discussion 2

discussion 2

 

Basic human rights are inherent to all human beings, regardless of race, religion, ethnicity, or other factors. Human rights include right to life-liberty, freedom from slavery and torture, freedom of opinion and expression, the right to work and education, and many more (United Nations, 2022a). This includes right to food, under the right of social service. The right of social service is that everyone has a right to a standard of living adequate for the health and well-being of oneself and ones family, including food, clothing, housing, and medical care, necessary social services, right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond one’s control. This is applicable to both children and adults (United Nations General Assembly, 2022). Under these guidelines, these human rights are inalienable and should not be taken away except in specific situations. These include being found guilt of a crime by a court of law (Office of the High Commissioner, 2022). 

Despite these national standards, extreme poverty is still a significant issue worldwide. Extreme poverty is measured as people living on less than 1.90 USD per day (United Nations General Assembly, 2022). In 2015, it was estimated that more than 736 million people lived below the international poverty line. Of these, around 10 percent of the world populations were living in extreme poverty. It is estimated that the covID-19 pandemic have increased both populations even more – approximately increased by half a billion people, or an additional 8% of total human populations (United Nations, 2022b).

When a person in unable to secure food for themselves and their household, it impacts multiple aspects of their life. This includes things like inability to secure work, not being able to graduate school, unable to get married or pursue a family unit. Furthermore, when government and corporate practices systematically deprive people of these basic resources, poverty becomes entrenched and economic inequality is reinforced. Governments around the world carry significant responsibility to support its people in these basic human rights. When policies benefit the wealthy at the expense of the poor, it results in people living in destitution. One example if the Unites States’ cost of healthcare. Because of the significant price tag, it prevents certain people from accessing care. Furthermore, poverty in the United States has a direct correlation with race (Breaking the Poverty Trap, 2022).

Most governments do not have social systems in place to prevent this disadvantage, despite access to social service being a basic human right. Governments can and should turn this around for their people. The first critical step is to develop a legal framework that protects human basic rights. Such laws would include things like increasing minimum wage to a living wage. Second, laws and regulations must be developed and implemented to protect against labor abuse.   Third, governments should invest in their people, including spending money on social programs that support healthcare, education, job training, and access to credit. Lastly, it is vital for the government to include the voices of the people they serve to eliminate self-interested powers that seek to benefit themselves. For countries whose governments don’t have the fund to take these steps to ensure basic human rights are accomplished, it is recommended that a serious look at spending and corrupt leaders occur. It is not expense to take minor steps to support this bare minimum human right. Furthermore, governments can look at progressive tax policies, that provide relief of taxes for those of lower incomes to ease the burden on the poor (Breaking the Poverty Trap, 2022).

References

Breaking the Poverty Trap. (2022, January 27). Why poverty and inequality are human rights issues. Human Rights Watch. https://www.hrw.org/news/2020/10/14/breaking-poverty-trap

Office of the High Commissioner . (2022). What are human rights? OHCHR. https://www.ohchr.org/en/what-are-human-rights

Office of the High Commissioner. (2021, February 26). OHCHR and the Human Rights Dimension of Poverty. OHCHR. https://www.ohchr.org/en/poverty

United Nations General Assembly. (2022). 30 basic human rights list | universal declaration of human rights. Universal Declaration of Human Rights. https://opseu.org/wp-content/uploads/2018/12/30_basic_human_rights_list_english.pdf

United Nations. (2022). Ending poverty. United Nations. https://www.un.org/en/global-issues/ending-poverty

United Nations. (2022). Human rights. United Nations. https://www.un.org/en/global-issues/human-rights#:~:text=Human%20rights%20include%20the%20right,to%20these%20rights%2C%20without%20discrimination.

