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Home>Homework Answsers>Nursing homework helpBased on the two templates attached. Write 1-page summary of how the selected medication (doxazosin) relates to the selected systems disorder (Benign Prostatic Hyperplasia).SCAN0005.PDF6 years ago21.04.201910Report issueAnswer(1)YourStudyGuru4.9(6k+)4.9(653)ChatPurchase the answer to view itNOT RATEDDoxazosin.docx6 years agoplagiarism checkPurchase $10Bids(23)Amanda SmithYourStudyGuruDr Angelenakite_solErick Tylerprofessor mitchColossal GeniusBill_WilliamsDr shamille ClaraAngelina MayTiny ChrisWendy LewisENS. writerperfectokim woodsJessica LuisJenny BoomProf.MacQueenwork solutionsnadia tutorother Questions(10)wangang_aHumanities help only for Prof.Huda.AzizCOMP 230 Week 6 Quiz…………..(Introduction to Scripting and Database with Lab – DeVry)What is a long-term liability?law5MGMT455Fiction essayIn Philip Schaenman’s report, International Concepts in Fire Protection: Ideas from Europe that Could Improve U.S. Fire Safety, suggests that some European fire safety procedures are worthy of emulation in the U.S. and Canada. Please provide and discuss fin a gantt chart the vertical axis represents which of the followingPrinciple of Marketing

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Nursing

Read the case study below and answer the following questions:

a.What legal or ethical issues are involved in this scenario?.

b.Can you identify an ethical dilemma at work here?’.

c.What kinds of professional nursing legal standards are in danger of being violated here? .

d.Do you think that Linda could lose her license? How could she avoid this?. .

Linda is a registered nurse in charge of a large psychiatric unit. At any given time her unit houses an average of twenty-two patients with a variety of diagnoses, ranging from drug dependence to acute psychoses. The unit is usually staffed by one registered nurse, two licensed practical nurses, and two nursing assistants. Hospital policy requires that the registered nurse evaluate each patient’s physical and mental status twice per shift, supervise the administration of all psychotropic medication, participate in group activities, supervise the implementation of each patient’s plan of care, and be available to individual patients for one-to-one interaction. There are additional standards that describe the appropriate care for patients who are potentially suicidal: “Patients who are identified as suicidal will be isolated in private rooms and continuously monitored by a registered nurse.”                 On one particular day two of the patients are identified as potentially suicidal, six geriatric patients with dementia need to be fed and ambulated, one patient is exhibiting violent behavior, and all the patients need individual assessment. Linda calls the supervisor for assistance but is told that there is no one available to help her. The reader will no doubt have noticed that in addition to the other duties, Linda is required to simultaneously and continuously monitor two patients in separate rooms- a physical impossibility. Linda tries to meet all of her obligations under these very strict standards, yet while she is answering a question raised by one of her staff members, one of the suicidal patients manages to injure herself attempting to jump out of a window.

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SOAP NOTE

Home>Homework Answsers>Nursing homework helpCheck and clear for plagiarism.SU_NSG6430_W8_A2_RodriguezPrieto_Y.docx4 years ago09.03.202120Report issueAnswer(1)brilliant answers4.8(3k+)4.9(349)ChatPurchase the answer to view itNOT RATEDsunppp1.pdfSU_NSG6430_W8_A2_RodriguezPrieto_Y.docx4 years agoplagiarism checkPurchase $20Bids(111)Tutor Cyrus KenQuickly answerNightingaleDr Michelle MayaQuality AssignmentsCreative GeekWIZARD_KIMDr. ElahiDr. Michelle_KMMUSYOKIONES A+Dr. Adeline ZoePremiumAmanda Smithwizard kimSasha SpencerPapersGurubrilliant answersDiscount AssignRihAN_MendozaDiscount Ansother Questions(10)Romeo and JulietCIS 3010: Assignment 1solution of given QuestionCash Flow StatementsassigmenetDENNIS WRIGHT #1need an essay with the next 3 hoursIf you are using the Blackboard Mobile Learn iOS App, please click “View in Browser” Click the link above to submit your assignment. Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center. Instructors, training on how toBSOP 330 Week 4 southwestern case study Printing companies Programs and Inserts AnswerDUI ATONY-ONE PAGE

