Tag Archive for: nursing

truth-functional statement

APA style

2 paragraphs (each 8 sentences)

 

Initial Post Instructions
Consider some of the skills and knowledge you need to understand truth-functional logic. Forming the truth-functional claims means you have to have a good understanding of how English sentences are formed in order to convey accurate and precise meaning. Translating English sentences into symbolic language requires you to distinguish the parts of complex thought, put those thoughts into logical order, and make inferences from them.

For the initial post, address the following:

  • Determine how abstracting the parts of a truth-functional statement forces you to pay strict attention to the meaning and the validity of its logic. To get you started, reduce this statement to truth-functional symbolic form:
    • “If I ask you to help me out, then I need your help; I need your help, so I must be asking for it.”
  • Connect these skills to the things you will be doing in your professional life.

my project is childhood Obesity)

Discuss Topic 1

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course mentor that you will take into consideration for your own change project. (my project is childhood Obesity)

pathophysiological processes of disease,

FIRST PAPER

 

Case Study: Mr. M.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

  1. Temperature:      37.1 degrees C
  2. BP      123/78 HR 93 RR 22 Pox 99%
  3. Denies      pain
  4. Height:      69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC:      19.2 (1,000/uL)
  2. Lymphocytes      6700 (cells/uL)
  3. CT      Head shows no changes since previous scan
  4. Urinalysis      positive for moderate amount of leukocytes and cloudy
  5. Protein:      7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe      the clinical manifestations present in Mr. M.
  2. Based      on the information presented in the case scenario, discuss what primary      and secondary medical diagnoses should be considered for Mr. M. Explain      why these should be considered and what data is provided for support.
  3. When      performing your nursing assessment, discuss what abnormalities would you      expect to find and why.
  4. Describe      the physical, psychological, and emotional effects Mr. M.’s current health      status may have on him. Discuss the impact it can have on his family.
  5. Discuss      what interventions can be put into place to support Mr. M. and his family.
  6. Given      Mr. M.’s current condition, discuss at least four actual or potential      problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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

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

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

 

SECOND PAPER

 

Case Study: Mr. C.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height:      68 inches; weight 134.5 kg
  2. BP:      172/98, HR 88, RR 26
  3. 3+      pitting edema bilateral feet and ankles
  4. Fasting      blood glucose: 146 mg/dL
  5. Total      cholesterol: 250 mg/dL
  6. Triglycerides:      312 mg/dL
  7. HDL:      30 mg/dL
  8. Serum      creatinine 1.8 mg/dL
  9. BUN 32      mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe      the clinical manifestations present in Mr. C.
  2. Describe      the potential health risks for obesity that are of concern for Mr. C.      Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess      each of Mr. C.’s functional health patterns using the information given.      Discuss at least five actual or potential problems can you identify from      the functional health patterns and provide the rationale for each.      (Functional health patterns include health-perception, health-management,      nutritional, metabolic, elimination, activity-exercise, sleep-rest,      cognitive-perceptual, self-perception/self-concept, role-relationship,      sexuality/reproductive, coping-stress tolerance.)
  4. Explain      the staging of end-stage renal disease (ESRD) and contributing factors to      consider.
  5. Consider      ESRD prevention and health promotion opportunities. Describe what type of      patient education should be provided to Mr. C. for prevention of future      events, health restoration, and avoidance of deterioration of renal      status.
  6. Explain      the type of resources available for ESRD patients for nonacute care and      the type of multidisciplinary approach that would be beneficial for these      patients. Consider aspects such as devices, transportation, living      conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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

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

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

Databases

Instructions

Explore: Databases

Evaluation Title: Exploring Databases and Creating a Research Strategy

This assignment will develop your understanding of how to best use the databases that are located within the Herzing University Library.

Please download the Unit 4 Assignment Worksheet (below) to your computer. Navigate to the Herzing University Library. Follow the directions and answer the questions on the worksheet.

Your assignment submission should be a Word document that fully adheres to the instructions listed above.  Be sure to proofread your assignment. This assignment is worth a possible 70 points.

Estimated time to complete: 3 hours

Assignment File(s)

