nursing

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We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:

Explain how research has evolved since the Florence Nightingale era.

Discuss how research and EBP are different; include how you believe research supports EBP for nursing.

Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle).

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Workplace Environment Assessment

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 Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

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defining quality

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As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theorists you examined in this week’s Resources, and think about how these theories apply to your own experience as a health care customer and/or practitioner.

By Day 3

Post your definition of quality, and apply it to the work of one major quality theorist (e.g., Donabedian, Juran, Deming, Triple Aim (IHI) – Berwick). Identify a practice problem that you have had some experience with as a customer or as a practitioner, and explain how eliminating wasteful practices could have improved the experience. Include how your definition of quality applies to that experience.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)

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Exercise Physiology Assignment 1

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Answer the following questions in 2-3 pages, not including the title and reference pages. Attached is a checklist for your convenience. Thank you!!

1. Discuss the relationship between distribution of muscle fiber type and performance. How might exercise training modify or change a person’s fiber-type distribution?

2. Describe the mechanisms by which muscle glycogen is broken down to glucose for use in glycolysis?

3. Describe how a nerve impulse is transmitted along its axon.

4. What are 2 advantages of fat over carbohydrates for fuel storage in the body?

5. Describe the primary structure of the heart and the primary functions of blood.

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assignment mental health disorders

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A 38-year-old woman presents to the office with complaints of weight

loss, fatigue, and insomnia of 3-month duration. She reports that she has

been feeling gradually more tired and staying up late at night because

she can’t sleep. She does not feel that she is doing as well in her occupation

as a secretary and states that she has trouble remembering things.

She does not go outdoors as much as she used to and cannot recall the

last time she went out with friends or enjoyed a social gathering. She

feels tired most of the week and states she feels that she wants to go to

sleep and frequently does not want to get out of bed. She denies any

recent medication, illicit drug, or alcohol use. She feels intense guilt

regarding past failed relationships because she perceives them as faults.

She states she has never thought of suicide, but has begun to feel increasingly

worthless.

Her vital signs and general physical examination are normal, although

she becomes tearful while talking. Her mental status examination is significant

for depressed mood, psychomotor retardation, and difficulty attending

to questions. Laboratory studies reveal a normal metabolic panel, normal

complete blood count, and normal thyroid functions.

➤ What is the most likely diagnosis?

➤ What is your next step?

➤ What are important considerations and potential complications of

management?

all job only association journal and references no websites. APA format

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Cardiovascular Alterations

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At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

· Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

· Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Assignment

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 23, “Structure and Function of the      Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

  • Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

  • Chapter 25, “Alterations of Cardiovascular Function in      Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart diseases from acquired cardiovascular disorders.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

  • Chapter 10, “Cardiovascular Disorders: Heart Disease”

This chapter begins by exploring the normal structure and function of the heart. It then examines the etiology, pathophysiology, and clinical manifestations of five heart disorders: arrhythmias, congestive heart failure, valvular heart disease, coronary artery disease, and pericardial disease.

Jacobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care, 15(1), 61–66.

Retrieved from the Walden Library databases.

 

This article provides information relating to the diagnosis and management of anaphylactic shock. It also explores difficulties encountered when diagnosing uncommon clinical presentations of anaphylactic shock.

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Class#1Assessment#1

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Overview

Draft a proposal of 4–5 pages for the development of an interprofessional team to address a problem in delivering safe, high-quality health care.

Read each portion of the assessment carefully and see if the suggested resources can help you complete it.

 

Effective interprofessional collaboration is an essential strategy for health care leaders in delivering safe, high-quality health care and reducing costs. The ability to establish effective professional relationships among internal and external resources is the foundation of collaboration (Lawson, 2004).

This assessment provides an opportunity to consider the practical value and implementation of a collaborative strategy in your professional practice or area of interest.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Explain the concepts, principles, and characteristics of effective health care leadership.

. Analyze the factors contributing to a problematic health care issue.

· Competency 2: Explain the role of health care leaders in facilitating interprofessional collaboration.

. Explain the need for interprofessional collaboration to improve the quality and safety of health care in specific instances.

. Assess the effectiveness of a particular leadership approach in building and maintaining interprofessional collaborative relationships.

. Develop a collaborative plan for improving the quality and safety of health care in specific instances.

. Determine the leader’s role in implementing collaborative health care improvement projects.

· Competency 4: Determine the influence of the practitioner-scholar role on professional practice and leadership development.

. Determine how the practitioner-scholar model might be applied in resolving a particular health care issue.

· Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

. Develop a strategy for communicating the progress of interprofessional teams to organizational leaders.

. Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.

 

 

Required Resources

The following resource is required to complete the assessment.

· Project Proposal Template [DOCX] .

