No plagiarism please.
Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.
An adolescent’s concerns about privacy can prevent them from seeking primary health care, especially for specific sensitive health care services such as STI screening and family planning issues. Those with privacy concerns are also less likely to talk openly with a health care clinician about important health issues, such as substance use, mental health, and risky sex. Recognizing that confidentiality is critical to high-quality care for adolescent women, professional health care organizations have adopted policy statements and practice guidelines that support the provision of confidential services.
Discuss these guidelines and the laws in your state that address adolescent confidential health care.
Peer Response 1
This is a great discussion topic, because I have often thought about adolescent care and confidentiality, but have never gotten the chance to thoroughly investigate the topic. I have worked with adult populations and therefore it has never been a big issue in my professional career. We all know that adolescent brains are not fully developed and they require teaching, support and valid resources when they encounter problems in their lives. This is why laws were enacted to allow adolescents to see a provider confidentially and seek medical help from a professional without the repercussions from their parents who may disapprove of their actions or situation.
In my state of Idaho, mental health services are confidential for adolescents after the age of 14 and cannot be shared with the parents without written consent of the adolescent unless they need to disclose information in order to bill insurance, carry out a treatment plan or prevent harm to the child or others or if they are ordered to by a court of law (Children’s Mental Health Services, 2018). Therefore, the clinician does have quite a bit of wiggle room in the statue because a majority of mental health issues can result in harm to the child or others. Either way, it’s good to understand that the age of 14 is the deciding factor. After 18 though, it is all confidential and no parents have rights to the individual’s medical records.
As for medical information. Every state allows adolescents to be seen, screened and treated for sexually transmitted infections and diseases without release of information to the parents. This law was passed as research was conducted that indicated that adolescents were MUCH less likely to seek medical help for STD’s if they knew their parents would find out. Therefore, in an attempt to decrease the prevalence of STD’s, no parental consent or notification is necessary (Bornstein, 2000). Even though confidentiality is attempted in this population with sensitive sexual or reproductive issues, obstacles to patient privacy remain. Overall, from what I can find, the provider in Idaho has the discretion to notify parents of any medical information of an adolescent.
Peer Response 2
When it comes to healthcare, Patient’s confidentiality is paramount, a sensitive issue, and is part of the law in many states. When caring for adolescent patients, care is not any different. If a minor is seeking care and fears his or her information would be disclosed to their parents, it might prevent them from seeking preventative care such as contraceptives, pregnancy testing, sexually transmitted infection testing, or even psychological help if needed. Unless, the provider suspects neglect or abuse, confidentially should always be provided to adolescents. Judgement by the provider regarding the best medical interest and safety of the patient should prevail (AAFP, 2013).
In the state of Florida, the Florida Legislature (2017) there are some cases a minor could consent for their own care without a parent’s consent. For example, if the minor is not married and pregnant or a mother, she could consent for herself and for her child; if the minor is seventeen years-old he could consent for blood donation; also, contraceptives and services of a nonsurgical nature; confidential medical services and counselling related to substance abuse and mental health outpatient counselling and treatment to minors, that does not need medications and other somatic treatments or less than two outpatient visits.
Healthcare providers must be familiar with their federal and state laws related to adolescent consent and confidentiality. Respecting adolescent patient’s rights and privacy is essential, but as a provider encouraging the adolescent seeking care to talk to their parents regarding their health could promote better communication between child and parents. In some facilities, the provider may make a verbal contract with the parents and teenager regarding confidentiality. This would assure the patient that any information obtain during the visit will remain in strict confidence unless the provider thinks it could pose a danger to the patient or if the patient themselves want to share the information with their parents.
Ultimately as a healthcare provider, it is important to protect patient’s privacy and confidentiality but, at the same time, we must be aware that in all states, a person needing emergency medical treatment they may be treated without consent if securing a consent would delay treatment and places the patient’s life or health at risk (Olson and Middleman, 2018). Patient care should not be delayed under any circumstances that will pose harm to the patient or cause death.
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Mn577 Discussion Board Hormones And Depression
/in Uncategorized /by developerNo plagiarism please.
Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.
Hormones and depression: Today, millions of women around the world use hormonal contraceptives that have expanded beyond the pill to patches, implants, injections, and uterine devices. Decades of research support their safety, and serious but very rare side effects such as blood clots are finally much better understood. But other areas of research lag, and we still do not know as much as we would like about how these medications affect women’s mental health.
Discussion:
Discuss the guidelines for prescribing hormonal birth control to women with a known history of depression and/or anxiety. How will you manage a patient who reports feeling depressed after starting hormonal birth control?
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Mn577 Discussion Board Peer Response State Laws And Adolescent Confidential Health Care
/in Uncategorized /by developerNo plagiarism please.
Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.
An adolescent’s concerns about privacy can prevent them from seeking primary health care, especially for specific sensitive health care services such as STI screening and family planning issues. Those with privacy concerns are also less likely to talk openly with a health care clinician about important health issues, such as substance use, mental health, and risky sex. Recognizing that confidentiality is critical to high-quality care for adolescent women, professional health care organizations have adopted policy statements and practice guidelines that support the provision of confidential services.
Discuss these guidelines and the laws in your state that address adolescent confidential health care.
Peer Response 1
This is a great discussion topic, because I have often thought about adolescent care and confidentiality, but have never gotten the chance to thoroughly investigate the topic. I have worked with adult populations and therefore it has never been a big issue in my professional career. We all know that adolescent brains are not fully developed and they require teaching, support and valid resources when they encounter problems in their lives. This is why laws were enacted to allow adolescents to see a provider confidentially and seek medical help from a professional without the repercussions from their parents who may disapprove of their actions or situation.
In my state of Idaho, mental health services are confidential for adolescents after the age of 14 and cannot be shared with the parents without written consent of the adolescent unless they need to disclose information in order to bill insurance, carry out a treatment plan or prevent harm to the child or others or if they are ordered to by a court of law (Children’s Mental Health Services, 2018). Therefore, the clinician does have quite a bit of wiggle room in the statue because a majority of mental health issues can result in harm to the child or others. Either way, it’s good to understand that the age of 14 is the deciding factor. After 18 though, it is all confidential and no parents have rights to the individual’s medical records.
As for medical information. Every state allows adolescents to be seen, screened and treated for sexually transmitted infections and diseases without release of information to the parents. This law was passed as research was conducted that indicated that adolescents were MUCH less likely to seek medical help for STD’s if they knew their parents would find out. Therefore, in an attempt to decrease the prevalence of STD’s, no parental consent or notification is necessary (Bornstein, 2000). Even though confidentiality is attempted in this population with sensitive sexual or reproductive issues, obstacles to patient privacy remain. Overall, from what I can find, the provider in Idaho has the discretion to notify parents of any medical information of an adolescent.
Peer Response 2
When it comes to healthcare, Patient’s confidentiality is paramount, a sensitive issue, and is part of the law in many states. When caring for adolescent patients, care is not any different. If a minor is seeking care and fears his or her information would be disclosed to their parents, it might prevent them from seeking preventative care such as contraceptives, pregnancy testing, sexually transmitted infection testing, or even psychological help if needed. Unless, the provider suspects neglect or abuse, confidentially should always be provided to adolescents. Judgement by the provider regarding the best medical interest and safety of the patient should prevail (AAFP, 2013).
In the state of Florida, the Florida Legislature (2017) there are some cases a minor could consent for their own care without a parent’s consent. For example, if the minor is not married and pregnant or a mother, she could consent for herself and for her child; if the minor is seventeen years-old he could consent for blood donation; also, contraceptives and services of a nonsurgical nature; confidential medical services and counselling related to substance abuse and mental health outpatient counselling and treatment to minors, that does not need medications and other somatic treatments or less than two outpatient visits.