apa references

150 words

Discussion reply 1

Discussion reply 1

 As a future advanced practice registered nurse specializing in PMHNP it is important to understand the magnitude of diagnostic and medical errors that are made. Cantey (2020) noted that “Recent research has identified several dimensions in which a diagnostic error can occur, including patient-provider encounter, interpretation of diagnostic tests, follow-up, communication and coordination of specialist referrals, and patient’s behavior to recommended treatment” (p. 582). In the provider role it is important to always stay up to date with ongoing changes in healthcare. Whether it be regulations, screenings, evidence-based practice guidelines, and CDC guidelines. In the role of a PMHNP I can take part in decreasing diagnostic errors by making sure me and my staff are up to date with the DSM-5. The last published DSM-5 was in 2013 sense then there had been updates. These updates include new references, updates to the ICD-10-CM codes and clarification to diagnostic criteria. Therefore, reviewing the DSM-5-TR and having staff review such changes is important to preventing diagnostic errors. Also, as a future APRN it is vital to establish great rapport with patients and other providers. This ensures that we establish the best treatment plan for our patients and provide patients with additional support from other professionals. Cantey (2020) noted that “The large majority of diagnostic errors are not due to knowledge deficits but are related to cognitive biases, failed perception, and failed heuristics (i.e., mental shortcuts)” (p. 582). According to Cantey there have been several procedures that were conducted by using cognitive debiasing to reduce diagnostic errors with nurse practitioner students. Cantey (2020) noted that “Understanding the causes of errors can help nurse practitioners develop increased awareness of their own biases and therefore reduce the influences on clinical reasoning. Experts acknowledge that there is not a “one size fits all” strategy for debiasing, but with increased awareness and development of new strategies, the cognitive process can be improved” (p. 583). I do agree that when NP’s or physicians understand this concept this can lead to better treatment for patients and will decrease malpractice suits. 

discussion 1

discussion 1

 

The human right “Freedom from hunger” – is described by the International Covenant on Economic, Social and Cultural Rights (ICESCR) as “The right to food is a human right inherent in all people, to have regular permanent and unrestricted access, either directly or by means of financial purchases, to have quantitatively and qualitatively adequate and sufficient food corresponding to the cultural traditions of people to which the consumer belongs, is one that ensures a physical and mental, individual and collective fulfilling and dignified life free of fear” (Holtz, 2013, p. 356).

I believe all people regardless of ethnicity, religion, and socioeconomic status should be afforded this right. Hunger propagates anger, in order to maintain peace and cohesiveness, I think it is important that people are free from hunger. One of the main reasons I think freedom from hunger is important is the economic development of all nations. If people are hungry, there will be a stagnation in economic growth. Nutrition is a major contributor to physical and mental health. Holtz (2013) states, “malnutrition is considered to be the world’s leading threat to life and health today” and offers the following example:

An infant has marginal macronutrient intake, usually as a result of maternal milk supply drawing to an end. The infant then develops diarrhea from an intestinal parasite or other infectious agent. This disease is promoted by low immune response from macronutrient deficiency. Unable to stop the consequent water/sodium imbalance, the infant dies of dehydration. Even if the infant survives, the long-term consequences of this bout with disease is catastrophic.

As shown in the illustration above, the child described, were it to survive will have to endure with a lifelong struggle with decreased mental and physical development, premature death, nutrient deficiencies leading to growth retardation, and opportunistic infections due to decrease in immune response. The family is likely to spend a lot of time and money caring for this child, as a result little time is dedicated to contributing to the economy of a country and the little resources they have is geared towards paying for expenses related to the child’s care.

            Some solutions to this problem would be to create awareness and educate people on sustainable farming so that they can utilize what they have to maintain a constant supply of food and eliminate hunger. “Programs to assist in improving the nutritional health of developing nations are urgently needed to provide opportunities for health promotion by education as well as diet changes reflecting specific local community cultural and health needs” (Holtz, 2013, p. 370).

References

Holtz, C. (2013). Global health care: Issues and policies. (2nd ed.). Jones & Bartlett Learning

150 words 

apa references

Theoretical Perspectives for Nursing W2

Theoretical Perspectives for Nursing W2

Week 2

Making judgement as to whether a theory could be adapted for use in research is very important. Describe the internal and external criticism that is used to evaluate middle range theories.

Video: https://www.youtube.com/watch?v=EuXWJeoV9j8

expect 400 words in your initial post. 3 references in APA style

Location USA, state Florida

soap note week 3

soap note week 3

I want the soap note to be about a 65 year old female patient with a diagnosis of diverticulitis. I have attached a template with the required info for each section of the soap note to this posting. please keep in mind that this assignment is late already and I need it to be great so I do not get more points reduced. thanks

case studies

case studies

Please provide an example of a case study with the provided presenting complaint specific to each of these systems. This case should present the clinical approach and decision-making process involved in diagnostic reasoning and therapeutic decision-making.  

