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presentation

July 2, 2025/in Nursing Questions /by Besttutor

Please prepare a 7 to 10 minute presentation based on a successful intervention for the disease or topic selected

 

Your presentation should include the following –

1. Name of program

2. Who is the target population?

3. Duration of program

4. What does the program entail? (what happens in the program?)

5. What is the goal of the program?

6. Has this program been successful? –(example- how many people has it helped? Is there a testimony of a person who went through the program? How have lives changed? How long has this program been running )

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Nursing homework help

July 2, 2025/in Nursing Questions /by Besttutor

What leadership qualities did Whitmore highlight and state that were likely to be common to all leaders? Do you agree or disagree with Whitmore’s assessment? Why or why not? Add at least one additional value that you feel is important and explain your rationale.

Plagiarism Free

Apa format

250 words

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Pathophysiology

July 2, 2025/in Nursing Questions /by Besttutor

A 17-year-old African American female from the inner city complains of severe chest and abdominal pain. Upon examination, the attending physician performs an EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming she is drug seeking, he sends her home. She comes back to the ER 4 hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen. She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings. During a review of her medical history, she tells the provider that she has history of sickle cell anemia. At this time, it is determined that she is in a sickle cell crisis.

  1. What is the etiology of sickle cell anemia?
  2. Describe in detail the pathophysiological process of sickle cell anemia.
  3. Identify hallmark signs identified from the physical exam and symptoms.
  4. Describe the pathophysiology of complications of sickle cell anemia.
  5. What teaching related to her diagnosis would you provide?

In addition to the textbook( McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2013). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). St. Louis, MO: Mosby). utilize at least one peer-reviewed, evidence based resource to develop your post.

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Discussion: Cardiovascular Disorders

July 2, 2025/in Nursing Questions /by Besttutor

Veins and arteries are vital elements of the cardiovascular system. They carry the blood supply through the body and are essential for proper function. Sometimes veins and arteries malfunction, resulting in cardiovascular disorders. Malfunctions of arteries and veins are similar to malfunctions of a water hose. Consider the structure and function of a hose. A tap releases water, which then travels through the hose and comes out the other end. If the hose has been dormant for several months, dirt and rusty particles might build up inside, resulting in a restricted flow of water. Similarly, buildup of plaque inside the coronary arteries restricts blood flow and leads to disorders such as coronary heart disease. This disease is one of the most common cardiovascular disorders, and according to the National Heart, Lung and Blood Institute (2011), is the leading cause of death for men and women in the United States. In this Discussion, you examine the pathophysiology of cardiovascular disorders such as coronary heart disease.

To Prepare

· Review this week’s media presentation on alterations of cardiovascular functions, as well as Chapter 24 in the Huether and McCance text. Identify the pathophysiology of cardiovascular disorders.

· Select one patient factor: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of cardiovascular disorders.

· Select one of the following alterations of cardiovascular disorders: peripheral arterial disease, myocardial infarction, coronary artery disease, congestive heart failure, or dysrhythmia. Think about how hypertension or dyslipidemia can lead to the alteration you selected.

Post a description of the pathophysiology of cardiovascular disorders, including how the factor you selected might impact the pathophysiology. Then, explain how hypertension or dyslipidemia can lead to the alteration you selected for patients with the factor you identified.

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 disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 11, “Cardiovascular      Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/ 

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html 

National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

  1. Up      to Date (must use original articles from Up to Date as a resource)
  2. Wikipedia
  3. Cdc.gov-      non healthcare professionals section
  4. Webmd.com
  5. Mayoclinic.com

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Public Health 500 word discussion

July 2, 2025/in Nursing Questions /by Besttutor

Health Literacy

The government has defined health literacy as “The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions” (Healthy People 2020, 2011). Scholars have demonstrated that health literacy skills are stronger predictors of health status than age, income, employment status, education level, and race or ethnicity. Individuals with inadequate health literacy often struggle with basic tasks when managing a chronic condition such as reading and comprehending prescription bottles, appointment slips, self-management instructions, and educational brochures. The problems are compounded when the individual has several conditions requiring different medications. Inadequate health literacy can be a barrier to controlling disease that can lead to medication errors, increased hospitalization, poor health outcomes, and greater health care costs.

Discussion:

  • *Provide an example that illustrates the difference between literacy and health literacy.
  • *Describe one potential health-related consequence to low health literacy and a population at risk for this potential consequence, explaining why they are at risk.

