research paper 2

For your final case study, download and read the attached case study.  Once completed, answer the three questions at the end of the case.

Your paper should be in APA 6th edition format and should answer all three questions completely with rationale and literature support.  Each new heading will depict the question being answered.  Your paper should be within 4-6 pages, not including your cover page and references page.  You will  be required to provide and use a minimum of 3 peer reviewed references, with the oldest being from 2015.

This is an individual assignment.

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Case study

Read the following case study and answer the questions below. Response should be at least 75 to 100 words.

Wayne is a public health/community nurse who lives in South Texas. During the summer, Wayne’s community experienced uncontrollable wildfires that devastated the area. Because he lived in the area, Wayne was called upon to help triage and care for victims of the fires. Many of the wildfire victims were Wayne’s family, personal friends, and work colleagues.

  1. After the fires were controlled and the most critically ill residents were transported to the hospital, Wayne began recovery efforts. What is Wayne’s priority recovery goal for this population? What steps should Wayne take to reach this goal?
  2. Wayne performs psychosocial assessments on the wildfire victims. Which victims are more likely than others to need crisis intervention?
  3. Wayne is worried about the major health concerns after a disaster and how they may affect his community. What are some of these major health concerns? What can Wayne do to improve the health concerns?

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WK 6 Practicum Journal

Assignment 2: Week 6 Practicum Journal: Reimbursement Rates

Reimbursement rates and medical coding can be almost as complicated as treating some mental illnesses. As a PMHNP, you will be faced with varying rates that may be different than other health care providers you may work with.

In this Practicum Journal Assignment, you will analyze reimbursement rates for mental health treatments you will likely use in your practice and compare those rates to other provider rates.

Learning Objectives

Students will:
  • Analyze reimbursement rates for mental health treatments

To prepare for this Practicum Journal:

  • Research reimbursement rates for various treatment modalities.
  • Compare NP rates to other provider rates.

For this Practicum Journal:

Complete the Reimbursement Rate Template in your Learning Resources using the five types of services you are likely to use in your practice.

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Medication Error

A medication error is an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication (Agency for Health Care Research and Quality, 2019).

In a study conducted by Da Silva and Krishnamurthy (2016), they state that preventable medication errors impact more than 7 million patients and cost almost $21 billion annually across all care settings. About 30% of hospitalized patients have at least one discrepancy on discharge medication reconciliation. Medication errors are an underreported burden that adversely affects patients, providers, and the economy. The study involved a 71-year-old female who accidentally received thiothixene (Navane), an antipsychotic, instead of her anti-hypertensive medication amlodipine (Norvasc) for 3 months. She sustained physical and psychological harm including ambulatory dysfunction, tremors, mood swings, and personality changes and had multiple hospital visits within the 3 months. Despite the many opportunities for intervention, multiple health care providers overlooked her symptoms. Admission medication reconciliation (MED REC) revealed that she was taking metoprolol, doxazosin, alprazolam, citalopram, and thiothixene (Navane) 10 mg twice daily. Upon review of her pill bottles, it was found that her outpatient pharmacy accidentally dispensed Navane (an antipsychotic) instead of Norvasc, and she dutifully took this medication for 3 months. The written prescription was deemed legible. A diagnosis of thiothixene-related drug-induced Parkinsonism was made. Thiothixene was discontinued and her clinical status improved.

Da Silva and Krishnamurthy (2018) note that important steps to prevent medication error include clear patient instructions with indications for use on every prescription, utilization of EHR medication import (when available) to review outpatient prescription history, and creating a culture within the medical field of error discussion. Possibilities include medication teams who review admission and discharge reconciliations, team rounding with a pharmacist, encouraging postgraduate trainees and faculty to question indications and utility of medications, and distribution of national and institution data regarding errors, and adverse events. Mandatory training should occur for those providers who fail to document and reconcile medications properly.

As a nurse practitioner it is important to monitor the patient especially when poor treatment response occurs or unusual symptoms develop, it is imperative that a review of medications and pill bottle review be part of the initial evaluation. I will implement and use multilevel safeguards, starting with error recognition. Medical error was recently described as the third leading cause of death and only by creating a culture of humility, communication, and teamwork can we learn from our mistakes and hope to decrease preventable errors.

