R Dq2

(Commentr 1 ). reference, citation, 150 words 

Two external stressors that are unique to adolescents are moving/changing school and too of high of expectations from parents. Moving schools is exceptionally difficult for adolescents, as they have to leave the security of their well-known school, their routine, friends they have known since the beginning, and sometimes, the city they were raised in. I have some experience with this, as I transitioned from Private Education to Public in high school and it was pretty rough. I remember the most stressful part being my initial lack of friends and lack of support from my peers. Another external stressor that I knew all too well were high expectations from my parents. My parents expected me to achieve exceptional grades, participate in orchestra and sports, while maintaining a high school job, an experience that is likely more common than I felt at the time.

Several studies have pointed to adolescent stress leading to impulsivity, stating that low-levels of stress allow adolescents to think, plan, absorb and remember but when stress is high, the brain interprets this as a life-threat and decisions are no longer thoughtful, but hasty (Duckworht, Kim, & Tsukayama, 2013). Impulsive, hasty decisions lead to risk-taking behaviors such as: alcohol and drug use, unsafe sex leading to teen pregnancy, or even suicide. When reflecting back on my transition to Public Education, it was really easy to make friends with my peers that were already smoking cigarettes, smoking pot, drinking, having sex, and several of them were cutters. I wasn’t always the best at resisting those activities but I was able to break into a “higher” level of social standing with athletics and those friends, who were mostly just drinkers at parties on the weekend. Another study on adolescent substance abuse demonstrates a link between adolescent substance use as a predictor of adult substance use, I would agree with their findings in reference to a large number of my graduating class that appear to suffer from alcoholism (Charles, Mathias, Acheson, & Dougherty, 2017).

When it comes to support and coping for adolescents, I feel this is high variable. For instance, adolescents who don’t play sports might benefit from sports as a coping mechanism but for an adolescent who has too much on their plate, eliminating a sport or activity might be best to reduce stress. Tutoring services might be helpful to help an adolescent cope by helping them with their studies, keeping them on track and helping them retain information. Lastly, psychiatric services like seeing a psychiatrist or therapist might also be helpful for the adolescent but also helpful for parents placing too much pressure and too high of expectations on their kids. Lastly, providing secondary prevention services is valuable, these being information on crisis resources like call or text crisis lines to prevent suicide (Falkner, 2018).

Charles, N.E., Mathias, C.W., Acheson, A., & Dougherty, D.M. (2017). Preadolescent sensation sensation seeking and early adolescent stress related to at-risk adolescents’ substance use by age 15. Addictive Behaviors, 69(6), 1/7. Retrieved from https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0306460317300060?via%3Dihub

Duckworth, A.L., Kim, B., & Tsulayama, E. (2013). Life stress impairs self-control in early adolescence. Frontiers in Psychology, 3, 1-12. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyg.2012.00608/full

Falkner, A. (2018). Health Assessment, Foundations for Effective Practice. Grand Canyon University. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3

(Comment2 ).  150 WORDS CITATION, REFERENCE, NO PLAGIO

External Stressors unique to teens

Two external stressors that are unique to adolescents are coping with parents getting divorced, and moving to different cities not by choice. I have been in the situation where parents getting divorced can raise all new obstacles for a teen. When parents split up, the child may have to move into a new home, bounce back and forth between parents with shared custodies, adjust to a single-parent home where the parent may be constantly working and even struggle financially. Teens who don’t know how to cope with their parent’s divorce can take part in risk-taking behavior and may act out, perform poorer in school, and have behavior changes. I have worked with adolescents who have begun cutting, burning, or other self-harm methods to draw attention from both parents in attempts to see them together. When teens must adjust to moving cities it can be incredibly hard to leave behind lifelong friends, childhood home, schools, teams, and relatives. Risk-taking behaviors for these teens include engaging in potentially dangerous activities to get acceptance by new peers like drinking, partying, sex, or even drug use. Teens could try and run away and hitchhike to travel back to their friends or families in their home city which can be dangerous.

Risk taking behavior related to stressors

Teens who don’t know how to cope with their parent’s divorce can take part in risk taking behavior and may act out, perform poorer in school, and have behavior changes. I have worked with adolescents who have begun cutting, burning, or other self-harm methods to draw attention from both parents in attempts to see them together. . Risk taking behaviors for teens who move to different cities include engaging in potentially dangerous activities to get acceptance by new peers like drinking, partying, sex, or even drug use. Teens could try and run away and hitchhike to travel back to their friends or families in their home city which can be dangerous.

Coping Mechanisms and Support

Coping methods and support for children adapting to newly divorced parents include learning relaxation and distraction techniques, journaling, seeking peer support, maintaining communication with both parents, creating a routine (Boring, J. L.,2015). For adolescents adjusting to a new city and living environment soping methods include the use journaling, family-centered activities (bowling, game-nights, dinners, etc.), enrollment in sports or extracurricular activities to help build relationships, and keeping in touch with old friends through the use of cell phones, social media, or video chats (Elsevier October 2019).

