2 DQ 1
Social determinants of health include biological, environmental, social, and economic factors that influence the access and maintenance of health (Green, 2018). For example, those living in low socioeconomic areas may not have the resources to obtain fresh food and will oftentimes rely on fast food chains. According to a study posted by the American Journal of Preventive Medicine (2004), low-income areas had 2.5 times more fast-food chains than those living in more affluent areas. As a result of this many minorities living in low-income areas have a great risk of obesity and comorbidities such as type II diabetes and hypertension. While the study done by the American Journal of Preventive Medicine was more than five years ago the results of their study continue to be prevalent as the Center for Disease Control and Prevention (2018) states children and adolescents are more likely to be obese than their higher-income counterparts. This is an example of how social determinants of health contribute to the development of disease. The child who has grown up with a poor diet is less likely to change their diet habits as adults resulting in fatal health conditions.
Social determinants also contribute to the spread of communicable diseases due to crowding, sanitization, uncontaminated water, and access to health care (Green,2018). The infectious disease process of communicable diseases is represented by the chain model also known as the chain of infection. The chain of infection begins with the infectious organism and describes how the organism reproduces and spreads through contact, droplets, or surfaces. As the nurse taking care of an individual with a communicable disease the simplest and most effective form of breaking the chain is by proper handwashing. The nurse can also contribute to the stop of the chain by wiping down surfaces with the proper cleaning agents, placing the appropriate PPE outside of the patients room, and clustering care to avoid excessive time inside of the patients room. All of these interventions contribute to the stop of the transmission phase of the chain model.
Using 200-300 words APA format with references to support the discussion.
What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain
EMTALA Scenario Analysis assignment university essay help
This particular professor is strict on APA format and writing so please double check both.
Scenario: You are the administrator on call for a local hospital and you receive a call at 2:00 a.m. from another local hospital regarding a patient with a broken upper arm. The ED physician’s assistant is calling to arrange an EMTALA transfer from his hospital to yours, but the orthopedic physician on call at your hospital is refusing to accept the transfer, stating that the patient doesn’t need a higher level of care. When you ask him about that, he tells you the fracture is not displaced, and can be splinted and seen in the office. The ED physician at your hospital is very nervous about the possibility of an EMTALA violation.
1) Write an analysis (1,000-1,500 words) of the situation, how it is impacted by EMTALA, and what decision you will make as the administrator, along with your rationale and thought process.
2) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
3) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Case Study: Social Media In Education And Healthcare college application essay help: college application essay help
Assignment Details:
Perform the following tasks:
Complete the reading assignment and the interactive lesson before attempting this assignment.
Read the case study located in the Assignment Worksheet section below and answer the questions that follow
Ensure that your responses are free of spelling and grammar errors.
Cite all sources used to support your responses in APA format.
Assignment Worksheet:
Case Study
Read the following case study and answer the questions that follow:
Grace Speak is a fourth-year student at Best University. She and her fellow classmates are working hard in their final courses and preparing for exams. Inspired by the teamwork that the healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help to share case experiences, course notes, and study tips. Unfortunately, several members of her peer group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she does not want to exclude them from the study group. When she voices her concerns to a classmate, her friend suggests using social media tools as the primary medium for sharing information.
Questions
1. Two required elements that a single social media site must have to meet the needs of her study group are the ability to share ideas and experiences (chat), and share information (store documents). Research several social media sites that meetbothof the required elements for Graces group. Select one social media tool, include its website, and explain your rationale for selecting that tool.
Selected Social Media Tool (and website)
[Write your response here.]
Rationale
[Write your response here.]
2. Grace discovers that not all of the members of the group use the social media tool she selected. In your own words, create a set of simple instructions that other members of the group could follow to ensure full group participation.
Therapy for Pediatric Clients With Mood Disorders essay help writer
Nursing
Week 2: Therapy for Pediatric Clients With Mood Disorders
Mood disorders can impact every facet of a childs life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.
This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.
Photo Credit: GettyLicense_185239711.jpg
Assignment: Assessing and Treating Pediatric Clients With Mood Disorders
When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this weeks Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.
Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the right decision every time; in fact, some scenarios may not have a right decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.
Learning Objectives
Students will:
Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy
Evaluate efficacy of treatment plans
Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients
Learning Resources
Note:To access this weeks required library resources, please click on the link to the Course Readings List, found in theCourse Materialssection of your Syllabus.
Required Readings
Stahl, S. M. (2013).Stahls essential psychopharmacology: Neuroscientific basis and practical applications(4th ed.). New York, NY: Cambridge University Press.
