According to the ACC/AHA Guidelines, what medication should this patient be prescribed?

Support with 1 journals no older than 5 years.
Week 8
GI Case Study: H. Pylori infection
Questions: As an NP student, needs to determine the medications for recurrent H. Pylori infection.
According to the ACC/AHA Guidelines, what medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format.
ACC/AHA Guidelines
Chief complaint: “ I have recurrent H. Pylori infection”. 
HPI: M.C. a 46-year-old hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has pmhx of dyspepsia, GERD. 
She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. 
Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. 
PMH: 
H. Pylori infection gastritis
Diabetes Mellitus, type 2
Surgeries: None
Allergies: NKDA
Vaccination History:
She receives an annual flu shot. Last flu shot was this year
Social history:
High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.
Family history:
Both parents are alive. Father has history of DM type 2, Tinea Pedis. 
mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. 
ROS:
Constitutional: Negative for fever. Negative for chills. 
Respiratory: No Shortness of breath. No Orthopnea
Cardiovascular: No edema. No palpitations.
Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.
Skin: No lesions. No rash. No itching. 
Psychiatric: No anxiety. No depression. 
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored
HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. 
NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.
LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. 
HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema.
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. 
MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.
SKIN: Dry. Intact.  
PSYCH: Normal affect. Cooperative. 
Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal
A:
Primary Diagnosis: Recurrent H. Pylori infection gastritis
Secondary Diagnoses:
Dyspepsia
Differential Diagnosis:
Peptic Ulcer Disease
Previous medication plan: two months ago and failed.

Clarithromycin 500 mg po BID for 2 weeks
Omeprazole 40 mg po BID for 2 weeks and then po daily.
Cipro 500 mg po BID for 2 weeks

Plan: Tests
Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results. 
Urea breath test 8 weeks after treat with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test. 
Labs: No new labs are needed.  
Referrals: may refer based on effect of medication therapy given for 2 weeks.
Follow up: return to office in 8 weeks to reevaluate her symptoms.

Conduct research and create a 3 page paper presenting and supporting your personal counseling theoretical preference which is cognitive therapy.

Conduct research and create a 3 page paper presenting and supporting your personal counseling theoretical preference which is cognitive therapy. You should conduct a computerized literature search on the particular theoretical approach that feels like the best fit. Remember to select a theory that aligns with your worldview and your perspective of the best therapeutic relationship. References should be from empirical/scholarly works that support and further define the position. You should include the following in your paper: 
in paper do this

Discuss limitations of your chosen therapeutic approach, including any clients or presenting problems for which it may not be appropriate. Support your ideas with findings from existing research on the approach.
Identify the ethical standards from the American Counseling Association’s (ACA’s) code of ethics (American Counseling Association [ACA], 2014) that apply to the use of an approach deemed unsuitable for a particular group or presenting problem. Discuss the harm that might be caused by applying an unsuitable approach.
Provide an example of how you would apply a minimum of two specific theoretical techniques to a fictitious client’s need.
Provide a plan for how you will continue to develop your knowledge and skills related to that theory.
 apa format  no grammar issues 

How would you assess Harold’s readiness to change, and what might be some meaningful goals for him to work towards?

**Read Case Study Below & Use Attachment To Answer Question 1** 

Question 1: Using the Case: 8-2– Acting on Questionable Practice 

Does the Code of ethics for nurses with interpretive statements provide guidance for this situation? Explain?

** View Video & Answer Question 2 **

https://www.youtube.com/watch?v=eDm9hEOn8zcQuestion

Question 2: Discuss the role insulin and glucagon play in blood sugar regulation?

** Read Below & Answer Question 3**

Question 3: This week pick a scenario or situation that illustrates either a sympathetic or parasympathetic response. Explain what happens to the body during this situation and how the body will respond to return to homeostasis.
 
** Read Below & Answer Question 4**

Question 4: In an effort to treat diseases through diet therapy, various groups get together to release evidence-based therapeutic diets. Many of these diets come from the Academy of Nutrition and Dietetics or the NIH. Two diets that are commonly implemented to combat diseases are the DASH and TLC diets. The DASH is the Dietary Approaches to Stop Hypertension, which addresses high blood pressure, and the Therapeutic Lifestyle Changes, or “TLC” diet, addresses high cholesterol.

Take a look at your own diet and see how you match up to one of these two diet plans. Track your diet for a day. What goals are you already meeting? Which ones are challenging for you? How do you think others would do in following these diets and what are some tools that might help them?

** Read Mini Case Study & Answer Question 5**

                                         Mini Case Study #3: Harold’s Heartache

Harold is 46 and recently divorced. Since he and his wife separated, he noticed that he has been eating a lot of premade processed foods and putting on some extra pounds, and his weight has climbed from 185 to 205 lbs (height is 5’11”) within the past 9 months. He’s been stressed with the divorce settlement and has started smoking again. Both of Harold’s parents had heart disease and he’s been on hypertension medications for 5 years. When he went to see his doctor, his blood pressure was143/85 mmHg and a lipid panel revealed that his total cholesterol is 260 mg/dL with an LDL level of 167 mg/dL and an HDL level of 35 mg/dL. He shared with his doctor that he used to exercise regularly, but had been physically inactive for over 6 months. When asked if he would like to start exercising again, Harold responded, “I definitely know I should, and I remember it used to make me feel so good! I was thinking of buying a new bike!” 

What factors put Harold at risk for heart disease? Discuss which are modifiable and which are not.

What is Harold’s risk of developing heart disease? Please show your work for any calculations.

Discuss Harold’s cholesterol levels and ratio and compare them to recommendations.

What dietary changes would you recommend for Harold? Would you recommend any specific diet plans? Why or why not?

How would you assess Harold’s readiness to change, and what might be some meaningful goals for him to work towards?

Describe local laws regulating the practice of psychology

1.  Search the state licensing board of Wisconsin and answer the following:

These can be found at:
Wisconsin  Board of Psychology Laws and Regulations (2015)
https://dsps.wi.gov/pages/BoardsCouncils/Psychology/Default.aspx

Review the APA Ethics Code: http://www.apa.org/ethics/code/index.aspx

Board Contact Information by State – Association of State and Provincial Psychology Boards
http://www.asppb.net/?page=bdcontactnewpg

Write a brief summary of the key points regarding the laws, ethics codes and licensing requirements of the state of Wisconsin. This portion should be 2 pages.

2.  Consent to Treatment

Create a disclosure/consent form that you might use as you begin therapy with your clients so that ethical/legal/dual relationship issues are discussed “up front”.
Include any laws specific clinical psychology, and limits of confidentiality. You might check with other practitioners to see what they use. Include fee information, late and missed appointments, theoretical orientation, etc. You will get ideas from the text. More Ideas: your qualifications, education, licenses, etc. Include a description of the therapeutic process they might expect, length of therapy, etc.
 
Hint: There are many samples available on the internet and you may use the headers of these samples as a guide or template for creating your own.

The consent to treatment should be 2-3 pages.  [no title and reference page]

Assignment Outcomes:Recognize the major issues related to sound and professional practice in psychology 
Assess and evaluate legal and ethical mandates in clinical context 
Describe local laws regulating the practice of psychology 
Explain the training, supervision, and state licensing requirements 
Demonstrate ethical behavior in the use of technology