References

Agency for Health Care Research and Quality. (2019). Medication Errors and Adverse Drug Events. Retrieved from https://psnet.ahrq.gov/primers/primer/23/Medication-Errors-and-Adverse-Drug-Events

Da Silva, B., Krishnamurthy, M. 92016). The alarming reality of medication error: a patient case and review of Pennsylvania and National data. Retrieved from https://www.tandfonline.com/doi/full/10.3402/jchimp.v6.31758

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Week 8

Typically, when speaking of validity, qualitative researchers are referring to research that is credible and trustworthy, i.e., the extent to which one can have confidence in the study’s findings (Lincoln & Guba, 1985). Generalizability, a marker of reliability, is typically not a main purpose of qualitative research because the researcher rarely selects a random sample with a goal to generalize to a population or to other settings and groups. Rather, a qualitative researcher’s goal is often to understand a unique event or a purposively selected group of individuals. Therefore, when speaking of reliability, qualitative researchers are typically referring to research that is consistent or dependable (Lincoln & Guba, 1985), i.e., the extent to which the findings of the study are consistent with the data that was collected.

References

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Thousand Oaks, CA: Sage.

For this Discussion, you will explain criteria for evaluating the quality of qualitative research and consider the connection of such criteria to philosophical orientations. You will also consider the ethical implications of designing qualitative research.

With these thoughts in mind:

Write an explanation of two criteria for evaluating the quality of qualitative research designs. Next, explain how these criteria are tied to epistemological and ontological assumptions underlying philosophical orientations and the standards of your discipline (Healthcare Science). Then, identify a potential ethical issue in qualitative research and explain how it might influence design decisions. Finally, explain what it means for a research topic to be amenable to scientific study using a qualitative approach.

Explain in 1-2 pages. Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

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Discussion Assignment

Respond to the following Case study:

Explain how you might apply knowledge gained from the Response case studies to your own practice in clinical settings.

· Share additional interview and communication techniques that could be effective with your colleague’s selected patient.

·

· Suggest additional health-related risks that might be considered.

·

· Validate an idea with your own experience and additional research.

·

· Explain your reasoning using at least TWO different references from current evidence-based literature in APA Format.

Case Study Response

Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter

This case is about a mother who comes to the office with difficulty with focusing and forgetfulness. This is affecting her everyday life and being a single mom of 2, she is having a hard time with caring for them. The stress of what this mother is going through can lead to sadness and feelings of despair or depression. It is becoming more common for adults to have Attention deficit hyperactivity disorder than just for children(Stahl, 2013). If the children are experiencing symptoms such as trouble  focusing or completing tasks then most likely the parents will have some trait as well. For this client, it is important to ask about family history. Did any of your family members have symptoms associated with ADHD or anxiety? Are you having any thoughts of harming yourself or others? She complains a lot about her kids and her life and seems to be frustrated at times. We want to get her the help she needs as soon as possible. What are your strengths and weaknesses and how can you overcome some of the weaknesses?

The first step for this client is to have her take the Adult ADHD self report scale. This is a self assessment that the client can answer truthfully and assist in the diagnosis of ADHD(Clancy et al. 2011). Differential diagnosis for this client include Generalized anxiety disorder, Depressive disorder, and Bipolar disorder. Further research would need to be conducted to determine the correct diagnosis. Since the patient matches symptoms for generalized anxiety and ADHD, these would be the two diagnosis and treatment modalities can begin. Stress can contribute to increased symptoms of ADHD  and anxiety. Stress relieving measures should  be discussed and reviewed with clients. Since ADHD affects the prefrontal cortex causing irritability and inattention. A stimulant medication can be given and is often given for clients with adhd(Stahl, 2013). Often times adjunct medications would need to be good to help relieve symptoms this one cannot(Psych, 2016). . I will remember to always start with the lesser approach to treatment using therapy and relaxation techniques before using the medications if possible.

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Case Study on Death and Dying

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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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Special Examinations

For this 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 at least 5 differential diagnosis with several possible conditions. Please remember to pretend that this is an actual patient and gives as much detail as possible!

CASE STUDY:

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

REQUIRED READINGS

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

· Chapter 17, “Breasts and Axillae”
This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.

· Chapter 19, “Female Genitalia”
In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.

· Chapter 20, “Male Genitalia”
The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.

