Discussion Question

1-Discussion Question:  56-year-old patient with newly diagnosed stage 1 hypertension has been referred to you for counseling regarding lifestyle modifications. He is married, with four children—two in high school, two in college. His job as a senior vice-president for a major retail chain requires that he work long hours and frequently eat at restaurants. He smokes two packs of cigarettes a day, has a body mass index (BMI) of 29 kg/m2, and a waist–hip ratio of 1.6. He usually drinks one to two dry martinis to relax after he gets home from work.

a.  How would you develop a realistic plan to help this patient reduce his blood pressure and prevent complications?

b. Which risk factors would be among your top two or three priorities for this patient,and what interventions or recommendations would you provide for modifying these?

2- APA style

3- 3 paragraphs with 3 sentences each

4- 2 references not older than 2015

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Assignment

Mood disorders can impact every facet of a human being’s life, making the most basic activities difficult for patients and their families. This was the case for 13-year-old Jeanette, who was struggling at home and at school. For more than 8 years, Jeanette suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues.

As a PNP working with pediatric patients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.

This week, as you examine antidepressant therapies, you explore the assessment and treatment of three populations: pediatrics, adults, and geriatrics. The focus of your assessment tool, a decision tree, will specifically center on one of the most vulnerable populations, pediatrics. Please remember, you must also consider the ethical and legal implications of these therapies. You will also complete a Quiz on the concepts addressed throughout this module.

Assignment- Decision tree

Required: media file within classroom  (https://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_02/index.html)

You will write a formal (APA formatted) paper no more than 5-6 pages long addressing the media file as directed in the classroom directions

Assignment: Assessing and Treating Pediatric Patients With Mood Disorders

When pediatric patients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult patients with the same disorders, they also metabolize medications much differently. Yet, there may be times when the same psychopharmacologic treatments may be used in both pediatric and adult cases with major depressive disorders. As a result, psychiatric nurse practitioners must exercise caution when prescribing psychotropic medications to these patients. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat pediatric patients presenting with mood disorders.

To prepare for this Assignment:

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of pediatric patients requiring antidepressant therapy.

The Assignment: 5 pages

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature..

Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

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Benchmark – Critical Decision-Making and Organizational Performance

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media.

In a 1,000-1,250-word paper, examine the scenario involving Mike, the lab technician, and discuss the following:

  1. Discuss the consequences of a failure to report.
  2. Explain the impact his decision had on patient safety and organizational performance (risk for litigation, organization’s quality metrics, workload of other hospital departments, etc.).
  3. As Mike’s manager, describe how you would address the issue with him and steps you would take to ensure other staff members do not repeat the same kind of mistake.
  4. Reflect on the scenario and describe what underlying aspects or issues may be contributing to workplace dilemmas such as this.
  5. Consider the manner in which most health care organizations function (structure, people, technology, environment). As a leader, discuss what principles of organizational behavior and development can be applied to effectively contribute to the success of a health care organization. How could these principles be applied to this scenario?

A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

BS Health Sciences

4.1: Apply the principles of organizational behavior and development in order to effectively contribute to the success of health care organizations.

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Discussion Post

Diabetes and Drug Treatments

 

Photo Credit: [Mark Hatfield]/[iStock / Getty Images Plus]/Getty ImagesEach year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.
By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

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Week 6 Assignment: Leadership Style Week 6 Assignment: Leadership Style

Assignment Content

  1. Read What’s Your Leadership Signature?” on the Heidrick and Struggles website.

    Navigate to the “Assessment: What’s Your Leadership Style?” page on the Harvard Business Review website.

    Utilize the tool on the page to acquire feedback about your top three leadership styles.

    Write a 700- to 1,050-word paper about your go-to and supplemental leadership styles. Include the following:

    • Evaluation of the information provided regarding potential blind spots, and environments in which you are likely to thrive and struggle
    • A list of SMART goals that focus on self-improvement
    • Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

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Planning for Change—A Leader’s Vision

Develop a presentation, augmented by 12–15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

As a nurse leader, you will be expected to communicate effectively with leaders and stakeholders at all levels in an organization in a variety of ways, depending on your purpose and your audience. Being able to deliver effective presentations is one important skill you will likely be called upon to use often.

This assessment provides an opportunity to hone your presentation skills and enlist the support of stakeholder groups who will be key to achieving desired changes in the organization and developing or enhancing a culture of quality and safety.

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

  • Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
    • Summarize the key aspects of a plan to develop or enhance a culture of safety.
  • Competency 2: Determine how outcome measures promote quality and safety processes within an organization.
    • Identify current outcome measures related to quality and safety.
  • Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
    • Identify existing organizational functions, processes, and behaviors affecting quality and safety.
  • Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
    • Explain the steps needed to achieve improved outcomes.
    • Create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
    • Argue persuasively to obtain agreement with, and support from, administrative leaders and stakeholders in an organization for a plan to develop or enhance a culture of safety.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

 

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

  • How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
  • What arguments might be most effective in obtaining agreement and support?
  • What recommendations would you make to implement a proposed plan for change?

 

Assessment Instructions

This assessment is based on the work you have completed in the previous three assessments.

Preparation

The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. A number of key stakeholders will be unable to attend your presentation for a variety of reasons, so you have decided to provide those individuals with a video recording of the presentation.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Planning for Change—A Leader’s Vision Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Planning for Change—A Leader’s Vision Scoring Guide and Guiding Questions: Planning for Change—A Leader’s Vision (linked in the Resources) to better understand how each criterion will be assessed.

