This week, explain the various responsibilities and services of the Federal Emergency Management Agency (FEMA) when a disaster occurs in the United States. Do some research on past disasters and describe how FEMA supported the community and disaster efforts. Past disasters can be found on the FEMA site.. (https://www.fema.gov/disaster/declarations)Then, address 3 of the following:
How did FEMA help people prepare for the disaster?
What services did FEMA provide to the community?
Who else participated in the disaster relief efforts?
How much monetary damage was caused by the disaster? Or, how much did FEMA spend on relief?
What was the public perception of FEMA and the response they provided?
Provide links to your sources for others to reference.
Support your answer with evidence from the disasters that you researched.
Author: admin
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Title: “FEMA’s Role in Disaster Response: Services, Support, and Impact” The Federal Emergency Management Agency (FEMA) is a government agency responsible for coordinating the response to natural disasters and other emergencies in the United States. When
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“The Salem Witch Trials: Accusations and Hysteria in a Puritan Community”
From there outsiders in the community were accused of being witches and associating with the devil. the accusations spread from there. a few months later even the governers wife would be accused of being a witch
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“Managing Health Conditions: A Case Study on Menopausal Symptoms, Hypertension, and Cervical Cancer Screening” “Managing Menopausal Symptoms and Hypertension: A Case Study Approach” “Individualized Hormone Replacement Therapy: Promoting Patient Safety and Collaboration in Menopausal Care”
Health Conditions:
1. The patient in this case study is a 46-year-old female who complains of hot flushing, night sweats, and genitourinary symptoms, which suggest menopausal symptoms (Bansal & Aggarwal, 2019). These symptoms may significantly impact the patient’s quality of life, and proper management is necessary.
2. The patient has a history of hypertension (HTN), and her current blood pressure reading is 150/90, which is above the target range. Effective control of blood pressure is crucial to reduce the risk of cardiovascular complications (Fuchs & Whelton, 2019).
3. The patient had an ASCUS result of her pap smear about five years ago. Regular follow-up and monitoring of her pap smears is necessary to detect any changes or abnormalities in cervical cells (Perkins et al., 2021).
Treatment Regimen:
1. Considering the patient’s age and symptoms, hormone replacement therapy (HRT) can be considered. Estrogen therapy, either alone or in combination with progesterone, can help alleviate hot flashes, night sweats, and genitourinary symptoms (Mehta et al., 2021).
2. Emphasize the importance of blood pressure control in reducing the risk of cardiovascular complications. Educate the patient about lifestyle modifications that can help lower blood pressure, such as maintaining a healthy weight, following a low-sodium diet, regular exercise, and stress management (Rippe, 2019). Explain the need for regular blood pressure monitoring and adherence to prescribed medications.
3. Given the patient’s history of ASCUS, it is essential to continue regular pap smears for cervical cancer screening (American College of Obstetricians and Gynecologists, 2021). Schedule a follow-up pap smear based on the current guidelines, which typically involve repeating the test every 3 to 5 years, depending on the patient’s age and previous results.
Education Strategy:
1. Educate the patient about the potential benefits and risks of hormone replacement therapy (HRT) (Harper-Harrison & Shanahan, 2019). Discuss the treatment options, including non-hormonal alternatives, and involve the patient in decision-making. Provide information about lifestyle modifications that may help alleviate symptoms, such as regular exercise, a balanced diet, and stress reduction techniques.
2. Emphasize the importance of blood pressure control in reducing the risk of cardiovascular complications. Educate the patient about lifestyle modifications that can help lower blood pressure, such as maintaining a healthy weight, following a low-sodium diet, regular exercise, and stress management (Rippe, 2018). Explain the need for regular blood pressure monitoring and adherence to prescribed medications.
3. Explain the significance of regular pap smears for cervical cancer screening and the importance of following the recommended schedule. Provide patient information about the procedure, its purpose, and the potential implications of abnormal results (Fontham et al., 2020). Address any concerns or misconceptions the patient may have regarding pap smears and cervical cancer.
