Part 1: View and Analysis (3–4 paragraphs) Describe and explain what you viewed. Answer the following questions in your response: View the set of picture slide? How does this set of slides relate to your own career? Were the individuals professional? What made the individuals professional (consider attire, non-verbal communication skills, presentation of self, and identify and describe specific things in the slides that made the individuals professional)? After reviewing the slides, list and explain specific areas that would be unprofessional on the slides as well as in your field when considering attire, non-verbal communication skills, and presentation of self. Include any additional thoughts focused on professionalism based on what you viewed on the slides. Part 2: Personal Reflection and Connection (4 paragraphs) Describe the appropriate attire for an individual in your profession. Provide specific examples of appropriate attire. Note: you may want to research this by talking to those in your profession or researching appropriate attire for your profession as this may differ from what you viewed in the presentation. In addition, review the Credibility Robbers information from the Unit 2 Learning Activities. Describe and analyze what makes someone a professional in your field. Use research to support your ideas for this paragraph. Explain the behavioral attributes you practice that identify you as a professional (review Units 1–3 for information). What aspects, such as attire, non-verbal communication skills, and presentation of self, do you possess that make you professional? How do these aspects relate specifically to your field? Assignment Format Have a brief introductory and concluding paragraph Be clearly written in Standard English. Be sure to proofread your assignment before posting to ensure you have proper grammar and writing mechanics. Be unified, original, and insightful Follow proper APA format for both in-text citations and sources on reference page. CLICK TO ORDER NOW Categories UNCATEGORIZED Module 3 Case Senior Capstone Post author By admin Post date December 21, 2020 No Comments on Module 3 Case Senior Capstone HEALTH CARE DELIVERY AND CROSS-CULTURAL HEALTH PERSPECTIVES Homework Case Assignment In the scenario from Module 1, we see a co-worker of Sara displaying symptoms of TB. View the video by Scientific Animations Without Borders. (2012). Tuberculosis Prevention in English. Retrieved from LINK: https://www.youtube.com/watch?v=EBdC9H00BHY before responding to the following questions: How could have the organization prevented the likelihood of Sara and her co-worker contracting the disease? Explain. Explain the organization’s role and responsibilities in providing safety to workers on the job. What are the rights and responsibilities of workers to ensure their own safety in the job? What are some of the leadership qualities needed to prevent workers from being exposed to communicable diseases? Length: 3-4 pages, excluding title page and references. CLICK TO ORDER NOW Categories UNCATEGORIZED Wk 5 Scholar Practioner Project Post author By admin Post date December 21, 2020 No Comments on Wk 5 Scholar Practioner Project For this Project Assignment, think about common trends in health care administration leadership or critical areas of need for leadership in the field. Prepare a literature review of scholarly articles related to your topic in health care administration leadership. This review should contain a minimum of 10 peer-reviewed or scholarly resources. Based on what you find in the current health care administration leadership literature, create a problem statement. It must address identified gaps while incorporating implications for positive social change. Organize the Project in the following manner (each section should be represented for a comprehensive overview): Literature Review and Problem Statement (5–7 pages): The Literature Review section should be written in the narrative form, integrating concepts from the articles you find. The section should include: Synthesis of a minimum of 10 peer-reviewed, scholarly resources that give the reader a good overview of the issue. The section should show the reader common trends in health care administration leadership or critical areas of need for leadership in the field. A description of theoretical gaps in the research area. Based on the research you just did in leadership, what seems to be missing? The Problem Statement should include: An explanation of the specific problem that addresses identified gaps within the literature. An explanation of how your problem statement incorporates implications for positive social change. As students at Walden, you are preparing to become agents of social change. Based on your leadership topic, the research you just did, and the gaps you found, how would you be a social agent for change? CLICK TO ORDER NOW Categories UNCATEGORIZED Research on a health care organization Post author By admin Post date December 21, 2020 No Comments on Research on a health care organization Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following: Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best. Prepare this assignment according to the guidelines found in the APA Style Guide CLICK TO ORDER NOW Categories UNCATEGORIZED Skin Conditions Post author By admin Post date December 21, 2020 No Comments on Skin Conditions Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. CLICK TO ORDER NOW Categories UNCATEGORIZED Discussion 1: Leadership Theories in Practice Post author By admin Post date December 21, 2020 No Comments on Discussion 1: Leadership Theories in Practice Discussion 1: Leadership Theories in Practice A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject. However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations. Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization. To Prepare: · Review the Resources and examine the leadership theories and behaviors introduced. · Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments. · Reflect on the leadership behaviors presented in the three resources that you selected for review. By Day 3 of Week 4 Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace. CLICK TO ORDER NOW Categories UNCATEGORIZED Global Health And Health Care Reform Post author By admin Post date December 21, 2020 No Comments on Global Health And Health Care Reform Please answer the following questions regarding global health and health care reform: Why is it so difficult to determine which country has the best health system? Describe the empirical issues related to evaluation of the systems as well as possible ways to overcome these difficulties. If you had to choose one, which country do you think has the best health system? Use course concepts to support your answer. Is death an enemy that is to be fought off at all costs or is it a condition of life that is to be accepted? How does the way we answer this question affect the kind of healthcare system we might embrace? must be at least 250word supported by at least two references CLICK TO ORDER NOW Categories UNCATEGORIZED Advanced Practice Registered Nurse (APRN) Post author By admin Post date December 21, 2020 No Comments on Advanced Practice Registered Nurse (APRN) 1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol? QUESTION 2 . CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis. QUESTION 3 . A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis. Question: What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub? QUESTION 4. A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple weeks ago and attributed it to the flu. Physical exam revealed thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD). Question: Explain how a positive strep test has caused the patient’s symptoms. QUESTION 5. The APRN sees a 74-year-old obese female patient who is 2 days post-op after undergoing left total hip replacement. The patient has had severe post op nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says she feels like the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT).Question:Describe the factors that could have contributed to the development of a DVT in this patient explain how each of the factors could cause DVT. QUESTION 6 . A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. The APRN suspects the patient experienced a massive pulmonary embolus. Question: Explain why a large pulmonary embolus interferes with oxygenation. QUESTION 7 . A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. While waiting for the Emergency Medical Service (EMS) to arrive, the APRN places EKG leads and the EKG demonstrates right ventricular strain. Question: Explain why a large pulmonary embolism causes right ventricular strain. QUESTION 8 . A 12-year-old girl i s brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response. Question 1 of 2: Explain early asthmatic responses and the cells responsible for the responses. QUESTION 9 . A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response. Question 2 of 2:Explain late asthmatic responses and the cells responsible for the responses. QUESTION 10 . A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.Question 1 of 2:Explain the pathophysiology of emphysema and how it relates to COPD. QUESTION 11 . A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.Question 2 of 2:Explain the pathophysiology of chronic bronchitis and how it relates to COPD QUESTION 12 Mr. Jones is a 78-year-old gentleman who presents to the clinic with a chief complaint of fever, chills and cough. He also reports some dyspnea. He has a history of right sided CVA, COPD, dyslipidemia, and HTN. Current medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He reports more use of his albuterol rescue inhaler. Vital signs Temp 101.8 F, pulse 108, respirations 21. PaO2 on room air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC 18.4. Physical exam reveals thin, anxious gentleman with mild hemiparesis on left side due to CVA. HEENT WNL except for diminished gag reflex and uneven elevation of the uvula, CV-HR 108 RRR without murmurs, rubs, or click, no bruits. Resp-coarse rhonchi throughout lung fields. CXR reveals consolidation in right lower lobe. He was diagnosed with community acquired pneumonia (CAP).Question: Patient was hypoxic as evidenced by the low PaO2. Explain the pathologic processes that caused this patient’s hypoxemia. CLICK TO ORDER NOW Categories UNCATEGORIZED Care Of Adults Post author By admin Post date December 21, 2020 No Comments on Care Of Adults Hello, please are two tasks. Task # 1 is a Care Plan, below I attach two forms in words that must be completed. Task # 2 is a Case Study that has three items a, b, and c, which must be answered independently. Required Textbooks and Reading Material: Touhy, Theris DNP and Jett, Kathleen, (2018). Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition. Elsevier. ISBN: 9780323401678 Task # 1 1. Care Plan What is a nursing care plan? A nursing care plan (NCP) is a formal process that includes correctly identifying existing needs, as well as recognizing potential needs or risks. Care plans also provide a means of communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Without the nursing care planning process, quality and consistency in patient care would be lost. Medical Diagnosis: Alzheimer’s disease Alzheimer’s disease is a progressive disease that destroys memory and other important mental functions. It’s the most common cause of dementia – a group of brain disorders that results in the loss of intellectual and social skills. These changes are severe enough to interfere with day-to-day life. In Alzheimer’s disease, the connections between brain cells and the brain cells themselves degenerate and die, causing a steady decline in memory and mental function. Task # 2 2. Case Study What is a nursing case study? A nursing case study is an in-depth study of a patient that is encountered during the student’s daily practice in a practicum. They are important learning experiences because the student can apply classroom/theoretical learning to an actual situation and perhaps make some conclusions and recommendations. Case Study, Critical Thinking, Ethical Decision Making, and the Nursing Process 1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. (Learning Objective 4) a. What ethical dilemma exists? b. Who are the stakeholders and what gains or losses do each have? c. What strategies should the hospice nurse take to resolve the ethical dilemma? CLICK TO ORDER NOW Categories UNCATEGORIZED Lab Assignment: Differential Diagnosis For Skin Conditions (NURS 6512: Advanced Health Assessment) Post author By admin Post date December 21, 2020 No Comments on Lab Assignment: Differential Diagnosis For Skin Conditions (NURS 6512: Advanced Health Assessment) Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare · Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. · Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? · Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. · Consider which of the conditions is most likely to be the correct diagnosis, and why. · Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. · Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. · Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one This week you will be submitting your paper in SOAP format. The template and the grading rubric for this format is located in the Course Info folder. This is the format approved for this course, so please follow it. You will be choosing one skin graphic to write your SOAP note. Need to organize your data in this format…..and under “S” you will need to ask your questions…but obviously your patient cannot answer you. So….under “S”….list all of the questions that you would ask the patient from the template list, including Meds, Allergies, ROS, etc…….think about everything that you would need to know and ask to make a clinical decision. The “O” is what the condition looks like. This is the objective piece of the note…..you do not ask the patient questions here, it is just what you observe. Be specific!!! Describe the lesion ie: size, location, characteristics, etc…. think of this as documenting directly in a patient’s chart. A/P are your list of differentials with rationale on why you chose those diagnosis. You list them from most likely to least likely. · This week you will be submitting your paper in SOAP format. The template and the grading rubric for this format is located in the Course Info folder. This is the format approved for this course, so please follow it. You will be choosing one skin graphic to write your SOAP note. Need to organize your data in this format…..and under “S” you will need to ask your questions…but obviously your patient cannot answer you. So….under “S”….list all of the questions that you would ask the patient from the template list, including Meds, Allergies, ROS, etc…….think about everything that you would need to know and ask to make a clinical decision. The “O” is what the condition looks like. This is the objective piece of the note…..you do not ask the patient questions here, it is just what you observe. Be specific!!! Describe the lesion ie: size, location, characteristics, etc…. think of this as documenting directly in a patient’s chart. A/P are your list of differentials with rationale on why you chose those diagnosis. You list them from most likely to least likely.