Rubric

EN111 Unit 4 Assessment – Exploring Databases and Creating a Research StrategyEN111 Unit 4 Assessment – Exploring Databases and Creating a Research StrategyCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeContentEN111-CO142.0 ptsLevel 5Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner.38.0 ptsLevel 4Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner with minor weaknesses in one or more of the areas.34.0 ptsLevel 3Partially expresses content knowledge with the assignment purpose. Expresses ideas in a complete, organized, clear, professional, and culturally respectful manner with weaknesses these area.29.0 ptsLevel 2Partially expresses content knowledge with the assignment purpose. Ideas are partially expressed in an organized, professional, and culturally respectful manner with major weaknesses in these areas.25.0 ptsLevel 1Expresses limited content knowledge with the assignment purpose. Ideas are not expressed in a complete, organized, clear, professional, and/or culturally respectful manner.0.0 ptsLevel 0The assignment was not completed or there are no constructed concepts that demonstrate analytically skills and no evidences to support the content does not align to the assignment instructions42.0 pts
This criterion is linked to a Learning OutcomeTechnology18.0 ptsLevel 5Manipulates multiple technological resources to effectively implement all assignment requirements.16.0 ptsLevel 4Manipulates multiple technological resources to effectively implement most assignment requirements.14.0 ptsLevel 3Manipulates multiple technological resources to effectively implement some assignment requirements.12.0 ptsLevel 2Manipulates multiple technological resources for some assignment requirements.10.0 ptsLevel 1Manipulates technological resources to minimally meet some assignment requirements.0.0 ptsLevel 0The assignment was not completed or difficulties with technological manipulation were evident. The assignment submitted does not meet requriements.18.0 pts
This criterion is linked to a Learning OutcomeWriting10.0 ptsLevel 5The assignment exhibits a excellent command of written English language conventions. The assignment has no errors in mechanics, grammar, or spelling.8.0 ptsLevel 4The assignment exhibits a good command of written English language conventions. The assignment has no errors in mechanics, or spelling  with minor grammatical errors that impair the flow of communication.6.0 ptsLevel 3The assignment exhibits a basic command of written English language conventions. The assignment has minor errors in mechanics, grammar, or spelling that impact the flow of communication4.0 ptsLevel 2The assignment exhibits a  limited command of written English language conventions. The assignment has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.2.0 ptsLevel 1The assignment exhibits little command of written English language conventions. The assignment has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.0.0 ptsLevel 0The assignment does not demonstrate command of written English language conventions. The assignment has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.10.0 pts

Academic Success and Professional Development Plan Part

Assignment: Academic Success and Professional Development Plan Part 5: Professional Development

In this week’s Discussion you were introduced to the concept of an academic portfolio to begin building your own brand. Portfolios have value that go beyond brand-building however. An academic and professional portfolio can also help you to build your own vision and mission and establish your development goals. In this regard, a portfolio becomes yet another tool in your toolbox as you build your success.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the fifth component: a portfolio for your academic and professional efforts.

To Prepare:

  • Consider your goals for academic accomplishments while a student of the MSN program.

The Assignment:

  • Using the Academic Success and Professional Development Plan Template in which you began to work on in Week 1, and have continued working on through this course, in Part 5, you will create a fully developed and accurate curriculum vitae (CV) based on your current education and professional background.
  • Clearly identify and accurately state in detail your professional development goals.
  • Clearly and accurately state in detail how to accurately and appropriately align one or more of your professional development goals with the University’s emphasis on social change.

Note: Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off of the Academic Success and Professional Development Plan Template.

By Day 7

Submit Part 5.

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Discussion: Strategies for Academic Portfolios

In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This week’s Discussion asks you to consider and share strategies for building your portfolio.

To Prepare:

  • Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
  • Review one or more samples from your own research of resources focused on portfolio development.
By Day 3

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional portfolio.

Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

By Day 6

Respond to at least two of your colleagues on two different days, by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.

Be sure to offer support from at least 2 current, credible sources in each required response to classmates’ main post and cite per APA.

Submission and Grading Information
Grading Criteria

Older adults

Older adults

Review the attached Power Point presentation. Once done answer the following questions;

  1. Why do many people seem to have negative feelings toward elders? What do you think that they fear when interacting with or touching older people? How can nurses overcome some of those fears or hesitations?
  2. What types of rights do you feel older adults should have when it comes to the end of their lives and prolonging life? If older adults with dementia or longtime chronic illnesses choose to withhold food/water or refuse treatment for an illness, do you feel that is within their rights? How would you counsel family members to deal with these types of issues?
  3. How can nurses help older adults in avoiding the problems of polypharmacy and organizing their medications in an easy to understand and use format. What are different strategies that could be used? How would strategies change if the patient had hearing or vision deficits? What about if the patient is illiterate?

As stated in the syllabus please present your assignment in an APA format, word document, Arial 12 font attached to to the forum in the discussion tab of the blackboard title “week 13 discussion questions”.  You must cited/quote at least 3 evidence based references (excluding the class textbook) no older than 5 years old and one must be from a geriatric journal.  A minimum of 500 words are required.

The Future of Healthcare Informatics

Assignment:

The Future of Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources.
  2. Explain what is meant by connected health. Provide three examples of connected health in today’s healthcare environment. Explain the benefits and drawbacks of each.
  3. In what ways has informatics impacted public health – please provide at least three examples.

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims

negotiation strategies

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence-based rationales for your decisions.

Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

t Tests and ANOVA

t Tests and ANOVA

This week, you explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment is to become familiar with the SPSS data analysis software, and to develop an understanding of how to calculate and summarize inferential statistics using t tests and ANOVA.

