N6051 – Nursing Essay Tutors

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The Assignment: (4-5 pages)
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following: Describe the project you propose. Identify the stakeholders impacted by this project. Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples. Identify the technologies required to implement this project and explain why. Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

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4004-1

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Write a 5-7 page recommendation to senior leadership about steps the organization needs to take to resolve a patient safety issue that occurred. Include an explanation of why it is important to address the issue and the role the patient safety officer will play in helping to resolve the issue.
Alarming numbers of unnecessary patient deaths occur in U.S. hospitals and around the world. “Quality and patient safety in health care have been on the forefront of the public’s mind since the publication of the Institute of Medicine’s (IOM) seminal report, ‘To Err Is Human,’ in 1999” (Johnson, Haskell, & Barach, 2016, pg. xv). The literature supports revising systems and processes in an effort to narrow the difficult safety and quality gaps. Worldwide, issues of patient safety and patient-centered quality care drive health care reform. Current approaches are not adequate; patients remain at risk for needless harm.
Demonstrating a firm understanding of the various components of patient safety is fundamental to understanding health care quality, risk management, and patient safety overall. 
For this first assessment, you will assume the role of a patient safety officer at your local hospital. You will analyze a patient safety issue that occurred and then prepare a five- to seven-page recommendation for senior leaders about why it is important to address the issue, along with your recommendations about how to address it. You will also need to detail the role you as the patient safety officer will play in helping the organization resolve the issue.  Reference
Johnson, J. K., Haskell, H. W., & Barach, P. R. (2016). Case studies in patient safety. Burlington, MA: Jones & Bartlett Learning. Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:  Competency 1: Analyze the quality and performance improvement activities within the health care organization. Recommend evidence-based best practice tools and techniques to reduce or eliminate patient safety threats. Competency 3: Analyze the importance of patient safety in health care. Apply the health care safety imperative to a patient safety issue. Evaluate the risk to patients, employees, and the organization if patient safety threats are not addressed. Analyze regulatory agencies’ role and impact on organizations’ patient safety programs. Competency 4: Apply leadership strategies to quality improvement in a health care organization. Analyze the patient safety officer’s role in implementing patient safety plans. Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals. Write a clear, persuasive, organized recommendation plan that is generally free of errors and is reflective of professional communication in the health care field. Provide citations and title and reference pages that conform to APA style and format. Preparation
To help prepare for successfully completing this assessment: From  the Vila Health: Patient Safety simulation activity that interests you the most for further analysis in your assessment: HIPAA/Privacy Violation. Instructions
For the scenario you selected, write a five- to seven-page recommendation for leadership that describes the safety threat, the importance of addressing the threat, and your recommendations for resolving it. Be sure to include all of these headings in your paper and to address all of the bullets underneath each heading: Potential threat to patient safety: Identify the issue you selected from the simulation activity as the potential safety threat. Describe the issue that occurred with sufficient detail so that leadership has a clear understanding of what happened. Implications of not addressing threat: Evaluate the risk to the organization if this issue is not addressed. In your evaluation, be sure to address all of the following: What does the health care safety imperative say about the issue? How does the health care safety imperative apply in this case? Which regulatory agency(ies) have oversight about the issue? What specifically do the regulation(s) state about the issue? For example, you might consider the Joint Commission’s national patient safety goals.  What impact do regulatory agencies have on organizations’ patient safety programs?  How do health care organizations incorporate regulatory agencies’ guidance when establishing reporting and investigation best practices? If the hospital fails to correct the threat, what are the potential consequences to patients, employees, and to the organization? Patient safety officer’s role in effective implementation of patient safety plans: Explain the role patient safety officers assume in implementing patient safety plans in health care organizations.   Clarify your responsibility and role as the patient safety officer in this specific instance. Provide one example from the literature to illustrate your points.  Recommendations to reduce patient safety threat: Describe your five-point plan to reduce or eliminate this patient safety threat. What best practice tools or techniques does your plan include to reduce or eliminate these types of errors? Consider processes for responding, rounding, detecting, incident reporting, operational considerations, et cetera.   
In a health care professional setting, recommendations to leadership would typically not be in APA format. As a result, your paper does not need to conform to APA format and style guidelines. It does, however, need to be clear, persuasive, organized, and well written without spelling, grammar, and/or punctuation errors. In addition, recommendations you write in a professional setting would be single-spaced. For the purpose of this assessment, however, please use double-spacing.  
Also, health care is an evidence-based field. Your senior leaders will want to know the sources of your information, so be sure to include at least two peer-reviewed sources. You may use the suggested resources for this assessment. Your citations and references do need to conform to APA guidelines. Additional Requirements Length: Your recommendation will be 5–7 double-spaced pages, not including title and reference pages. Font: Times New Roman, 12-point. APA Format: Your title and reference pages need to conform to APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines. Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty member will evaluate your work.
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Which type of supply chain environment do you feel would have a more difficult time managing capacity

