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Culture and Society week 1 Discussion|2025

February 15, 2025/in Nursing Questions /by Besttutor

SOCS185N-11504 Discussions Week 1 Discussion: Social Caus…!

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This is a graded discussion: 25 points possible

due Sep 9 at 1:59am

Week 1 Discussion: Social Causes of Suicide

8 8

# Reply

Required Resources Read/review the following resources for this activity:

Lesson Minimum of 1 outside scholarly source

Initial Post Instructions Sociologist C. Wright Mills preferred to call the sociological perspective the sociological imagination, and he saw it transforming personal troubles into public issues. Let us begin our discussion this week by considering suicide, which is thoroughly explored in Chapter 1 of the textbook.

For the initial post, address the following:

How does the sociological imagination help to examine private acts such as suicide within a larger societal context? What are some examples of social forces influencing youth suicide trends in the United States, suicide trends in India, and suicide trends in the U.S. military? Use the sociological imagination to explain your observations, and how the sociological imagination helps us consider the causes and possible solutions to suicide.

Follow-Up Post Instructions Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification and/or include perspectives from outside scholarly sources shared in the discussion forum by classmates and/or the instructor.

Writing Requirements

Minimum of 3 posts (1 initial & 2 follow-up) APA format for in-text citations and list of references Include citations from at least the assigned textbook/lesson reading and one additional outside scholarly source to support your response.

Grading This activity will be graded using the Discussion Grading Rubric. Please review the following link:

Link (webpage): Discussion Guidelines

Course Outcomes (CO): 1, 2

Due Date for Initial Post: By 11:59 p.m. MT on Wednesday Due Date for Follow-Up Posts: By 11:59 p.m. MT on Sunday

Reference

Kendall, D. (2018). Sociology in our times: The essentials (11 ed). Boston: Cengage Learning.

 

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Sheila Farr (Instructor) Aug 25, 2019

# Reply $

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Hello Students,

As you begin to analyze “the sociological imagination, I encourage you to ask yourself the following question: “How can you analyze other situations, not just suicide as you will do in this question using what you have learned about the sociological imagination.” It may be helpful if you have this question in the back of your mind as you are addressing the various parts of this discussion question. I think this discussion will be a lively one!

This discussion covers the following outcomes: (CO #1 ) (PO #1 & #3) as outlined in your syllabus.

http://www.popularsocialscience.com/2013/04/29/t he-sociological-imagination-thinking-outside-the- box/

Best,

Sheila Farr

Sameera Farhood Thursday

# Reply $

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Suicide is more than a private act amongst oneself. The sociological imagination helps us place seemingly personal troubles, such as loosing one’s job or feeling like committing suicide, into a larger social context, where we can distinguish whether and how personal troubles may be related to public issues (Kendall, 2018). It helps us take personal troubles, that are happening worldwide, and make them into public issues. For example, in New Delhi, India, a new economic boom has increased suicide rates in the 15-29 age category, especially high among those living in the wealthier areas. Many people would read about an economic boom and automatically think about how the civilians living in that area must be living a “good” life, when in reality, it is causing a major public issue behind the scenes. The result? Intensified job anxiety, higher expectations, and more pressure for individual achievement (Kendall, 2018). The sociological imagination is the reason today that we are able to take personal troubles, such as suicide, and link them to many different public issues, figuring out what the cause is. It has helped us focus more on the social problems causing individuals to act out rather than blaming individuals for creating their own problems, making them act in such ways. Many sociologists have also used the sociological imagination in a way to explore the relationship between suicide and today’s society, creating theoretical perspectives. One perspective that was applied to suicide is the Symbolic Interactionist Perspective which focuses on studying at a microlevel, analyzing people’s face-face interactions and the roles they play in society. From this point of view, a suicide attempt may be a way of garnering attention-a call for help- rather than ending ones life (Kendall 2018). Social forces influencing youth suicide trends starts with what one see’s, hears about or is exposed to. About a third of respondents reported hearing about cutting from an outside source, such as books, magazines, TV, or friends. In some instances, it was picked up from friends who were engaged in the practice. These findings suggest that some self-injurers do in fact learn the practice from others ( Taylor & Ibañez 2015). In today’s society I have observed many different things when referring to suicide. I believe that there are still problems with people blaming an individual instead of trying to solve the issue, whether it is personal or public; I have also seen many areas, globally, attempt to reach out and help suicidal people, making them feel like they have another option, another reason to continue living. Overall, the sociological imagination has helped us look deeper into the causes of suicide, analyzing the individual at a micro and macro-level, which has helped us realize the private issue is more of a public issue in todays society.

 

 

Taylor, J., & Ibañez, L. (2015). Sociological approaches to self-injury. Sociology Compass, 9(12), 1005-1014. doi:10.1111/soc4.12327

Kendall, D. (2018). Sociology in our times: The essentials (11 ed). Boston: Cengage Learningth

Amber Britt Yesterday

# Reply $ (1 like)

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Hello, Sameera! I loved your interpretation of C. Wright Mills sociological perspective. I also agree that a problem often seen is blaming. I’d personally have to say blaming is another form of and/or can lead to shaming which is a big concern for me. An approach I’ve recently learned about that can help minimize such acts are social support as introduced in the functional perspective of sociological imagination! Like any plan, it could be disrupted, leading to a disorderly system, so I encourage anyone dealing with their own “private affairs or distresses” to continue to seek help and guidance and to be reminded that their problem is not being faced by only them but others too (global interdepence—a relationship in which the lives of all people are closely intertwined and any one nation’s problems are part of a larger global problem).

Eric Devich Yesterday

# Reply $ (1 like)

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Sameera, I agree that personal troubles refer to the problems affecting the individuals, that the affecting individual, including other members of the society, typically will blame on the individuals own personal and moral failings. As you have said, blaming is a form of rejection that society uses to reject a person who made mistakes or failed at something. Instead society should do everything to still accept that person and help pick them back up. Just like Amber said in her reply, there are many things in society that will help an individual. Social Support definitely is a big one. Social issues are the main reasons why individuals commit suicide. When society makes you feel like you belong, you get a since of being wanted. This in turn gives that individual a since of purpose. Appraisal support is another key concept that should be followed. Having another person to get reasonable advice from to help in a certain situation is very beneficial. I agree that the Social Imagination helps us to get a bigger picture of what may cause suicide and being able to look at the smaller details, which help us to realize that an individual issue is more of a public issue.