Healthcare providers must be familiar with their federal and state laws related to adolescent consent and confidentiality. Respecting adolescent patient’s rights and privacy is essential, but as a provider encouraging the adolescent seeking care to talk to their parents regarding their health could promote better communication between child and parents. In some facilities, the provider may make a verbal contract with the parents and teenager regarding confidentiality. This would assure the patient that any information obtain during the visit will remain in strict confidence unless the provider thinks it could pose a danger to the patient or if the patient themselves want to share the information with their parents.
Ultimately as a healthcare provider, it is important to protect patient’s privacy and confidentiality but, at the same time, we must be aware that in all states, a person needing emergency medical treatment they may be treated without consent if securing a consent would delay treatment and places the patient’s life or health at risk (Olson and Middleman, 2018). Patient care should not be delayed under any circumstances that will pose harm to the patient or cause death.
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Mn577 Discussion Board Primary Care Clinic Breast Concerns Peer Response
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Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.
Peer resp. #1
Many factors such as genetics or radiation exposure could place women at risk for breast cancer (BC). However, age is the most important factor that puts women at risk for BC. That is the reason of guidelines for breast cancer screening being geared toward women over the age of forty. In fact, according to Faguy (2017), the American Cancer Society recommends annual mammography screening for women at average risk of breast cancer beginning at age forty-five, and at age fifty-five women can do biennial screening or continue with annual testing. On the other hand, The U.S, Preventive Services Task Force recommend that asymptomatic women ages forty to forty-nine could decide if they need to or want to be screened. On the other hand, women between ages, fifty to seventy-four should be screened every two years (US Preventive Services Task Force, 2016). Since there are many variations of risks based on age, genetic factors or suspicious symptoms, it is up to the practitioner to evaluate the problem and recommend the appropriate test for more accurate diagnosis. For patients who present with symptoms such as nipple discharge or pain, breast swelling, skin changes or dimpling as well as masses, they should have a diagnostic mammogram instead. Depending on the symptoms or severity of the problem, a breast sonogram and/or a biopsy are recommended for a more accurate diagnosis of the problem (Faguy, 2017).
In the clinical setting, women complaining of breast problems should always be taken seriously, and a thorough evaluation should be done. Practitioners need to do a complete breast examination and physical exam and ask questions regarding current medications including over the counter and herbal supplements. Also, a history of previous breast problems, the use of hormone therapy and health and social habits should be evaluated. A family history of breast cancer with close relatives such as a mother or sister is a red flag as a potential risk. In some cases of family history of breast cancer, genetic testing is recommended (Ozanne, Howe, Omer, & Esserman, 2014). At my clinical setting, many women just come with concerns regarding different breast conditions; which is good, because it demonstrates that women are more active when it comes to their health status. Most of the time, breast conditions could be addressed and treated promptly, having good health outcomes. Once there was a patient with a family history of breast cancer, that came after discovering a little lump in her right breast. The patient was examined, and diagnostic tests were ordered. In this case, patient education was vital to ease patient’s anxiety.
As with any other patient, we educate women on risk factors and explain their problem, and most importantly, we must involve them in the decision-making process of testing and treatment. Education is essential to make sure our patients make informed decisions. We must approach the subject with sensitivity, allow privacy and ensure them of confidentiality and their rights. Ozanne, Howe, Omer, & Esserman (2014) explain that breast cancer patients need unbiased, comprehensive education, personalized risk assessment, and allow the opportunity for meaningful consideration of their risks and benefits.
Peer resp. #2
Breast complaints are a common issue in the clinic I am currently in, and I have gotten to do a good number of breast exams. There have been a few that have been interesting and drive home the need for education along with a thorough and proper interview. Two patients had an interesting presentation of breast lumps. The first stated that she started feeling this lump on her lateral left breast about a week ago, and thought she should come in to get it looked at. Upon talking to the patient, she denies an trauma to the breast, but states the breast is painful at the site of the lump. She was 55, and therefore was going to be scheduled for a mammogram anyway, but a breast exam is always a necessary part of the exam. The exam revealed an obvious golf ball sized, moderately healed, bruise with a hematoma in the breast tissue. The patient denies hitting anything, and states she never tried to look at the breast tissue as she couldn’t see under her large breasts. This put the patient at ease and was less worried about breast CA.