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Nursing homework help

July 2, 2025/in Nursing Questions /by Besttutor

Comment 1

One example that comes to mind is the population including young mothers. There are many statistics that depict the outcome and or the progression of young aged mothers. I feel this is a good representation of the proper use of mean, median, and mode because it relates to a particular group that can be simplified. It also can be grouped closely enough where the information can be accurately represented for the particular population. Mean is incorporated by utilizing the average probability of teenage pregnancy based on the previous amounts of teen mothers. Median is utilized because according to the Arizona Department of Health services, the medial teen age group, ages 15-17 years, has the highest rate of teen pregnancies compared to the younger (ages 13-15 years) and older (ages 17-19 years). Mode is the most occurring, in the example of teen pregnancies the mode is illustrated by the more pregnancies occurring in present years. For this particular population, a characteristic that is inappropriate to use these means of statistics is when utilizing non-modifiable factors are incorporated into these teenage pregnancies. For example the teens that birth children that were products of sexual abuse such as rape or trafficking should not be incorporated into the lifestyles of teen pregnancy rates. This is inappropriate because it cannot truly depict the lifestyle and chosen aspects of teenage pregnancies.

Comment 2

The average is the most basic concept of statistics. An average is the single number that represents the ideal of a typical value. The mean, median, and mode are the numbers that represent the ideal of an average value. The mean is the adding up of all values and dividing that sum by the number of values. The mean is a very useful number. It represents an entire population or group and does not represent an individual. The median is considered a typical value. The median is the value that represents some members of the population or group depending on the distribution of the value. The mode is considered the most common member of a group.

An example of an appropriate population; 8 executives makes over $100,000 thousand dollars a year versus 4 executives making less than $100,000 a year. The mode would be 8, as there is a greater frequency of score in the data set (Lund, 2013).  It would be inappropriate to use the mode when there is not a repeating score in a data
set (Lund, 2013).

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Healthy Relationships in the Workplace

July 2, 2025/in Nursing Questions /by Besttutor

Healthy relationships form the basis for a positive workplace. When staff are engaged in their jobs, supported by one another, and feel a sense of security in their work, healthy relationships among staff members will flourish. Nurse managers can assess the workplace for healthy relationships by observing the interactions among staff members. Are trust, respect, and collegiality evident, or might some staff members display toxic or dysfunctional behaviors toward one another? When toxic or dysfunctional behaviors are evident even among the smallest cohort of staff, nurse managers must take steps to foster positive interactions. In fact, all other efforts to establish a positive workplace will likely fall short if they are not built on the foundation of healthy interpersonal relationships.

In this Discussion, you examine the interactions between employees at your current organization or one with which you are familiar. You also explore positive psychology, a theory of well-being that has helped many workplaces to increase positivity and foster healthy relationships among staff members.

To prepare

  • Review Chapter 2, “Cultivating the Leadership Relationship” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Examine how leaders cultivate healthy relationships among all staff members.
  • Review the article, “Using Positive Psychology to Engage Your Staff during Difficult Times.” How can positive psychology foster healthy workplace relationships and increase staff engagement?
  • Reflect on the interactions you see in your own organization or in one with which you are familiar. What relationships do you observe across different job categories, such as RNs, LPNs, techs, and nursing assistants? Do relationship disparities exist between shifts, departments, or members of different disciplines, such as nursing staff and physicians?
  • Identify environments where unhealthy relationships most commonly occur. What leadership strategies might you use to build healthy relationships among these specific staff members? Furthermore, how could you apply positive psychology to increase positivity in this environment?

Post an explanation of at least two leadership strategies you could implement to build healthy relationships among staff members in the workplace you selected. Cite specific examples in your explanation by identifying the staff members you would target and explaining how your strategies would foster healthy interactions among these staff members. In addition, suggest at least one positive psychology strategy you could employ to increase the ratio of positive to negative interactions in your workplace; explain your rationale.

 

Required Readings

Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications.
Chapter 14, “Workplace Safety, Health, and Security” (pp. 526–558)The authors analyze the many factors that contribute to and affect workplace safety. They provide techniques for stress management and how to handle violence in the workplace.

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.

Chapter 1, “Leadership: An Elusive Concept” (pp. 1–30)Chapter 1 provides a thoughtful comparison between the functions of management and leadership. It highlights leadership best practices and leaders as change agents.

Chapter 2, “Cultivating the Leadership Relationship” (pp. 31–68)This chapter explains how effective leaders cultivate healthy relationships with staff members. The author discusses key leadership characteristics as well as the four essential elements of a healthy leadership relationship: trust, mutual respect, support, and communication.