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Psychopathology

Home>Homework Answsers>Nursing homework helpRespond to this discussion post. Do not argue. Just add points to either agree or disagree to the already made points. Do not repeat what is already said. 1 page is good. Learning materials and instructions for the discussion is below the discussion.DISCUSSION POST.Biological (Genetic & Neuroscientific) Factors that Influence the Development of PsychopathologyBiological factors greatly influence the development of psychopathology. One main biological factor is the role of neurotransmitters. Neurotransmitters are used in chemical intraneuronal communication. Neurotransmitters influence thoughts, feelings, and behaviors. Another biological factor is the role of genetics. Genetic factors have been implicated in the etiology of schizophrenia, alcoholism, anxiety disorder, and attention deficit disorder (Nicol & Erlenmeyer-Kimling, 2010). For example, patients who have first-degree relatives that have schizophrenia are three times more likely to develop schizophrenia. Another example of how biological factors influences psychopathology is neurodevelopmental disorders such as Autism. There is clear evidence that the biology of the brain has alterations in specific cellular and molecular neurodevelopmental pathway that cause this disorder (Sadock et al., 2015).Psychological,Social, Cultural & Interpersonal Factors that Influence the Development of PsychopathologyAccording to Dr. Kalin, (2020), during early life development, environmental influences affect rapid brain development that can change behavioral, emotional, and cognitive abilities. For example, when individuals are exposed to adversity and trauma, they are at greater risk of developing a form of psychopathology (Kalin, 2020). Social, cultural, and interpersonal factors can influence the development of psychopathology. Studies have shown that certain psychopathology surrounds a certain gender, sexual orientation, and migration process because there is an increase in vulnerability and are often exposed to higher psychological distress (Moleiro, 2018). For example, when individuals face socio-economic adversities such as poverty, they have low life satisfaction leading to the onset of psychopathology. Another social or interpersonal influence that aids in the development of psychopathology is negative peer interactions. Bullying and harassment from peers increase an individual’s risk of drug use, behavioral and mental health problems.ConclusionIn conclusion, the development of psychopathology is a product of complex neurobiological processes that are influenced by a wide variety of biological factors, physical and social environmental factors, and psychological factors. From brain development to sleep and nutrition, all factors of an individual’s life can change the way an individual thinks, feels, and behaves. As a nurse practitioner, it’s important to understand how all these factors shape an individual’s development so that treatment can be individually tailored.ReferencesKalin, N. H. (2020). Early-life environmental factors impacting the development of  psychopathology.American Journal of Psychiatry, 177(1), 1–3.https://doi.org/10.1176/appi.ajp.2019.19111181Moleiro, C. (2018). Culture and psychopathology: new perspectives on research, practice, and  clinical training in a globalized world. Frontiers in Psychiatry, 9. https://doi.org/10.3389/fpsyt.2018.00366  Nicol, S. E., & Erlenmeyer-Kimling, L. (2010). Genetic factors in psychopathology.Handbookof Prevention, 21–41.https://doi.org/10.1007/978-1-4684-5044-6_2Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry(11th  ed.). Wolters KluwerWeek 1:   History and Theories of Psychopathology  The history of the diagnosis of mental disorders is fraught with examples of how cultural norms and prejudices interfere with and warp a diagnosis. The result is that normal behavior and orientations have been pathologized as an illness or disease. An example of this would be the story of Alan Turing, the famous British computer scientist of the 20th century, who was instrumental in inventing modern computers and deciphering German code in World War II. He was convicted in 1952 in England of gross indecency for being gay. Turing was forced by the courts to undergo 12 months of hormone therapy and could no longer work for the British government. At the time, homosexuality was pathologized as a mental disorder in theDiagnostic and Statistical Manual of Mental Disordersand was criminalized in most Western countries. It was not until 1973 that the American Psychiatric Association (APA) finally removed homosexuality from theDSM.  Historically, the process of rendering a diagnosis has been used to pathologize those who fell outside what was considered the cultural norm of human behavior. This process often marginalized diagnosed populations and prevented individuals from receiving appropriate care. It is of utmost importance to consider cultural issues that influence how you as a clinician interpret a client’s behavior and how cultural issues influence how a client may express behavior. This week, you explore the history of psychopathology and the evolution of theoretical perspectives in the field.     Learning ObjectiveStudents will:Analyze historical and currently recognized biological, psychological, and sociocultural factors that inform the expression, course, and prevalence of psychopathology               Discussion: Factors That Influence the Development of Psychopathology  In many realms of medicine, objective diagnoses can be made: A clavicula is broken.  An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on      the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015).      Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?  To Prepare:  Review this week’s Learning Resources, considering the many interacting factors that contribute to the development of psychopathology.  Consider how theoretical perspective on psychopathology impacts the work of the PMHNP.   By Day 3 of Week 1  Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.   Reading:      Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015).Kaplan & Sadock’s synopsis of psychiatry(11th ed.). Wolters Kluwer.    Chapter 1, Neural Sciences     Chapter 2, Contributions of the Psychosocial Sciences    Chapter 3, Contributions of the Sociocultural Sciences    Chapter 4, Theories of Personality and Psychopathology    Chapter 31.17c, Child Psychiatry: Other Conditions: Identity ProblemButcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.),APA handbook of psychopathology: Child and adolescent psychopathology.,Vol. 2.(pp. 3–14). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-001Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.),APA handbook of psychopathology:Psychopathology: Understanding, assessing, and treating adult mental disorders.,Vol. 1.(pp. 127–147). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-006Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.),APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders.,Vol. 1. (pp. 65–90). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000064-004Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.),APA handbook of psychopathology: Child and adolescent psychopathology.,Vol. 2.(pp. 15–36). American Psychological Association. https://doi-org.ezp.waldenulibrary.org/10.1037/0000065-0024 years ago01.09.20216Report issueAnswer(1)MUSYOKIONES A+5.0(21k+)5.0(4k+)ChatPurchase the answer to view itResponsetoDiscussionPos1.docxgg77.pdf4 years agoplagiarism checkPurchase $6Bids(120)MISS HILLARY A+Prof Double RMUSYOKIONES A+Coleen AndersonDiscount Assignfirstclass tutorJahky BTutor Cyrus KenDr. Ellen SmartMadam CathyDiscount AnsRihAN_MendozaExpert HumairaPROF_ALISTERDr Michelle EllaProf. Dr. ReenaAshley Ellieprof bradleyYourStudyGuruBrilliant Geekother Questions(10)Unit 5 homeworkSTRESS REDUCTION PLANProjectdue todayProf EliudFor LastMinuteResearch ONLYQuestion2nd Behavior Therapy and Cognitive behavior TherapyNeed questions answered (asap)A psychology essay paper.

