Adult/Geriatric Depression Hispanic Male With MDD Decision # 1 For this case, I chose to start the patient with Effexor XR 37.5 mg orally daily. I recommended him to take a single dose after eating one time a day. Either in the morning or the evening. However, he was to ensure that the time is approximately the same each day (Slowiczek, 2020). The patient was to swallow the capsule with a fluid such as water. Therefore, after meals, he was to take the drug immediately with water. The client was to ensure they swallow it whole to take all the pellets or spheroids. The reason for selecting this decision was to allow the new patient to adjust to the medication before increasing the dose to 75 mg per day. The 32-year-old client was undergoing this kind of treatment for the first time (Song et al., 2011). Therefore, starting with a lesser dosage will enable the body to adequately adjust to the treatment without resulting in adverse side effects. By making this decision, I intended to achieve two objectives. First, I…

Author’s Intent The author’s intent in literature refers to the way the author delivers the message to the audience. Authors can present their ideas as a story, song, or poem, monologue, dialogue, among other forms. There are five significant types of author’s purpose can be achieved. First is by writing an expository through which they state and explain facts or give instructions to the audience. The second approach is through narration. In narratives, the author shares ideas in the form of a story. If the author’s objective is to communicate their point of view, they share their opinion on a subject through expressive writings. Another strategy used by authors is persuasion, and the objective is to convince the audience. The fifth approach is the descriptive approach by which the author stimulates the five senses. The main reason why the author, the author’s intent is important is that it determines audience engagement and shows the author’s competence in the discipline. The mode of writing in ‘A Rose for Emily and the yellow wallpaper’ is a narrative. In the short ‘A Rose…

Health, Health Promotion, and Diversity What is health? Health is the mental and physical condition of being free from disease or infirmity. Health is centered on the presence or absence of physical impairments to routine physical, physiological, and psychological functions (Northwood, Ploeg Markle‐Reid & Sherifali, 2018, p. 47). The physical impairments that may hinder health include pain, infection, and deformity. The World Health Organization(WHO) defines health as the state of complete physical, mental, and social well-being of an individual. The WHO definition considers health as the state of being free from physical and socio-psychological stressors (Gil-Girbau et al. 2019). Health, in this aspect, is also the ability to recover from disease, injury, and infirmity to lead a more productive life. Diversity and Determinants of Health American society comprises individuals drawn from diverse races and cultures. This makes America a racially and socially diverse community. Appending value to this diversity fosters inclusion and social harmony in the country. Food, air, and water are the most important determinants of good health. Our bodies need these three ingredients to be in a state…

Health Assessment, Health History, and Nursing Diagnosis   The patient, in this case, has been suffering from the illness for some time. Other than that, he has also been experiencing shortness of breath, and at times, he feels the body is tired. From this case, it is evident that the patient has been ignoring such symptoms, but then they became severe and led to a panic attack (Chris, 2009). Other than that, he says he has so far never had any surgery. His family lineage has got only one person who has cancer. The patient has been thinking so much about his condition and that of his brother.   In the laboratory report, it was written that FPG-5.6 MMOL/L- NORMAL. This means that fasting plasma glucose is normal and that the sugar levels are proper. The body had to be tested for sugar levels, as this at times leads to the higher blood pressure that the patient had. Secondly, -1.0 mg/L (Low risk) was also in the laboratory report (Chris, 2009). This means that cardiovascular diseases were so low and…

 Healthcare Management Question One Managing the patient account fund requires the use of specialized software that keeps track of each patient’s health records and their fund payments. Managers can access the software and update any changes while monitoring progress and avoiding misallocation or mistakes (Glouberman, 2014). Protocols usable in such scenarios include the weekly update of information, management meetings with staff and liaising with patient partners and insurance companies to maintain up-to-date records. This activity would require a manager who is conversant with healthcare management practices and experienced in software related to the matter. Question Two Article used: https://www.wsj.com/articles/u-s-health-care-highest-costs-not-highest-results-1485369534 This Wall Street Journal article investigates the interesting relationship between healthcare financing matter in the United States and life expectancy. According to research and observations, Americans seem to be paying highly for health care but it does not translate to long life spans (Crook & Brynildsen, 2017). Additionally, the article discusses the rationale behind lawmakers pushing for such expensive healthcare systems if they cannot support high life expectancies. Part One: How does this article tie in with your research to date?…