Amber Britt Yesterday

# Reply $

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One would think their struggles are supposedly lived alone and told they are brought on because of their own personal actions and decisions. C. Wright Mills proposes those thoughts to be disprovable through a systematic study called sociological imagination. It is simply not ‘you vs. the world’, but you AND the world. This perspective gives one the ability to differentiate experiences of oneself and societal molding and to see private affairs like financial instability or unemployment are caused by social causes like environmental concerns or even poverty. Social Imagination is constructed of research methods (e.g. surveys, questionnaires and interviews) and theoretical perspectives such as the functionalist perspective and symbolic interactions which views society on a microlevel.

Global interdependence—a relationship in which the lives of all people are closely intertwined and any one nation’s problems are part of a larger global problem (Kendall, 2018)

is introduced when grasping an understanding of the relations of both personal distresses and public affairs. Mills points out that your problem is faced by others but even so your simple daily activities like jeopardizing study time to scroll on a social media platform and like pictures. (Examples of Sociological Imagination, n.d.) Sociological imagination, encourages one to think outside of their norm, to remove themselves and think beyond in certain approaches, global for example. Society removes individualistic decision making. One might think that their subconscious decision to take a certain route over the other or choice to purchase a specific brand instead of the other is commonsense, almost like an un-doubtly right decision that’s been shaped by past experiences. C. Wright Mills deems “commonsense” not commonsense at all but rather myths. (Kendall, 2018 p.6) For example, memes created by users on the internet and shared by thousands a day can be said to be agreeable or felt need to be. They encourage groupthink and could produce harmful outcomes like suicide. Memes or rather social media ultimately, are big social forces influencing suicide trends in the United States. Social media includes any coverage that can be seen, heard or experienced like tv shows (copycat suicides), the news, and peer pressure from (cyber)bullies or friends who’ve attempted themselves. Social media in the U.S. even effects our food and drinking consumption which becomes social rituals that places more importance on the symbolic value of a cup of coffee or tea than the food itself. A cup of tea could be more than for a health benefit but rather social interaction or coffee for its drug effects on the brain rather taste. (Crossman, 2019)

Is the saying, “money can’t buy happiness” true? The economic boom in Dehli, India proves it to be. The suicide rates in India are highest amongst the rich, in ages ranging from 15 to 29, as well the well educated. (NDTV.com, 2012;Lancet 2012; Kendall, 2018 p.7) It is understandable that with wealth and proper education more opportunities are introduced, however, so are job performance anxieties, mental and health issues (e.g. sleep disorders, depression, heart issues) and weakened relationships with people because of moving. When people move because of an increase of income, they lose social support which is expressed to be very important in the functionalist perspective of sociological imagination. The functionalist perspective, when disrupted leave people to question their lives and their ability to live it. One study that examined the functions of social support in reducing or preventing suicidal ideation in Air Force personnel during U.S. combat operations in Iraq and Afghanistan found that all forms of social support were not equally important in protecting individuals against suicidal thoughts or actions. Esteem support played a big factor in the severity of the Air Force personnel’s thoughts of suicide. (Kendall, 2018 p.15)

Sociological imagination helps identify the causes (and indirect preventions) and solutions by placing flaw in public issues rather than a person’s life’s decisions. Shame is a factor I’ve observed that results in suicide and many seemingly private acts like it. Others shame people into losing their interests and rob them of the fact they are human. This shame tactic is often seen with teen pregnancies, addiction, homelessness, incarceration and even simply music taste. Resources for help and guidance in certain communities are limited or not utilized as a result of self-shame or fear of being ridiculed.

Overall, the sociological approach has allowed for us the opportunity to look more in depth to an act deemed private. It allows us to take the action of an individual that would other wise be classified as personal and relate it to and identify society’s role in that action. We are able to then use theories and perspectives to help further understand an individual and find solutions to help.

 

 

 

 

Kendall, D (2018) Sociology in our times: The essentials (11 ed). Boston: Cengage Learning

 

Examples of Sociological Imagination. (n.d.). In YourDictionary. Retrieved from https://examples.yourdictionary.com/examples-of- sociological-imagination.html

 

Crossman, Ashley. (2019, March 26). Definition of the Sociological Imagination and Overview of the Book. Retrieved from https://www.thoughtco.com/sociological-imagination- 3026756)

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Sheila Farr (Instructor) Yesterday

# Reply $

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Hello Students,

Thinking specifically about the connection between personal troubles and public issues, do you think there are any social problems in which this connection is hard to make? For example, can you look at poverty in general from this perspective?

Best,

Sheila Farr

Sameera Farhood Yesterday

# Reply $

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Poverty from a sociological stand point can be interpreted in many different ways. Two main ways are; someone living in poverty brought it upon themselves or someone is living in poverty due to the society they live in and social forces around them. Generally speaking I truly think linking poverty (a personal trouble) to public issues is a hard connection to make.

Think of it this way, you can attempt to link poverty to unemployment issues globally but; not everyone who is unemployed is poor and not everyone who is poor is unemployed. Poverty is one of those things that is not fully understood yet due to the many different people/social classes dealing with the issue.

I do believe that there are some social forces and public issues that can be linked to poverty, especially those who are dealing with it while employed. For example, you have a single mother who is living in poverty while working a full time job but she’s only being paid minimum wage and she has to provide for herself and her child. With that example, we could definitely link minimum wage being too low (a public issue) to poverty (a personal trouble).

Although looking at poverty from a sociology stand point can be difficult, there are some ways you can look at it from the perspective of linking a personal trouble to a public issue.

Eric Devich Yesterday

# Reply $

”

The Sociological Imagination helps to examine private acts such as suicide in a larger societal content as explained by the Sociologist C. Wright Mills. He helped individuals see the relationship between personal experiences and the larger social world. Suicide is more of an individual act of oneself that may be the result of personal troubles or social issues. Personal troubles are private problems that affect individuals and the networks of people with whom they regularly associate (Kendall, 2018, p. 6). Today, there are many trends in different countries all around the world that influence the current rise of youth suicide. One example, in New Delhi, India, suicide rates are highest in the 15-29 age category and are especially high among those living in the wealthier and more educated regions of the nation (NDTV.com, 2012;Lancet 2012; Kendall, 2018, p. 7). One might believe that in the world today, areas of great wealth would have lower risk of suicide. When in reality, they have the highest risk. Intensified job anxiety, higher expectations, and more pressure for individual achievement (Kendall 2018, p. 6). People would normally think the poor and uneducated would have the greater risk of suicide.