Developing the Presentation
  • Summarize the key aspects of a plan to develop or enhance a culture of safety.
  • Identify existing organizational functions, processes, and behaviors affecting quality and safety.
  • Identify current outcome measures related to quality and safety.
  • Explain the steps needed to achieve improved outcomes.
  • Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Communication and Supporting Evidence
  • Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
  • Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Additional Requirements

  • Your slide deck should consist of 12–15 slides, including a title slide and a references slide.
    • List your sources on the references slide at the end of your presentation.
    • Use of a small font is permitted to fit all 8 references on a single slide.

Grading Rubric:

1-  Summarize the key aspects of a plan to develop or enhance a culture of safety.

Passing Grade:  Summarizes the key aspects of a plan to develop or enhance a culture of safety.

2-  Identify existing organizational functions, processes, and behaviors affecting quality and safety.

Passing Grade:  Identifies existing organizational functions, processes, and behaviors affecting quality and safety, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty.

3-  Identify current outcome measures related to quality and safety.

Passing Grade:  Identifies current outcome measures related to quality and safety, and reflects on the strengths and weaknesses of these outcome measures.

4-  Explain the steps needed to achieve improved outcomes.

Passing Grade:  Explains the steps needed to achieve improved outcomes, and identifies assumptions on which the plan is based.

5-  Create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential.

Passing Grade:  Creates a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential, and highlights opportunities for interprofessional collaboration.

6-  Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.

Passing Grade:  Argues persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Establishes the importance of key issues. Anticipates and responds to possible objections.

7-  Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Passing Grade:   Supports main points, arguments, and conclusions with relevant, credible, and convincing evidence. Sources are current, and citations and references are error-free.

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New Works 11/16

Work# 1:

Discuss in 500 words or more best practices for incident response in the cloud. Refer to at least one incidence response framework.

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0.

Write in essay format not in bulleted, numbered or other list format.

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.

Work# 2:
Your Research Project is due this week. It must consist of:

This project consists of 3 parts:

1. An annotated bibliography of at least five sources. The annotations must be at least five sentences long.

2. A PowerPoint with at least 12 slides not including the title and references addressing the topic approved in your Final Project Proposal.

3. A 750 word summary of your findings. This must be appropriate graduate level work. It should not be survey or cover material covered in the class, already. Please, do not double space your submission.

The topic must be appropriate for graduate level. Find a topic that we covered in the course and dig deeper or find something that will help you in your work or in a subject area of interest related to the course topic. Use the Research Databases available from the Danforth Library not Google.

Note: We already chose the topic for project last week and professor approved on this- I am attaching the work which you already posted for reference

Work# 3:

Please find the attachment named (Work #3) and you will get to know what to do you have to work on Week #13,14,15

Note: We already chose the topic for project and professor approved on this and mentioned that-

“I approve Carnival Corporation (NYSE) for your course project.”

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W5P- Nursing Illness & Disease Management Across Life Span profile

Instructions

Creating a Plan of Care

Utilizing the information you have gathered over the last four weeks (week1-4 attached) regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

In a Microsoft Word document of 5-6 pages formatted in APA style, (this page requirement includes the holistic care plan). Include the following in your plan:

·  Provide a brief introduction describing the chronically ill group you selected and rationale for selecting this illness and the participants.

o  Clearly identify the Healthy People 2020 topic chosen and why this topic was selected.

·  Develop a holistic plan of care including patient, family and friends acceptance of the diagnosis, coping and impact on plan of care.

·  Summarize the information gathered in each week (Weeks 1–4) over 2 to 3 pages. This is should not to be copied and pasted from previous assignments.

·  Create a care plan for your chronic illness group organized using the following headings:

o  Nursing Diagnoses (at least 3 related to topic and interview results)

o  Assessment Data (objective and subjective)

o  Interview Results

o  Desired Outcomes

o  Evaluation Criteria

o  Actions and Interventions

o  Evaluation of Patient Outcomes

·  Identify strategies for the family or caregiver in the care plan and provide your rationale on how they will work.

Support your responses with examples and information from library resources, textbook and lectures.

·  Papers are professional papers so you should use third person.  Try not to use first or second person when completing.  Review APA format.

Please note that the title and reference pages should not be included in the total page count of your paper.

On a separate references page, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

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Leadership Preference Reflection

Please Note – You will not be submitting your rough draft this week. You will submit confirmation of your draft submission to SmartThinking.

1. Review the results from the Questionnaires Activity to gather the data you need to support your rough draft.

2. Create a 250-350 word draft essay that includes the following:

  • Paragraph 1: Identify your leadership preference(s) and describe why the different aspects appeal to you most. Include specific terms or examples from the resources to identify your preferences.
  • Paragraph 2: Describe what experiences you have as a leader, or your experience(s) with other leaders that support your preferences as areas you want to develop as a leader. You may include examples of leaders that have not demonstrated strengths in the areas you noted and how their lack of leadership in that area helped support your decision. (Sometimes we learn how to be a good leader by experiencing bad leadership).
  • Paragraph 3: Describe how you will use your strengths and preferences in leadership within at least one setting. You may not be leading a group at this time, but there are opportunities to act as a leader at work, at home, and in classes, so you can apply your understanding of your leadership in any of these settings.

3. Submit Leadership Preference Reflection paper draft to SmartThinking online tutoring for feedback.

4. SmartThinking will send you a confirmation email noting your submission as received.

5. Upload a screen shot of the email confirmation in the assignment link.

Note:  Within three (3) days, a SmartThinking tutor will return your draft paper with suggested changes and edits.  You are expected to incorporate the suggested feedback into your final draft due Week 4.

KEEP A COPY OF THE FEEDBACK. You will need to upload the SmartThinking feedback with your final draft in Week 4.

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Assessing and Treating Patients With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for patients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) patients often present as depressive or manic but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.

To prepare for this Assignment:

  • Review this week’s Learning Resources, including the Medication Resources indicated for this week.
  • Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring bipolar therapy.

The Assignment: 5 pages

Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

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