· Chapter 21, “Anus, Rectum, and Prostate”
This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 5, “Amenorrhea”
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.

Chapter 6, “Breast Lumps and Nipple Discharge”
This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.

Chapter 7, “Breast Pain”
Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.

Chapter 27, “Penile Discharge”
The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.

Chapter 36, “Vaginal Bleeding”
In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.

Chapter 37, “Vaginal Discharge and Itching”
This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

· Chapter 3, “SOAP Notes” (Previously read in Week 8)

Cucci, E., Santoro, A., DiGesu, C., DiCerce, R., & Sallustio, G. (2015). Sclerosing adenosis of the breast: Report of two cases and review of the literature. Polish Journal of Radiology, 80, 122–127. doi:10.12659/PJR.892706. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356184/  

Sabbagh , C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, J. M. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46(12), 1082–1085. doi:10.1016/j.dld.2014.08.045

Westhoff , C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.

This article describes the benefits of new technology and guidelines for pelvic exams. The authors also detail which guidelines and technology may become obsolete.

Centers for Disease Control and Prevention. (2019). Sexually transmitted diseases (STDs). Retrieved from http://www.cdc.gov/std/#

This section of the CDC website provides a range of information on sexually transmitted diseases (STDs). The website includes reports on STDs, related projects and initiatives, treatment information, and program tools.

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Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

· Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.

· Select at least one additional country to compare to the U.S. for this Assignment.

· Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.

· Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment:

1- 2-page Global Health Comparison Matrix.

1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

· Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

· Explain the strengths and weaknesses of each policy.

· Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.

· Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.

· Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.

· Explain how the health policy you selected might impact the role of the nurse in each country.

· Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

· Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

· Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

· Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Attached is an the assignment for global health comparison.  . The grid has to be  entirely completed. I reviewed some health care issues with a lot of information that can be easily compared with the United States including the World health Organization  (WHO). Issues such as the recent Covid-19 virus, influenza pandemic, Ebola virus, MERS-SARS, and HIV/Aids. There are countries with a high prevalence  in comparison with the United States such as china and the  African continents. Please elaborate to fill in the grid template entirely.  Thank you.

 

Excellent

Good

Fair

Poor

 

Global Healthcare Issues and Policies
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete   the Global Health Comparison Matrix. Be sure to address the following:
• Consider the U.S. national/federal health policies that have   been adapted for the global health issue you selected from the WHO global   health agenda. Compare these policies to the additional country you selected   for study.

45 (45%) – 50 (50%)

Response provides a   clear and accurate explanation of the strengths and weaknesses of policies in   the U.S. and another country.
Response provides a clear and accurate explanation of how the social   determinants of health impact the issue in the U.S. and in another country.   Specific examples are provided.
Response provides a clear and accurate explanation of how the governments of   the two countries address cost, quality, and access related to the issue.
Response provides a clear and accurate explanation of how the policy in each   of the two countries impacts the health of the global population. Detailed   and accurate supporting examples are provided.
Response provides a clear and complete explanation of how the policies in   each country impact the role of the nurse.
Response provides an accurate and detailed explanation of how the global   health issues impact local healthcare organizations and policies in each of   the two countries.

40 (40%) – 44 (44%)

Response provides an   explanation of the strengths and weaknesses of policies in the U.S. and   another country.
Response provides an explanation of how the social determinants of health   impact the issue in the U.S. and in another country. Specific examples may be   provided.
Response provides an explanation of how the governments of the two countries   address cost, quality, and access related to the issue.
Response provides an explanation of how the policy in each of the two   countries impacts the health of the global population. Supporting examples   may be provided.
Response provides an explanation of how the policies in each country impact   the role of the nurse.
Response provides an explanation of how the global health issues impact local   healthcare organizations and policies in each of the two countries.

35 (35%) – 39 (39%)

Explanation of the   strengths and weaknesses of policies in the U.S. and another country is vague   or inaccurate.
Explanation of how the social determinants of health impact the issue in the   U.S. and another country, and/or the examples, are vague or inaccurate.
Explanation of how the governments of the two countries address cost,   quality, and access related to the issue is vague or inaccurate.
Explanation of how the policy in each of the two countries impacts the health   of the global population, and/or supporting examples, is vague or inaccurate.
Explanation of how the policies in each country impact the role of the nurse   is vague or incomplete.
Explanation of how global health issues impact local healthcare organizations   and policies in each of the two countries is vague or inaccurate.