Some trends that are increasing youth suicide in the United States are income, gender disparities, age group differences and risk factors. In the United States, females are more likely to commit suicide than males. Some risk factors may include not having access to healthcare, to help prevent the chance of an individual committing suicide. Trends that lead to suicide in the U.S. Military may include unequal social support or companionship. Tangible support, which an individual has someone who is willing to help them with money or assistance. Appraisal support, which requires having someone to listen and hear problems and provide useful information on how to solve them. Esteem support deals with having people show concern for an individuals well-being and have confidence in that individual to overcome any obstacle. Esteem support was found to be one of the most important factors in whether the Air Force personal had experienced severe suicidal ideation (Kendall 2018, p. 15).

Today, the sociological imagination allows us to bridge the connection between why an individuals problems and thoughts of suicide occur in relation to problems in society. Social issues are the main reason why individuals commit suicide. Being able to distinguish between personal troubles and greater social issues is the true heart of of thinking sociologically (Wiley 2015). I have observed many ways that suicide has been expressed to the public. Whether it has been on television or on social media. It does not help that almost everyone in the world has easy access to both of these and in return is exposed to the ways that some individuals live their daily lives. Seeing this puts an added pressure on individuals who may not live an extravagant lifestyle. Individuals posting on social media such as, Facebook and Instagram, expressing a new job and are advancing up the ladder of success. Individuals today are triggered by this because they may not possess the same skills and advantages that some individuals may have. Many times individuals feel that their failure to get hired is a personal problem due to a poor interview or lack of experience (Wiley 2015). Another problem in society today are structures. Structures are “common and persistent roles and relationships that shape human interaction (Wiley 2015). Relationships could be husband and wife, boyfriend and girlfriend, employee and employer. Problems between structures can lead to suicide. Whether it may be an argument between a husband and a wife or the loss of a job to an employer. Both of these are reasons in a society that lead to suicide. Individual choices of a person reflect how they see themselves. Society looks at individuals who are different from the rest and considers them to be outcasts. Individuals involved in teen pregnancy, drugs, or even who smoke are open targets for society to single out and look at differently. Social media has a big influence on depicting this and how these individuals are shown. Television shows picturing women who became pregnant at a young age and now have trouble supporting there children because they’re trying to go to school and work at the same time. All of this shows what can happen after making poor choices. Society today looks down on individuals who make the poor choices. As a result, that individual becomes ignored and feels like they are not accepted anymore in society.

Overall, C. Wright Mill’s Social Imagination has helped us to paint a bigger picture and really understand how society has an influence on the lives of its people. If we don’t make a change, suicide as a resort to end individual problems will continue to rise. It is clear that being aware of structures and institutions can drastically alter the way we view the world. They act as tools within the greater sociological imagination to help us think critically about why individuals may make choices (Wiley 2015). Being able to analyze the smallest problems with the biggest problems of an individual, will help to understand how an individual issue can become more public in society.

 

 

Kendall, D. (2018). Sociology in our times: The essentials (11 ed). Boston: Cengage Learning

Wiley, Jeanette. “Sociological Imagination: A Critical Way to the World (Community, Environment, and Development: An Undergraduate Research Journal).” Community, Environment, and Development: An Undergraduate Research Journal (Penn State University), 6 May 2015, https://aese.psu.edu/students/research/ced- urj/news/2015/sociological-imagination-a-critical- way-to-the-world.

 

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PowerPoint presentation sentinel city|2025

February 15, 2025/in Nursing Questions /by Besttutor

Summary

A community is a group of individuals with a shared characteristic or interest living together within a larger society. Per Saarloos, D., Kim, J., & Timmermans, over the course of twenty years, the field of health promotion has revealed increased attention for the likely impact of the environment on health. It has become the standard approach to categorizing the various environmental influences on individual health behavior (2009. para. 3). In a community, there are eight subsystems; they are physical, health and social, safety and transportation, education, recreation, politics and government, communication, and economics. In Sentinel City, there are four communities. In this paper, I will continue my window survey and discuss four of the eight subsystems with exploring the different communities.

please read the paper below to find some information to complete the assignment. you can also find more information on the internet.

Physical Environment

The Physical Environment features of communities have been linked to disability, mortality, general health status, chronic conditions, birth outcomes, health behaviors and other risk factors for chronic disease. Along with mental health, injuries, violence, and other important health indicators (Cubbin, Pedregon, Egerter, & Braveman. 2008).

Sentinel City’s first community, Nightingale Square the sidewalks and streets have hardly any rubbish on them and are not in bad shape, buildings are mostly big and bright, there may be some graffiti but it is not much, and it is not that obvious. The trees are nicely trimmed, and beautiful cars line the road. Nightingale Square has tennis courts, a basketball court, and parks, large condominiums, beautiful storefronts for clothing, jewelry, and various other shops. There are a grocery store and a gas station located at the end of the community, where it seems to be not as clean, and a small amount of garbage is outside a few buildings. Buildings are not quite as attractive but are still nice, and there is more graffiti on the buildings. There is a large pharmacy, a dentist office and barber shop in the vicinity. Residents are walking, running biking, and walking dogs. Nightingale Square is a community that has “everything” there is a sense of friendliness and openness to other people towards grocer, but in the other areas, there seems to be a feeling of superiorness to the remainder of the community. At and across from the grocer seems to be a place that people like families, couples and others will stop by and watch the entertainment or come to meet people to “hang-out.”

The second community is Acer Tech Center the sidewalks and streets are mostly clean, buildings are in good shape, there is more garbage outside buildings, sidewalks are nice, and there is a bit more graffiti than Nightingale Square but not too bad. A few loose dogs and cats are running around, the trees are neatly trimmed, and the cars are in good shape. A large hospital, Sentinel City Healthcare Center is one of the first things to see and then there is Acer Center Business Center next to it. In between the hospital and the business center, there is a large fruit stand and courtyard where people are “hanging -out.” There is a small grocer, but the large one is not too far away clothing shops, a barber shop, and trade shops. City Hall is in Acer Tech Center where there is a bunch of protesters (middle-class?) protesting about taxes. There is a Historic Hotel in Acer which is more than likely a tourist attraction or something like that. People are walking, riding bikes and running. There is another “hang-out” area in a courtyard across from the Affordable Housing Project, where there are a small fruit and vegetable stand with people sitting on benches, standing, or walking around. Acer Tech seems to be friendly, and a more pleasant area to welcome strangers because there is a large mixture of people throughout the community in various classes, races, and ages. The third community Casper Park is unlike the first two communities, the streets are dirty, there is, even more, garbage outside buildings, there is more noticeable graffiti, and the buildings need repair, some of them have windows boarded up and some vacant. Low-Income Housing is available, there are fewer cars, and the are not in top working order. The park is in appalling shape with garbage, and crates all around, homeless people, dogs, cats, and rats running around. The trees and grass are overgrown and need some attention. There is a small fruit and vegetable stand and courtyard across from Low-income Housing; people are sitting on benches and walking around. There is a small grocer, a check cashing store, clothing store, pawn shops, and a barber shop. Casper Park at first seems to be welcoming and friendly but going deeper into the community you get a sense of territoriality.