You will present a Fictitious Illustrative Case presentation on the following topics 

  1. A neurological complaint of daily Migraines in a 48 yr old female.  
  2. EENT- 7 yr. old with ear pain  

Include the following in each case:

Subjective data- questions to be asked 

Objective data- Expected physical findings 

Differential Diagnosis 

Cannot miss the diagnosis 

Final Diagnosis 

Clinical Guidelines for specific diagnosis 

Treatment 

Follow-up 

Prognosis 

Case Study

Case Study

Case Study about chapter 19 SEAN: Left Above Knee Amuptation, Stage II Sacral Decubitus Ulcer in skilled nursing.

Please see the assignment objective below and the complete chapter is below in the document is CHAPTER 19

Need to be a Word Document with APA references. Do no matter how many word or pages, all I need is the assignment objectives, procedure,Analyze various case examples, by about Chapter 19 is a client named SEAN.

See document Attach! 

Psychopathology

Psychopathology

  

NURS 6635 

Getting Started With the DSM-5-TR

If you were to give a box of 100 different photographs to 10 people and ask them to sort them into groups, it is very unlikely that all 10 people would sort them into the exact same groups. However, if you were to give them a series of questions or a classification system to use, the chances that all 10 people sort them exactly the same increases depending on the specificity of the system and the knowledge of those sorting the photographs.

This is not unlike what has occurred in the process of classifying mental disorders. A system that provides enough specificity to appropriately classify a large variety of mental disorders while also attempting to include all of the possible symptoms, many of which can change over time, is a daunting task when used by a variety of specialists, doctors, and other professionals with varied experience, cultures, expertise, and beliefs. The DSM has undergone many transformations since it was first published in 1952. Many of these changes occurred because the uses for the DSM changed. However, the greatest changes began with the use of extensive empirical research to guide the creation of the classification system and its continued revisions.

In order to assess and diagnose patients, you must learn to use the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, usually abbreviated as the DSM-5-TR, to render a diagnosis. In this second week of the course, you will examine how DSM-5-TR is organized and how clinicians use it to render diagnoses. 

Review the Learning Resources this week, with special emphasis on viewing the Diagnostic Criteria video. This video explains the purpose and organization of the DSM-5-TR classification system, the purpose of the ICD-10 coding system, their relationship to one another, and the importance to the PMHNP role. 

  

Discussion: The Psychiatric Evaluation and Evidence-Based Rating Scales

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

To Prepare:

  • Review this week’s Learning      Resources and reflect on the insights they provide regarding psychiatric      assessment and diagnosis.
  • Consider the elements of the      psychiatric interview, history, and examination.
  • Consider the assessment tool      assigned to you by the Course Instructor.

Main Assignment

Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.

LEARNING RESOURCES

https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/full/10.5555/appi.books.9780890425787.Section_1

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

  • Chapter      34, Writing Up the Results of the Interview

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

  • Chapter      5, Examination and Diagnosis of the Psychiatric Patient
  • Chapter      6, Classification in Psychiatry
  • Chapter      31, Child Psychiatry (Sections 31.1 and 31.2 only)

https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=20

https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=39

https://ebookcentral.proquest.com/lib/waldenu/reader.action?docID=5340671&ppg=53

https://www.youtube.com/watch?v=U5KwDgWX8L8

https://www.youtube.com/watch?v=IRiCntvec5U

Case Study

Case Study

Case Study about chapter 19 SEAN: Left Above Knee Amuptation, Stage II Sacral Decubitus Ulcer in skilled nursing.

please see the assignment objective below and the complete chapter is below in the document is CHAPTER 19

Need to be a Word Document with APA references. Do no matter how many word or pages, all I need is the assignment objectives about Chapter 19 is a client named SEAN.

Epidemiology

Epidemiology

Assignment: COVID 19, Vaccines, & Use of Three Levels of Prevention 

You will use, image, chart, graph, picture, etc in  slide and will use your voice to describe. You can use any resources to record your voice on  your slides. COVID 19- History, Signs and symptoms, Transmission, Incubation period, Diagnosis,  Prevention, Management and treatment, Prognosis (Comorbidities, complications and long-term  effects, Immunity), Epidemiology (Fatality rates- sex, ethnic, SES difference), Misinformation,  Vaccination (Development, Doses, Benefits, Side effects, myths etc.), Interesting facts you know  about it