Identify the pathophysiology of the alteration that you associated with the cough.

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Discussion: Respiratory AlterationsIn clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.
To Prepare
Review the three scenarios, as well as Chapter 26 and Chapter 27 in the Huether and McCance text.Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.Identify the pathophysiology of the alteration that you associated with the cough.Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.By Day 3Post a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.
Read a selection of your colleagues’ responses.
By Day 6Respond to at least two of your colleagues on two different days who selected a different scenario than you, in one or more of the following ways:
Share insights on how the factor you selected impacts the disorder your colleague identified.Ask a probing question regarding the disorder that your colleague identified.Suggest an alternative disorder for the scenario your colleague selected.

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MacQueen test only

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Community Center Proposal
Focus of the Final ProjectYour community is opening a brand new Community Child Development Center.  Now that you are an expert in the field, you have been chosen to lead a development team that will create a proposal for interactive, fun, and educational programming activities that will be provided for children and adolescents in this center.  Utilize problem-solving techniques in exploring developmental issues, grounded in child development, in order to assess what activities and items should be included in each program. The chosen activities and items must be developmentally appropriate and based in theory.  They must also address the themes of this class, including Health and Well-Being, Family and Parenting, Education, Culture, and Gender.  Once you have chosen these features, you will present your ideas to a mock city council board (i.e. your instructor) with a written proposal describing the programming in detail.
You have been asked to propose programming for five different age groups in the Community Child Development Center:

Infant (0-1 year)
Toddler (1-3 years)
Early Childhood (3-6 years)
Middle/Late Childhood (7-12 years)
Adolescence (13-18 years)

The Community Child Development Center will have a room dedicated to each of these age groups.  In your proposal, you will identify and describe two specific activities for each “room” (for a total of 10 activities) that address their developmental domain pathways: physical, cognitive, and psychosocial.  All three domains of development must be addressed within your activities.  For example, you may have one activity which enhances cognitive and psychosocial development and a second activity which enhances physical development for a particular age group. In addition to identifying these activities, you will demonstrate a foundational knowledge of the age group’s developmental continuum by explaining your reasoning for choosing each activity, based on your analysis of theory and current child development research.  
Additionally, you will search for at least one age-appropriate game, toy, picture, or other “play” item to enhance the chosen activities within each age group. Keep in mind that this may include things like art, music, technology, or safety gear as you deem fit.  For each item that you recommend, your proposal will explain why the city should purchase the item informed by research and theory. 
The overall goal of the final project is much like that of a grant proposal, in which a developer must convince the city council that his or her new business or activity is both cost-effective and beneficial to the community.  You are encouraged to be creative and persuasive in your proposal, but remember that everything must be supported by the theories and research covered in our class. Included is a Community Child Development Center Proposal Template, demonstrating what information should be included in your project.
SPECIAL NOTES: You will utilize the Community Child Development Center Proposal template to create and submit your proposal.  Enter the requested information on the title page where indicated. Where you find the text “This is where you will…” within the proposal, please remove that and enter your own content. The headings in bold should not be altered. Replace the verbiage “paragraph #” with the title of your activity or object.  You will use bullets in the outline phase, but create cohesive paragraphs with appropriate headings for the final submission.   Remember your audience wants to see what you are going to provide and why. The final content for each “room” will consist of four paragraphs that will address two activities, one object or toy and a short discussion of the major themes addressed in the room. 
In your Community Child Development Center Proposal, you must include the following:

Please complete each section of the template including the information requested.  A good way to brainstorm different age appropriate activities is using Google search.  For example, enter “activities to support cognitive development in toddlers” and numerous sites with suggested activities.  Remember that your activities may be simple (especially with newborns) but they must also be specific and age appropriate, and you are to connect them to developmental theory within the proposal.  You must also cite the sources in your proposal.   
Within each room, you will be asked to justify your activities and items by analyzing interactions of the major themes: Health and Well-Being, Family and Parenting, Education, Culture and Gender as factors influencing the developmental physical, cognitive and psychosocial pathways.  Your written proposal must address how you have accounted for each of these themes in its associated room as they relate to physical, cognitive, and psychosocial development. Each theme must be included in at least one room, and each room must address one or more themes. (Please see these samples for ways to explain how you have accounted for this.)
While much of the support for your proposal will come from the text book, you must include information somewhere in the proposal from two [2] scholarly sources  Remember to cite all your sources (including the text book) according to APA style as outlined in the Ashford Writing Center. For information regarding APA samples and tutorials, visit the Ashford Writing Center through the tab on the left navigation toolbar in your online course. The EBSCOHost and PsycINFO databases in the Ashford Online Library are helpful sources of information, as are the required and recommended resources found in your course materials. . On the library website, click on “Find Articles and More” and select “Databases by Subject” and then “Psychology.” (For further assistance in researching scholarly sources, please click on the “LibraryU” link on the Ashford University Library website.)

The Community Child Development Center Proposal

Must be seven to eight double-spaced pages in length (not including the title page and references), and formatted according to APA style as outlined in the Ashford Writing Center.  
Must include a title page with the following:

Title of Community Center
Student’s name
Course name and number
Instructor’s name
Date submitted

Must begin with an introductory paragraph that has a succinct thesis statement, in which you introduce the topic and your Community Center.   
Must address the topic of the paper with critical thought within each of the designated age groups.
Must end with a conclusion that reaffirms your thesis and thanks the mock city council for their time and consideration of your proposal.  
Must use at least two scholarly sources in addition to the text book. Be sure to integrate your sources rather than simply inserting them. 
Must document all sources in APA style, as outlined here and here.
Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.
The post MacQueen test only first appeared on Nursing School Essays.

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describe a dashboard that would be useful for you in your current position and organization

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Performance Reports/Dashboards
Performance reports are a valuable tool for gauging the financial well-being and progress of a health care organization. When properly designed, these reports can provide data on key measures, quality indicators, performance of operations, patient satisfaction, personnel, and facility capacity.
Have you ever seen the cockpit of an airplane? The dashboard is covered with a variety of knobs and gauges. Having a pilot who understands the meaning of the data contained on the dashboard is essential for passenger safety and for reaching the correct destination in a timely fashion. Similarly, a dashboard for your organization can supply a wide variety of performance information to assist in the financial decision making process.
In this Discussion, you will describe a dashboard that would be useful for you in your current position and organization (or one with which you are familiar).
To prepare:
Review this week’s Media program, Dashboards.
Consider your own organization (or one with which you are familiar) and the key information that would be useful for decision making.
Develop a list of key performance indicators in the following categories that would be useful for your situation. Include:
2–3 financial indicators
2–3 operational indicators
2–3 satisfaction indicators
2–3 quality indicators
Post describe the specific indicators you selected for each category and explain why you chose those particular ones. Describe whether each indicator is a leading or trailing indicator and how this particular combination would provide the best overall view of the state of your organization. Assess how having a dashboard such as this would assist in decision making.
AND
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
(I will send the responses soon)
Required Readings
Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers. Burlington, MA: Jones and Bartlett Learning.
Chapter 11, “Financial and Operating Ratios as Performance Measures” (pp. 121–128)
This chapter introduces a number of different tools that can be used to measure the performance of an organization. These include liquidity ratios, solvency ratios, and profitability ratios.
Kleinpell, R. M. (2009). Analyzing economic outcomes in advanced practice learning. In Outcome assessment in advanced practice nursing (2nd ed.). New York, NY: Springer Publishing Company.
Outcome Assessment in Advanced Practice Nursing, 1st Edition by Kleinpell, R. M. Copyright 2009 by Springer Publishing Company. Reprinted by permission of Springer Publishing Company via the Copyright Clearance Center.
This chapter outlines five different types of economic outcomes that can be used by advanced practice nurses for assessing costs and determining performance benefits within a health care organization.
Serb, C. (2011). Effective dashboards: What to measure and how to show it. Hospitals & Health Networks, 85(6), 40.
Retrieved from the Walden Library databases.
In this article, the authors discuss automated systems known as executive dashboards, which are designed to highlight key data. Additionally, the article describes the components most experts agree should be included on an executive dashboard.
Nash, M., Pestrue, J., Geier, P., Sharp, K., Helder, A., & McAlearney, A. (2010). Leveraging information technology to drive improvement in patient satisfaction. Journal for Healthcare Quality: Promoting Excellence in Health care, 32(5), 30–40.
Retrieved from the Walden Library databases.
This article explores how senior leaders can facilitate improvement in patient experience and satisfaction by strategic improvement and setting goals. This article presents a case detailing how the Ohio State University Medical Center (OSUMC) used information technology to formulate a strategy to improve patient experience.
Barta, A. (2010). Dashboards: A required business management tool. Biomedical Instrumentation & Technology, 44(3), 228–30.
Retrieved from the Walden Library databases.
This article describes how dashboards became an integral financial and management tool for Trinity Health Clinical Engineering when it centralized the clinical engineering functions of five hospitals.
National Database of Nursing Quality Indicators. (2014). National Database of Nursing Quality Indicators. Retrieved from NDNQI :http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html
This website is a repository for nursing quality indicators.
Wadsworth, T., Graves, B., Glass, S., Harrison, A., Donovan, C., & Proctor, A. (2009). Using business intelligence to improve performance. Healthcare Financial Management, 63(10), 68–72.
Retrieved from the Walden Library databases.
In this article, the authors describe a case study involving the Cleveland Clinic Foundation’s management supervision and how they kept track of its key performance indicators (KPIs) to aid in reducing operational costs and improving quality of care.