 

 

Assessment Instructions

Preparation

Health care leaders often find that resolving a problem in delivering safe, high-quality health care requires the combined effort of a number of agencies, departments, and individuals.

For this assessment, identify a quality-related situation or problem relevant to your professional practice or area of interest that requires the collaborative effort of several departments and individuals to resolve. You will assume the role of team leader and draft a proposal for the organization’s executive leadership that outlines why this interprofessional team is necessary, who should take part in the collaboration, how the team will function, and how progress will be reported.

A project proposal should identify the situation or problem, identify the causes or contributing factors, present a plan of action, provide details about the plan, and provide reasons why the plan should be undertaken.

Note: Remember, you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of your proposal for this assessment. However, be mindful of the turnaround time for receiving feedback if you plan on using this free service.

Proposal Requirements

Write a proposal for assembling an interprofessional team. As you begin drafting your proposal, consider your goal and the needs of the leaders whose decisions will be based on the information you provide.

Note: The requirements outlined below correspond to the grading criteria in the Interprofessional Collaboration scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. You are provided an example proposal that illustrates what proficient-level work for this assessment looks like.

Proposal Format and APA Style

· Use the simplified Project Proposal Template, linked in the Resources, to draft your proposal. You may organize the content of your proposal in a format used in your organization. An abstract is not required.

· Your proposal should be 4 double-spaced pages in length, not including the title page and reference page.

· Apply correct APA formatting to all in-text citations and references.

· Use Times New Roman, 12-point font.

Writing

· Be concise, but thorough. Your readers need sufficient and accurate information on which to base their decisions, and do not have time to sift through information that is not pertinent.

· Express your main points, arguments, and conclusions coherently.

· Use correct grammar and mechanics.

· Be sure to support your claims, arguments, and conclusions with credible evidence from 3–5 current, scholarly or professional sources.

· Proofread your writing.

Plan Content

· Analyze the factors that have contributed to the problem. ( Hint: Examine the reasons for ineffective communication, not just the communication itself. Reasons may include staff burnout, workload, staffing shortfalls, attitudes, assumptions, and so on.)

. Consider whether certain combinations of factors might be contributing to the problem.

· Explain why an interprofessional team is needed to address the problem and achieve expected project outcomes.

. Determine who should be on the team. Identify the disciplines or areas team members should come from and any specific job titles prospective team members should hold.

. Describe the knowledge and expertise each discipline has to offer in resolving the situation. In addition, consider the level of creativity and problem-solving skills that are needed.

· Assess the effectiveness of a particular leadership approach in building and maintaining interprofessional collaborative relationships. Consider how effective that approach is in:

. Encouraging participation by all team members.

. Engaging reluctant or resistant team members.

. Maintaining a respectful platform for members to voice their ideas.

· Develop a strategy for communicating progress by the team to executive leadership.

. Determine which approach to communicating with leaders will be most effective and efficient.

. Determine whether you will have regular meetings and generate status reports.

· Develop a collaborative plan for resolving the problem.

. Identify the ethical or political issues that are relevant factors in your proposed solution.

. Identify the social, cultural, or economic factors that are relevant to your proposed solution.

. Explain how you would address the ethical, political, social, cultural, or economic factors you have identified as relevant to your plan.

· Describe your role as a leader in implementing the proposed solution.

· Determine how the practitioner-scholarmodel might be applied in resolving the problem.

. Consider how theory, research, and the published work in the field, in conjunction with your own experience and professional knowledge, might be used to develop strategies to analyze and resolve the problem.

 

 

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Discussion: Cardiovascular Alterations

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At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

  • Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
  • Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

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Discussion: Examining Nursing Specialty

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You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

  • Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization. (specialty: Mental Health Nurse Practitioner)

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

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Care Map

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Mr. Charles Lamont is a 45-year-old patient who is visiting his primary care physician for his an annual checkup. His wife is waiting for him in the lobby; she is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. Mr. Lamont works for a construction company as a heavy machine operator. He smokes 1½ packs of cigarettes per day. His wife has been encouraging Mr. Lamont to stop, but he has not showed any interest in quitting. Laura, the registered nurse, takes Mr. Lamont to an examination room. Laura asks him about his overall health and he tells her about a nagging cough and how he sometimes feels short of breath. He then denies any other health problems. Laura takes Mr. Lamont’s vital signs and gets the following results: blood pressure, 156/94 mm Hg; temperature, 99.8° F orally; apical pulse, 104 beats/min; respiration, 25 breaths/min and regular; and pulse oximetry, 95%.

Using the care map template given to you, create a care plan for this patient.

Please, upload just your care map here once completed. Your written care map paper will need to be uploaded as scheduled in Turnitin.

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