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Case study on Peripheral Vascular Disease

Home>Homework Answsers>Nursing homework helpAPAcase studyreview the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.Turn it in must be 30% or less.Peripheral_Vascular_DiseaseCaseStudy2Summer20193.dot6 years ago24.05.201910Report issueAnswer(1)brilliant answers4.8(29k+)4.9(6k+)ChatPurchase the answer to view itNOT RATEDPeripheralVascularDiseaseCaseStudy.docx6 years agoplagiarism checkPurchase $10Bids(41)Tutor_MBADiscount AssignProf.HEALTHSCIENCESElprofessoriansRohankite_solprof. Speedstarprofessor mitchRESPECT WRITERAngelina MayCatherine Owensbrilliant answersENS. writerWendy LewisJessica LuisMary Warnock PhDperfectoTerry Robertskim woodswizard kimother Questions(10)To prepare: the questions that you created for gathering information about patient satisfaction based on the above scenario. Explain which method or instrument you would use to gather data. Describe the sample size appropriate for the population and how yChanging Attitudes in the Workplace2 assingments for HifsaAxis Corp, is considering investment in the best of two mutually exclusive projects Project Kelvin involves ahealthcare -Write a report on the ethical issues involved in marketing research focusing on three or four of the main issues.As the new human resources manager, you are now ready to complete the next phase of diversity training materials that are targeted at making your workforce supervisors more aware of current racial diversity issues (e.g., the dramatic increase in the HispArticle CritiqueSee attachedBig Five Personality Types

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Technological Advances Essay

 Details:

Technology in health care has taken many forms over the years. In 1796, Edward Jenner developed the first smallpox vaccination method. A hundred years later, Wilhelm Rontgen discovered how to use x-rays for medical imaging. And in 2013, Japanese researchers grew the first human liver from stem cells. What is next?  How does one technological advance set the stage for further discoveries?

For this assignment you will compose an analysis of 750-1,000 (STAY WITHIN WORD COUNT) words incorporating the following:

  1. Evaluate at a minimum of two different historical perspectives regarding the delivery of health care in the United States. How has technology and the lack of developing technology affected and shaped these perspectives?
  2. Contrast and describe two technological advances that have positively impacted health care delivery in the United States.
  3. Explain how the two technological advances you selected have influenced public opinion of the changing health care system in the United States? Provide a brief summary of both positive and negative opinions.
  4. Forecast how you believe these two technological advances will affect delivery and utilization of health care in the United States in the future. What other factors may simultaneously affect health care utilization?

Prepare this assignment according to the guidelines found in the APA Style Guide.

An abstract is not required.

This assignment uses a rubric (SEE RUBRIC ATTACHMENT). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin (SIMILARITY INDEX SHOULD NOT EXCEED 15%).