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Exclusive for Dr. Mitch

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In your unit readings from the Psychological Testing and Assessment text, you read about three sources of error variance that occur in testing and assessment. These include test construction, test administration, and test scoring and interpretation. Additionally, other sources of error may be suspect. You were also introduced to reliability coefficients, which provide information about these sources of error variance on a test (see Table 5-4).
The following reliability coefficients were obtained from studies on a new test, THING, purporting to measure a new construct (that is, Something). Alternate forms of the test were also developed and examined in subsequent studies published in the peer-reviewed journals. The alternate test forms were titled THING 1 and THING 2. (Remember to refer back to your Psychological Testing and Assessment text for information about using and interpreting a coefficient of reliability.)

Internal consistency reliability coefficient = .92
Alternate forms reliability coefficient = .82
Test-retest reliability coefficient = .50

In your post:

Describe what these scores mean.
Interpret these results individually in terms of the information they provide on sources of error variance.
Synthesize all of these interpretations into a final evaluation about this test’s utility or usefulness.
Explain whether these data are acceptable.
Explain under what conditions they may not be acceptable and under what conditions, if any, they may be appropriate. 
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How you would provide professional nursing care for Mr. R. using the theory you have selected.

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HOMEWORK
Application of Nursing Theory to Practice (graded)
You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer resulting in a temporary colostomy. Select one of the assigned or unassigned nursing theories from our textbook and address the following:
How you would provide professional nursing care for Mr. R. using the theory you have selected. Be sure to use terminology from the selected nursing theory to explain your interventions.Relate application of legal and/or ethical standards to this case study.ReadingHood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Chapter 1: pp. 13–14 and 22–28Chapter 3: pp. 67–72Chapter 6: pp. 126–129, 134–135, and 136–138Chapter 12: pp. 298–302Optional readings from Hood:
Chapter 12: pages 297–321Other Required Readings (located in Webliography):
Massachusetts Nurse of the Future Nursing Core Competencies: Slides 13–16AACN Essentials of Baccalaureate Education: pp. 26–29If you selected the competency of Professionalism for your Professional Paper, click HERE to this article for your Professional Paper Worksheet and Professional Paper.
You are expected to read the Lesson for Week 7. It contains information that applies to your graded discussion