The last community is Industrial Height, the first thing in the community is the school which is nice with a large playground attached. There is a church with a soup kitchen, the streets dirty but not too bad. However, the deeper into the community, the more garbage there is that lines the streets. Graffiti is all over,  from the church with signs of tagging in various buildings like the Better Health Clinic and the building next to it, which seems to be a gang’s hang out due to the massive skull sign out front. There are cars broke down, one on fire, garbage can on fire, buildings have large gang related murals painted on the some of the sides. The Department of Transportation is located here, down the street there is a rundown grocery with not much to choose from, there are boarded up store fronts and one store with busted out windows. Construction for re-development housing with burst sewage pipes with more dogs, cats, and rats running free. There are few cars on the road, an occasional motorcycle every so often and some people walking. This community is not welcoming; it has a feeling of being very unsafe, it is very closed-up and territorial areas.

Health and Social Services

“Access to comprehensive, quality health care services is essential for promoting and maintaining health, preventing, and managing the disease, reducing unnecessary disability and premature death, and achieving health equity for all Americans. This topic area focuses on three components of access to care: insurance coverage, health services, and timeliness of attention. When considering access to health care, it is important also to include oral health care and obtaining necessary prescription drugs” (Access to Health Services. n.d.).

Sentinel City Healthcare System has various healthcare and social service facilities in all the diverse communities. There is the main hospital with the Emergency, Inpatient, and ambulatory care. Spread throughout the city are nine primary care clinics with Eighty-two physicians and eight specialty clinics with thirty-three doctors. The dental care there are three orthodontist clinics, one endodontist clinic, three dental hygiene clinics and two pediatric oral surgery clinics which are also spread throughout the city. Mental Health services are also available throughout the city the Mental facilities range from case management service to the State Mental Hospital to have a total of five options. The vision clinics and vision therapy centers are also spread throughout. Depending on the community is the deciding factor to what is available, unfortunately, the communities needing the most healthcare, the poor and impoverished communities have the least available or needs to travel the furthest. Eldercare social services that are available are medical assistance advocates, service animals, Government Entitlement Assistance, Senior Community Centers, Meals on Wheels, and Elder Abuse Prevention Advocates. There are 3472 senior living units, twenty-four Swing bed, thirty-six Long Term Care, and sixty-four Skilled Nursing facilities. More facilities are two hundred forty-eight Assisted Living, 2874 Nursing Home units, and 1048 independent senior living apartments, these are all spread through the city.

Healthy food choices are also of importance there is Jo’s Grocery in Nightingale Square that sells organic food for most their sales, there are three fruit and vegetable carts in two of the communities Acer Tech, and Casper Park placed at the courtyards in the community. The fourth community has a Soup Kitchen at the church that feeds the homeless and hungry healthy meals. Besides the large grocery store, there are many small groceries and one that is moderately sized in Industrial Heights. There are numerous fast food restaurants, Italian, donut shops, Sushi, Pizza shops, to name a few. There are a few of restaurants that are sit down dinners with healthy choices available.

Safety and Transportation

Per the website, County Health Rankings, Community Safety considers not only intentional acts in neighborhoods and homes but also injuries caused accidentally. Many injuries are predictable and preventable. Living in unsafe neighborhoods can accelerate aging and harm health because of the chronic stress associated with it. Neighborhoods that are unsafe causes anxiety, depression, and stress, keeping people indoors, away from neighbors, exercise, and healthy foods due to the fear of violence. Jobs are harder to find because companies may be less willing to invest in unsafe neighborhoods (2017).

Sentinel City, has a high rate of violence, depending on the community is greater the risk of being a crime victim, There are Police patrolling in police cars in all communities. The police seem to have the city covered a good as possible, they are at the Grocery Store in Nightingale Square, directing traffic at the hospital in Acer Tech, and the School in Industrial Heights. Other that having an increased amount at City Hall for obvious the obvious reason of the protest there are also increased in Industrial Park for the broken storefront windows and patrolling on foot in Casper Park. Even tough there seems to be somewhat adequate police presence; I feel that it is highly possible for crime to be committed, especially in Industrial Heights and Casper park. Due to gang involvement, low-income and poverty, this makes it a greater chance for there to be crimes and aggravated assault being the top crime.

Transportation in Sentinel City appears to be mostly by taking the bus, the next would be by bicycle, and then by car. Traveling on foot seems to be another means used by the residents. The least costly is bicycling/walking, the riding the bus and last would be by car. Another form of transportation ing Sentinel City that would be to travel from city to city is the train systems; it passes above Pine Street behind City Hall in Acer Tech. There is a highway close by because of there is an overpass over Station Road in Nightingale Square. There are fire hydrants throughout Sentinel city, and there is a Fire Department that responds to the car and garbage can fire in Industrial Heights.

Conclusion

Sentinel City is just like any other city; there are kinds of people with many different situations. These people are rich, poor, or somewhere in between. There are no clear natural boundaries in Sentinel City, but you can see the conditions of the different communities an indication of these limits. The various communities where the people live, work, play, and how they live to affect their health. “Poverty and poor health worldwide are inextricably linked. The causes of poor health for millions globally are rooted in political, social, and economic injustices. Poverty is both a cause and a consequence of poor health” (Key Facts Poverty and Poor Health. n.d.).