Part 1: View and Analysis (3–4 paragraphs)
Describe and explain what you viewed. Answer the following questions in your response:
View the set of picture slide? How does this set of slides relate to your own career?
Were the individuals professional? What made the individuals professional (consider attire, non-verbal communication skills, presentation of self, and identify and describe specific things in the slides that made the individuals professional)?
After reviewing the slides, list and explain specific areas that would be unprofessional on the slides as well as in your field when considering attire, non-verbal communication skills, and presentation of self.
Include any additional thoughts focused on professionalism based on what you viewed on the slides.
Part 2: Personal Reflection and Connection (4 paragraphs)
Describe the appropriate attire for an individual in your profession. Provide specific examples of appropriate attire. Note: you may want to research this by talking to those in your profession or researching appropriate attire for your profession as this may differ from what you viewed in the presentation. In addition, review the Credibility Robbers information from the Unit 2 Learning Activities.
Describe and analyze what makes someone a professional in your field. Use research to support your ideas for this paragraph.
Explain the behavioral attributes you practice that identify you as a professional (review Units 1–3 for information).
What aspects, such as attire, non-verbal communication skills, and presentation of self, do you possess that make you professional? How do these aspects relate specifically to your field?
Assignment Format
Have a brief introductory and concluding paragraph
Be clearly written in Standard English. Be sure to proofread your assignment before posting to ensure you have proper grammar and writing mechanics.
Be unified, original, and insightful
Follow proper APA format for both in-text citations and sources on reference page.
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Module 3 Case Senior Capstone
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HEALTH CARE DELIVERY AND CROSS-CULTURAL HEALTH PERSPECTIVES
Homework Case Assignment
In the scenario from Module 1, we see a co-worker of Sara displaying symptoms of TB. View the video by Scientific Animations Without Borders. (2012). Tuberculosis Prevention in English. Retrieved from LINK: https://www.youtube.com/watch?v=EBdC9H00BHY before responding to the following questions:
How could have the organization prevented the likelihood of Sara and her co-worker contracting the disease? Explain.
Explain the organization’s role and responsibilities in providing safety to workers on the job.
What are the rights and responsibilities of workers to ensure their own safety in the job?
What are some of the leadership qualities needed to prevent workers from being exposed to communicable diseases?
Length: 3-4 pages, excluding title page and references.
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Wk 5 Scholar Practioner Project
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For this Project Assignment, think about common trends in health care administration leadership or critical areas of need for leadership in the field.
Prepare a literature review of scholarly articles related to your topic in health care administration leadership. This review should contain a minimum of 10 peer-reviewed or scholarly resources.
Based on what you find in the current health care administration leadership literature, create a problem statement. It must address identified gaps while incorporating implications for positive social change.
Organize the Project in the following manner (each section should be represented for a comprehensive overview):
Literature Review and Problem Statement (5–7 pages):
The Literature Review section should be written in the narrative form, integrating concepts from the articles you find. The section should include:
Synthesis of a minimum of 10 peer-reviewed, scholarly resources that give the reader a good overview of the issue. The section should show the reader common trends in health care administration leadership or critical areas of need for leadership in the field.
A description of theoretical gaps in the research area. Based on the research you just did in leadership, what seems to be missing?
The Problem Statement should include:
An explanation of the specific problem that addresses identified gaps within the literature.
An explanation of how your problem statement incorporates implications for positive social change. As students at Walden, you are preparing to become agents of social change. Based on your leadership topic, the research you just did, and the gaps you found, how would you be a social agent for change?
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Research on a health care organization
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Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.
Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
Describe the health care organization or network.
Describe the organization’s overall readiness based on your findings.
Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.
Prepare this assignment according to the guidelines found in the APA Style Guide
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Skin Conditions
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Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
Consider which of the conditions is most likely to be the correct diagnosis, and why.
Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
The Lab Assignment
Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
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Discussion 1: Leadership Theories in Practice
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Discussion 1: Leadership Theories in Practice
A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.
However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.
Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.
To Prepare:
· Review the Resources and examine the leadership theories and behaviors introduced.
· Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
· Reflect on the leadership behaviors presented in the three resources that you selected for review.
By Day 3 of Week 4
Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.
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Global Health And Health Care Reform
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Please answer the following questions regarding global health and health care reform:
Why is it so difficult to determine which country has the best health system? Describe the empirical issues related to evaluation of the systems as well as possible ways to overcome these difficulties. If you had to choose one, which country do you think has the best health system? Use course concepts to support your answer.
Is death an enemy that is to be fought off at all costs or is it a condition of life that is to be accepted? How does the way we answer this question affect the kind of healthcare system we might embrace?
must be at least 250word supported by at least two references
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Advanced Practice Registered Nurse (APRN)
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December 21, 2020
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1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?
QUESTION 2
. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
QUESTION 4.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple weeks ago and attributed it to the flu. Physical exam revealed thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD).
Question:
Explain how a positive strep test has caused the patient’s symptoms.
QUESTION 5.
The APRN sees a 74-year-old obese female patient who is 2 days post-op after undergoing left total hip replacement. The patient has had severe post op nausea and vomiting and has been unable to go to physical therapy. Her mucus membranes are dry. The patient says she feels like the skin on her left leg is too tight. Exam reveals a swollen, tense, and red colored calf. The patient has a duplex ultrasound which reveals the presence of a deep venous thrombosis (DVT).Question:Describe the factors that could have contributed to the development of a DVT in this patient explain how each of the factors could cause DVT.
QUESTION 6
. A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. The APRN suspects the patient experienced a massive pulmonary embolus.
Question:
Explain why a large pulmonary embolus interferes with oxygenation.
QUESTION 7
. A 45-year-old woman is 10 days status post partial small bowel resection for Crohn Disease and has been recuperating at home. She suddenly develops severe shortness of breath, becomes weak, and her blood pressure drops to 80/40 mmHg (previous readings ~130/80s mmHg). The pulse oximetry is 89% on room air. While waiting for the Emergency Medical Service (EMS) to arrive, the APRN places EKG leads and the EKG demonstrates right ventricular strain.
Question:
Explain why a large pulmonary embolism causes right ventricular strain.
QUESTION 8
. A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.
Question 1 of 2:
Explain early asthmatic responses and the cells responsible for the responses.
QUESTION 9
. A 12-year-old girl is brought to the Emergency Room (ER) by her mother with complaints of shortness of breath, wheezing, tachypnea, tachycardia, and a non-productive cough. The mother states they had just come from a fall festival where the entire family enjoyed a hayride. The symptoms began shortly after they left the festival but got better a couple hours after they returned home. The symptoms began again about 6 hours later and seem to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.
Question 2 of 2:Explain late asthmatic responses and the cells responsible for the responses.
QUESTION 10
. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.Question 1 of 2:Explain the pathophysiology of emphysema and how it relates to COPD.
QUESTION 11
. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD.Question 2 of 2:Explain the pathophysiology of chronic bronchitis and how it relates to COPD
QUESTION 12
Mr. Jones is a 78-year-old gentleman who presents to the clinic with a chief complaint of fever, chills and cough. He also reports some dyspnea. He has a history of right sided CVA, COPD, dyslipidemia, and HTN. Current medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He reports more use of his albuterol rescue inhaler.
Vital signs Temp 101.8 F, pulse 108, respirations 21. PaO2 on room air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC 18.4. Physical exam reveals thin, anxious gentleman with mild hemiparesis on left side due to CVA. HEENT WNL except for diminished gag reflex and uneven elevation of the uvula, CV-HR 108 RRR without murmurs, rubs, or click, no bruits. Resp-coarse rhonchi throughout lung fields. CXR reveals consolidation in right lower lobe. He was diagnosed with community acquired pneumonia (CAP).Question:
Patient was hypoxic as evidenced by the low PaO2. Explain the pathologic processes that caused this patient’s hypoxemia.