References

Boring, J. L. (2015). Children of divorce–coping with divorce: A randomized control trial of an online prevention program for youth experiencing parental divorce. Retrieved from https://eds-b-ebscohost-com.lopes.idm.oclc.org/eds/detail/detail?vid=18&sid=15cf096a-da95-4c5c-b526-eb12753c87d8%40sessionmgr103&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=2015-33904-001&db=pdh

Elsevier. (October 2019). Purpose and Coping with Adversity. Journal of Adolescence. Retrieved from https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0140197119301290

 
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R Dq1

( Reply 1). 150 words, citaton, reference, no plagio

Risk Factors

Several factors put teenagers in the United States at higher risk of pregnancy. Among these factors are socioeconomic in nature like the education or poverty level (Faulkner, A. 2018). This includes limited access to health and sex education. Other health disparities that contribute include “few opportunities in a teen’s community for positive youth involvement, neighborhood racial segregation, and neighborhood physical disorder (e.g., graffiti, abandoned vehicles, litter, alcohol containers, cigarette butts, glass on the ground)” (CDC, 2019).

Impacts of Pregnancy

According to Faulkner, if a child is born to a teen mother, they in turn have a higher chance of becoming a teen parent themselves. They are also at higher risk of “poor performance in school, including increased dropout rates, health problems, incarceration, or unemployment” (Faulkner, A. 2018). At birth these infants are more likely to be born with health issues and low birth weights.

Society at large is effected by this issue. Teenage mothers are less likely to seek medical care during the pregnancy, increasing chances for complications to the mother and child. This, in turn, contributed to the 9.4 billion dollars paid by taxpayers to support care through services like Medicare (Southeastern Idaho Public Health, 2019). Unfortunately, other services like the U.S. foster care system are utilized in part to care for the infants born to teenage mothers.

Teenage mothers themselves are often negatively affected by this issue. Roughly fifty percent of teen moms drop out of school and do not re-enroll (Southeastern Idaho Public Health, 2019). Teenage mothers often incur life-long socioeconomic struggles due to a lack to access to education and the expenses of raising a child.

 Community Resources (2)

In the state of Idaho, there are resources that are publicly funded that help to prevent teen pregnancy as well as offer assistance to pregnant teenage child. One of these is The Idaho Department of Health and Welfare. This organization works to inform and educate the public about health issues like teen pregnancy, birth control options, and sexually transmitted infections (Idaho Department of Health & Welfare, 2019). Another resource in Idaho the Panhandle Health District. This organization has clinics as well as online resources and classes for public high school students.

Idaho STATS

According to the CDC, although the state is ranked 25th for teen pregnancy, the live birth rate of babies born to teenage mothers is decreasing. 2017 saw 18.6 per 1,000 live births to teenage mothers aged fifteen to nineteen years old (CDC, 2019). This is a 39% decreased from the teen pregnancy rate recorded in 2007 (Panhandle Health District, 2019).

Reasons for change

This decrease is attributed to better access to health care for the teenage population and better health education in Idaho’s public schools. Recent data also shows that Idaho’s teens who self-report are waiting longer to have sex and higher rates of sexually active teenagers are using birth control in the form of condoms and oral contraceptives( Southeastern Idaho Public Health, 2019).

References

Centers for Disease Control & Prevention. (2019). Stats of the State of Idaho . Retrieved from https://www.cdc.gov/nchs/pressroom/states/idaho/idaho.htm

Faulkner, A. (2018). Adolencent Assessment. In Health Assessment: Foundations for Effect Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3

Idaho Department of Health and Welfare. (2019). Sexual Health . Retrieved from https://idahoteenpregnancy.com/sexual-health/

Panhandle Health District. (2019). Teen Pregnancy Prevention . Retrieved from http://panhandlehealthdistrict.org/teen-pregnancy-prevention/

Southeastern Idaho Public Health . (2019). Impacts of teen preganancy . Retrieved from https://www.siphidaho.org/rephealth/app_impacts.php

(Reply2 ) 150 words reference, citation, no plagio

Precursors/risk factors for teen pregnancy

The adolescence phase of development can be a rollercoaster of emotion. They have an underdeveloped capacity for decision making and a lack of emotional maturity. As a result of poor decisions and an increase in at-risk behaviors that may lead to teen pregnancy (Falkner, 2018). There are several reasons associated with teen pregnancy, including socioeconomic factors such as poverty level and education. Less favorable socioeconomic conditions, such as low education and low-income levels of a teen’s family, may contribute to high teen birth rates. It is also evident that teens in child welfare systems are at higher risk of teen pregnancy and birth than other groups. For example, young women living in foster care are more than twice as likely to become pregnant than those not in foster care. Children born to teenage mothers are also at risk for teenage pregnancy (CDC, 2019).