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Grammar Editing|2025

February 15, 2025/in Nursing Questions /by Besttutor

Why do you believe CCOM would provide you with the type of osteopathic medical education you are seeking? (1500 characters) According to Dr. Goeppinger, if healthcare is my calling, Midwestern University is my home. I am certain that Chicago College of Osteopathic Medicine will provide me with precisely the type of osteopathic medical education I seek because of its dedication to fostering innovation in medicine and teaching and success producing primary care doctors of integrity. I especially look forward to bridging traditional classroom learning and real-life clinical experience at the Clinical Skills and Simulation Center. The center will serve as a place to master medical procedures and collaborate closely with peers from other disciplines. In addition, attending CCOM would grant me the opportunity to contribute to the development of a dynamic institution through research and further my quest to provide excellent primary care. My motivation to pursue general medicine stems from the declining number of primary care physicians. This motivation is reinforced by witnessing poverty and lack of care both in my hometown and while serving San Francisco General Hospital’s disadvantaged patient population. Doctors under increasing pressure to see more patients can only result in less accurate diagnoses, lower quality treatment plans and less time for doctors to make a human connection with their patients. Earning the opportunity to study at CCOM will allow me to accomplish our shared objectives of making deep connections with our patients and exemplify the “Midwestern difference”. Why should CCOM accept you into this year’s class? (1500 characters) Chicago College of Osteopathic medicine should accept me into this year’s class for my demonstrated commitment to osteopathic medicine and cultural diversity and perspective I will bring to the program. I came out to my family 10 months ago and I was forced to abruptly uproot myself to Seattle, Washington in order to live my truth. I am an Armenian Christian female who identifies as a lesbian. Navigating towards a career in medicine from a disadvantaged background was incredibly challenging yet rewarding. Being an active member of cultures that have been historically oppressed instilled an appreciation for hard work and commitment to reaching my goals. Despite these recent financial and emotional set-backs, my determination to pursue osteopathic medicine was reaffirmed. My fearlessness and ability to rebuild and progress regardless of external circumstances will make me an excellent candidate.

 

 

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February 15, 2025/in Nursing Questions /by Besttutor

Therapeutic Communication

Student’s Name: Client’s Initials: M.P.

Date of Interaction: 27 October 2015 Therapeutic Communication #3

 

ASSESSMENT:

· Background Information: M.P. is a 54yo separated Caucasian woman who was encouraged to go to ABH after sharing with her day group that she possibly overdosed the day before on one of her home medications. She has a history of major depressive disorder which has left her out of work for several years and recently she has developed suicidal ideations in the past several months.

 

 

· Medications

1. Aripiprazole (Abilify), 15mg tab PO nightly—for psychosis

Side effects: dizziness, weakness, nausea, vomiting, fatigue, excess saliva, choking or trouble swallowing, blurred vision, headache, anxiety, weight gain, sleep problems, constipation

2. Diphenhydramine (Benadryl), 50mg cap PO nightly—for insomnia

Side effects: sedation, fatigue, dizziness, disturbed coordination, constipation, dry mucus membranes, blurred vision, tremor, anorexia, nausea

3. Fluoxetine (Prozac), 5mg tab PO nightly—for depression

Side effects: nausea, constipation, headache, anxiety, insomnia, drowsiness, dizziness, heart palpitations, weight changes, cold symptoms, dry mouth, impotence

4. Lithium, 300mg cap PO QID—for mood stability

Side effects: tremors, increased thirst, increased urination, diarrhea, vomiting, weight gain, impaired memory, poor concentration, drowsiness, weakness

5. Oxybutynin (Ditropan), 5mg tab PO BID—for bladder spasm

Side effects: dry mouth, blurred vision, constipation, diarrhea, nausea, dizziness, weakness, headache, insomnia

6. Propanolol (Inderal), 10mg tab PO BID—for tremors

Side effects: dizziness, fatigue, nausea, vomiting, stomach pain, vision changes, insomnia

· Assess myself: While I had prepared to present my teaching project that day, I was eager to help the nurses and spend time with patients. It was my last week on Montgomery unit, so between my teaching project and interacting with patients on the unit, I was eager to have a productive day.

· Assess milieu : There were 12 patients on the unit that day. Many of the patients were spending time with each other in the day room, laughing and chatting as they painted each other’s nails. Because of MP’s fluctuating SI and recent attempts to hide plastic utensils in her room, the nurse asked if I would sit with MP while she ate dinner.

DIAGNOSIS:

Nursing diagnosis: Risk for self-directed violence, ineffective individual coping, anxiety, hopelessness, social isolation

PLANNING:

· Describe a tentative goal of the TC: I want the patient to openly discuss her recurrent suicidal ideations and contemplate stressors. Hopefully I can also direct her to focus on the positives in her life, like her family and her possibilities.

· By completion of the TC, the patient will:

1. Discuss her desire to die.

2. Recognize possible stressors leading to SI.

3. Focus on the positives and motivations in her life.

 

IMPLEMENTATION:

Nurse Communication Patient Communication Analysis of Process Therapeutic Technique
“How are you doing today?” “Okay. Depressed, I guess, but that’s normal.” Although I’ve talked with this client before, I was a bit surprised at her openness. Using broad openings
“How long have you been feeling depressed?” “I guess about one year with major depression, but about five years depressed.” From her chart I knew she had a history of depression, but I was curious what her perception was. Exploring, seeking clarification
“How have you been feeling lately?” “It’s been… well, bad enough to be hospitalized. I was having suicidal thoughts so they thought it best that I come in.” Her feelings have been fluctuating, so I wanted to understand why they are fluctuating. General leads (nodding my head), exploring
“Do you still have suicidal thoughts?” “Yeah” I ask this not just to gauge her fluctuating feelings but also to check her safety and risk of danger to her safety. Seeking clarification, exploring
“Do you have the desire to kill yourself?” “Sometimes.” After talking with another client about his lack of desire to kill himself but the presence of suicidal thoughts, I was curious if she actively desired to end her life. I am not surprised by her answer, but I want to understand her further. Summarizing, encouraging description of perceptions
“Tell me more about that. What do you think brings on those thoughts?” “Well a long time ago I was abused, and I blamed my mom for the abuse but I also blamed myself.” I hadn’t known about the abuse, so it is an interesting piece of her case. Because we are alone and it doesn’t sound like she wants to go into details with the abuse, I decide not to press for more details. Exploring, focusing, using broad openings, seeking clarification
“That’s interesting. Why do you think you blame your mom?” “She was passive. She was the kind of person who put on a smile even if things were going bad. I respect and admire her in a lot of ways. She visited me last week and talked about the abuse.” She has a lot to say about her mom, so I guess she has thought a lot about her and their relationship. Looking back, I should have asked the client why she felt guilty for the abuse. Restating, encouraging description of perceptions, seeking clarification
“You sound glad that she talked about it with you.” “Yeah, she’s never done that before, I was very surprised. She also talked about my sister’s abuse. My sister and I only talked about it recently, and I felt like I should have known.” I feel sad that she endured abuse within her family, and that her whole family was affected by it. Thankfully, by talking with her mom about this, it seems like she has begun to heal from it. I wonder how she would have grown up if her family recognized and dealt with the abuse sooner. Attempting to translate into feelings
“You have a lot of siblings, right?” “Yeah, 6 sisters and 3 brothers. Big Catholic family.” She chuckled as she said the last part. I had remembered her having a big family from a previous conversation. Exploring
“Do you get support from your family?” “No, not really. Some live nearby but I lost touch with them. I tend to isolate myself because of the depression, which I know I need to fix.” I found this insight interesting because she seems to want to get better and fight her depression, even though she sometimes has the desire to kill herself. Focusing, exploring,
“So you want to spend more time with people.” “Yea, I think I should try to spend more time with my family.” She sounds interested in improving her health with this feasible fix. Restating
“I think I have to go now, but it was great talking with you and I hope you get better soon. I’ll see you later.” “Thanks, see you later” It was time for me to leave for dinner, but I wanted to assure her that I listened and sincerely wanted her to find healing. Encouraging formulation of a plan of action, offering self

 

EVALUATION:

· Strengths and weaknesses of the interaction: She seemed honest with me about her risk for suicide, although I think I could have asked her more about that. She had good insight of her social isolation and how that contributes to her depression. Despite her openness, I am unsure if she found meaning in our conversation or if she was merely going through the motions.