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Essentials of Maternity, Newborn, and Women’s Health Nursing

Home>Homework Answsers>Nursing homework helpChapter 16: Nursing Management During the Postpartum Period1. You are caring for Bonnie, age 42, who has just undergone a cesarean birth for her first baby. You are responsible for monitoring her condition during recovery and for teaching her how to take care of herself and her baby. (Learning Objectives 2, 3, 4, 5, and 7)1A. You note that Bonnie has a positive Homans’ sign in the left leg. What are the risk factors for thromboembolic disorders, and how will you determine if she has a DVT? If Bonnie has a DVT, what else is she at risk for?1B. Bonnie is ready for discharge and asks you about bleeding, perineal care, and what she should eat while breast-feeding. What are you going to teach her?1C. Bonnie, the baby, and Bonnie’s husband are following up for newborn care. What nursing interventions should be included to promote parental role adaptation and parent–newborn attachment?2. You have just received report on the following patient. Hannah G1P1 gave birth vaginally two days ago to a baby girl. She had a midline episiotomy and has protruding hemorrhoids. Hannah is rubella negative and has A– blood type and her daughter is O+. Hannah is breast-feeding her daughter. Hannah is expected to be discharged to home later this afternoon. (Learning Objectives 6 and 8)2A. Describe the nursing management for Hannah and her family during the postpartum time period.2B. Hannah and Justin are preparing for discharge. What areas of health education are needed for discharge planning, home care, and follow-up visits for Hannah and her baby girl?Chapter 17: Newborn Transitioning1. Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extrauterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s assessment findings of the new baby boy are:Vital signs: axillary temperature 37.0° C, heart rate 145, respiratory rate 75Observations: color pink, respirations rapid and unlabored, good muscle tone, good arm and leg movementAuscultation: breath sounds clear and equal bilaterally, strong heart sounds with a soft murmur, active bowel sounds in all four quadrantsPhysical assessment: fontanels soft and flat, eyes clear with red reflex in both, ears normal shape and placement, soft and hard palate intact, strong suck, both nares patent, capillary refill less than 2 seconds, both testes descendedMeasurements: weight 8 pounds 6 ounces, length 20 inches, head circumference 36.2 cm, chest circumference 36.0 cmAs Sarah is charting her findings, Lindsay asks Sarah if everything is OK with her baby. (Learning Objectives 2, 3, and 4)Which assessment findings for this newborn are abnormal? What is the most likely cause of these abnormal findings?How would Sarah explain these abnormal findings to Lindsay?Describe the nursing interventions that Sarah would implement based on these findings.2. Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver’s face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly. (Learning Objective 5)Based on your observations of Destiny, are her behaviors normal? Which of the five typical behavioral responses were observed?Does Destiny exhibit any behaviors that may be cause for concern? What is the concern and what might you as the nurse do to assess further?correction17.docx5 years ago02.05.202025Report issueAnswer(1)Prof Double R5.0(1k+)5.0(213)ChatPurchase the answer to view itNOT RATEDMATERNALNEWBORNCARE.docxchapter17.docx5 years agoplagiarism checkPurchase $30Bids(118)Teacher A+ WorkDiscount AnsProf Double RTeacher TrumahnDiscount AssignMichelle GoodManBethuel BestGreat-WritersMiss Ella WastonAmanda SmithDr. ElahiDr_inaayaEARNESTWRITERMath Guruuhassan0906Quickly answerProfRubbswizard kimBrainy BrianDexterMastersother Questions(10)Parts of business planInterview Activity with Written ReflectionBUS 377 Week 8 Assignment 4 Robust Mindedness – Team ManagementInFO PMngtQR. RTI26Approaches to LawNo used work,,, ORIGINAL WORK PLEASE!!!Phyllis Youngsummary. To the Promised Land 2h

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DQ 3-1

 Review current types of health care delivery systems in the United States and contrast the current status with the reform models or revisions proposed in the readings for this topic.

Select one area in health care delivery where change or reform to the current system could improve the delivery of allied health care and present your findings.