References
American College of Obstetricians and Gynecologists. (2021). Updated cervical cancer screening guidelines. Www.acog.org. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/04/updated-cervical-cancer-screening-guidelines
Bansal, R., & Aggarwal, N. (2019). Menopausal hot flashes: A concise review. Journal of Mid-Life Health, 10(1), 6–13. https://doi.org/10.4103/jmh.JMH_7_19
Fontham, E. T. H., Wolf, A. M. D., Church, T. R., Etzioni, R., Flowers, C. R., Herzig, A., Guerra, C. E., Oeffinger, K. C., Shih, Y. T., Walter, L. C., Kim, J. J., Andrews, K. S., DeSantis, C. E., Fedewa, S. A., Manassaram‐Baptiste, D., Saslow, D., Wender, R. C., & Smith, R. A. (2020). Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians, 70(5). https://doi.org/10.3322/caac.21628
Fuchs, F. D., & Whelton, P. K. (2019). High blood pressure and cardiovascular disease. Hypertension, 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240
Harper-Harrison, G., & Shanahan, M. M. (2019, May 30). Hormone replacement therapy. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493191/
Mehta, J., Kling, J. M., & Manson, J. E. (2021). Risks, benefits, and treatment modalities of menopausal hormone therapy: Current concepts. Frontiers in Endocrinology, 12(564781). https://doi.org/10.3389/fendo.2021.564781
Perkins, R. B., Guido, R. L., Saraiya, M., Sawaya, G. F., Wentzensen, N., Schiffman, M., & Feldman, S. (2021). Summary of current guidelines for cervical cancer screening and management of abnormal test results: 2016–2020. Journal of Women’s Health, 30(1), 5–13. https://doi.org/10.1089/jwh.2020.8918
Rippe, J. M. (2018). Lifestyle medicine: The health-promoting power of daily habits and practices. American Journal of Lifestyle Medicine, 12(6), 499–512.
https://doi.org/10.1177/1559827618785554
Rippe, J. M. (2019). Lifestyle strategies for risk factor reduction, prevention, and treatment of cardiovascular disease. American Journal of Lifestyle Medicine, 13(2), 204–212. https://doi.org/10.1177/1559827618812395
discussion post reply Please respond with 1/2 page and three reference EACH discussion post. Case Study
Based on the patient case study provided, the patient’s health needs include addressing menopausal symptoms such as hot flushing, night sweats, and genitourinary symptoms. Additionally, the patient has a history of hypertension (HTN) with an elevated blood pressure of 150/90. Hot flashes (HFs), defined as transient sensations of heat, sweating, flushing, anxiety, and chills lasting for 1–5 min, constitute one of the most common symptoms of menopause among women though only a few seek treatment for these (Bansal, R., & Aggarwal, N., 2019).
Treatment Regimen
For the treatment regimen, considering the menopausal symptoms, hormone replacement therapy (HRT) may be a suitable option. The commonest treatment for menopause is hormone replacement therapy (HRT), which aims to replace a woman’s depleted hormones with oestrogen or progestogen (a synthetic version of progesterone). HRT either includes both hormones (combined HRT) or oestrogen-only HRT (recommended if the woman has undergone hysterectomy). HRT is available in various preparations such as tablets, patches, gels and implants (How can community nurses care for women experiencing the menopause?, 2023). Since the patient has hypertension, the choice of pharmacotherapeutics for managing menopausal symptoms should be carefully selected to avoid exacerbating blood pressure issues. Non-hormonal options for managing menopausal symptoms, such as selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs), could be considered in this case. According to Shams T., et. al. (2014), SSRI use is associated with modest improvement in the severity and frequency of hot flashes and can also be associated with the typical profile of SSRI adverse effects.
In terms of hypertension management, adjustments to the antihypertensive medication regimen may be necessary to achieve better blood pressure control. Lifestyle modifications, including dietary changes and regular exercise, should also be emphasized.