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Wild Child | Nursing School Essays

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What happens if a child is deprived of appropriate stimulation during critical periods of development? Consider the story of Genie. From the time she was 20 months old until authorities rescued her at age 13, Genie was locked alone in a tiny, windowless room. By day, she sat naked and tied to a chair with nothing to do and no one to talk to. At night, she was put in a kind of straitjacket and “caged” in a covered crib. Genie’s tale is a heartbreaking account of the lasting scars from a disastrous childhood.
After reading about early language development and watching the video, please answer the following questions in a thorough response:

Does Genie’s case prove that there is a critical period for language development? Why or why not?
Which side of the “nature versus nurture” debate does Genie’s case best support (human development and behavior is the result of nature (heredity) and of nurture (environmental influences)? What is the potential impact on language development?

APA Format 300 word minimum

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explain several concepts that are essential to an understanding of how the economy works.

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Your son is graduating from high school and is about to enter the work force. He has developed a strong curiosity about our economic system and how it works. Because you have a good understanding of basic economics, he has asked you to explain several concepts that are essential to an understanding of how the economy works. Your son has asked you to explain the following concepts and ideas:
Absolute and comparative advantage: Explain how these concepts describe the benefits and costs of international trade.“Invisible hand”: What is it and how does it affect the decision-making process in our economic system?Circular flow diagram: Include the government sector in your explanation, a description of the roles that each participant plays in the economy, and how the different sectors interact in the markets.The Production Possibilities model: Provide an example and include a summary of what the model is illustrating and the economic implications for the economy.Microeconomics and macroeconomics: Explain the differences between the two and why economics is divided into these two subdivisions.Deliverables:
Prepare a 5-10 page Microsoft Word document that addresses the above-noted concerns and meets APA standards.Include a summary section in your report that contains 5-7 bullet points identifying your major findings or conclusions of your paper.Submit this report (as an attachment) as your initial post in the W1: Assignment 2 Discussion Area by Saturday, October 1, 2016.For the convenience of your classmates, post your summary 5-7 bullet points in the dialogue box of the discussion area along with the attachment (full report).By the end of the week, comment on at least two other presentations and identify the strengths and weaknesses of each.All submissions must be original and all resources must be properly acknowledged.

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Week 1: Mentoring Module | Nursing School Essays

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Week 1: Mentoring Module
Read the Mentoring Unit in its entirety first. In your discussion this week, please answer the three questions below as they relate to this week’s Module. 
Keep in mind that the person you are mentoring is called a “mentoree” (not “mentee”) – remember that according to your reading the word came from a man named Mentor. 
Questions:

Discipleship vs. Mentoring: Based on the biblical examples, were they the same in biblical times? What about now? What do you think and why?
Mentoring vs. Counseling: Counseling addresses cases of mental/emotional distress. How can a lay counselor address issues of soul care by using the art and practice of mentoring?
Briefly give us a list of thoughts on your own Mentor needs and strengths: In what would you like to be mentored? What can you offer a mentoree?

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Describe the ways the subjects were vulnerable. Is there any conflict of interest?

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NR 439 EVIDENCE-BASED PRACTICE
(Chamberlain)
NR 439 Week 4 Discussion 1 – Sampling
The most common sampling method is the convenience sample, therefore, many of the studies that you find for evidence use this sampling method. What are the implications for using a convenience sample on the way you interpret and use the findings?
NR 439 Week 4 Discussion 2 – Ethical and Legal Issues
Read one of the following:
Shepard, A. (2010). Moral distress: A consequence of caring. Clinical Journal of Oncology Nursing, 14(1), 25–27. doi:10.1188/10.CJON.25–27.http://search.ebscohost.com.proxy.chamberlain.edu:8080/login.aspx?direct=true&db=rzh&AN=2010552821&site=ehost-live
Stringer, S. (2013). Moral choices in end of life care for children. Cancer Nursing Practice, 12(7), 27–32. http://search.ebscohost.com.proxy.chamberlain.edu:8080/login.aspx?direct=true&db=rzh&AN=2012305853&site=ehost-live
Describe the ways the subjects were vulnerable. Is there any conflict of interest? Which protections should be put in place to protect these subjects from harm? What are the incidence and prevalence of moral distress in nursing today?

