Youth suicide is the third leading cause of death for persons between 15-24 years of age, and almost 4,600 youth deaths each year are the result of suicide for a person 10-24 years of age (Smischney, Chrisler, & Villarruel, 2014). Learning of these numbers is very discouraging considering that suicide can be prevented by recognition and implication of interventions. Adolescents may present to family, friends, or teacher’s signs of suicidal behavior such as talk of suicide, threat of suicide, or risky behavior. Sometimes the adolescent may not display warning signs before committing suicide. It is important to identify risk factors that can lead to suicide. Risk factors that contribute to suicidal ideation are biological, environmental, and psychological factors (Smischney et al., 2014).

Biological risk factors include gender, ethnicity, and sexual orientation. The male gender is 4 times greater to attempt suicide that results in death, whereas female adolescents experience higher rates of depression. Native American or Alaska Natives that are between the ages of 15-24 are at a 2.4 percent higher rate than the national average. Suicidal ideation is higher amongst gay and bisexual male adolescents than heterosexual male adolescents. This may due to the adolescent’s parents or friends lack of approval or support (Smischney et al., 2014).

Environmental risk factors that contribute to suicide include family stress and conflict such as divorce, death of a loved one, academic failure, and abuse. During adolescence, peer relationships greatly contribute to suicide. Adolescents who suffer from poor social skills, low self-esteem, and lack support from their peers are at greater risk for suicidal ideation (Smischney et al., 2014).

Psychological risk factors contributing to adolescent suicide include mental health problems, psychiatric disorders, poor coping skills, and substance abuse. Mental health disorders include anxiety, depression, post-traumatic stress disorder, and schizophrenia. Alcohol is often experienced with by adolescents. Female adolescents are 3 times more likely to attempt suicide and male adolescents are 17 times more likely to attempt suicide when alcohol is involved (Smischney et al., 2014).

Primary, secondary, and tertiary heath prevention measures can be taken to prevent suicide. Primary prevention can be implemented by addressing the topic of suicide with adolescents, identifying risk factors of suicide, and talking about ways to avoid risk factors that can lead to suicide. Secondary prevention can be done by addressing risk factors that the adolescent is experiencing and implementing healthy and effective interventions. This will help to reduce the chance of the adolescent following through with the act of suicide. Tertiary prevention should include providing support and resources to the adolescent, as well ensuring safety. Measures should be taken to prevent the adolescent from attempting and succeeding at suicide.

The Suicide Prevention Resource Center is a resource that provides contact information and suicide prevention plans specific for each state. This information can be accessed through the website http://www.sprc.org/states. Adolescents can also contact the National Suicide Prevention Lifeline 24/7 by calling 1-800-273-8255, or going online to https://suicidepreventionlifeline.org/. Both of these resources offer support to those who are experiencing a suicidal crisis. As a nurse if you suspect a depressed adolescent is in immediate danger of harming themselves, immediate intervention should be implemented such as ensuring the safety of the adolescent. If the nurse is physically present at the adolescent’s side, taking the adolescent to a safe environment and informing a physician is important to prevent harm or injury. If the nurse is talking with the adolescent over the phone and the adolescent is posing immediate danger to themselves, proper authorities should be notified and full detail of the adolescent’s location and situation should be provided.

 References

National Suicide Prevention Lifeline, (n.d.). Get help. Retrieved from https://suicidepreventionlifeline.org/

Smischney, T. M., Chrisler, A., & Villarruel, F. A., (2014). Risk factors for adolescent suicide: Research brief. Retrieved from https://reachmilitaryfamilies.umn.edu/sites/default/files/rdoc/Adolescent%20Suicide.pdf

Suicide Prevention Resource Center, (2017). Organizations: States. Retrieved from http://www.sprc.org/states

 

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

The four parts of the Christian Biblical narrative of creation, fall, redemption, restoration can help tell us about suffering and disease. There is a great deal of suffering that we go through in life but there is comfort in the Bible’s teachings.

The book of Genesis tells us about the creation of man and the world we live in. It tells us that God created man to rule over the His creation (Genesis, 1:26, ESV). God made us in his image; we are made exactly how we are supposed to be. Even when there are malformed babies, disfigured bodies, or anything that is not physically or mentally pleasing, we have to know that God sees us as whole people full of value and worth.