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Care Of Adults
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Post date
December 21, 2020
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Hello, please are two tasks. Task # 1 is a Care Plan, below I attach two forms in words that must be completed. Task # 2 is a Case Study that has three items a, b, and c, which must be answered independently.
Required Textbooks and Reading Material:
Touhy, Theris DNP and Jett, Kathleen, (2018). Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition. Elsevier. ISBN: 9780323401678
Task # 1
1. Care Plan
What is a nursing care plan?
A nursing care plan (NCP) is a formal process that includes correctly identifying existing needs, as well as recognizing potential needs or risks. Care plans also provide a means of communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Without the nursing care planning process, quality and consistency in patient care would be lost.
Medical Diagnosis: Alzheimer’s disease
Alzheimer’s disease is a progressive disease that destroys memory and other important mental functions. It’s the most common cause of dementia – a group of brain disorders that results in the loss of intellectual and social skills. These changes are severe enough to interfere with day-to-day life. In Alzheimer’s disease, the connections between brain cells and the brain cells themselves degenerate and die, causing a steady decline in memory and mental function.
Task # 2
2. Case Study
What is a nursing case study?
A nursing case study is an in-depth study of a patient that is encountered during the student’s daily practice in a practicum. They are important learning experiences because the student can apply classroom/theoretical learning to an actual situation and perhaps make some conclusions and recommendations.
Case Study, Critical Thinking, Ethical Decision Making, and the Nursing Process
1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. (Learning Objective 4)
a. What ethical dilemma exists?
b. Who are the stakeholders and what gains or losses do each have?
c. What strategies should the hospice nurse take to resolve the ethical dilemma?
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Lab Assignment: Differential Diagnosis For Skin Conditions (NURS 6512: Advanced Health Assessment)
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December 21, 2020
No Comments on Lab Assignment: Differential Diagnosis For Skin Conditions (NURS 6512: Advanced Health Assessment)
Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.
To Prepare
· Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
· Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
· Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
· Consider which of the conditions is most likely to be the correct diagnosis, and why.
· Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
· Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
· Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
The Lab Assignment
Choose one This week you will be submitting your paper in SOAP format. The template and the grading rubric for this format is located in the Course Info folder. This is the format approved for this course, so please follow it. You will be choosing one skin graphic to write your SOAP note. Need to organize your data in this format…..and under “S” you will need to ask your questions…but obviously your patient cannot answer you. So….under “S”….list all of the questions that you would ask the patient from the template list, including Meds, Allergies, ROS, etc…….think about everything that you would need to know and ask to make a clinical decision. The “O” is what the condition looks like. This is the objective piece of the note…..you do not ask the patient questions here, it is just what you observe. Be specific!!! Describe the lesion ie: size, location, characteristics, etc…. think of this as documenting directly in a patient’s chart. A/P are your list of differentials with rationale on why you chose those diagnosis. You list them from most likely to least likely.
· This week you will be submitting your paper in SOAP format. The template and the grading rubric for this format is located in the Course Info folder. This is the format approved for this course, so please follow it. You will be choosing one skin graphic to write your SOAP note. Need to organize your data in this format…..and under “S” you will need to ask your questions…but obviously your patient cannot answer you. So….under “S”….list all of the questions that you would ask the patient from the template list, including Meds, Allergies, ROS, etc…….think about everything that you would need to know and ask to make a clinical decision. The “O” is what the condition looks like. This is the objective piece of the note…..you do not ask the patient questions here, it is just what you observe. Be specific!!! Describe the lesion ie: size, location, characteristics, etc…. think of this as documenting directly in a patient’s chart. A/P are your list of differentials with rationale on why you chose those diagnosis. You list them from most likely to least likely.

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