Note:To access the following chapters, click on theEssential Psychopharmacology, 4th edtab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 6, Mood Disorders
Chapter 7, Antidepressants
Stahl, S. M. (2014b).The prescribers guide(5th ed.). New York, NY: Cambridge University Press.
Note:To access the following medications, click on theThe Prescriber’s Guide, 5th edtab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Review the following medications:
amitriptyline
bupropion
citalopram
clomipramine
desipramine
desvenlafaxine
doxepin
duloxetine
Where In The World Is Evidence-Based Practice? rice supplement essay help: rice supplement essay help
Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organizations website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.
Posta description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organizations work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organizations website has changed your perception of the healthcare organization. Be specific and provide examples.
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Discussion: Womens and Mens Health, Infectious Disease, and Hematologic Disorders
As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patients health needs? What education strategies might you recommend for ensuring positive patient health outcomes?For this Discussion, you will be assigned a patient case study and will consider how to address the patients current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.
To Prepare
Review the Resources for this module and reflect on the different health needs and body systems presented.Review the complex case asisgned by your Instructor for this Discussion.
Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
Posta brief description of your patients health needs from the patient case study you assigned. Be specific.
Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why.
Be sure to justify your response.
Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs.
Be specific and provide examples.
Case Study
A 66-year-old, 70-kg woman with a history of MI, HTN, hyperlipidemia, and diabetes mellitus presents with sudden-onset diaphoresis, nausea, vomiting, and dyspnea, followed by a bandlike upper chest pain (8/10) radiating to her left arm.
She had felt well until 1 month ago, when she noticed her typical angina was occurring with less exertion.
Electrocardiography showed ST-segment depression in leads II, III, and aVF and hyperdynamic T waves and positive cardiac enzymes. BP = 150/90 mm Hg, and all labs are normal; SCr =1.2 mg/dL. Home medications are aspirin 81 mg/day, simvastatin 40 mg every night, metoprolol 50 mg twice daily, and metformin 1 g twice daily.
This is the link to download the book:
MN551 Advanced Pathophysiology Across The Lifespan cheap essay help
Question 2.
A patient with a diagnosis of insomnia is surprised when his physician explains to him that his brain is still highly active during normal sleep. Which of the following statements best captures the character of brain activity during sleep?
Fewer neurons in your brain are firing when you’re asleep, but they’re more synchronized than when you’re awake.
While you’re obviously less aware of stimuli when you’re asleep, your brain is actually more active when you’re asleep than when you’re awake.
There are four types of brain activity, and actually all of them occur at different stages of sleep.
Your brain alternates between periods of activity and periods of inactivity when you’re asleep, and these correspond to your eye movement.
The Implementation Plan Prepares Students To Apply Their Research assignment help sydney: assignment help sydney
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:
Title page
Introduction section
A comparison of research questions
A comparison of sample populations
A comparison of the limitations of the study
A conclusion section, incorporating recommendations for further research
Picot Statement And Literature research custom essay help
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 earlierPICOT Statement Paper and LiteratureEvaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
Title page
Introduction section
A comparison of research questions
A comparison of sample populations
A comparison of the limitations of the study
A conclusion section, incorporating recommendations for further research
Prepare APA style
Methods A Nurse Can Use To Gather Cultural Information academic essay help
What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.
Case Study Posting Requirements essay help online: essay help online
Topic 1: Case Study
Case Study Posting Requirements
Make sure all of the topics in the case study have been addressed.
Cite at least three sourcesjournal articles, textbooks or evidenced-based websites to support the content.
All sources must be within five years.
Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
Case Study 1
Organization and Control of Neural Function
Riku is a 19-year-old college student. One morning, after a long night of studying, Riku woke up and made himself a hot cup of coffee and toast.
Much to his surprise, when he brought the cup to his mouth to drink, the coffee spilt onto the table. Riku went to the bathroom mirror and noticed the left side of his face seemed to droop. He quickly got dressed and ran to the medical clinic on the college campus. As he ran, his left eye began to feel scratchy and dry, but he could not blink in response. The physician at the clinic listened to Rikus story and then did a careful cranial nerve examination. She concluded that Riku had Bell palsy, an inflammatory condition of the facial nerve most likely caused by a virus.
What are an afferent neuron and efferent neuron? What are efferent components of the facial nerve and their actions?
Under certain circumstances, axons in the peripheral nervous system can regenerate after sustaining damage. Why is axonal regeneration in the central nervous system much less likely?
At a healthy myoneural junction, acetylcholine is responsible for stimulating muscle activity. What mechanisms are in place to prevent the continuous stimulation of a muscle fiber after the neurotransmitter is released from the presynaptic membrane?
Case Study 2
Somatosensory Function, Pain, and Headache
Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening. Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches. Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. Her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts. In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days.