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Discussion: Managing Capacity
Which type of supply chain environment do you feel would have a more difficult time managing capacity – an environment supporting standardized products/services OR one supporting customized products/services? Why?
Using the above scenario, which one of the sectors would you prefer to serve as a Supply Chain Manager? Why?Initial response to the discussion questions must be 250-350 words in lengthUse APA format for any quotations or citations you use to support your answersInitial responses must have at least two sources – one source must be a peer-reviewed journal article; the other source can be from a trade journal or other source of your choosingANSWERS 2

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Battling over Bottled Water Read Case 3.2: Battling over Bottled Water at the end of Chapter 3 and..

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Battling over Bottled Water Read Case 3.2: Battling over Bottled Water at the end of Chapter 3 and respond to these questions: Is groundwater a public resource, the use of which is appropriate for society to regulate? Or is it the property of those who own the land to use as they see fit?
Ok, dont write too long, just a discussion board, write it simply within one pargraph plz 150 words no need to cite Answer preview………… APA 191 words Added to cart

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Incident Response (IR) Revamp – Class Assignments Help

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Posted: 5 Days AgoDue: 14/04/2018Budget: $75Report IssueImagine you have just taken over the manager position for your organization’s incident response team, after coming from another division in the company. Your first realization is that proper procedures, best practices, and sound technologies are not being utilized. You decide to revamp the team’s efforts.
Write a two to three 5 page paper in which you:
Explicate the main efforts that would be included in the incident response efforts, including but not limited to personnel and team structure, tools and utilities, and proper procedures.Discuss in detail the role that an IDS / IPS would play in the IR efforts, and explain how these systems can assist in the event notification, determination, and escalation processes.Explain how the NIST SP800-61, Rev. 1 could assist the personnel in classifying incidents so each is identified appropriately and the proper incident-handling procedures are taken.Explain how the use of log management systems (e.g., Splunk) could be a legitimate and useful component of the IR efforts, and describe the potential issues that could arise if not utilized.Use 5 quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.Note about Ref.
I need 5 clear and quality references.
These references need to be current and website based with an author who is current (2008-2018). I need to be able to go to a website and see that actual work.
Hints these are current subject related cited references.
No ebooks.
No google books
No paid sites for access.
No make believe books.
****Must be current and visible references*****
Will not accept anything but true references.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA.https://owl.english.purdue.edu/owl/resource/560/18/
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.The specific course learning outcomes associated with this assignment are:
Summarize the various types of disasters, response and recovery methods.Describe detection and decision-making capabilities in incident response.Use technology and information resources to research issues in disaster recovery.Write clearly and concisely about disaster recovery topics using proper writing mechanics and technical style conventions.

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a. “The success of Vanguard is due to media exploitation of what would otherwise be a very… 1 answer below »

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a. “The success of Vanguard is due to media exploitation of what would otherwise be a very ordinary fi rm.” Discuss.
b. Why do you think people continue to buy front-end load mutual funds with 5–6 percent commission fees when there are numerous no-load funds to be had?
c. Do you think Bogle’s shunning advertising was really a success, or was it a mistake?
 