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*DUE IN 5 HOURS* Annotated Bibliography APA Format

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The topic I’m choosing for my Annotated Bibliography is:
Children with Attention Deficit Disorder/Attention Deficit Hyperactive Deficit (ADD/ADHD), Is Medication the Only Answer? 
This week you will be completing an Annotated Bibliography on a topic of your choosing
•An APA formatted Annotated Bibliography of at least 6 peer-reviewed, evidence-based academic journal articles is required.
•This assignment requires a properly formatted title page, an abstract page and a Reference citation for each article followed by a summary (or “annotation”) of what the article is about.  
•An annotated bibliography is more than just a list of articles; that is what would go on Reference List.
•  Instead each article listing in an annotated bibliography must be followed by a 2 to 3 paragraph summary of the article’s contents (i.e., what the research questions were, who the study participants were, what data was collected and in what format it was collected in (e.g., surveys or interviews), what was found in the study and what limitations of the study were highlighted by the authors.)
•Required: a title page and abstract, as do all the other course assignments with the exception of your discussion forum posts.
• Your paper should be at least 5 pages.
• You will NOT include a reference page. 
•You will have included full reference information above each annotation 
•The title page and abstract do not count in the 5 page minimum length, but if you include all of the required information, each of your annotation entries will be about 3/4ths of a page
SAMPLE
Annotated Bibliography
Whitlow, V.M. & Jones, G.W. (2013). The best is yet to come: According to Houston, Texas citizens of Latina origin. Journal of Reality, 22, 18-25.
This study recruited 125 Kindergarten, Latina immigrants from Mexico to an “English as a Second Language” program in Houston, Texas schools during the time period 2014 through the fall of 2016. Students were immersed in English throughout the school day, but only in non-critical subjects such as physical education, art and music so that their grades would not suffer while learning a second language. Students were provided instruction in both English and in Spanish in critical subjects such as math, social studies and science. Pre and post tests were conducted to see if students enrolled in the course learned English faster than Mexican immigrants who were not enrolled in the program. Results showed that those in the program learned English the fastest though there were some limitations of the study. Limitation were that researchers did not consider possible confounds such as some of the students in the program living with relatives that spoke both English and Spanish in the home and that many of the children received practice in English via spending time with American friends. Future studies should include male and female students of varying grade levels, not just those in kindergarten. Also, students with English speaking friends should be excluded from participation. These changes will improve the generalizability of the findings. Home visits should also be conducted to make sure that the students were receiving English instruction only at school.
Things to Notice
Did you note the spacing differences for the Annotated Bibliography? The reference information above each annotation follows conventional rules for APA style in regards to margins, spacing, indenting, inclusion of surnames and first and middle initials, absence of issue numbers, but inclusion of volume and page numbers. While there is double spacing of the lines in the reference information above the annotation description, there is single spacing in the actual annotation description. Did you make a mental note about the indentation differences for the reference information vs the start at the far left margin for the annotation description? Did you notice that the Annotation is one short, unbroken paragraph? Are you familiar with the rules for capitalization for formal and informal nouns in references, or which words get capitalized when there is a question mark or colon in the title of an article? Also notice that the important information such as the “who, what, when, where, why, how” and limitations and future directions of the study were provided in one short paragraph. Your annotation descriptions should be of similar length and in the same format. Remember, there is no reference list attached at the end of an Annotated bibliography since all of the reference information appears above each Annotation Description. Only volume and page numbers should be included, not issue numbers. The issue numbers are usually enclosed in parentheses in the source.
References
Holloway, I.(1997) Basic concepts for qualitative research. Oxford, Blackwell Science

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