To prepare:

  • Review      the Statistics and Data Analysis for Nursing Research chapters      that you read as a part of the Week 5 Learning Resources. As you do so,      pay close attention to the examples presented—they provide information      that will be useful for you to recall when completing the software      exercises. You may also wish to review the Research Methods for      Evidence-Based Practice video resources.
  • Refer      to the Week      5 t Test Exercises (see attached      file) and follow the directions to perform a t test.
  • Download      and save the Polit2SetC.sav (see      attached file) data set. You will open the data file in SPSS.
  • Compare      your data output against the tables presented in the Week 5 t Test Exercises  SPSS Output.      (see attached file)
  • Formulate      an initial interpretation of the meaning or implication of your      calculations.
  • Refer      to the Week      5 ANOVA Exercises (see attached file) and      follow the directions to perform an ANOVA using the Polit2SetA.sav       (see attached file) data set.
  • Compare      your data output against the tables presented in the Week 5 ANOVA Exercises SPSS Output      (see attached file)
  • Formulate      an initial interpretation of the meaning or implication of your      calculations.

To complete:

1) Complete the Part I, Part II, and Part III steps and Assignments as outlined in the Week 5 t Test Exercises (see attached file) page.

2) Complete the steps and Assignment as outlined in the Week 5 ANOVA Exercises (see attached file) page.

3) Create one document with your responses to the t test exercises and the ANOVA exercises.

Required Media

“One Sample T-Test”

Used by permission from SPSSVideoTutor.com A division of Consumer Raters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Note: The approximate length of this media piece is 3 minutes.

“Independent Samples T-Test” 

Used by permission from SPSSVideoTutor.com A division of Consumer Raters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Note: The approximate length of this media piece is 5 minutes.

Dependent Samples T-Test”

Used by permission from SPSSVideoTutor.com A division of Consumer Raters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Note: The approximate length of this media piece is 6 minutes.

“One-way Analysis of Variance”

SPSSVideoTutor.com A division of Consumer Raters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Note: The approximate length of this media piece is 7 minutes.

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns, and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 25, “Using Statistics to Determine Differences”

This excerpt elaborates on how statistics are used to examine causality using procedures such as contingency tables, chi-squares, t tests, and analysis of variance (ANOVA).

Statistics and Data Analysis for Nursing Research

Chapter 5, “Statistical Inference”

This chapter discusses inferential statistics, sampling error, sampling distributions, and the laws of probability. The chapter also introduces key terms such as standard error of mean, hypothesis testing, and parametric test.

Chapter 6, “t Tests: Testing Two Mean Differences”

This chapter considers the various forms of the t test, including the two-sample t test, Kolmogrov-Smirnov test, independent groups t test, and dependent groups t test. The chapter also discusses the many variables involved in these tests such as effect size, meta-analysis, and Cohen’s d.

Chapter 7, “Analysis of Variance” (pp. 137–146 and 155–158)

The first part of this chapter introduces the basic assumptions, requirements, general logic, and terminology surrounding analysis of variance (ANOVA). The second excerpt focuses on sampling distribution of the F ratio and the null and alternative hypotheses.

Jadcherla, S. R., Wang, M., Vijayapal, A. S., & Leuthner, S. R. (2010). Impact of prematurity and co-morbidities on feeding milestones in neonates: A retrospective study. Journal of Perinatology, 30(3), 201–208. doi:10.1038/jp.2009.149

This article outlines the procedures and results of a retrospective study of how perinatal and comorbidity factors affect the rate at which infants meet feeding milestones. The article also includes an application of inferential statistics to the results of the study.

Optional Resources

Shin, J. H. (2009). Application of repeated-measures analysis of variance and hierarchical linear model in nursing research. Nursing Research, 58(3), 211–217. doi:10.1097/NNR.0b013e318199b5ae

Walden University. (n.d.). Analysis of variance. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_analysis_of_variance_anova.html

Walden University. (n.d.). Inferential statistics. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_inferential_stats_and_hypothesis_testing.html

Walden University. (n.d.). t-Tests. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_ttests.html

��YW�

Case Study

  1. Read the case study below and answer the following questions:
    • How would you begin to assess this community? (Think about factors such as sexual behaviors, alternative health practices, level of eduction, and health incidence.)
    • What assets are present in this community that might assist with problem-solving?
    • What interventions could be taken to better serve this community?

Case Study

You have been assigned to complete a community needs assessment for a neighborhood in Little Havana with a population of approximately 3,000.

You find out most of the people who live in the area mostly speak Spanish and do not understand English. The average family income is $18,000, and 85% of the population is living below the poverty level. Half of the population receive some form of aid such as Medicaid or Medicare.

There are many elderly in the community.

You are not fluent in speaking Spanish; however, you can understand some Spanish but not as much as you would like to. There are several local clinics and a hospital nearby.