Chapter 4, “Communicating with Clarity” (115–179)Chapter 4 describes the many aspects of communication and how each can affect relationships within the workplace. It includes common forms of miscommunication and tips for becoming a more effective communicator and listener.

Chapter 7, “Coaching and Developing Others” (pp. 295–307 only)The selected pages from Chapter 7 examine the misconceptions many leaders have about individual motivations. The author discusses workplace and work-life factors that influence employee motivation.

Achor, S. (2012). Positive intelligence. Harvard Business Review, 90(1/2), 100–102.  Retrieved from the Walden Library databases.

This article explores the theory that happiness precedes success. The author discusses three basic strategies that people can use to improve their mental well-being and performance at work.

Morse, G. (2012). The science behind the smile: Interview with Daniel Gilbert. Harvard Business Review, 90(1/2), 84–90.  Retrieved from the Walden Library databases.

In this interview, Daniel Gilbert discusses how happiness affects productivity at work. He also explains what makes people happy and how people can achieve it.

Muha, T. M., & Manion, J. (2010). Using positive psychology to engage your staff during difficult times. Nurse Leader, 8(1), 50–54.  Retrieved from the Walden Library databases.

Muha and Manion address the vacancies left behind by aging baby boomers and a poor economy. Hospitals must create a positive work environment for the younger nurses who will fill those vacancies.

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Assign 1-WK 7(A)

July 2, 2025/in Nursing Questions /by Besttutor

Assignment: “Captain of the Ship”Project – Obsessive-Compulsive Disorders

 

Although actual statistics vary, obsessive-compulsive disorder impacts approximately 1.2% of the population in the United States (APA, 2013, p. 239). It is characterized by the presence of obsessive thoughts, which are manifested as persistent thoughts, images, or even “urges.” The only way that the individual can disperse the anxiety of these persistent thoughts/images or urges is to perform a behavior (the compulsion). The compulsion could be checking things, counting, reciting a silent prayer, or repeating a number of phrases. The disorder becomes so pervasive that the person can spend a significant amount of time each day attending to the compulsion in order to relieve the anxiety caused by the obsession.

Assignment

In this assignment, you will become “captain of the ship” as you take full responsibility for a client with an obsessive-compulsive disorder by recommending psychopharmacologic treatment and psychotherapy, identifying medical management needs and community support, and recommending follow-up plans.

Remember that there is an excellent example for ‘Captain of the Ship’ project attached with this ASSIGNMENT.

Instructions:  

To prepare for this Assignment

Select an adult or older adult client with a bipolar disorder that you have seen in your practicum/clinical rotation site.

In 3-4 pages, write a treatment plan for your client. In which you do the following:

· Describe the history of the present illness (HPI) and clinical impression for the client.

· Recommend psychopharmacologic treatments based on evidence-based practice and describe specific and therapeutic end points 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.

N: B. (1)The Captain of the Ship project needs to show that you are evaluating the patient, making a diagnosis, providing treatment plans and outcomes as well as collaborating with other providers. The project MUST meet all these requirements. (2) The choice of medications should be clear, and the medical management should be clear. (3) Consider using the bipolar disorder algorithm from  http://www.psychiatrictimes.com/bipolar-disorder/new-psychopharmacology-algorithms

Learning Resources

Required Readings

-Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “Obsessive-Compulsive and Related Disorders” (pp. 418–436)

-Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 21, “Obsessive-Compulsive Disorder”

-American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Obsessive-Compulsive and Related Disorders”

-Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Obsessive-compulsive disorder Medication

citalopram

clomipramine

escitalopram

fluoxetine

fluvoxamine

paroxetine

sertraline

venlafaxine

vilazodone

 

-Thompson-Hollands, J., Edson, A., Tompson, M. C., & Comer, J. S. (2014). Family involvement in the psychological treatment of obsessive-compulsive disorder: A meta-analysis. Journal of Family Psychology, 28(3), 287–298. doi:10.1037/a0036709

Required Media

-Bruce, T. & Jongsma, A. (Producers). (n.d.) Evidence-based treatment planning for obsessive compulsive disorder [Video file]. Mill Valley, CA: Psychotherapy.net.