What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain?
Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body?
Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?
Case Study 3
Disorders of Motor Function
John is 63 years old and receives home care by an occupational therapist twice a week. His therapist is currently working with John on maintaining joint flexibility and balance. John demonstrates resting tremor, so his therapist is also working on adaptive techniques, so John can continue to use his hands to write, use the computer, and cook simple meals. Johns wife assists with his mobility and walks slowly beside him, holding his arm. Sometimes she needs to help him open his prescription bottles, so he can take his medicine, a combination of levodopa and carbidopa.
What motor disease does John demonstrate? One of his signs is resting tremor. What is the difference between a resting tremor and an intention tremor?
What is the advantage of combining levodopa with carbidopa? What is the benefit of anticholinergic drugs in the management of Parkinson disease?
Parkinson disease involves the destruction of the substantia nigra and the nigrostriatal pathway. Where are these structures anatomically?
The patient with Parkinson disease typically presents with a masklike facial expression. Why does he or she have a masklike facial expression? How are the eyes, mouth, and laryngopharynx affected by this disease?
Case Study 4
Disorders of Brain Function
Bonnie is a 70-year-old woman who lives alone. One evening, she felt light-headed and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early. The following morning, upon awakening, she was unable to move the bed sheets with her right arm. At this point she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time the ambulance arrived, she was confused and unable to articulate her words although she knew what information he was asking of her. In the hospital, she was examined and treated for ischemic stroke.
Stroke, or brain attack, involves brain tissue injury. Describe ischemic penumbra and what factors contribute to the survival of the neurons involved. What happens if the cells of the penumbra are unable to be preserved?
Compare and contrast hypoxia and ischemia. What condition is more dangerous to the brain? Explain your answer.
Knowing what you do about the effects of ischemia on the brain, why would someone with ischemic stroke develop cerebral edema?
What type of aphasia was Bonnie exhibiting when talking to her caregivers? Explain your answer.
Case Study 5
Sleep and Sleep Disorders
Jessica is six years old. Her parents recently saw her pediatrician because they were concerned about the sleeping difficulties Jessica has been having. Often she would scream out loud in her sleep. Her parents would rush to her room and find her sitting upright in bed, panting heavily in a state of panic. Jessica would not respond to her parents words of consolation, and the next morning she would have no memory of the incident at all. Her parents were worried about the anxiety their daughter was experiencing and asked the pediatrician what they could do about her nightmares. The pediatrician explained Jessica was likely suffering from sleep terrors and carefully described what that meant.
MN551 Advanced Pathophysiology Across The Lifespan buy argumentative essay help
Topic 1: Case Study
Case Study Posting Requirements
Make sure all of the topics in the case study have been addressed.
Cite at least three sourcesjournal articles, textbooks or evidenced-based websites to support the content.
All sources must be within five years.
Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
Case Study 1
Organization and Control of Neural Function
Riku is a 19-year-old college student. One morning, after a long night of studying, Riku woke up and made himself a hot cup of coffee and toast.
Much to his surprise, when he brought the cup to his mouth to drink, the coffee spilt onto the table. Riku went to the bathroom mirror and noticed the left side of his face seemed to droop. He quickly got dressed and ran to the medical clinic on the college campus. As he ran, his left eye began to feel scratchy and dry, but he could not blink in response. The physician at the clinic listened to Rikus story and then did a careful cranial nerve examination. She concluded that Riku had Bell palsy, an inflammatory condition of the facial nerve most likely caused by a virus.
What are an afferent neuron and efferent neuron? What are efferent components of the facial nerve and their actions?
Under certain circumstances, axons in the peripheral nervous system can regenerate after sustaining damage. Why is axonal regeneration in the central nervous system much less likely?
At a healthy myoneural junction, acetylcholine is responsible for stimulating muscle activity. What mechanisms are in place to prevent the continuous stimulation of a muscle fiber after the neurotransmitter is released from the presynaptic membrane?
Case Study 2
Somatosensory Function, Pain, and Headache
Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening. Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches. Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. Her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts. In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days.
What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain?
Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body?
Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?
Case Study 3
Disorders of Motor Function
John is 63 years old and receives home care by an occupational therapist twice a week. His therapist is currently working with John on maintaining joint flexibility and balance. John demonstrates resting tremor, so his therapist is also working on adaptive techniques, so John can continue to use his hands to write, use the computer, and cook simple meals. Johns wife assists with his mobility and walks slowly beside him, holding his arm. Sometimes she needs to help him open his prescription bottles, so he can take his medicine, a combination of levodopa and carbidopa.
What motor disease does John demonstrate? One of his signs is resting tremor. What is the difference between a resting tremor and an intention tremor?