The Future of Nursing Introduction The aspect of healthcare has been experiencing an evolving trend over the years. Nurses form the largest segment of America’s healthcare workforce, and as such, they play a critical role in ensuring the goals and objectives of the 2010 Affordable Care Act are met. Therefore, it is imperative to acknowledge the need for the Institute of Medicine to come up with a framework that will enable the nurses to efficiently respond to the needs and expectations of the nursing profession (Institute of Medicine, 2010). The future of nursing is dependent on how well the nurses align their education, practice and leadership to meet the objectives of healthcare programs such as Medicaid and Medicare. In achieving the above goals, the approach to nursing education should be all-encompassing, and as such, it should take shape through course content, employ the right faculty members and collaboration among all stakeholders (Cronenwett, 2011). The aspect of healthcare should facilitate affordable quality care. This would only come to play through well-trained personnel. Nurses should come in handy in offering efficient acute…

I walked from Selma to Montgomery The travel story I walked from Selma to Montgomery can get classified as a narrative feature. Narrative feature refers to travel stories that have a main course leading to the publication of the story (Lee 152). The story is also long, allowing the writer to develop and dig deep into the background of the activity. The activity in this story is to protest the entire political career of Jeff Session, who was appointed as attorney general in 2017. The article is also seasonal as it gets written during a political season just after the inauguration of president trump, which is a characteristic of narrative features. An introduction is part of the items that make a winning travel piece. It has to be creative and forms a compelling bridge to the place discussed. It should grip the reader and make them want to read more. If the introduction is not persuasive, the reader may not read further despite the best part being in the middle of the writing. The story I walked from Selma to…

Limited-service Concepts There exist significant differences between the services offered by businesses in the restaurant industry. Some of them operate full-service operations while others assume a limited-service approach. Limited-service restaurants include establishments where customers select from a menu, pay before receiving meals, and have the option to dine within the establishments. Some of the examples of limited-service restaurants include cafes, pizza locations, and doughnut shops. These establishments have several advantages and disadvantages. Hotels incorporate limited-service concepts in their establishments to boost the overall revenue regeneration of the business. There is increased competition among restaurants for clients in the industry. The concept presents hotel owners with the opportunity to serve and satisfy their clients. For instance, establishments that target tourists and business travelers have changed to grow their sales through the service. Another benefit of the service is hotels get the opportunity to collaborate with other brands to give the customers maximum satisfaction. For instance, hoteliers may consider partnering with popular coffee brands such as Dunkin Donuts and Starbucks, making meals more appealing to the clients. According to Tristano, hotel guests…

Understaffing The problem of understaffing at XYZ hospital fails to meet quality and regulatory requirements as it prevents health professionals from putting enough concentration on patient care. Since the health facility has limited healthcare personnel, it is strained on human resources. Most of them take longer shifts to cover the significantly large amounts of work within. As a result, they experience significant levels of fatigue, which leads them to burnout. Therefore, they fail to provide patients the necessary levels of care they need. The problem creates significant challenges. One of them is that the health facility cannot attend to emergencies properly and with the levels of promptness desirable. It also creates conflicts among employees as some of them become inundated by the high levels of stress and burnout they experience. Further, the exhaustion makes the health personnel makes them fail to put enough levels of concentration into their work and, thereby, cause errors in the process. For instance, some of them provide either wrong prescriptions or dosages of drugs. Evidence-Based Support Statistics show that the nurse-to-patient ratio in most US…

Understanding fallacies Arguments exist in ongoing discussions. If someone makes a claim and provides in support of it, others may choose to accept the claim or reject it. Others are free to analyze and identify such a request for weakness. Fallacies are weaknesses in urgings (Miller & Miller, 2019). Knowing more about errors enables one to be alert during discussions. One might realize the flaw in his argument or other’s statements during debates. Common Fallacies Missing the point, this is a fallacy that occurs when the evidence gathered does not support the claim as expected. For example, “hunting should not be seen as cruel because it gives incredible pleasure to a lot of people,” the speaker’s support towards the claim focused on the pleasure of hunting. Someone in the prerogative that hunting is not spiteful ought to have supported it with a statement like methods of hunting are fast and painless. So the report should be as follows” hunting should not be considered as cruel because the means of hunting are quick and painless.” Hasty generalization, this type of fallacy…

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