· Outcomes of the session: She shared her history of depression and abuse, which shows that she recognizes the negative things in her life. It was difficult to explore the problems weighing on her mind and give adequate time to redirect to the positive parts of her life. All in all, I believe that after our conversation, this client has reinforcement to build healthy relationships and fight her depression.

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PROFESSIONAL PORTFOLIO|2025

February 15, 2025/in Nursing Questions /by Besttutor

1.  Create a professional mission statement (suggested length of 1 paragraph) that includes the following:

●   a representation of your career goals, your aspirations, and how you want to move forward with your career

●   an overview of where you would like to focus your time and energies within the profession

a.  Reflect on how your professional mission statement will help guide you throughout your nursing career.

2.  Complete a professional summary (suggested length of 3–4 pages) that includes the following:

a.  Explain how the specific artifacts or completed work or both in your portfolio represent you as a learner and a healthcare professional.

b.  Discuss how the specific artifacts in your portfolio represent your professional strengths.

c.  Discuss challenges you encountered during the progression of your program.

i.  Explain how you overcame these challenges.

d.  Explain how your coursework helped you meet each of the nine nursing program outcomes.
Note: Refer to the attachment “Nursing Conceptual Model.”
e.  Analyze how you fulfilled the following roles during your program:

•   scientist

•   detective

•   manager of the healing environment

f.  Discuss how you have grown professionally since the beginning of your program.
B.  Complete the following within the section “Quality and Safety”:

1.  Reflect (suggested length of 1 page) on your professional definition of quality and safety developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

i.  Explain how these artifacts support your definition from part B1.
Note: The artifacts should be attached within the portfolio.
2.  Discuss the importance of the Institute for Healthcare Improvement (IHI) certificate for your future role as a professional nurse.
C.  Complete the following within the section “Evidence-Based Practice”:

1.  Reflect (suggested length of 1 page) on your professional definition of evidence-based practice developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

i.  Explain how these artifacts support your definition from part C1.
Note: The artifacts should be attached within the portfolio.
2.  Reflect (suggested length of 1 page) on your understanding of evidence-based practice and applied nursing research by doing the following:

a.  Discuss how you are able to evaluate current primary research and apply the concepts to your nursing practice, considering the following:

•   relevancy and believability of data

•   differences between quality improvement and research (places and uses of each)

•   differences between primary and secondary research and resources and the implications of each in clinical practice

b.  Explain how your experience in the program helped you achieve excellence in evidence-based practice.
D.  Complete the following within the section “Applied Leadership”:

1.  Reflect (suggested length of 1 page) on your professional definition of applied leadership you developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

i.  Explain how these artifacts support the definition from part D1.
Note: The artifacts should be attached within the portfolio.
2.  Summarize (suggested length of 1 paragraph to 1 page) your Learning Leadership Experience task by doing the following:

a.  Discuss the importance of professional collaboration for effective nursing leadership.
E.  Complete the following within the section “Community and Population Health”:

1.  Reflect (suggested length of 1 page) on your professional definition of community and population health you developed in Professional Roles and Values, including any necessary changes to your definition.

a.  Discuss how the program assisted you in developing your professional definition.

b.  Identify the artifacts in your portfolio that support your definition.

i.  Explain how these artifacts support the definition from part E1.
Note: The artifacts should be attached within the portfolio.
2.  Summarize (suggested length of 1 page) your Community and Population Health task (STIs) by doing the following:

a.  Discuss what you learned during your Community Health Nursing task (STIs).

b.  Discuss what you learned led to your community diagnosis ( Nursing Diagnosis Statement: Sexually transmitted infections are common among adolescent individuals living in Florida).

c.  Discuss how your initial focus and diagnosis evolved after working with your population.

DO WHAT YOU CAN. THERE ARE SOME SECTIONS YOU WILL NOT BE ABLE TO QUITE ANSWER SUCH AS THE ARTIFACTS. DO THE BEST YOU CAN. THANK YOU.

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picot question paper|2025

February 15, 2025/in Nursing Questions /by Besttutor

Purpose

This assignment provides the opportunity for the student to continue work on a previously identified area or phenomenon of interest related to their MSN specialty track. Week Two’s assignment builds upon the identified area of interest by developing an overview of the evidence-based practice (EBP) project and the PCIOT/PICo question. This assignment initiates the evidence-based practice proposal that is continued throughout the entire course with each assignment adding components of the research process.Course OutcomesThis assignment enables the student to meet the following course outcomes:CO#1 Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. PO 1CO#2 Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes.  PO 2, 5CO#4 Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. PO 1, 2, 3, 5Due Date: Sunday 11:59 PM MT at the end of Week TwoTotal Points Possible: 150 pointsRequirementsDescription of the AssignmentThis assignment builds on the identification of a nursing concern from NR 500 and the application of a nursing theory to the selected concern from NR 501. For this course, the selected concern and nursing theory then serve as a foundation to the identification of PICOT/PICo. Identification of the literature search strategy is also required.Criteria for Content1. Overview of Selected Evidenced-based Practice Project: This section provides a foundation to the MSN EBP scholarly project. It should contain the following elements:· Explain the relationship between research and evidenced-based practice (EBP)· Distinguish how EBP is different from research· Explain the contribution of EBP to professional nursing· Identify your MSN Program Specialty Track and practice focus· Explain how EBP promotes change within your future practice setting 2. Identification of the Nursing Concern to be Improved: This section provides a comprehensive discussion of the selected nursing concern. It should contain the following elements:· Explain the selected nursing concern in detail· Identify how frequently the selected concern occurs within your specialty track setting· Identify the stakeholders impacted by the concern· Identify the consequences of the selected concern· Identify your proposed solution to the selected concern· Identify a purpose statement for this EBP proposal 3. PICOT/PICo question and Literature Search Process: This section identifies the PICOT/PICo question that will used for this EBP proposal. The literature search parameters will also be identified. It should contain the following elements:· Identify the question in correct format with all required elements· PICOT for quantitative research approach· PICo for qualitative research approach· Identify how the expected outcome will be useful to your future practice setting· Discuss the purpose of conducting a literature review and the contribution it will provide to this EBP proposal· Identify the steps used to conduct a literature review for this EBP proposal by including:· The specific library databases used· The key search terms and phrases used· The minor (additional) search terms and phrases used· Identify any specialty organization that is relevant to this EBP proposal 4. Theoretical Framework: This section presents the theoretical framework that will used in this EBP project. It should contain the following section:· Explain the theoretical framework to be used in this EBP proposal· Describe how the identified theoretical framework is applied to this EBP proposal Preparing the AssignmentCriteria for Format and Special Instructions1. The paper (excluding the title page and reference page) should be at least 5, but no more than 8 pages. Points will be lost for not meeting these length requirements.2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.3. A minimum of 6 (six) appropriate research-based scholarly references must be used. Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. For additional assistance regarding scholarly nursing references, please see “What is a scholarly source” located in the Course Resources tab. Be aware that information from .com websites may be incorrect and should be avoided. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.4. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.5. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.Directions and Assignment CriteriaC:\Users\D01030541\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\7T7OKQBI\Pre-licensure Header_Seal Only (3).jpgChamberlain College of Nursing NR505 Advanced Research Methods: Evidenced Based PracticeChamberlain College of Nursing NR505 Advanced Research Methods: Evidenced Based Practice NR505: W2 Assignment Refinement of Nsg. Concern Rev-7/31/2017 (AR)  Grading Rubric