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K8

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  2 citaions, 2 matching refernces.  2 paragraphs
KC8: COPD
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.
a. Explain the pathophysiology of emphysema and how it relates to COPD. Then relate to Scenario
b. I will send b question later. Usually answered in one paragraph. I must submit ‘a’ to have access to b. 
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Details: In 750-1,000 words, do the following: Analyze the substantive differences between a vocational rehabilitation clinician and a standard mental health clinician, include treatment ideology for both. Describe ethical challenges to treatment that mig

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Details:
In 750-1,000 words, do the following:

Analyze the substantive differences between a vocational rehabilitation clinician and a standard mental health clinician, include treatment ideology for both.
Describe ethical challenges to treatment that might be encountered by a vocational rehabilitation clinician in a correctional facility. Explain how those ethical challenges can be addressed.

Provide a minimum of three to five peer reviewed resources to support your explanations.
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.

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The Impact of Ethnicity on Antidepressant Therapy

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The Impact of Ethnicity on Anti-depressant Therapy
The Case: The man whose antidepressant stopped working. 
Gathering information on physical assessment is essential in the management and treatment of the patient’s conditions like depression. The participation of a family is vital in the overall treatment of a person who has a mental disorder.
The three questions necessary to ask the patient with depression are: “How do you feel about being retired?” ; “Can you tell me about your family?”; and “ Are you having thoughts of harming yourself?” The first question will explore the extent of financial demand on the patient and will assess the feeling of guilt regarding financial constraints related to his chronic disease. The importance of financial challenge appeared as the primary stressor on the study on chronic disease and depression (Chan & Corvin, 2016). The second question determines how family relations affect the patient’s condition, whether he has a sound support system. The third question explores the patient’s plan for himself.
The patient’s wife in the scenario is his support person. Family and social interactions appeared crucial to coping strategy even without resolution on the problem (Chan & Corvin, 2016). The following questions are necessary to determine how supportive is the patient’s wife: “Do you keep track of your husband’s medication regimen?” ; “ What are the things that you and your husband like to do?”; and “How do you feel about your husband’s illness?”
The first question determines the wife’s involvement in patient care and whether the patient is compliant with his schedules of medication. The second question explore the things that both patient and wife enjoy. The third question assesses how the patient’s wife handles his husband’s illness. The wife can be a husband’s caregiver, and such a job involves managing the patient’s treatment, side effects, and symptoms, which providing such care can be emotionally difficult (Nik Jaafar et al., 2014). Greater caregiver burden is associated with older adults with long-standing depressive manifestations (Marshe et al., 2017).
Physical Examination and Diagnostic Tests
Physical assessment on the patient’s head, thyroid, and nervous system is an appropriate action to rule out other causes of depression. Current studies affirmed a significant correlation between thyroid hormone imbalance in patients with MDD (Shen et al., 2019). The result of a physical examination will enable the provider to treat any condition that might have contributed to the patient’s depression. The patient may also benefit from HAM-D6 or melancholia sub-scale. The HAM-D6 is a focused version of the Hamilton Depression Rating Scale (HAM-D), an outcome measure in MDD (Dunlop et al., 2019). The test result helps identify the effect of an antidepressant (Dunlop et al., 2019). The result is beneficial and helpful in medication decision management. 
Three Differential Diagnosis