0 (0%) – 34 (34%)

Explanation of the   strengths and weaknesses of policies in the U.S. and another country is vague   and inaccurate, or is missing.
Explanation of how the social determinants of health impact the issue in the   U.S. and in another country, and the examples, are vague and inaccurate, or   is missing.
Explanation of how the governments of the two countries address cost,   quality, and access related to the issue is vague and inaccurate, or is   missing.
Explanation of how the policy in each of the two countries impacts the global   population, and supporting examples, is missing.
Explanation of how the policies in each country impact the role of the nurse   is vague and inaccurate, or is missing.
Explanation of how global health issues impact local healthcare organizations   and policies in both countries is missing.

 

The Nurse’s Role in Global Healthcare
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis   you conducted in Part 1 of the Assignment. In a 1-page response, create a   plan for social change that incorporates a global perspective or lens into   your local practice and role as a nurse leader.
• Explain how you would advocate for the incorporation of a   global perspective or lens into your local practice and role as a nurse   leader.
• Explain how the incorporation of a global perspective or   lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or   lens into your local practice as a nurse leader represents and contributes to   social change. Be specific and provide examples.

32 (32%) – 35 (35%)

Response provides a   clear and thorough explanation of how one would advocate for the   incorporation of a global perspective or lens into his/her role as a nurse   leader.
Response provides a clear and thorough explanation of how the incorporation   of a global perspective or lens might impact local practice and the role as a   nurse leader.
Response clearly and thoroughly explains in detail how the incorporation of a   global perspective or lens in one’s role as a nurse represents and   contributes to social change. Accurate and detailed supporting examples are   provided.

28 (28%) – 31 (31%)

Response provides an   explanation of how one would advocate for the incorporation of a global   perspective or lens into his/her role as a nurse leader.
Response provides an explanation of how the incorporation of a global   perspective or lens might impact local practice and the role as a nurse   leader.
Response explains how the incorporation of a global perspective or lens in   one’s role as a nurse represents and contributes to social change. Some   supporting examples are provided.

25 (25%) – 27 (27%)

Explanation of how   one would advocate for the incorporation of a global perspective or lens into   his/her role as a nurse leader is vague or incomplete.
Explanation of how the incorporation of a global perspective or lens might   impact local practice and the role as a nurse leader is vague or incomplete.
Explanation of how the incorporation of a global perspective or lens in one’s   role as a nurse represents and contributes to social change, and/or supporting   examples provided, are vague or incomplete.

0 (0%) – 24 (24%)

Explanation of how   one would advocate for the incorporation of a global perspective or lens into   his/her role as a nurse leader is vague and incomplete, or is missing.
Explanation of how the incorporation of a global perspective or lens might   impact local practice and the role as a nurse leader is vague and incomplete,   or is missing.
Explanation of how the incorporation of a global perspective or lens in one’s   role as a nurse represents and contributes to social change, and/or   supporting examples, is missing.

 

Written Expression and Formatting – Paragraph Development and   Organization:
Paragraphs make clear points that support well developed   ideas, flow logically, and demonstrate continuity of ideas. Sentences are   carefully focused–neither long and rambling nor short and lacking substance.   A clear and comprehensive purpose statement and introduction is provided   which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences   follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is   provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity 80% of   the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is   brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity 60%- 79%   of the time.
Purpose, introduction, and conclusion of the assignment is vague or off   topic.

0 (0%) – 3 (3%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity < 60%   of the time.
No purpose statement, introduction, or conclusion was provided.

 

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)

Uses correct   grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (1-2)   grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several   (3-4) grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)

Contains many (≥ 5)   grammar, spelling, and punctuation errors that interfere with the reader’s   understanding.

 

Written Expression and Formatting – The paper follows correct   APA format for title page, headings, font, spacing, margins,   indentations, page numbers, parenthetical/in-text citations, and reference   list.

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Nursing Discussion

 Public health nurses can provide trauma-informed care to clients as a way to connect and improve mental, physical, and emotional health.

Discuss and debate on the above given topic in 1 page double spaced. Support your arguments and given ideas with atleast 2 peer reviewed references in APA format

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