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Cancer and Women's and Men's Health

The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b). With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments. The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.
To prepare:

    Select a type of cancer associated with women’s or men’s health such as breast, cervical, or ovarian cancer in women and prostate cancer in men.
    Locate and review articles examining the type of cancer you selected.
    Review the U.S. Preventive Services Task Force article in the Learning Resources. Think about available preventive services that providers might recommend for patients at risk of this type of cancer.
    Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services.
    Consider drug treatment options for patients diagnosed with the type of cancer you selected including short-term and long-term implications of the treatments.

    Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected.
    Explain how the factors you selected might impact decisions related to preventive services.
    Describe drug treatment options for patients diagnosed with the type of cancer you selected. Explain the short-term and long-term implications of these treatments.

Need 4+ references
I need Introduction page, summary page and three body pages

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Dementia Behavior

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Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To prepare:
•    Review the Bazzano et al. and Mayhew articles in the Learning Resources. Reflect on situations in which children should be prescribed drugs for off-label use.
•    Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
With these thoughts in mind:
By Day 3
Post an explanation of circumstances under which children should be prescribed drugs for off-label use. Then, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

This is an article
Pediatrics
Children deal with variety of health issues similar to adults, but they also have issues that are more prevalent within their population. One issue that significantly impacts children is the prescription of drugs for off-label use. Consider the case of Rebecca Riley. When she was two years old, Riley was diagnosed with ADHD, and by age three, she was diagnosed with bipolar disorder. In the span of two years, Riley’s doctor prescribed four drugs off-label: Clonidine, Depakote, Zyprexa, and Seroquel. Riley’s doctor also approved 13 increases in drug dosages. Then, at age four, Riley died from pneumonia combined with a toxic level of prescription drugs (Lambert, 2010). Cases such as this have brought attention to the off-label use of drugs in pediatric patients, as well as the importance of monitoring patient reactions to prescribed drugs and evaluating the effects of drug-drug interactions. As an advanced practice nurse, how do you determine the appropriate use of off-label drugs in pediatrics? Are there certain drugs that should be avoided with pediatric patients?
This week you examine the practice of prescribing off-label drugs to children. You also explore strategies for making off-label drug use safer for children from infancy to adolescence as it is essential that you are prepared to make drug–related decisions for pediatric patients in clinical settings.
Need 3+ references

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Discuss the advantage and disadvantage of one drug to treat gastrointestinal system. Use 2 peer review journals no older than 5 years to support your discussion. 
Support with 2 journals no older than 5 years.

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Discuss the advantage and disadvantage of one drug to treat urinary tract infections. Use 2 peer reviewed journals to support the discussion.

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present a relevant and contemporary news case (see attached “newspaper article-ectogenesis) that exemplifies a moral problem as it relates to theories from book “Principles of Biomedical Ethics” by Beauchamp and Childress, 2013 (not attached-book IS required) and from Singer and Wells “ectogenesis” (see attached).

visual aid of either a class handout or a PowerPoint presentation, with an overview of the case considered and references for it, APA format, and 4-5 insightful, moral/ethical-discussion-stimulating philosophical questions for consideration.

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Pressure Ulcer Treatment and Prevention

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Generally speaking, Latino immigrants in the U.S. have better overall health outcomes than most Americans. Latino immigrants arrive healthy, so why don’t they stay that way?

Please be sure to address all the questions below and number your responses accordingly.
1. What scenes or pieces of dialog stuck out to you in the video clips/episode? And why?
2. How do you think that these issues relate to Cleveland and the Cleveland Latino community?  Does the “Latino paradox” exist in the Cleveland Latino community? 
3. According to the Health Equity Quiz ppt presentation, recent Hispanic/Latino immigrants have the best overall health when compared to native-born Whites, native-born Hispanics/Latinos, and native-born Asian Americans. Brainstorm and share some hypotheses as to why you think recent Hispanic/Latino immigrants have better health outcomes even though they generally represent a poorer population.  
4. How does the distribution of power, wealth, and resources shape opportunities for health?

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Think about a time that you received social support (due to your own health issue or one of a close family member or friend). Provide just enough background information so readers can understand your situation (don’t disclose anything you are not comfortable having other people read). Then, provide an analysis of the social support that you received in terms of type and amount. Do you feel that you received the specific type(s) of support that you felt you needed at the time and/or the amount of support that you felt you needed? Explain.

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Re-read case 4-2 in your book, "The Benefits and Harms of High Risk Chemotherapy," on pages 72 - 73. Write a brief summary of the case.  Then, look at the “Five-Step Model” for ethical decision-making found on page 20 of the text.  Using this model, construct answers in essay format to the questions that follow the case below.  I do NOT want “bullet-point” style answers; rather your answers should form a cohesive essay.  Your paper should reflect the fact that you have read and understand the five step model. (You may reference it specifically in your paper if that helps.) Your final answer should be about 2 1/2 pages. 

            Now, answer these questions in essay format (do not answer in “bullet points” or as though each point is unrelated to the next). 

1-At what point in the case do you get a clear sense that something is “wrong”, ethically speaking, or could potentially go wrong?  Explain.

2-What additional information or clarification would you like about Joe Cavanaugh? Situational factors?  Explain.

3-What is the primary ethical problem in the case, as you see it?  (You can use the commentary here, but make sure you cite any part you discuss.) Explain.

4-At this point in the case, what should Dr. Eyberg do? Make sure you back up your recommendation with reasons and argument.

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Thinking about Retirement

Think about your own retirement. In a 5 paragraph essay of at least 500 words, answer some or all of these questions:



Do you expect to retire at a certain age? ( retired two years ago from the military) How much preplanning will you need to do? Do you expect to retire to a life of leisure, volunteer activity, new career, and so on? Where will you live—same family home, retirement community, part of the year in the north and part in a southern resort? Do you expect to be active grandparents/great-grandparents or somewhat disengaged from your offsprings’ families? What are your overall impressions of retirement—is it positive, neutral, or negative? Why? Use at least 2 references to support your assumptions.  Your references need to relate to concepts learned about retirement and must be scholarly/academic in nature.  Use of .com websites is not appropriate.

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Discussions (10% of grade): There will 4 discussions during the semester and will be count as participation points.  The discussion board points count towards your final grade. All assigned postings must be completed by the deadline in the schedule for posting AND responding or no credit is given.  Discussions are not just opinion to obtain full points, postings must be based on supported fact, not simply opinion. Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.


Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.

After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans)