What is the best treatment for diabetic foot ulcers? Centers for Disease and Control and Prevention 2019 show that about thirty-four million Americans have diabetes. Similarly, data from World Health Organization 2018 shows that the number of people having diabetes worldwide has risen for one hundred and eight million to four hundred and twenty million from 1980 to 2014, with the global prevalence rising from 4.7% to 8.5% within the same period. Diabetes, when combined with decreased blood flow to various extremities, nerve damages in the feet increases the probability of foot ulcers, fatal infection, gangrene, and necessitates limb amputations. According to Nain et al. 2011, diabetic foot ulcers are the top reasons for admissions among diabetic patients, and worse; they are associated with the most extended length of hospitalization since they require many surgical procedures. Boulton et al. 2018 show that diabetic patients make more than half of the patients that are admitted to hospitals for amputation. In the United Kingdom, for instance, diabetic patients account for nearly forty percent of hospitalization for severe amputations and about seventy-three present…

7789NURSING RESEARCH & EVIDENCE-BASED PRACTICE Evidence-based practice has been a useful approach in the decision-making process applied by clinicians to inform their decisions about overall patient care. Every day in the clinical setting, we encounter problems, questions, and patient needs requiring effective clinical choices to make a breakthrough. The best approach is to turn to evidence-based research, including journals and articles, which contains steps and procedures of handling different issues in the clinical setting. Research confirms that patient outcome generally improves when nurses engage in an evidence-based approach. In my readings, articles have provided individual needs, resources, and preferences in enhancing my clinical practice. The articles incorporate the current best practices and recommendations from well-designed studies and critical concepts enhancing clinical expertise. The articles provide critical information that improves patient outcomes, aid in providing quality care, and reduce costs by eliminating practices that are obsolete and not effective. As a nurse student, evidence-based knowledge creates room for continuous learning, and it builds clinical expertise from time to time. In some topics where there are specialty populations and patients with similar…

Depression within the field of child and family therapy The article Evidence-Based Update of psychosocial Treatment for Children and Adolescent depression identifies that depression is a significant problem in the modern world. The authors suggest that the depression that starts in childhood and adolescence causes chronic illnesses and other impairments in adulthood. Depression is associated with impaired romantic, and peer relationships, poor academic achievements, low socioeconomic status, and risks of early death. Therefore, the problems that start in childhood and adolescents hurt them as adults. Thus, it is essential to address the issues early in the life of a person to save them from destruction. The writers give background information to show that depression is a severe issue deserving the attention of all stakeholders. They argue that the works of Merikangas, Nakamura, and Kessler (2009) as proof that depression among the youth starts during adolescence. According to Sander and McCarty (2005), depressive disorders are lower in pre-adolescence years but begin to increase at the onset of puberty. The disorders increase and persist until late adulthood. Depression that occurs during adolescence…

CONTRIBUTIONS OF HISTORICAL NURSING  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century. 1. Compare the differences in contributions of the two historical figures identified in part B. 2. Describe how the contributions of the two historical figures influence your professional nursing practice. D. Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below). 1. Discuss how the two regulatory agencies influence your professional nursing practice. a. Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy. 
 E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice. 1. Discuss the scope of practice for a RN in your state. 2. Discuss how your state defines delegation for the RN. 
 F. Apply each of the following roles to your professional practice: • a scientist • a detective • a manager of the healing environment 
 G. Identify two provisions from the American…

The termination stage of a psychotherapy The termination stage of a psychotherapy relationship between the group leader and the client is the most challenging phase of therapy. The most effective way a group leader can handle an end to a psychotherapy relationship is to remind the clients earlier, possibly two or three sessions before the final session. On occasions whereby there is no defined time limit to the group sessions, the group leader can space out for the past few meetings. This is an effective way a group leader can convince the client of their relationship as well as boost their confidence in their capacity to manage things without meeting the group leader every week before the sudden ending of the relationship (“Termination of Counseling,” 2018). Reassess the progress achieved in the course of the group sessions along with the client, as this will help to impart confidence and a positive outlook in the client concerning what the group sessions enabled them to achieve. Some challenges could come up at the end of the psychotherapy relationship. The group leaders should…