Optional Resources

-Himle, J. A., Chatters, L. M., Taylor, R. J., & Nguyen, A. (2013). The relationship between obsessive-compulsive disorder and religious faith: Clinical characteristics and implications for treatment. Spirituality in Clinical Practice, 1(S), 53–70. doi:10.1037/2326-4500.1.S.53

-Wheaton, M. G., Rosenfield, D., Foa, E. B., & Simpson, H. B. (2015). Augmenting serotonin reuptake inhibitors in obsessive–compulsive disorder: What moderates improvement? Journal of Consulting and Clinical Psychology, 83(5), 926–937. doi:10.1037/ccp0000025

 

 

 

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Critical thinking final part 1

July 2, 2025/in Nursing Questions /by Besttutor

Poverty

I) The issue is poverty and how it must be eradicated.

II) My stance is that richer nations need to help and simple charity is not good enough. In my humble opinion, poverty should not be seen as a problem specific to a country or area. It should be treated as a collective problem. The globalization and global help is the best way to deal the issue of poverty.

III) Poverty is menace that exists today not just in underdeveloped and developing countries but has been steadily increasing in the developed parts of the world. But due to the severity of poverty and lack of resources is poorer countries of the world, where HDI is too low, it is important to embrace the culture of globalization and the resources must be mobilized so that poorer and weaker sections of the society can too become self reliant and dependent.

IV) The countries like India, China, two of the most populated countries of the world, were extremely poor till the last decade of twentieth century, but after these countries adopted trade and business policies of liberalization, the countries witnessed massive economic growth and rapid business explosion. The liberalization policies are the first step towards globalization as it allows free flow of goods, capital and resources; the quintessential feature of globalization.

V) Foreign aid to poorer countries can never eradicate poverty completely, it is wise investment in fundamental aspects of life like education, health care and change of attitude can bring those unfortunate souls out of poverty. This is achievable through globalization as setting up a business or industry creates an entire ecosystem of various other ancillary services and activities, thus it leads to facelift of an entire area caused by the ripple effect of establishing business.

VI) The opposite stance of mine is that globalization can create a new set of problems and issues in the developed parts of the world. As the work is getting increasingly outsourced to such regions where the human labor is low, the people in developed economies are experiencing shortfall in the employment opportunities. Thus, globalization can result in poverty and homelessness in developed parts of the world.

 

 

Homelessness

I) The issue is homelessness and how to eradicate it from the society.

II) My stance is that homelessness should certainly be treated as a serious issue and the issue must be solved on a collective basis, as society should come forward and take adequate steps to come with remedial solutions to combat homelessness.

III) People who are homeless are at a higher risk of developing psychological disorders as well physical health issues due to their unclean and unhygienic state of their body and their surroundings. Such people are can easily succumb to their irrational part of thinking and can indulge in unethical activities and serious crimes like theft, robbery, sexual harassment, murder etc. Thus, the common citizens of the society are also at greater risk of experiencing violent incidents like such.

IV) Incidences of Homelessness can be avoided or mitigated if government takes adequate steps to provide affordable housing for all; something akin to ‘Obamacare’ that aimed at providing medical assistance to all. By employing them even in mundane activities like cooking, cleaning or printing, they would be preoccupied with work, that would not only make them financially sound to some extent, but they can start thinking about possibilities of their future, Often it is seen that homeless people live without any purpose and concern about their future, but giving them an opportunity to think so, can actually pull them out from the state of homelessness.

V) Another solution to keep homelessness is at bay is by sharing accommodation and co-living, that has emerged as a new concept. Many people work at night and need a place to rest in the morning and on the other hand, some people work during day but need a shelter at night, hence, housing (viewed as a resource) can be pooled to minimize cost and maximize utility from the same space/shelter.

VI). The opposite stance of mine is that by picking up a collective approach, there society would have to handle additional burden. The hard earned money that members of the society pay as tax, would get heavily allocated towards providing shelter and assistance to homeless people. This would create an additional pressure on the federal annual budget allocation, thus eventually the tax burden on common tax-paying citizen would rise. Furthermore, the concept of shared accommodation would lead to invasion of privacy and at times, can become intrusive in nature.

 

 

 

 

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Nursing homework help

July 2, 2025/in Nursing Questions /by Besttutor

Details:

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:

  1. Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).
  2. Complete a physical examination of the client using the “Health History and Examination” assignment resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template.
  3. Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at https://www.ihs.gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf as a guide.
  4. Document the findings of the physical examination in the assessment worksheet.
  5. Using the “Health History and Examination” assignment resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.

APA format is not required, but solid academic writing is expected.

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 Turnitin.

NRS-434VN-R-Functional-Health-Pattern-Assessment-Student.docx NRS-434VN-R-IndividualHealthHistoryandExaminationAssignment-

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