The second patient had a large lump in her Right breast and was 44years old. She stated in her interview that she has had breast abscesses before, and this feels slightly like that. Extremely painful and developed over the past month. Her breast exam was otherwise unremarkable, without dimpling, discharge or discoloration of the skin. Cancer is always the main concern when there are lumps fond in the breast, but the majority of breast complaints are benign (Seltzer, 2004). Education on proper screening and reassurance that most breast cancers are painless and are incidentally found on exams or found by patients diligently looking for lumps. Breast CA in symptomatic patients under 50yrs of age is the minority (Seltzer, 2004).
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Mn577 Discussion Board Womens Health Focus
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Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within years 2015-2018) with intext citations.
The purpose of this unit is to focus on performing the necessary components of the women’s health exam and to learn to identify crucial exams and necessary age appropriate screenings for the women’s health client.
Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care. (Pap smear screening)
Give examples and support with evidence-based practice. (Create plan of care for a young African American women that is sexually active, use example of higher incidence rate of cervical cancer in African-American women, also mention the benefit of HPV vaccinations).
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Mn577 Womens Health Discussion Board Hormones
/in Uncategorized /by developerWill need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within years 2015-2018) with intext citations.
Women’s bodies go through a myriad of changes during the course of their life. Hormones play an integral role in those changes at each stage of development, from puberty to post-menopause.
Discussion:
Discuss how hormones across a lifespan can impact a woman’s physical and mental health. Give examples.
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Mn577
/in Uncategorized /by developerNo plagiarism will be checked with turnitin.
Assignment Directions: Case: Jane
For this Assignment, using the case information and best evidence, complete the chart below. Make sure to address all columns in the chart.
Case #1: Jane
Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago.
Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness.
Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.
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Mn580 Advanced Practice Nursingwritten Assignment Collaboration Paper
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APA style, font 12, double spaced with headers.
Will need Title page, content 3 full double spaced pages in length, plus Reference page. Total of 5 pages. Remember that discussion of each topic requires citations that are current
(less than 5 years old 2014-2018) and relevant.
This assignment is a formal paper. This includes: APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list.
The paper must demonstrate independent ideas and conclusions. At a minimum, the following topics must be well articulated in the paper.
Please refer to the grading rubric for how your paper will be graded.
Please use headings while answering the questions below.
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Mn580 Anticipatory Guidance For Neonates To Adolescents Table
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Anticipatory Guidance for Neonates to Adolescents Table
Anticipatory guidance helps family, caregivers, and others know what to expect according to the child’s growth and development. The guidance is done through collaboration between the healthcare provider and the caregiver. It is sometimes thought of as a type of counseling. Nurse practitioners working in pediatric primary care need to be experts on anticipatory guidance. There are excellent resources available and these are being updated as technologies and environments change.
This Assignment will demonstrate your ability to describe age-specific anticipatory guidance for the child and the family. Additionally, you will then have a reference table for quick glance created by you for future encounters with pediatric individuals and their families.
This assignment has a template that you will use to fill in the relevant elements of the anticipatory guidance per age group. The columns provide guidance to the specific areas such as safety and immunizations. If there is an area that is not applicable, such as oral health in infancy-newborn group, then place N/A in the box.
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Mn580 Assignment Evidence Based Practice Pediatric Acute Bacterial Sinusitis
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Please read instructions carefully to ensure maximum grade.
Applying Current Evidence Based Practice Guidelines for the Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.
This assignment will demonstrate your ability to use healthcare informatics to apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis.
The guidelines that you are to use are in the following article available in the online Purdue Global library.
Hauk, L. (2014). AAP releases guideline on diagnosis and management of acute bacterial sinusitis in children one to 18 years of age. American Family Physician, 89(8), 676-681.
This assignment has a template that you will use to fill in the requested information.
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Mn580 Discussion Board Advanced Practice Nursing Topic Pediatric Obesity
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Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.
Topic: Conditions: Pediatric Obesity
You are expected to present your initial topic including, but not limited to, the following items:
Use the below headings while answering the questions.
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