What is the advantage of combining levodopa with carbidopa? What is the benefit of anticholinergic drugs in the management of Parkinson disease?
Parkinson disease involves the destruction of the substantia nigra and the nigrostriatal pathway. Where are these structures anatomically?
The patient with Parkinson disease typically presents with a masklike facial expression. Why does he or she have a masklike facial expression? How are the eyes, mouth, and laryngopharynx affected by this disease?
Case Study 4
Disorders of Brain Function
Bonnie is a 70-year-old woman who lives alone. One evening, she felt light-headed and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early. The following morning, upon awakening, she was unable to move the bed sheets with her right arm. At this point she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time the ambulance arrived, she was confused and unable to articulate her words although she knew what information he was asking of her. In the hospital, she was examined and treated for ischemic stroke.
Stroke, or brain attack, involves brain tissue injury. Describe ischemic penumbra and what factors contribute to the survival of the neurons involved. What happens if the cells of the penumbra are unable to be preserved?
Compare and contrast hypoxia and ischemia. What condition is more dangerous to the brain? Explain your answer.
Knowing what you do about the effects of ischemia on the brain, why would someone with ischemic stroke develop cerebral edema?
What type of aphasia was Bonnie exhibiting when talking to her caregivers? Explain your answer.
Case Study 5
Sleep and Sleep Disorders
Jessica is six years old. Her parents recently saw her pediatrician because they were concerned about the sleeping difficulties Jessica has been having. Often she would scream out loud in her sleep. Her parents would rush to her room and find her sitting upright in bed, panting heavily in a state of panic. Jessica would not respond to her parents words of consolation, and the next morning she would have no memory of the incident at all. Her parents were worried about the anxiety their daughter was experiencing and asked the pediatrician what they could do about her nightmares. The pediatrician explained Jessica was likely suffering from sleep terrors and carefully described what that meant.
Assignment: Policy/Regulation Fact Sheet homework essay help: homework essay help
To Prepare:
Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
Consider the role of the nurse informaticist in relation to a healthcare organizations compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.
The Assignment: (1 page)
Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
Briefly and generally explain the policy or regulation you selected.
Address the impact of the policy or regulation you selected on system implementation.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
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Sample Soap Note:
Soap Note # Main Diagnosis ( Exp: H&P Note #3 DX: Hypertension)
Student Name
Miami Regional University
Date of Encounter:
Preceptor/Clinical Site:
Clinical Instructor: Dr. Rafael Camejo
Soap Note #Main Diagnosis( Exp: Soap Note #3 DX: Hypertension)
PATIENT INFORMATION
Name: Mr. DT
Age: 68-year-old
Gender at Birth:Male
Gender Identity: Male
Source: Patient
Allergies: PCN, Iodine
Current Medications:
Atorvastatin tab 20 mg, 1-tab PO at bedtime
ASA 81mg po daily
Multi-Vitamin Centrum Silver
PMH:Hypercholesterolemia
Immunizations:Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.
Preventive Care: Coloscopy 5 years ago (Negative)
Surgical History: Appendectomy 47 years ago.
Family History: Father- died 81 does not report information
Mother-alive, 88 years old, Diabetes Mellitus, HTN
Daughter-alive, 34 years old, healthy
Social History: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.
Sexual Orientation: Straight
Nutrition History: Diets off and on, Does not each seafood
Subjective Data:
Chief Complaint: headaches that started two weeks ago
Symptom analysis/HPI:
The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.
Review of Systems (ROS)
CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss.NEUROLOGIC: Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures.
HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.
RESPIRATORY: Patient denies shortness of breath, cough or hemoptysis.
CARDIOVASCULAR: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal
dyspnea.
GASTROINTESTINAL: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or
diarrhea.
GENITOURINARY: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.
MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.
SKIN: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.
Objective Data:
VITAL SIGNS:Temperature: 98.5 F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 64, Wt 200 lb, BMI 25. Report pain 2/10.
GENERAL APPREARANCE: The patient is alert and oriented x 3. No acute distress noted.NEUROLOGIC:Alert, CNII-XII grossly intact, oriented to person, place, and time.Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.
HEENT:Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions,. Lids non-remarkable and appropriate for race.
Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.
CARDIOVASCULAR:S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.
RESPIRATORY:No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.
GASTROINTESTINAL:No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation
MUSKULOSKELETAL:No pain to palpation. Active and passive ROM within normal limits, no stiffness.
INTEGUMENTARY:intact, no lesions or rashes, no cyanosis or jaundice.
ASSESSMENT:
Main Diagnosis
Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed (Codina Leik, 2015). Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease (Domino et al,. 2017).
