnopsychopharmacology study of patients’ beliefs regarding concerns about and necessity of taking psychiatric medications. Human Psychopharmacology: Clinical and Experimental, 34(2). https://doi.org/10.1002/hup.2688
Glazier-Leonte, K., Puliafico, A., Na, P. J., & Rynn, M. A., (2019). Pharmacotherapy for anxiety disorders in children and adolescents. UpToDate. https://www.uptodate.com/contents/pharmacotherapy-for-anxiety-disorders-in-children- and-adolescents?search=anxiety%20disorder%20treatment%20for%20children%20and%20ad olescents&source=search_result&selectedTitle=1~150&usage_type=default&display_ran k=1#H876805
Kuzujanakis M. (2021). Anxiety in today’s children and young adults. Gifted Education International 37(1):54-66. doi:10.1177/0261429420934445
Phillips, K. E., Norris, L. A., & Kendall, P. C. (2020). Separation Anxiety Symptom Profiles and Parental Accommodation Across Pediatric Anxiety Disorders. Child Psychiatry and Human Development, 51(3), 377–389. https://doi.org/10.1007/s10578-019-00949-7
USPSTF (2020). United States Preventive Services Task Force. Screening for Depression, Anxiety, and Suicide Risk in Children and Adolescents. Retrieved from https://www.uspreventiveservicestaskforce.org/uspstf/document/draft-research- plan/screening-depression-anxiety-suicide-risk-children-adolescents
Verhagen, A. P. (2017). Beliefs about Medicine Questionnaire. Journal of Physiotherapy, 64(1) http://dx.doi.org/10.1016/j.jphys.2017.04.006
Yearwood, E. L., Pearson, G. S., & Newland J. A. (2012). Child and adolescent behavioral health. Wiley-Blackwell.
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Letter to the Editor: Population Health Policy Advocacy
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Letter to the Editor: Population Health Policy Advocacy assessment. You may find it useful to use this document as a pre-writing exercise or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.
Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.
· Based on the data that you used to identify your chosen issue in Assessment 1, what is the current state of the quality of care and outcomes?
· To what degree does the current state of the quality of care and outcomes need to be improved?
· How does the current performance compare to any relevant benchmarks?
· How does the current performance adversely impact the health of the target population?
Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.
· How does the current state of the quality of care and outcomes related to your chosen issue and target population illustrate the need for improvements?
· Why do you consider policy development and advocacy necessary?
· How will developing a health policy help to improve the quality of care and outcomes related to your chosen issue and target population?
· Why is advocating for health policy development necessary to drive improvements?
Justify why a developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
· Why will your proposed policy (from Assessment 2) be vital in improving the quality of care and outcomes related to your chosen issue and target population?
· How will your proposed policy help drive improvements?
· What evidence or best-practices supports this? How does the evidence provide support?
Advocate for policy development in other care settings with regard to a specific issue in a target population.
· Why is it important that policy development focused on your chosen issue and target population take place in care environments and settings beyond that for which you proposed the policy?
· How will wider development of policies help to drive improvements related to your chosen issue and target population?
· Ideally, what is the end result of wider policy development and implementation?
Analyze the ways in which interprofessional aspects of a developed policy will support efficient and effective achievement of desired outcomes for the target population.
· What are the relevant interprofessional aspects of your policy?
· How will these interprofessional aspects support efficient achievement of your desired outcomes for your target population?
· How will these interprofessional aspects support effective achievement of your desired outcomes for your target population?
Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
· Is your writing clear and professional?
· Is your writing free from errors?
· Is your writing persuasive?
· Does your submission conform to the format and length requirements of your chosen journal?
Integrate relevant sources to support assertions, correctly formatting citations and references.
· Did you use 3–5 sources (or the number required by your chosen journal) in your assessment?
· Are the sources you used no more than five years old?
· Are your sources cited in APA format (or the journal’s preferred style) throughout your letter?
· Have you included an attached reference list?
· Did you follow the formatting guidelines of your chosen journal?
· Did you attach the submission and formatting guidelines for your chosen journal at the end of your assessment submission?
Write a letter to the editor of and academic or professional journal, see attached instructions.
Link to Locating letter submission guidelines for journals :
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1. What are two collaborative management of ulcerative colitis?
2. What are 2 nursing management of ulcerative colitis?
please answer it correctly a little introduction in question form and cite in APA format
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
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LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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Discussion: Compare the pathogens discussed in the previous chapters with zoonotic pathogens.
Discussion: Compare the pathogens discussed in the previous chapters with zoonotic pathogens.
Compare the pathogens discussed in the previous chapters with zoonotic pathogens.
Discuss what the different characteristics are
Describe how they cause disease
Explain the transmission processes
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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