Risk/impact of teen pregnancy for Mom, baby society

Pregnancy and birth are significant contributors to high school dropout rates among girls. The children of teenage mothers are more likely to have lower school achievement, and to drop out of high school, have more health problems, be incarcerated at some time during adolescence. Possibly the newborn will have low birth weight or premature birth, and it is highly possible that they give birth as a teenager and face unemployment as a young adult (CDC, 2019)

Community or State Resources for teen pregnancy

Sutter Medical Center, Sacramento’s Sutter Teen Programs reach out to Sacramento County teens who are pregnant or parenting. Teens work with a case manager who provides guidance and resources when they are pregnant or parenting. The center also shares information on the education and medical rights of pregnant and parenting teens currently in school. The resource also offers information on where teen parents can access support resources such as finding child care, finding support groups, financial benefits, and recommendations to stay healthy. Address to reach out is Sutter Teen Programs, 1625 Stockton Blvd., Suite 210, Sacramento, CA 95816, (916) 887-4031 (Sutter Health, 2019).

Statistical data- Discuss teen pregnancy rates in the area over the last ten years, whether they have risen or fallen IN YOUR State and possible reasons for the change

Overall, the U.S. teen pregnancy rate is substantially higher than in other western industrialized nations. According to the latest data from the California Department of Public Health, California’s teen birth rate is a record low of 15.7 births per 1,000 females between ages 15 -19, That’s an 11 percent decline between 2015 and 2016 and a 66 percent drop since 2000.

In California in 2016, 15,800 children were born to mothers ages 18-19; 5,622 were born to mothers ages 15 -17; and an additional 195 were born to mothers under age 15 (California Healthline, 2018). The reason for the drop is successful efforts to provide information about sex education and birth control, availability of contraceptives, education to parents to talk to children about sex education, behavior, and safety (California Healthline, 2018).

Reference.

California Healthline (2018).Teen Birth Rate In California. Retrieved from https://californiahealthline.org/multimedia/teen-birth-rate-in-california/

Centers of Disease Control and Prevention [CDC] (2019). About Teen Pregnancy. Retrieved from https://www.cdc.gov/teenpregnancy/about/index.htm

Falkner, A. (2018) Adolescent Assessment. In Grand Canyon University (Ed.), Health Assessment: Foundations for Effective Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective- practice/v1.1/#/chapter/3

Sutter Health (2019). Sutter Teen Programs. Retrieved from https://www.sutterhealth.org/services/pregnancy-childbirth/teen-smcs

 
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R 19043367

Due Date: Nov 18, 2018 23:59:59       Max Points: 100

Details:

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to turn it in Please refer to the directions in the Student Success Center.

 
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R 18971353

Check the file

 
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Quick 19457549

Any Tutor available to complete a Doctoral 10 Strategic Point document tonight?…Need within 8 hours….Let’s Discuss

Document Attached

 
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Rationale For Dpi Project Design 1 Dq 1 19086331

 

Describe and provide rationale for which design you plan to use in   your DPI project. Be sure to describe how your methodology is in line   with your project questions. 1 page, APA

 This project will use the quantitative methodology with a descriptive research design.

Topic:  Use of Advanced Practice Providers in triage in improving waiting times in Emergency departments? 

Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley & Sons.

 
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Rash Db

 

t is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Sally is 18 years old and recently became bothered by a rash that is itchy, red, inflamed, and dry. She also has scaly areas that she says are getting worse.The rash is only around her umbilicus and on her elbows. Both of her parents have psoriasis, but she doesn’t believe this is the problem, because it appears different from her parent’s lesions. She lives in Florida, is under a lot of stress in high school, and just recovered from a lingering upper respiratory infection (URI).

Questions:

  1. What do you anticipate the rash will look like? Using the internet search engine find an image that reflects what the patient is reporting and attach for all to see.
  2. What are the risk factors for Sally getting psoriasis?
  3. What diagnostic test might you order?
  4. Name your top three differentials?
  5. What is the goal of therapy?
  6. What would you order first to treat?
  7. What follow up or referral is needed?
 
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Read Below Too Long

Discuss the concepts of role strain and role stress. Relate these concepts to nurse managers with respect to their positive role modeling. Does the nurse manager understand the interrelationships of these concepts and present herself or himself as a role model for nurses on the unit? one page, make sure to answer all the questions /// APA style and references

 
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Read Attachment 19309147

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Read And Answer 18943719

I am posting (attaching) the paper to read (HIV ROUGH PAPER),  and based on this reading, please answer the questions mentioned in the other attached paper (SIGNATURE ESSAY PEER REVIEW). Thanks

 
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