 

– Use at least 2 APA refernces

– Answer questions straight to the point

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Week 7 Discussion: TV as Art

Home>Homework Answsers>Nursing homework helpdue fridayRequired ResourcesRead/review the following resources for this activity:Textbook: Chapter 13, 14Minimum of 1 primary or scholarly source (from actor/director or critic – either will count as your scholarly source requirement for discussions)Initial Post InstructionsMany people would say that the 1999 premier ofThe Sopranoswas a turning point in the development of television as an art form. Choose a television or streaming show that you feel perpetuates the idea that television is indeed a form of art. For the initial post, address the following:Include the name of the show and the director.Explain why you think this program is art.What impact does the example have on viewers’ lives?What were some influences of this work?Include a statement from an actor, director, or critic of the program that supports your points.Follow-Up Post InstructionsRespond to at least one peer. Respond to one peer who chose an option different from yours. Further the dialogue by providing more information and clarification.Follow up post:DoraHello Class and Professor,I am going to be the stereotypical nursing student here by talking about Grey’s Anatomy. This television show has been airing for 17 seasons. Many shows struggle to maintain approval for further seasons and episodes while this is one that has done so without difficulty. This show proves itself as an art form as it emotionally moves its viewers: as Martin and Jacobus state, “The power of the image to excite a viewer, combined with music and sound, is more and more becoming an intense experience as the technology of the medium develops” (2019, pp. 331). The show emotionally draw’s many in as it expresses a multitude of issues such as health problems, addiction, death of loved ones, racial inequalities.This show has impacted viewers’ lives as it provides a relation to such issues and shows people they are not alone in their struggles. They advocate for change and improvement in healthcare and overall in public issues. One professor from the University of Illinois performed a study on the impact of Grey’s Anatomy and stated, “the more episodes viewers watched, the more likely they were to perceive the show as credible, and then the more likely they were to perceive the show as credible, the more likely they were to perceive real world doctors as their doctors to be courageous, which that led to patient satisfaction” (2020). The show recently had its focal point for season 17 set on COVID-19 and I myself found the episodes highly realistic. I saw personal protective equipment shortages, healthcare workers struggling with burnout, healthcare workers emotionally processing the constant deaths of their patients: all of these I had dealt with during the COVID outbreak and it moved me. This moved me to know that someone was shining a light on the difficulties we faced every day when we clocked in.Grey’s Anatomy has been influenced by many real life diseases and occurrences for episodes. The show has shown real diseases ranging anywhere from cancer to Kawasaki’s disease. Some may be rare and some are ever so common. The show has been a major influence for further medical shows to go on and have a fan base to continue seasons. The show has realistic outcomes and not every episode is a happy ending which furthers the connection viewer’s have with the show. When the creator and executive producer was asked about how the show relates to real world diversity, Shonda Rhimes states, “It’s who is telling the stories,” she says, “because the people telling the stories are the people deciding who you see onscreen, they’re the people who are deciding who are in the writers rooms, they’re the people deciding on the crew” (Shonda Rhimes on Raising the Next Generation of TV Producers, 2021).Martin, F. D., & Jacobus, L. A. (2019). The humanities through the arts.  New York: McGraw-Hill Education.Author, G. (2020, September 3). Grey’s Anatomy’s Real World Effect. Prospective Doctor.https://www.prospectivedoctor.com/greys-anatomys-real-world-effect/ (Links to an external site.)Shonda Rhimes on Raising the Next Generation of TV Producers. (2021). TIME.Com.https://time.com/collection-post/4081997/shonda-rhimes-viola-davis-scandal-kerry-washington/Writing RequirementsMinimum of 2 posts (1 initial & 1 follow-up)Minimum of 2 sources cited (assigned readings/online lessons and an outside source)APA format for in-text citations and list of referencesHumanitiesthroughtheArts.pdf4 years ago18.06.202110Report issueAnswer(1)Angelah4.9(242)4.9(47)ChatPurchase the answer to view itNOT RATEDTheGoodDoctorShow.edited.docxGreyAnatomyshowresponse.edited.docx4 years agoplagiarism checkPurchase $10Bids(117)MISS HILLARY A+Prof Double RMUSYOKIONES A+MARTHA92_PHDYoung Nyanyapacesetters2121Discount AssignTutor Cyrus KenWIZARD_KIMTeacher A+ WorkMaria the tutorJudithTutorRihAN_MendozaAshley EllieDr Michelle MayaJahky BProfRubbsfirstclass tutorFlexible Tutorquerubohother Questions(10)Comment on attachedred19CEO Roundtable Discussion- Verizon WirelessACC 560 WEEK 7For kateexceptionalgeekQuestionwill it be finished by this friday?for PROF washington watson only ***to finish it by Rey writer

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frail adult

   Post a description of a case from your personal or clinical experiences in the last 5 years that involves an elderly patient who has been in at least two different sites of care. Explain the impact of differences in the settings themselves, inherent culture of the settings, and ethical practices of these sites on the patient. Then, explain whether the patient had an advanced directive in place at the time of the change in sites of care, and if so, whether any difficult treatment decisions had to be made as a result. Finally, explain the impact of financial issues on site placement and treatment decisions.

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