Patient Education
A patient education strategy could involve explaining the potential benefits and risks of hormone replacement therapy, discussing lifestyle modifications for managing hypertension, and providing guidance on monitoring and reporting any adverse effects. The patient should be informed about the importance of regular follow-up visits to monitor blood pressure, assess treatment effectiveness, and address any concerns or side effects. Educate the patient on the importance of lifestyle modifications, such as a low-sodium diet and regular exercise, for better blood pressure control. Explain the potential benefits and risks of hormone replacement therapy, considering the patient’s individual health history. Encourage the patient to report any unusual symptoms or side effects promptly. Emphasize the need for regular follow-up appointments to monitor blood pressure and adjust the treatment plan as needed.
Ultimately, the treatment regimen should be individualized based on the patient’s preferences, medical history, and response to therapy, and close collaboration with the patient in decision-making is crucial.
References:
Bansal, R., & Aggarwal, N. (2019). Menopausal Hot Flashes: A Concise Review. Journal of mid-life health, 10(1), 6–13. https://doi.org/10.4103/jmh.JMH_7_19Links to an external site.
How can community nurses care for women experiencing the menopause? (2023). Journal of Community Nursing, 37(2), 8–11.
Shams, T., Firwana, B., Habib, F., Alshahrani, A., Alnouh, B., Murad, M. H., & Ferwana, M. (2014). SSRIs for hot flashes: a systematic review and meta-analysis of randomized trials. JGIM: Journal of General Internal Medicine, 29(1), 204–213. https://doi.org/10.1007/s11606-013-2535-9 -
Title: Assessing and Understanding the Use of Physical Restraints in Patient Care: Factors, Alternatives, and Legal Requirements.
Questions
Identify factors to assess before and during placement of patients in physical restraints.
Discuss the importance to perform a thorough assessment before placing patients in physical restraints. Discuss why are restrains only used as a last resort.
List at least five (5) alternatives to restrains and their effectiveness on client safety. Provide rationales.
Review results of inappropriate restraint use: pressure ulcers, pneumonia, constipation, and incontinence.
Find two research articles and report on the legal requirements for the use of various restraints.
Reflect on what you learned from the assignment and how it will impact your practice in the future.
Requirements
Your paper must be in APA format and include a minimum of 2 pages.
Use Times New Roman12-point font and double space
Proofread your paper.Submit your paper to “Turnitin.” A minimum of three (3) references must be used and published within the last 5 years. The three references can include the required class textbook and at two scholarly source (ex. journal article). -
“Overcoming Adversity: My Journey to Graduate from Nursing School”
Dismissed from nursing school failing multiple classes. I did got dismissed before too this was my last chance I am really looking forward to graduate from this school. I don’t have any other option. Due to no financial help . Primary caregiver for my immigrant parents. Lost my job last year because I wanted to focus on my studies after failing classes. Stressed about my health issues due to family history of lymphoma.
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Title: Exploring the Intersection of Indigenous and Scientific Knowledge: A Research Proposal and Annotated Bibliography
Length: 250–300 words (research proposal), and a minimum of 10 entries (annotated bibliography)
Due: at the end of Unit 2 (approximately week 5)
Research Proposal
This is the first stage of your research paper/report. Submit a one-page document (approximately 250 to 300 words), using point form where appropriate. Outline and describe the process you went through to choose your research community, topic, and question. Explain why you decided to do research on this particular community, topic, and question. Describe your role in the community, whether you have permission to do the research, and the methods that you plan to use. Contact your tutor if you are unsure about how to proceed.
Annotated Bibliography
In addition to your research topic, submit a bibliography of grey literature and academic literature that you have collected to date (include 10–15 entries). Use the Chicago Manual of Style’s author-date format, as is used throughout.
After each bibliographic entry, provide an annotation, or brief descriiption, of what you have found and how it pertains to your research project. Here is an example of an annotation in a bibliography:
Agrawal, Arun. 1995. “Dismantling the Divide between Indigenous and Scientific Knowledge.” Development and Change 26: 413–439.