Differential diagnosis:
Diagnosis And Management Of Musculoskeletal And Neurologic Disorders write my essay help
Musculoskeletal and neurologic disorders can present complications for pediatric patients from infancy to adolescence. These disorders affect patients physically and emotionally and often impact a patients ability to participate in or carry out everyday activities. Patients with these disorders frequently need long-term treatment and care requiring extensive patient management and education plans. Musculoskeletal and neurologic disorders present various symptoms because they affect multiple parts of a patients body. Consider treatment, management, and education plans for the patients in the following three case studies.
Case Study 1:
Clay is a 7-year-old male who presents in your office with complaints of right thigh pain and a limp. The pain began approximately 1 week ago and has progressively worsened. There is no history of trauma. Physical examination is negative except for pain with flexion and internal rotation of the right hip and limited abduction of the right hip. Limb lengths are equal.
Case Study 2:
Trevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up to date. Mom states he spiked a fever to 103.2F this morning and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include negative abdominal exam, marked irritability with inconsolable crying, and he cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernigs or Brudzinskis signs due to patient noncompliance.
Case Study 3:
Molly is a 12-year-old who comes to your office after hitting her head on the ground during a soccer game. Her mother reports that she did not lose consciousness, but that she seems loopy and doesnt remember what happened immediately following her fall. She was injured when she collided with another player and fell backward, striking her head on the ground. She has no vomiting and denies diplopia but complains of significant headache. Physical examination is negative except for the presence of slight nystagmus. All other neurologic findings including fundoscopic examination are normal.
To prepare:
Review Neurologic Disorders and Musculoskeletal Disorders in the Burns et al. text.
Review and select one of the three provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
Consider strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.
By Day 3
Postan explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.
Topic: Evidence-Based Practice Implementation summary and response essay help: summary and response essay help
THIS PROJECT IS IN 2 PARTS (2 INDIVIDUAL PROJECT PAPERS)
Topic: Evidence-Based Practice Implementation
Evidence-Based Practice Proposal – Section E: Change Model(PART 1)
Details:
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:
1. Rogers’ diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.
You are required to submit this assignment to Turnitin.
Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.
Evidence-Based Practice Proposal – Section F: Implementation Plan(PART 2)
Details:
In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:
1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.
You are required to submit this assignment to Turnitin.
Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.
Henderson Need Theory analysis a level english language essay help
Henderson believed nurses have the responsibility to assess the needs of the individual patient, help individuals meet their health needs, and provide an environment in which the individual can perform activities unaided. What is an opportunity in your nursing practice that would benefit from application of Hendersons theory? How does this align with the ANAs definition of nursing? Provide at least one evidenced-based research article to support this recommendation.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.
Privacy, Security, And Confidentiality Best Practices argumentative essay help online
Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.
As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.
Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:
Meaningful use of electronic health records (EHR).
Provision of EHR incentive programs through Medicare and Medicaid.
Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.
Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.
Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients.
At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as:
Keeping passwords secure.
Logging out of public computers.
Sharing patient information only with those directly providing care or who have been granted permission to receive this information.
Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.
Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care.
This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.
Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
Competency 2: Implement evidence-based strategies to effectively manage protected health information.
Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.
Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.
Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
Follow APA style and formatting guidelines for citations and references.
Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.
Preparation
To successfully prepare to complete this assessment, complete the following:
Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.
Analyze these infographics, and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles.Note:In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.
Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:
Assignment: Socioautobi- ography/Sociobiography mba essay help: mba essay help
SOCS185N-11504 Assignments Week 3 Assignment: Socioautob!
Total Points: 175.0
Week 3 Assignment: Socioautobi- ography/Sociobiography Per- sonal Case Study
Due Monday by 1:59am Points 175 Submitting a file upload
Week 3 Essay Grading Rubric – 175 pts
Criteria Ratings Pts
10.0 pts
10.0 pts
30.0 pts
45.0 pts
20.0 pts
10.0 pts
20.0 pts
10.0 pts
20.0 pts
Submit Assignment
Required Resources Read/review the following resources for this activity:
Textbook: Chapter 1, 2, 3, 4, 5, 6 Lesson: Week 1, 2, 3 Minimum of 3 outside scholarly sources One personal interview of another person
Introduction There is a strong tradition of writing both sociologically- informed biographies and sociologically-informed autobiographies in the discipline of sociology. For this assignment, you will be doing a bit of both of those. You will both reflect on your own life story, making connections between your everyday life or your life story and broad sociocultural structures within which you live, and you will also compare and contrast those with someone you interview.