Assignment Criteria Points % Description
Overview of Selected Evidenced-based Practice Project 25 17 Required content for this section includes:

· Explain the relationship between research and evidenced-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

Identification of the Nursing Concern to be Improved

 

 

25 17 Required content for this section includes:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

PICOT/PICo question and Literature Search Process

 

20 13 The required content for this section includes:

Identify the question in correct format with all required elements:

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting a literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

Theoretical Framework 20 16 The required content for this section includes:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applied to this EBP proposal

Paper Specifications 10 8 Paper meets length requirements of 5 to 8 pages.

Minimum of 6 (six) appropriate research scholarly nursing references

A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment.

References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to assignment submission.

APA Format (6th edition) 25 17 Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

One deduction for each type of APA style error

Citations in Text 10 7 Ideas and information that come from readings must be cited and referenced correctly.
Writing Mechanics 15 10 Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
Total  150 100 %  
NR505: W2 Assignment Refinement of Nsg. Concern Rev-7/31/2017 (AR),

REV 1/10/18 (AR)

 

5
 

Assignment Criteria

Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

Content

Possible Points = 100 Points

Overview of Selected Evidenced-based Practice Project 25 Points 22 Points 20 Points 10 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

Presentation of information was good, but was superficial in places and included all of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Presentation of information in one or two of the following elements fails to meet expectations:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Presentation of information is unsatisfactory in three or more of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Identification of the Nursing Concern to be Improved

 

25 Points 22 Points 20 Points 10 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

Presentation of information was good, but was superficial in places and included all of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

Presentation of information in one, two or three of the following elements fails to meet expectations:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

Presentation of information is unsatisfactory in four or more of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

PICOT/PICo question and Literature Search Process 20 Points 18 Points 16 Points 8 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

Presentation of information was good, but was superficial in places and included all of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome

will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

 

Presentation of information in one or two of the following elements fails to meet expectations:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

 

Presentation of information is unsatisfactory in three or more of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

 

Theoretical Framework 20 Points 18 Points 16 Points 8 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

Presentation of information was good, but was superficial in places and included all of the following elements:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

 

Presentation of information in one of the following elements fails to meet expectations:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

 

Presentation of information is unsatisfactory in two of the following:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

 

Paper Specifications 10 Points 9 Points 8 Points 4 Points 0 Points
  This section included all of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included three of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included only two of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included only one of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included none of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

Content Subtotal ________of 100 points
Format

Possible Points = 50 Points

APA Style 25 Points 22 Points 20 Points 10 Points 0 Points
  APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

0 to 1 APA error was present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

2 – 3 APA errors were present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

4 – 5 APA errors were are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

6 – 7 APA errors were present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

body of paper (including margins, headings, font etc), and reference page

 

One deduction for each type of APA format error

8 or greater APA errors were present

Citations 10 Points 9 Points 8 Points 4 Points 0 Points
  There were 0-1 errors in the crediting of ideas, and information that contributed to knowledge

 

There were 2-3 errors in the crediting of ideas, and information that contributed to knowledge

 

There were 4-5 errors in the crediting of ideas, and information that contributed to knowledge

 

 

There were 6-7 errors in the crediting of ideas, and information that contributed to knowledge There were 8 or greater errors in the crediting of ideas, and information that contributed to knowledge
Writing Mechanics 15 Points 13 Points 12 Points 6 Points 0 Points
  1–2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 3 – 4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 5 – 6 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

 

7 – 8 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

 

9 or greater errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

 

Format Subtotal _____of 50 points
Total Points _____of 150 points
NR505: W2 Assignment Refinement of Nsg. Concern Rev-7/31/2017 (AR); Rev 11/20/2017 (AR)

 

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NURS 6050

February 15, 2025/in Nursing Questions /by Besttutor

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

 

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

 

Part 1: Legislation Comparison Grid

 

Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

 

Determine the legislative intent of the bill you have reviewed.

Identify the proponents/opponents of the bill.

Identify the target populations addressed by the bill.

Where in the process is the bill currently? Is it in hearings or committees?

Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

 

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

 

Advocate a position for the bill you selected and write testimony in support of your position.

Describe how you would address the opponent to your position. Be specific and provide examples.

Recommend at least one amendment to the bill in support of your position.

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HYPOTHYROIDISM SOAP NOTE|2025

February 15, 2025/in Nursing Questions /by Besttutor

Hypothyroidism SOAP NOTE

Patient Initials: Age:  Gender:

SUBJECTIVE DATA:

Chief Complaint (CC): “ ”.

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Current medication:

Past Surgical History (PSH):

Family History:

Personal/Social History:

Immunization: up to date.

Lifestyle:

Review of Systems:

General:

HEENT:

Neck:

Breasts:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Psychiatric:

Neurological

Skin:

Hematologic:

Endocrine:

OBJECTIVE DATA:

Physical Exam:

Vital signs: Temperature: ; BP:  mmHg; HR: bpm; RR:  /min; Oxygen Saturation: %; Pain: (0-10 scale), Weight lb; Height; BMI

General:.