The three differential diagnoses for the patients’ case is adjustment disorder with depressed mood, mood disorder due to another medical condition, and anxiety disorder. Although all the differential diagnosis applies to the patient, the most appropriate one is the adjustment disorder with depressed mood. It is an episode that happens in reply to a psychosocial stressor (American Psychiatric Association, 2013). Although the patient’s depression originated after an A-fib experience, based on the patient’s history, his condition improved, and his A-fib is well managed with medication. The second depression started at the beginning of the patient’s retirement life, improved when he went back to work, and again retired. This depression is linked to a psychosocial stressor.
Pharmacologic Agents
Venlafaxine and sertraline are anti-depressants with a different class that are appropriate for patient’s therapy. Either sertraline 200 mg or venlafaxine 150 mg can be given to the patient considering his history. Sertraline is an antidepressant medication that acts by preventing the serotonin transporter (SERT) in the presynaptic terminals and belongs to the family of selective serotonin reuptake inhibitors (SSRIs) (Saiz-Rodriguez et al., 2018). It prevents the reuptake of 5-HT (Rosenthal & Burchum, 2018). Sertraline (Zoloft) manage depression by elevating the serotonergic activity (Up To Date, Inc, 2019). It has a dopamine neurotransmission blocking ability that gives its therapeutic action (Potter, 2020).
Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) use to treat late-life depression and is usually prescribed between 75 and 300 mg in a day, which dosage of 150 or higher is enough to generate noradrenergic activity (Marshe et al., 2017). In a study, there was no ethnicity correlation with patients’ remission status found (Marshe et al., 2017).
Sertraline and venlafaxine would both be appropriate choices for the treatment of depression in this patient. However, I would choose sertraline over venlafaxine because SSRI is commonly tolerated and has a decrease rate of treatment disruption (Bauer, Severus, & Moller, 2017). Venlafaxine has been known to raise blood pressure in patients (Up To Date Inc., 2020). This patient has hypertension. It would require frequent monitoring of the patient’s blood pressure, checking it on time, and knowing the reportable changes would increase the patient and family burden, which is already high in this case. Using sertraline would be effective and would be more comfortable with the family because it would not require frequent blood monitoring. In this case, the has a history of hypertension, but it does not say whether it is or it is not uncontrolled and may only infrequently check his blood pressure at physician appointments or other wellness checks. 
In addition to lesser side effects in sertraline, it has an anxiolytic action that elevates the mood, energy, and concentration (Stahl, 2013). Also, when used as a single therapy, the chance of serotonin syndrome is significantly low (Dwyer & Bloch, 2019). Moreover, it is seldom fatal in single therapy overdose, and long-term use is safe (Potter, 2019).
Regarding ethnic considerations, the older Hispanic population has been found to have a negative outlook regarding pharmacotherapy (Stephenson, Martin, Ortiz, & Mongomey, 2019). This potentially is attributed to other findings such as complaints concerning a lack of providers that are either Hispanic or are bilingual (Stephenson et al., 2019). This could make it harder for patients to understand directions for taking medicine, how to get refills, or understand the provider’s basic instructions (Stephenson et al., 2019).
Lesson Learned
Polypharmacy is not recommended in older adults. The patient initially responds well to sertraline. Since then, multiple changes have taken place, and various medications have been added. The patient is now older, and with that, comes a slower metabolism. A therapeutic effect may be achieved with a smaller dose because of slower metabolism. 
Evidence of depression recurrence signifies progression that may develop into treatment resistance. The learning I earned from the case study will impact my future practice by being pro-active in medical management and education in patients with similar clinical presentations. For example, I will reinforce learning and encourage patients with MDD to take maintenance medication on the third relapse of MDD to avoid relapses in the future and risking changes in the brain formation (Stahl online) development of treatment-resistant depression. According to Dwyer & Bloch (2019), the indefinite continuation of antidepressant is recommended for patients who had three depressive episodes or had high severity episode. 