Shortly after the creation, man’s fall to sin is told in Genesis 3:1-19, leaving us with the consequences for their disobedience, which is death, disease, and suffering. God did not punish mankind because he hated us, but because he loves us. Pain and suffering exists, but we have a way to think outside of ourselves and have supernatural healing from emotional and physical illness. Jesus tells us “I have said these things to you, that in me you may have peace. In the world, you will have tribulation. But take heart; I have overcome the world” (John 16:33).

Redemption is ours because God sent his one and only son Jesus, to take the punishment for all sin. Jesus was free from sin, lived a human life with us on earth. He is God’s way to regain order on earth; Jesus paid the price with his life. When we are suffering through disease or sickness, we have to look to Jesus. Jesus felt emotional pain, physical pain, the worst possible pain. He suffered and felt death. He understands us and can give us comfort if we seek him out. The idea that we are weak, mortal, and not in control humbles us, leading us to God for comfort and strength.    God is involved in our suffering, we can respond to suffering through faith, and we can trust God’s compassion and mercy (Shelly & Miller, 2006). God’s plan for restoration is to bring all creation back to its original order. We read in the Bible that “He will wipe away every tear from their eyes, and death shall be no more, neither shall there be mourning, nor crying, nor pain anymore, for the former things have passed away” (Revelation 21:4). Disease and illness is inevitable for all people but comfort and peace is found in Jesus.

 

 

 

 

 

Reference

Shelly, J. A., & Miller, A. B. (2006). Called to care: A Christian worldview for nursing (2nd ed.). Downers Grove, IL: IVP Academic. ISBN-13: 9780830827657. Retrieved from http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

 

 

 I NEED A POSITIVE COMMENT BASED IN THIS POST..bETWEEN 100-120 WORDS

Cellulitis occurs when bacteria, most commonly streptococcus and staphylococcus, enter through a crack or break in your skin. Cellulitis can occur anywhere on your body; the most common location is the lower leg. Bacteria is most likely to enter in a break of skin.

 

1.    What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.

  Clinical manifestations are redness, swelling, fever, high WBC, unable to bear weight on leg, larger calf size by 3 inches, and positive Staph culture of wound with thick yellow drainage. The pain you can see in the patient’s face would be clinical as well.  

Instead of heat I would apply cool, damp cloth over the affected area for relief. I would get an order of antibiotics. Cellulitis treatment usually includes an oral antibiotic. Within three days of starting an antibiotic, the infection usually responds. You may need to take the antibiotic for as long as 14 days but typically 5-10 days. The bacteria can spread rapidly, and get to the lymph nodes and the bloodstream. Rarely the infection can spread to the deep layer of tissue called the fascial lining and this would require quick response because it represents an emergency.  I would offer Tylenol for the fever and the pain.

 

2.    Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”  

The muscle groups that could be affected would be these but not limited to these: tibialis anterior, extensor hallucis longus, popliteus, flexor hallucis longus, extensor digitorum longus, peronaeus tertius, flexor digitorum longus and the tibialis posterior

 

3.    What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

The follow up for the lab would be to do another culture and blood test after antibiotics are stopped. Measure the leg daily to see that the swelling is improving. Watch for redness, as it should be decreasing, watch for the fever to be eliminated.

Future care includes: Wash your wound daily with soap and water. Inspect your feet daily. Moisturize your skin regularly this will help to avoid drying and cracking. Trim fingernails and toenails carefully.  Wear proper footwear and gloves and treat infections as soon a s you see them. You need to educate the patient about diabetics having a weakened immune system as well as maybe a nutrition evaluation to assist with the patient being considered obese. Both obese and diabetic are susceptible to circulatory complications, associated neuropathy as well as weakened immune systems.

 

4.      What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain

Protein is said to assist in wound healing. (Advanced Tissues, 2015) This patient lives alone and may need help with meals. Perhaps get her part of a meal program after meeting with the dietitian. Having education about diet can help with promoting wound healing and controlling her weight.

