a.Diverticulosis is described by the presence of sac-like protrusions, diverticula, which form when colonic mucosa and submucosa herniated through defects in the muscle layer of the colon wall. Diverticula are developed from age-related degeneration of the mucosal wall and segmental increcreses in colonic pressure resulting in the bulging at the weak points. The weak points in the colon wall is where arteries penetrate the tunica muscularis to nourish the mucosal layer, (McCance, K.L. & Huether, S.E., 2019).

Diverticular disease (diverticulosis) occurs when saclike outpouchings or herniations of the mucosa in the muscle lining of the colon develop. Diverticula form due to age-related mucosal wall deterioration and segmental increases in colonic pressure, resulting in bulging at weak places in the colon wall, where the colonic mucosa herniates through the smooth muscle layers (McCance & Huether, 2019)

Discussion Questions:1. Compare and contrast the pathophysiology between diverticular disease (diverticulosis) and diverticulitis.

Identify the clinical findings from the case that supports a diagnosis of acute diverticulitis. Acute diverticulitis can causeabdominal pain, fever, nausea, and a marked change in bowel habits (Mayo Clinic, 2022). In addition, constipation, diarrhea, distention, flatulence, and tenderness of the lower left quadrant (McCance & Huether, 2019).

Discussion Questions: Compare and contrast the pathophysiology between diverticular disease (diverticulosis) and diverticulitis. Identify the clinical findings from the case that supports a diagnosis of acute diverticulitis. ? List 3 risk factors for acute diverticulitis. Discuss why antibiotics and IV fluids are indicated in this case.

Understand how the ANA Nursing Code of Ethics provides guidance in clinical decision-making. Identify the specific provisions of the Code and their applications in ethical decision-making. Evaluate the significance of Provision 2 (Primary Commitment to the Patient) as the most beneficial code in guiding clinical practice. Explore the advantages of applying the Code of Ethics, with a focus on Provision 9 (Promoting Social Justice), to politics and policy in healthcare.

The program has prepared the student to meet this competency by using clinical evidence to inform practice, including, but not limited to, acquiring expertise on advanced levels of healthcare practice and information sharing capabilities. The student can also base their decisions on the most recent clinical evidence, such as treatment recommendations and care plans. In addition, the program has developed the student’s critical thinking capabilities through evidence appraisal, research problem formulation, and the use of findings to inform quality improvement efforts in healthcare organizations (Thomas et al., 2017).

Root cause analysis (RCA) is an issue and problem analysis methodical process, which is used in identifying writing services potential causes related to adverse events, sentinel, near misses, and conflict in the workplace (Kellogg et al., 2016). The purpose of this paper is to apply RCT to the case study to apply EBP strategies to address sentinel events, develop a safety improvement plan, and identify organizational resources that can aid in improving the safety improvement plans. A case study related to medication error in health care, which led to sentinel events of allergic reaction and blame culture was selected for analysis.

Additionally, it assumes that implementing evidence-based diabetic management plans will lead to improvements in HgbA1c exams and overall quality of care. While evidence supports the use of evidence-based diabetes management plans, the success of these plans may vary depending on individual patient factors and the resources available within the healthcare organization or interprofessional team.

While the number of eye exams fluctuated over the last two years, it has shown a positive trend overall, increasing from 50 in Q1 2019 to 64 in Q4 2020. However, it is still lower than the foot and HgbA1c exams, which underscores the need to prioritize and increase the number of foot and HgbA1c exams. Overall, the provided data emphasizes the importance of using dashboards and reports to identify areas that need improvement in healthcare organizations’ diabetes care (Ferstad et al., 2021).

NURS FPX 4020 Assessment 4: Improvement Plan Tool Kit Improvement Plan Tool Kit

Healthcare organizations and interprofessional teams must continuously strive to improve the quality of care they provide to patients. Online course services One way to achieve this is by setting benchmarks for specific clinical indicators and measuring performance against those benchmarks. However, underperforming benchmark metrics may indicate a lack of attention to diabetes management, potentially leading to poor health outcomes for patients. This assessment will evaluate the consequences of not meeting prescribed benchmarks and the potential impact on the overall quality of care. The assessment will also identify recommended actions, guided by ethical principles and sustainability goals, to address this issue and improve patient outcomes.

One psychotherapeutic approach to address the client's problem is cognitive-behavioral therapy (CBT). CBT is a well-known effective treatment method for Major Depressive Disorder and has been recommended in most guidelines as a first-line treatment. (Karrouri et al., 2021) Describe at least three therapeutic techniques commonly used with the selected 0320 RB/KK©2022 Chamberlain University

. Provide rationale from at least one scholarly source. I would prescribe Sertraline for this patient. According to Liu et al, (2021), "Sertraline combined with CBT is more effective in treating Major depressive disorder in the pediatric population and can significantly reduce the incidence of depressive symptoms, anxiety, and adverse reactions in patients." Therefore, this combination therapy is recommended for the clinical treatment of adolescent depression. A trial done by Vale- cabrera et al (2018),to evaluate the efficacy and safety of sertraline compared with placebo

Address the following question. Write on this template and include the following components:i. write 150-300 words in a Microsoft Word documentii. demonstrate clinical judgment appropriate to the virtual patient scenarioiii. cite at least one relevant scholarly source as defined by program expectationsiv. communicate with minimal errors in English grammar, spelling, syntax, and punctuationAddress the following question: How would the management plan change for the Week 3 virtual patient if the patient were uninsured?

If Rebecca Fields was uninsured, the antibiotics for first line treatment for GAS pharyngitis are very affordable without insurance. According to the Good Rx, (n.d.), Amoxicillin 500mg capsules,quantity of 21, average cost is $10.44. There are coupons available that will lower the cost to $5.60 or $8.10 with the standard Good Rx coupon at any Walgreen's Pharmacy. Good Rx is not insurance, it just offers discounts on prescriptions.

Building a therapeutic alliance with Emily, a 23-year-old college student diagnosed with borderline personality disorder (BPD), is essential for her treatment success. Here are techniques to establish this alliance, along with rationales for their appropriateness:Dialectical Behavior Therapy (DBT) Skills Training:

Scenario: John, a 35-year-old man, has been diagnosed with schizophrenia and frequently experiences auditory hallucinationstelling him that he's worthless and should harm himself. He struggles to distinguish between reality and these intrusive voices

Scenario Techniques for Building a Therapeutic Alliance with RationaleMood disorders/anxiety/OCDScenario: Sarah, a 28-year-old woman, has been diagnosed with obsessive-compulsive disorder (OCD) and experiences intrusive thoughts about harming her loved ones. She feels overwhelmed by anxiety and spends hours each day performing rituals to alleviate her distress.Active listening, empathy, and respect are important techniques to usewhen working with clients who are experiencing anxiety.

The application of information technology in healthcare has persisted for several decades, following the onset of computerized healthcare programs in the 1950s. There have been progressive technological developments that have led to the information technology trends that are emerging and commonly used in healthcare practice today. These developments correlate to biological discoveries which have been made over the past decades, suggesting wide possibilities for the healthcare field (Shoba, 2020).