The socioautobiography is a “disciplined, systematic exploration of one’s life from a sociological point of view” (Hill, 2009, p. 3). Also, the sociobiography is the systematic exploration of another person’s life from a sociological point of view.
Instructions To begin this assignment, consider your own life as you review all the textbook readings and online weekly lessons and decide which sociological concepts you wish to explain in connection to a part or parts of your own life story. Click on the following link for questions to consider as you reflect on your life:
Link: Questions to Consider
Reflect As you consider your own life and as you create questions to ask the person you interview, consider the following questions:
How might a sociologist introduce you or the person you interview? How have social influences shaped you or the person you interview? What were the social forces that constructed your life or lifestyle? How have you negotiated the crisscrossing pressures of autonomy and conformity? Who are you in social context and what does it mean to understand your life using the “sociological imagination,” or utilizing a sociological perspective? What sociological concepts would be most helpful in understanding and interpreting your life experiences, whether class, or reference group, conformity, agents of socialization, gender socialization, racial socialization, norms, roles, significant others, total institutions (particularly if you were in the military), achieved status, ascribed status, deviance, subculture, culture, culture shock, ethnocentrism, folkways, mores, peer groups, and any others described in the textbook chapters, to interpret your life experiences? What events, moments or relationships in your life have impacted you significantly?
Interview Locate someone willing to be interviewed regarding sociological perspectives on a part or parts of that person’s life story. The person can be anyone you choose, whether in your family or outside your family. Be sure to inform that person that you will be writing up your observations from the interview in an assignment for your Society and Culture course.
Write In a paper, compare and contrast your sociological observations about yourself with your sociological observations of the person you interview. Address the following 3 important sections:
1. Explore the interconnections between your life story and the larger social structure or culture.
2. Explore the interconnections between the life story of a person you interview and the larger social structure or culture.
3. Compare and contrast the sociological themes and concepts related to your own personal story with the sociological themes and concepts related to the story of the person you interviewed. Apply the sociological imagination in the analysis.
Include the following in your an
Nursing Care Models Worksheet college essay help near me
Purpose:The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.
Directions:Use the form attached to complete the Nursing Care Models Assignment.
1. Read your text, Finkelman (2016), pp- 111-116.
2. You are required to complete the assignment using the template.
3. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
4. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model
5. Review and summarize one scholarly resource (not your textbook) related to the nursing care model you observed in the practice setting.
6. Review and summarize one scholarly resource (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
7. Discuss a different nursing care model from step #3, and how it could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
8. Summarize this experience/assignment and what you learned about the two nursing care models
Textbook:Finkelman, A. (2015).Leadership and Management for Nurses: Core Competencies for Quality Care(3rd ed.). Pearson
Professionalism And Social Media aqa unit 5 biology synoptic essay help: aqa unit 5 biology synoptic essay help
Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.
Login to all social media sites in which you engage (Note you can use Illinois State for social media site). Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.
In 500-750 words, summarize the findings of your review. Include the following:
Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.
Prepare this assignment according to the guidelines of APA Style Guide
The benchmark assesses the following competencies common app essay help: common app essay help
The benchmark assesses the following competencies:
3.3 Provide individualized education to diverse patient populations in a variety of health care settings.
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.
Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.
Options for Delivery
Select one of the following options for delivery and prepare the applicable presentation:
PowerPoint presentation no more than 30 minutes
Pamphlet presentation 1 to 2 pages
Poster presentation
Selection of Community Setting
These are considered appropriate community settings. Choose one of the following:
Public health clinic
Community health center
Long-term care facility
Transitional care facility
Home health center
University/School health center
Church community
Adult/Child care center
Community Teaching Experience Approval Form
Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.
General Requirements
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.
Community Teaching Plan: Community Presentation “essay help” site:edu
The benchmark assesses the following competencies:
3.3 Provide individualized education to diverse patient populations in a variety of health care settings.
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.
Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.
Options for Delivery
Select one of the following options for delivery and prepare the applicable presentation:
PowerPoint presentation no more than 30 minutes
Pamphlet presentation 1 to 2 pages
Poster presentation
Selection of Community Setting
These are considered appropriate community settings. Choose one of the following:
Public health clinic
Community health center
Long-term care facility
Transitional care facility
Home health center
University/School health center
Church community
Adult/Child care center
Community Teaching Experience Approval Form
Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.
General Requirements
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.
Health History and Medical Information easy essay help: easy essay help
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. C., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Environmental Health: Local To Global global history essay help
Question 1
In the United States, research has documented socioeconomic and racial/ethnic disparities in residential exposures to _______________.
[removed]
air pollution
[removed]
hazardous waste sites
[removed]
industrial facilities
[removed]
all of the above
1 points
Question 2
In the context of ionizing radiation, the term relative biological effectiveness describes _______________, per unit of radiation energy absorbed by the body.