Therapy Response for Nursing Students Annotated bibliography Augner, C. (2015). Depressive symptoms and perceived chronic stress predict test anxiety in        nursing students. Central European Journal of Nursing and Midwifery, 6(3), 291-297. http://periodika.osu.cz/cejnm/dok/2015-03/18-augner.pdf This article is a study of whether depressive symptoms and the perceived chronic stress     are the symptoms of anxiety. It used a regressive analysis that revealed that emotional            instability and stress are the best predictors of test anxiety. As discussed in the article,           past adverse outcomes of performance in academics have an immense impact to test          tension through the symptoms of depressions and perceived stress. Augner informs us       that there is a very close relationship between depressive symptoms, perceived chronic      stress, and test anxiety. This article is critical because it is a source of training methods of        therapy for addressing t6he symptoms of depression. Ratanasiripong, P., Park, J. F., Ratanasiripong, N., & Kathalae, D. (2015). Stress and anxiety        management in nursing students: Biofeedback and mindfulness meditation. Journal of        Nursing Education, 54(9), 520-524. https://pdfs.semanticscholar.org/a84d/1a1b600d2e9ccae0cdf4c89b772ff36be40e.pdf?_ga            =2.60374446.201783975.1562911040-692730667.1562911040 This article by Ratanasiripong…

Rhetoric Appeals Outline Introduction Rhetoric persuasion mainly focuses on the art of persuasion. The three main elements of art of persuasion include pathos, ethos, and logos Ethos refers to the ability of the audience to find an article being credible and valid. Pathos is the ability to persuade the audience using emotions. Logos refers to use of logic in persuading the audience. In this paper, we acknowledge that hypertrophic scarring is a health concern. However, the most appropriate treatment is yet to be determined. Therefore, this paper explains the causes, predisposition, and treatment options that scholars need to investigate in depth. Summary of Varpio Ethos The three rhetoric This entails the readers’ judgment of the writer/ author in regards to trustworthiness and credibility, which gives him/her the merit and authority on the subject of study through deference and similitude. “Establishing similitude andshowing deference helps to establish your ethos as an author” Varpio, 2018, p. 208). Renowned scholars carry out the study on hypertrophic scarring; however, it is essential to carry out more research to develop the best diagnosis. Logos This…

The Men Went To Drink Music is part of us and our society. Bagpipe music is famous in Scotland, where it is used as an icon of their culture. The instruments are employed nationwide and are made of a bag filled with air, reeds, drones, and blow stick. The bagpipes are also used in the Irish culture as national instruments, which means that they are not limited to specific users. They can be played in the pub, streets and any other place. There are costumes worn by bagpipers, which are traditional and symbolic. The music “The Men Went to Drink” is a perfect example of a Scottish bagpipe whose artist is Andrew Wright. Wright is one of the best players in pipe music and has won significant prizes. The music by Andrew brought about nostalgic emotions. The music evoked some sadness, and I had the imagination of persons who were grieving or going through a difficult time. The tune, therefore, serves to provide consolation as sad songs are said to activate hormones in our bodies, which helps to curb the…

risk factors for depression in community practice settings In the primary and community care setting, depression occurs as a recurring depressive disorder and chronic disease due to various factors. In the community practice setting, depression derives from stressful life events such as unemployment and lack of social and family identity. Lack of income limits the ability to cater for personal and family expenses, resulting in depressive disorder among individuals affected. Among individuals changing careers at a critical moment such as childbirth, a source of depression could postnatal care affects young mothers necessitating proper motivation and home-based care (Tanaka, Kusaga, Nyamathi, & Tanaka, 2019). A study of medically ill patients indicates that depression attributes to a lack of antidepressant medications and psychotherapies that limits mental and psychological sufferings and limitations. Personality as a source of depression alludes to instances of self-criticism, and inability to avoid worrying. Individuals with a tendency to suffer from low self-esteem tend to have personality limitations due to seeking perfection, resulting in social anxiety. A marker of personality challenges is a tendency to be a loner, and…

Student’s Initial Post-Ethics and Standards in Interpersonal Psychotherapy Response to Amanda Hill’s posting Counselors face challenges such as conflict of interest that are problematic to countertransference when working with diverse populations. However, they must establish actions and behaviors ethical for their professional practice when using the Interpersonal Psychotherapy approach (American Psychological Association, 2017). Countertransference is effective when used appropriately, but it can become unhealthy if the counselor his unresolved emotions onto the clients .if the therapist’s boundaries are not clear, he has a high chance of not remaining objective. As a result, he might react to the clients’ transference with bias. Countertransference happens when therapists lose their objectivity; thus, they become angry, overwhelmed, or bereft when listening to the client. (Loewenthal, 2018). In such cases, the counselors push their clients to deal with the trauma they may have experienced even if the clients are not ready to do so.  Due to the same reason, counselors may discourage clients from expressing themselves, arguing it is not yet time. For example, when a counselor is recovering from being abused as a child…