HEENT:

Neck:

Chest

Lungs:

Heart:

Peripheral Vascular:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

ASSESSMENT:

Differential Diagnosis

1. Hyperthyroidism.

2.

3.

From both the subjective and objective data, it is clear that the main diagnosis is

PLAN:

Treatment Plan: (please prescription with dose)

Non-pharmacological approaches

For the follow-up, the patient should get back to the hospital after

References: 2 or 3 with APA format

 

Soap Note 2 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Please use the sample templates for you soap note, keep these templates for when you start clinicals.

The use of templates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.

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The Role of the RN/APRN in Policy Making|2025

February 15, 2025/in Nursing Questions /by Besttutor

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

By Day 6 of Week 8

Respond to at least two of your colleagues’* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

*Note: Throughout this program, your fellow students are referred to as colleagues. Everything should be in APA 7 formart. At least 3 references all  with DOI number and at least 3 paragraphs for mainpost and 2 for replies.’

Discussion for reply one  (Guy)

RNs and APRNs have crucial roles in health care to inform decisions of policy making. There are many opportunities that exist for nursing professionals to participate in policy making. According to Burke (2016), “It’s essential that policies exist that define and integrate appropriate standards for delivery of care and address conditions necessary for that care to occur. Through policy work, nurses can and should influence practice standards and processes to assure quality of care. Nurses who influence policy help share the care that will be provided today and tomorrow. Policies also impact resource allocation to support delivery of healthcare”.

One opportunity that exists for nurses to become active in policy making is to become a member of the American Nurses Association. According to Catallo, Spalding, & Haghiri-Vijeh (2014), “Policy products that the ANA offers include a “policy activist took kit”. As part of this took kit, RNs are provided with resources that include how to get involved in a political campaign, writing letters to the editor, how to engage politicians and carry out lobbying activities”. The article “Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy?” discusses how nurses can become engaged in health policy activities and how to address policy issues.

Another opportunity that exists for nurses to become active in policy making is to advance their education by becoming an APRN. According to Regis College (n.d), “Nurse practitioners have an opportunity to serve as advocates for patients, families, communities, other nurses, and health care organizations. Through this advocacy, nurse practitioners can influence health care policy. By gaining a comprehensive understanding in particular areas of health care, nurse practitioners are uniquely situated to support positions that will benefit out communities”. Becoming an APRN prepares your ability to participate in advocacy of health care policy making.

A strategy that can be used to promote nursing professionals involvement in policy making is to do so through nursing employers. For example, I would propose to create and implement a “Policy Committee” through my hospital organization to discuss the potential nurse advocacy benefits we can offer to policy making. In addition, as mentioned by Catallo et al,. (2014), to convey “Political awareness and understanding of the importance of being involved in nursing organizations, time to engage in policy development outside of nursing work, and resources to develop skills in policy participation”.

Another strategy that can be implemented to overcome to barriers of nursing involvement in policy making is to do so through nursing education. According to Short (2008), “The foundations for a professional understanding of health care policy should be well laid in formal education and synthesized with practice and work environments. Without time to promote synthesis of policy concepts related to the practice environment, nurses have no basis for further exploration and may remain naive to the influences of policy throughout their career”. If nursing students (RN or APRN) were exposed to health care policy and the influence their roles can have on policy making during their nursing education, there would be much more nursing involvement in health care policy that is needed today.

References

Burke, A. (2016). Influence Through Policy: Nurses Have a Unique Role. Retrieved October 18, 2020 from https://nursingcentered.sigmanursing.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role.

Catallo, C., Spalding, K., & Haghiri-Vijeh, R. (2014). Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy? SAGE Open. https://doi.org/10.1177/2158244014560534

Regis College (n.d). How Does Nursing Influence Health Care Policy? Retrieved October 18, 2020 from https://online.regiscollege.edu/blog/how-does-nursing-influence-health-care-policy/

Short N. M. (2008). Influencing health policy: strategies for nursing education to partner with nursing practice. Journal of professional nursing: official journal of the American Association of Colleges of Nursing. 24(5), 264–269. https://doi.org/10.1016/j.profnurs.2007.10.004

Discussion for reply two(Megan)

“The design phase of the policy process is the point at which the original intent of a solution to a problem is understood and the appropriate tools are employed to achieve policy success” (Milstead, 2019). The creation of policies, or presenting your idea, is how nurses can participate in policymaking. Actively working in the nursing field can help nurses see problems that arise and a better solution to patient needs. Bringing these ideas to congress to make changes will benefit the need of the patients. “Nurses’ influence in health policies protects patient safety, increases quality of care, and facilitates their access to the required resources and promotes quality health care” (Arabi et al., 2014).

Advocacy is another way that nurses can participate in policymaking. “We have been patient advocates in our interactions with doctors and administrators, why not with Congress“ (L. Phillips, 2020). Nurses should feel excited and empowered that they get to have a voice in the political world to make healthcare changes. Advocating for our patients is our duty, and I cannot think of a better way to do this than policy creation or changes. “As a component of professional nursing, active participation in the policy process is essential in the formulation of policies designed to provide quality health care at sustainable costs to all individuals” (Milstead, 2019).

Some of the challenges nurses face when getting involved with policymaking are getting push back from legislators and finding the evidence-based practice to support ideas. Nurses must band together and fight for what we know is right and what our patients need. Becoming an active member of a nursing organization can help support new policies or change old policies. Support strength comes in numbers. Having multiple people that share the same ideas will decrease pushback. Finding evidence-based practice to support our ideas may pose a problem, but putting in work to find or create research will be worth it, in the end, to help our patients with new or changed policies. Also, becoming a member of a nursing association can assist with finding or creating evidence-based practice.

The strategies I think will help advocate for these opportunities is being involved in a nursing association and providing courses like this to nurses. I know I spoke of nursing associations already, but I cannot think of a better way to come together and share our similar experiences and ideas to improve processes and policies to assist our patients. Providing courses like this to help educate nurses and get them involved in politics helps drive home the importance of our voices.

References

Arabi, A., Rafii, F., Cheraghi, M., & Ghiyasvandian, S. (2014, May 19). Nurses’ policy influence: A concept analysis. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061635/

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Pg.  97

Phillips, R. (2003). Health Care Policy: The Nurse’s Crucial Role. American Academy of Ambulatory Care Nursing. https://www.aaacn.org/volunteer/teams/legislative/health-care-policy-nurses-crucial-role

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Assignment|2025

February 15, 2025/in Nursing Questions /by Besttutor

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

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