Discussion question

 

Discover which agencies, in your state ( Florida) , are responsible for public health of citizens. 

·         Research if there are centralized or decentralized management of state responsibilities?

·         Determine minimum 3 key indicators of health.

·         Review the agency sites and upload the links

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chp.3 Assignment/Plagiarism FREE

On page 62 of your textbook are a list of traits that are very respected by millennials.

The traits of leaders are as follows:

  1. Own and live the company values
  2. Communicate openly and early
  3. Inspire people to reach higher
  4. Own their mistakes
  5. Recognize big wins, small wins, and hard work
  6. Trust people
  7. Make the right decision, not the popular decision
  8. Add value to their teams, helping them to succeed
  9. Have the courage to be genuine and visible
  10. Take care of people

Instructions:

  1. Reflect on the traits of leaders listed above and determine your leadership and managerment skills.
  2. Then, answer the following questions:
    1. Do you have a good understanding of your personal strengths and weaknesses?
    2. What are your top three strengths and are you using them on a regular basis?
    3. Do you recognize your weaknesses and have you found a means of compensating for these?
    4. When dealing with colleagues are you honest and genuine and are you visible about your intentions and desires when dealing with these colleagues.
  3. Your paper should be:
    • One (1) page
    • Typed according to APA style for margins, formatting and spacing standards
    • Typed into a Microsoft Word document, include references.

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chp.8 Assignment/Plagiarism FREE

Promoting Evidence-Based Practice

In recent years, the implementation of evidence-based practice has been identified as a priority across nearly every nursing specialty (Prevost & Ford, 2020). In addition, nurses are increasingly accepted as essential members and often as leaders, of the interdisciplinary health-care teams. To effectively participate and lead a health-care team, nurses must have knowledge of the most effective and reliable evidence-based approaches to care, increase their expertise in critiquing research, and apply the evidence of their findings to select optimal interventions for their patients (Prevost & Ford, 2020).

Instructions:

  1. Read the infomation above, and then answer the following questions:
    1. Identify at least five (5) things you might do to increase your knowledge and use of evidence in your practice? (explain each suggestion and how it fits in the practice)
    2. What are the most significant and driving and restraining forces to make this change?
    3. Would you expect covert or overt resistance to your efforts?
    4. Will you need to enlist support from others or acquire additional resources for this planned change to occur? (be specific as in administrative support or scientific journals, etc)
  2. Your paper should be:
    • One (1) page
    • Typed according to APA style for margins, formatting and spacing standards
    • Typed into a Microsoft Word document, include references.

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Local Practice Problem Exploration (Diabetes)

Two paragraphs, 2 references no more than 5 years. 

National Practice Problem: Diabetes. 

  • From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?
  • Identify the local key stakeholders related to the selected practice problem.
  • Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.

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MENTHAL HEALTH PROBLEM

 

The Morbidity and Mortality Weekly Report (MMWR (Links to an external site.)) is an epidemiological report published by the Centers for Disease Control and Prevention (CDC). This weekly report contains data on specific diseases as reported by state and regional health departments, as well as recommendations that have been issued by the CDC. Access the MMWR (Links to an external site.) and select a report pertaining to mental health.

  • Discuss the use of descriptive and/or analytic epidemiology to address mental health problems in florida.
  • Recommend additional measures required to integrate proposed changes into practice.
  • Share your professional experience related to the topic.

  

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

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Maternity clinic

  

1. Choose a client from your clinical setting or an imaginary case.

2. Write a SOAP note based on your client. No area of assessment is to be deleted or abbreviated. 

3. There is to be a minimum of two clinical research references that will be related to your case’s history of presenting problem, assessment/care of the patient, and plan of action/treatment. 

4. GOOGLE or WIKIPEDIA not allowed

5. SOAP notes should be a thorough focused note pertaining to the presenting problem and the area of specialty that you are assigned. 

 

please take a good look at what I need

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Rough Draft Quantitative Research Critique and Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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

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

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The Lab Assignment

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. 

To Prepare

  • Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
  • Based on the Episodic note case study:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
    • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre

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Leadership in nursing practice 1500 words 5-18-21

Use the attached textbook and corresponding chapters to respond to the questions below in APA 7th edition format with at least 4  scholarly sources. Total word count should be 1500. Textbook must be used. 

300 words – Question A:  Chapter 1—A) List and discuss 4 things that you would change to reduce healthcare spending/cost without negatively affecting patient care. Provide examples B) What factual information do you base these suggestions on?

300 words – Question B: Chapter 2 —A) Discuss how organizational environment and culture impact nursing. Provide examples be specific. B) Based on the chapter list the 6 characteristics of a healthy work environment. How do the 6 characteristics of a healthy work environment influence the organization use example from the chapter? 

300 words – Question C: Chapter 4 – A) Discuss the different levels of nurse in practice and the responsibilities/competencies for each. B) Discuss how your role as a public health nurse and the impact you can and will have on client and population health. 

300 words – Question D: Chapter 8 – A) in a healthcare setting/ role, consider someone that you know that is a leader but not assigned to a management role. Discuss the leadership characteristics that person has. B) In addition, analyze the type of power this person has: negative or positive and what is the basis of that person’s power? 

 300 words – Part 2:  Address your ‘a-ha moment’ for this week: Something that was a realization for the week, that really opened your eyes, changed your perceptions and/or something that you now know that you will remember forever. It may be from another class or clinical but the topic has a direct connection to something in this course, and this weeks assigned chapters.

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Case Study: An Older Immigrant Couple: Mr. and Mrs. Arahan

 Instructions: Read the following case study and answer the reflective questions. 

Please provide rationales for your answers. Make sure to provide a citation for your answers. 

 CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan 

Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health  nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues. Reflective 

Questions 

1. What strategies could be suggested for this older adult couple to enhance their quality of life? 

2. What community resources can they utilize?

3. What can the daughter and her family do to address the feelings of isolation of the older couple?

4. What health promotion activities can ensure a healthy lifestyle for them? 

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