Although this article is over twenty years old, it is useful because it challenges the dichotomy of Indigenous and scientific knowledge. The article reminds the reader not to make assumptions and create “us and them” separations when defining terms.
Upload your completed assignment as a single document for marking and feedback from your tutor.
Assignment 1 Grading Criteria
Research proposal:
Content: 25%
Feasibility of research project: 25%
Annotated bibliography:
Appropriateness of bibliographic entries: 25%
Appropriateness and clarity of annotations: 25% -
Title: Understanding the Basics of IDEA and the IEP Process: A Guide for Parents and Students Understanding the Basics of IDEA and the IEP Process: A Guide for Parents and Students Introduction: As a teacher, it is important to have
As a teacher, you will encounter all kinds of students, including some with exceptionalities who are legally entitled to receive special education services. Knowledge of the laws that govern special education is essential in professional practice. The Individuals with Disabilities Education Act (IDEA) outlines these laws and provides the framework in which teachers must operate to provide educational services for individuals with disabilities. The ability to share and articulate these steps to parents/guardians and students is essential to establishing mutual expectations and ongoing communication that supports the development and achievement of students with disabilities.
Part 1
Imagine you are a teacher for a student who has been referred for a special education evaluation. The parent has agreed to the evaluation but is unfamiliar with IDEA and the IEP process and wants to meet to learn more about these topics.
Create a simple visual that summarizes the 12 key components of IDEA. This visual could be a 1-2 page handout, chart, brochure, etc. and should provide the reader with a clear understanding of key terms and processes associated with IEPs. Include IDEA citations relevant to each component.
The visual should address the following .
Free Appropriate Public Education (FAPE)
Least Restrictive Environment (LRE)
Referral Process
Evaluation Process
Eligibility Determination
IEP Components
Parent and Student Involvement
Quarterly Progress Monitoring
Annual Review Process
Procedural Safeguards
Prior Written Notice
Related Services
Please make the formatting into a brochure. I attached one to use as an example. -
“The Importance of Diversity and Inclusion in the Workplace: Strategies for Creating a Positive and Productive Work Environment”
This assignment requires you to write the first half of your final paper. To be successful, a minimum of five (5) pages of substantive content toward your final paper must be submitted in APA format.
Grading Criteria:
Please ensure that you review the grading criteria for this assignment carefully, to ensure that you receive the highest possible grade for your work! Read the instructions in detail before beginning this assignment. Please ask questions if necessary.
TurnitIn Information: Your paper will automatically be submitted to TurnitIn when you submit your paper through the “Assignment” section of the classroom. As a guide, the similarity score is the percentage of an assessment that directly quotes other sources and should be no more than 10%. Please note that this refers only to direct quotes within the body of the text and does not include the reference list or cover sheet. Anything more than 10% will be subject to evaluation and loss of points if plagiarism is detected. -
“Exploring the Complexities of Nationalism: A Personal Reflection” Nationalism is a complex concept that has been defined and interpreted in various ways throughout history. At its core, nationalism can be understood as a strong sense of pride and loyalty
Consider the following questions when writing your journal entry. You do not need to answer all questions, but you should address at least one of the questions. Your answer should be in paragraph form with proofread, clear prose, 500 words.
What is nationalism?
What does the term mean?
Is nationalism related to national identity and, if so, how?
How is nationalism used? -
“Analyzing the 15 Beats of Thelma & Louise”
Identify all 15 beats in Thelma & Louise. Please identify the moment in the story that you think is that specific beat and tell me why you choose those specific moments for all 15 beats.
1. Opening Image
2. Theme Stated
3. Set-Up
4. Catalyst
5. Debate
6. Break Into Two
7. B Story
8. Fun and Games
9. Midpoint
10. Bad Guys Close In
11. All is Lost
12. Dark Night of the
Soul
13. Break Into Three
14. Finale
15. Final Image