 

 

 

Advanced Tissues (2015) The Role of Protein in Wound Healing.  Retrieved August 01, 2017, from https://www.advancedtissue.com/role-protein-wound-healing/

Copstead, L. E., & Banasik, J. L. (2013). Pathophysiology. St. Louis, MO: Elsevier.

Grand Canyon University (2017) The Anatomy Resource Center. Retrieved August 1, 2017 from http://lc.gcumedia.com/bio155l/anatomy-resource-center/v2.1/pdfs/Skeletal-System-Study-Guide.pdf

Norm, B., & I. (2016, January 27). Cellulitis. Retrieved August 01, 2017, from http://www.healthline.com/health/cellulitis?algo=f

 

 

REFUND WILL BE REQUIRED PLAGIARIZED WORK 

 

Complete a modified Gemba Walk.

Prepare for your preliminary walk by completing the following:

• Refer back to this week’s Gemba walk presentation.
• Survey your department or another area of your choosing. Decide upon where you will focus your walk.
• Research both the setting where you will be doing your walk and explore external resources that will inform your setting.

Complete the walk by asking and answering the four W’s outlined in the Gemba Walk Presentation

Utilizing systems thinking concepts produce a 525- to 1,050-word executive summary.

• Discuss the four Ws and your findings.
• Where do you see opportunities to decrease muda (waste) and increase creativity and flow within processes or departments within your organization?

Answer the following two questions on separate sheets of paper it’s important that you DO NOT include these answers in your Gemba walk Credit WILL NOT be given if you do so. Title page is not necessary for your answers but can be used

1,) Review and consider the content you covered during Week Two.

Post a 260- to 350-word response to the following questions

Using Trbovich’s article, identify one area in your organization where you think you might be able to incorporate systems thinking.

• Provide examples from this week’s readings and external research.

Cite at least 2 peer-reviewed, scholarly, or similar references.

Format your citations according to APA guidelines

.

2. ) Read the Gemba Walk Presentation created by Eve Krahe, PhD.

Post a response to the following question

  How will you prepare to begin your Gemba Walk?

 

 

This is a discussion post that needs to be answered. No less than 150 words, cited, APA style and no plagiarism. Similarity report should be less than 20%. Should you have any question, please don’t hesitate to contact me. Thanks 

NEW YORK POLICIES ON CONTRACEPTIVES AND ABORTION WITH OR WITHOUT INSURANCE IN NEW YORK

The United States of America has had diverse ideologies and decisions based on the concept of contraception and legalization of abortion. This is because of the diverse beliefs of people about the two conflicting topics as some people believe in them that they are good while at the same time others don not think such activities should be legalized in the society (Jones, Forrest, Goldman, Henshaw, Lincoln, Rosoff & Wulf, 2015).

Nevertheless, the New York state policies on nursing and medical development have various ideologies about the use of contraceptives and abortion for the women in the society. First and foremost, there are rules that govern how abortion can be done and this rule state that for an abortion to be carried the life of the mother is predicted to be in a dangerous situation due to pregnancy complications hence the life to the baby is terminated at an earlier stage to avoid future problems. Apart from that abortion is not accepted because it causes death hence diminishes life of the infant. On same note, abortion should be done and whenever there are problems and more complications, the insurance policy will provide for the medication and treatment of the mother until she is well treated. 

However, those who have no medical insurance have to cater for their medical expenses when abortion compilations are detected afterwards. Hence the rule on abortion is actually very strict and people are required to have an insurance policy so as to avoid bringing heavy bill payment burden on their shoulders when such events occur. The use of contraceptives is a way of family planning and it should be accepted among the women in the society. In of a complication that occurs in a hospital when a woman had gone for contraceptive insertions the insurance of the patient caters for all the cost of treatment until the patient is      well and normal again (Jones, Forrest, Goldman,  Henshaw, Lincoln, Rosoff & Wulf, 2015).

References

Jones, E. F., Forrest, J. D., Goldman, N., Henshaw, S. K., Lincoln, R., Rosoff, J. I., … & Wulf, D. (2015). Teenage pregnancy in developed countries: determinants and policy implications. Family planning perspectives, 17(2), 53-63.

World Health Organization. (2013). Safe abortion: technical and policy guidance for health systems. World Health Organization.