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders  (5th ed.). Washington, DC: Author.
Bauer, M., Severus, E., Moller, H., & Young, A. (2017). Pharmacological treatment of unipolar  depressive disorders: summary of WFSBP guidelines. International Journal of Psychiatry  in Clinical Practice, 21(3), 166-176.
https://doi-org.ezp.waldenulibrary.org/10.1080/13651501.2017.1306082
Chan, I., & Corvin, J. (2016). Chronic disease and depression among Hispanic Americans:  Reconceptualizing the masculine self. American Journal of Men’s Health, 10(6), N11- N12. doi: 10.1177/1557988315595858
Dunlop, B., Parikh, S., Rothschild, A., Tase, M., De Battista, C., Conway, C., Forester, B.,  Mondimore, F., Shelton, R., Macaluso, M., Logan, J., Traxter, P., Li, J., Johnson, H., &  Greden, J. (2019). Comparing sensitivity to change using the 6-item versus the 17-item  Hamilton depression rating scale in the GUIDED randomized controlled trial. BMC  Psychiatry, 19(1), 1-10. 
https://doi-org.ezp.waldenulibrary.org/10.1186/s12888-019-2410-2
Dwyer, J. B., & Bloch, M. H. (2019). Antidepressants for pediatrics patients. Currentpsychiatry,  18(9), 26-42F
Marshe, V., Maciukiewicz, M., Rej, S., Tiwari, A., Sibille, E., Blumberger, D., Karp, J., Lenze,  E., Reynolds, C., Kennedy, J., Mulsant, B., Muller, D. (2017). Norepinephrine transporter  gene variants and remission from depression with venlafaxine treatment in older adults.  American Journal of Psychiatry, 5, 468.
https://doi-org.ezp.waldenulibrary.org/10.1176/appi.ajp.2016.16050617
Nik Jaafar, N. R., Selma Din, S. H., S. H., Mohamed Saini, S., Ahmad, S. N. A., Midin, M., Sidi,  H., Silim, U. A., & Baharudin, A. (2014). Clinical depression while caring for loved ones  with breast cancer. Comprehensive Psychiatry, 55(Supplement 1), S52-S59.
https://doi-org.ezp.waldenulibrary.org/10.1016/j.comppsych.2013.03.003
Potter, D. R. (2019). Major depression disorder in adults: A review of antidepressants.  International Journal of Caring Sciences, 12(3), 1936-1942.
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice  providers. St. Louis, MO: Elsevier.
Saiz-Rodriguez, M., Belmonte, C., Roman, M., Ochoa, D., Koller, D., Talegon, M., … Abad- Santos, F. (2018). Effects of polymorphisms on the pharmacokinetics,  pharmacodynamics, and safety of sertraline in healthy volunteers. Basics & Clinical  Pharmacology & Toxicology, 122(5), 501-511.
Shen, Y., Wu, F., Zhou, Y., Ma, Y., Huang, X., Ning, Y., Lang, X., Lou, X., & Zhang, X. (2019).  Association of thyroid dysfunction with suicide attempts in first-episode and drug  naive patients with major depressive disorder. Journal of Affective Disorders, 259,  180-185
https://doi-org.ezp.waldenulibrary.org/10.1016/j.jad.2019.08.067
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical  applications (4th ed.). New York, NY: Cambridge University Press.
Stephenson, J., Distelberg, B., Mortin, K., Ortiz, L., & Montgomery, S. (2019). Different  depression treatment recommendations and adherence for Spanish and English-speaking  patients. JAFBM, 32(6), 904-912
Retrieved from https://www.jabfm.org/content/jabfp/32/6/904.full.pdf
Up To Date Inc. (2020). Sertraline drug information. Retrieved from https://www.uptodate.com/contents/sertraline-drug-information?  search=sertraline%20adult&usage_type=panel&kp_tab=drug_general&source=panel_search_result&selectedTitle=1~149
&usage_type=default&display_rank=1
Up To Date Inc. (2020). Venlafaxine drug information. Retrieved from https:// www.uptodate.com/contents/venlafaxine-drug-information?search=effexor&source=panel_search_result&selectedTitle=1~149&usage_type=panel&kp
_tab=drug_general&display_rank=1.
I NEED  A RESPONSE FROM THIS ASSIGNMENT
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psyc 3005 3-4 pages, apa format

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July 1, 2021/in Psychology Homework Help Online /by admin
Describe the concerns held by both adoptive parents and adopted children in transracial families.
What other concerns would you add that were not discussed and why?
Explain how the concerns you discussed in the first two questions relate to the concept of double consciousness.
Discuss the advantages and disadvantages of race and ethnicity covering and passing.
Address how covering and passing can be used to both cause and resolve identity conflicts for both transracial adoptees and in general.

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admin2021-07-01 19:38:402024-04-15 23:12:32psyc 3005 3-4 pages, apa format

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