[removed]
the relative damage caused by different types of ionizing radiation
[removed]
the relative impact of acute versus chronic exposure to ionizing radiation
[removed]
the relative risk of birth defects caused by exposure early versus late in pregnancy
1 points
Question 3
Which of the following occupations is not particularly associated with high exposure to asbestos?
[removed]
Insulation Workers
[removed]
Oil Workers
[removed]
Shipbuilding Workers
1 points
Question 4
Which of the following diseases is a sentinel illness for asbestos exposure?
[removed]
Fibrosis
[removed]
Lung cancer
[removed]
Mesothelioma
1 points
Question 5
The half-life of a radioactive element is the time it takes for half the atoms in a sample to _______________.
[removed]
become non-radioactive
[removed]
lose an electron
[removed]
undergo radioactive decay
1 points
Question 6
Which of the following is not a syndrome associated with acute high-level exposure to ionizing radiation?
[removed]
Bone marrow syndrome
[removed]
Central nervous system syndrome
[removed]
Gastrointestinal syndrome
[removed]
Respiratory syndrome
1 points
Question 7
Occupational exposure to cotton dust causes _______________.
[removed]
byssinosis
[removed]
lacrimosis
[removed]
tinnitus
1 points
Question 8
Which of the following types of radiation is not ionizing?
[removed]
Beta radiation
[removed]
Gamma radiation
[removed]
Infrared radiation
1 points
Question 9
Which type of radiation is most penetrating, if a person is exposed from a source outside the body?
[removed]
Alpha radiation
[removed]
Beta radiation
[removed]
Gamma radiation
1 points
Question 10
Nanoparticles are in the same size range as __________________ particulates.
[removed]
fine
[removed]
respirable
[removed]
ultrafine
1 points
Question 11
Asbestos is a _______________ hazard.
[removed]
biological
[removed]
chemical
[removed]
physical
Study Types And Statistical Tests rice supplement essay help
2.3
2.
instructions
Review the weekly videos, PPTs, and files as listed in the Resources above.
Complete the assigned textbook reading. Be sure and follow any hyperlinks to the additional material, but only as pertinent to the workshop content.
Download and complete the assignment.
When you’ve completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox 3 Study Types and Statistical Types and Statistical Tests
Captain Of The Ship Project Depressive Disorder popular mba argumentative essay help: popular mba argumentative essay help
As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the captain of the ship concerning caring for a patient population. The captain of the ship is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the captain of the ship and NPs played a peripheral role.
In this Assignment, you will become the captain of the ship as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.
Learning Objectives
Students will:
Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
Identify medical management needs for clients with depression disorders
Identify community support resources for clients with depression disorders
Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:
Select an adult or older adult client with a depressive disorder you have seen in your practicum.
In 4 pages, write a treatment plan for your client in which you do the following:
Thesis statement
Describe the HPI and clinical impression for the client.
Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
Identify medical management needs, including primary care needs, specific to this client.
Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
Recommending An Evidence-Based Practice Change essay help 123
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.
The Assignment:(Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)Chicago Lakeshore Hospital
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the evaluation table (1 slide)
An explanation about what you learned from completing the levels of evidence table (1 slide)
An explanation about what you learned from completing the outcomes synthesis table (1 slide)
Rurbic:
Professional Nursing And State-Level Regulations essay help writer: essay help writer
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
To Prepare:
Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
Consider how key regulations may impact nursing practice.
Review key regulations for nursing practice of your states/regions board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.
Posta comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
*compare Miami Florida with any other
* at least three references
Basic Windshield Survey – Urban essay help site:edu: essay help site:edu
Basic Windshield Survey – Urban
You will enter Sentinel Cityvia the link to begin your virtual experience by taking a bus tour of Sentinel City. Since this is your first tour, please select the slowest speed and stay on the bus the entire time at least once before getting off the bus.
As you take the tour, write down your observations, specifically those that align with the demographics and/or subsystems listed in the left-hand column of the rubric.
Describe the characteristics of the people you see in Sentinel City.
What are the race/ethnicity distribution, age ranges, and gender mix?
Are there signs of poverty or wealth? What are they?
Who do you see on the streets?
Parent with child, teens, couples, disabled persons?
Are there homeless persons, beggars, etc.?
Is there anyone in the city you would not expect to see?
Are there dogs on or off the leash? Are there other animals?
Are there churches and what are their denominations?
Compile your observations addressing each item listed in the first column of the rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.
Select a target population of interest and discuss relevant demographic data and health status indicators for this population group. Identify major health concerns for this target population. Include discussion of major health concerns in relation to a global health issue.
Reading and Resources
Harkness & DeMarco (2016) Read Chapters 1 & 2
Readall Sentinel City information available at the top of the course homepage.
Visit: Quality and Safety Education for Nurses
Read the Report:
Read the Report:
Watch the
View this 9 minute video entitled, to help you see what types of things to look for when you conduct a windshield survey in the Sentinel City simulation
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Option
Instruction
Paper
4 to 6-page paper. Include title and reference pages.
Assignment: Analysis of a Pertinent Healthcare Issue argumentative essay help
Assignment: Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this modules Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organizations leadership that addresses the issue/stressor you selected.
To Prepare:
Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organizations leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Looking Ahead
The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.
Rubric Detail
SelectGrid VieworList Viewto change the rubric’s layout.
Name:NURS_6053_Module01_Week02_Assignment_Rubric
Advanced Health Assessment assignment write my essay help: write my essay help
Back pain
A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?
Respond to this
#1
42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?
Patient Information:
R.E, 42-year-old African American male
Subjective
CC: Lower back pain
HPI: A 42-year-old black African American male who came to the clinic today for complaining of lower back pain which he reported started a month ago. The patient stated that the pain sometimes radiates to his left leg.
Location: Lower back
Onset: One month ago
Character: Sharp, constant, radiating to left leg
Associated signs and symptoms: None
Timing: Starts when at work
Exacerbating/ relieving factors: Any movement. Ibuprofen helps to relief the pain temporarily.
Severity: 7/10 pain scale
Medications:
Ibuprofen 200mg 3 tablets every 6 hours PRN for lower back pain.
Amlodipine 10mg daily for hypertension x1 years.
Allergies: No known drug allergy, no food allergy, no seasonal allergy and No known allergy to latex/rubber.
PMHx:
Hypertension diagnosed one year ago.
Influenza vaccine November of 2020.
Tdap vaccine 2018.
Pneumonia: Not yet had any pneumococcal vaccine.
Up to date on all childhood immunizations.
Past surgical history: None.
Social History: Mr. R.E is happily married with three children. He has a bachelors degree in medical laboratory and works in the hospital setting. Mr. R.E denies ever smoking, but he drinks Corona beer occasionally and during festive period with friends and family. He denies using any illicit drugs and the thought of suicidal ideation. He goes to the gym at least 1-2 times in a week and walk around his neighborhood to keep him physically active and healthy. He loves dancing as a hobby and going for vacations with his family. The patient reported that he loves to maintain his activities of daily living and dress according to weather, as for his instrumental Activities of Daily Living he said he manages his finances and financial assets by paying his bills early. Mr. R.E loves his traditional African food and occasionally eat out. The patient reported that he keeps to safety measures by putting on his seatbelt and not texting while driving, he also reported having a working smoke detector and a security camera in his house. He has a good family support system for his wife and children. He sleeps 6-8 hours per night.
NR446 Collaborative Healthcare admission college essay help
NR446 Collaborative Healthcare
NCLEX Preparation- Reflective Activity
Purpose
The purpose of this assignment is to provide the student with an opportunity to analyze their performance on the integrated module assessments in the course and reflect on areas of opportunity and strategies to promote NCLEX-RN success, following required participation in the Live Review. The module assessments provide the student with identified areas of strengths and areas of opportunities related to NCLEX-RN performance. The analysis will allow the student the opportunity to identify and prioritize trended learning needs, learning strategies, and learning resources to improve knowledge and performance.
Course outcomes:This assignment enables the student to meet the following course outcomes:
CO5: Develop a plan for continued professional growth based on an assessment of the individual practitioner’s needs. (POs 5 and 8)
CO8: Apply research findings from nursing and related disciplines to enhance knowledge and practice. (PO 8)
Due date:Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible:50points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Track performance for all ATI Capstone assessments by logging NCLEX-RN Client Need Category performance on the Individual Student ATI Assessment Trends: Longitudinal Performance tool.
2) Based on individual performance on the ATI Capstone Assessments, prioritize the toptwoconcepts (topics) of greatest opportunity.
3) Include the following criteria for each identified concept (topic): Thewill support this process(detailed criteria listed below and in the Grading Rubric must match exactly).
a) Each Concept (Topic)- 10 points/20%
i) Learning Needs:
(1) Required Criteria:
(a) Identify the concept (topic) of opportunity.
(b) Provide a description of how this aligns with the NCLEX-RN Test Plan as indicated by performance in the Individual Student ATI Assessment Trends Table.
ii) Learning Strategies:
(1) Required Criteria:
(a) Identify aminimum of twolearning strategies that you plan to implement to address your learning need.
iii) Learning Resources: