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asthma

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Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

To Prepare

  • Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
  • Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

  • Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
  • Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
  • Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Reference
Briscoe, K. (2012, May 12). Thetford: mother of Bradley Wilson, who died of asthma attack, told there was nothing she could have done. East Anglian Daily Times. Retrieved from http://www.eadt.co.uk/news/thetford_mother_of_bradley_wilson_who_died_of_asthma_attack_told_there_was_nothing_she_could_have_done_1_1375128

Glissman, B. (2012, May 21). Girl’s death puts focus on asthma’s broader grip. Omaha World-Herald. Retrieved from http://www.omaha.com/article/20120521/LIVEWELL01/305219975

zero plagiarism & 4 references

health promotion and disease prevention

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An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

Create a 15-20-slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?
  2. Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?
  3. Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.
  4. Present a general profile of at least one health-related organization for the selected focus topic. Present two resources, national or local, for the proposed education plan that can be utilized by the provider or the patient.
  5. Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style

benchmark evaluation

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Preparation
After reviewing your benchmark evaluation, senior leaders in the organization have asked you to draft a policy change proposal and practice guidelines addressing the benchmark metric for which you advocated action.

In their request, senior leaders have asked for a proposal of not more than 2–4 pages that includes a concise policy description (about one paragraph), practice guidelines, and 3–5 credible references to relevant research, case studies, or best practices that support your analysis and recommendations. You are also expected to be precise, professional, and persuasive in justifying the merit of your proposed actions.

When creating your policy and guidelines it may be helpful to utilize the template that your current care setting or organization uses. Your setting’s risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your care setting does not have these resources, there are numerous appropriate templates freely available on the Internet.

Proposal Requirements
Note: The tasks outlined below correspond to grading criteria in the scoring guide.

In your proposal, senior leaders have asked that you:

Explain why a change in organizational policy or practice guidelines is needed to address a shortfall in meeting a performance benchmark prescribed by applicable local, state, or federal health care laws or policies.
What is the current benchmark for the organization? What is the numeric score for the underperformance?
How might the benchmark underperformance be affecting the quality of care being provided or the operations of the organization?
What are the potential repercussions of not making any changes?
Recommend ethical, evidence-based strategies to resolve the performance issue.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure improved performance or compliance with applicable local, state, or federal health care laws or policies?
How would you propose to apply these strategies in the context of your chosen professional practice setting?
How would you ensure that the application of these strategies is ethical and culturally inclusive?
Does your policy encompass the key components of your recommendations?
Analyze the potential effects of environmental factors on your recommended strategies.
What regulatory considerations could affect your recommended strategies?
What organizational resources could affect your recommended strategies (for example, staffing, finances, logistics, and support services)?
Are your policy and guidelines realistic in light of existing environmental factors?
Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.
Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of your proposed policy, guidelines, and recommended strategies.
Why is it important to engage these colleagues, individual stakeholders, or stakeholder groups?
benchmark evaluationHow might engaging these colleagues, individual stakeholders, or stakeholder groups result in a better organizational policy and smoother implementation?
Are your proposal and recommended strategies realistic, given the care team, unit, or organization you are considering?
Communicate your proposed policy, guidelines, and recommended strategies in a professional and persuasive manner.
Write clearly and logically, using correct grammar, punctuation, and mechanics.
Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
Did you cite an additional 3–5 credible sources to support your analysis and recommendations?

empirical articles

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The product of a doctoral degree is a completed and defended dissertation. To begin developing the dissertation, scholars go to the literature, synthesize the information found there, and build arguments that support the need for a study. The literature, then, is the foundational building block of the dissertation. In this assignment, you will analyze and synthesize the contents of several empirical articles to arrive at and defend a potential topic for your dissertation. Please note that this potential topic will be refined through the iterative dissertation development process as additional scholarly literature is identified, read, and synthesized and the study honed to a manageable scope.

General Requirements:
Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • Refer to the Publication Manual of the American Psychological Association for specific guidelines related to doctoral-level writing. The manual contains essential information on manuscript structure and content, clear and concise writing, and academic grammar and usage.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Directions:
Locate three peer reviewed, empirical articles related to the potential broad topic area of your dissertation. Remember, your topic area must align with your degree program. Select only articles that have been published within the last 2-3 years and that could logically be included in the literature review of your dissertation.

Write a brief description of the articles (250-300 words total) that includes the following information for each article:

  1. A statement of what the authors studied.
  2. A statement that generally describes the study participants.
  3. A description of the study findings.
  4. A statement of one limitation or future study idea identified in the article.

Write an argument (250-500 words) that presents a potential study topic for your dissertation and defends the need for the potential study. The topic must emerge from a synthesis of the limitations or future study ideas you identified above, and the argument must describe how the potential study might address the synthesized limitations or future study ideas.

   Applying Current Literature to Clinical Practice

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   Applying Current Literature to Clinical Practice

Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

                                                     Learning Objectives

Students will:

· Evaluate the application of current literature to clinical practice

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide

on group work and group therapy.

· Select one of the articles from the Learning Resources to evaluate for this

assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

 

                                                             Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

o  Provide an overview of the article you selected, including answers to the

following questions:

o What type of group was discussed?

o Who were the participants in the group? Why were they selected?

o What was the setting of the group?

o How often did the group meet?

o What was the duration of the group therapy?

o What curative factors might be important for this group and why?

o What “exclusion criteria” did the authors mention?

o Explain the findings/outcomes of the study in the article. Include whether this

will translate into practice with your own client groups. If so, how? If not, why?

o Explain whether the limitations of the study might impact your ability to use the

findings/outcomes presented in the article.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

                                                                     Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 11, “Group Therapy” (Review pp.      407–428.)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 1, “The Therapeutic Factors” (pp. 1–18)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 2, “Interpersonal Learning” (pp. 19–52)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 3, “Group Cohesiveness” (pp. 53–76)

Leszcz, M., & Kobos, J. C. (2008). Evidence-based group psychotherapy: Using AGPA’s practice guidelines to enhance clinical effectiveness. Journal of Clinical Psychology, 64(11), 1238–1260. doi:10.1002/jclp.20531

Marmarosh, C. L. (2014). Empirical research on attachment in group psychotherapy: Moving the field forward. Psychotherapy, 51(1), 88–92. doi:10.1037/a0032523

Microsoft. (2017). Basic tasks for creating a PowerPoint presentation. Retrieved from https://support.office.com/en-us/article/Basic-tasks-for-creating-a-PowerPoint-2013-presentation-efbbc1cd-c5f1-4264-b48e-c8a7b0334e36

Tasca, G. A. (2014). Attachment and group psychotherapy: Introduction to a special section. Psychotherapy, 51(1), 53–56. doi:10.1037/a0033015.

Tasca, G. A., Francis, K., & Balfour, L. (2014). Group psychotherapy levels of interventions: A clinical process commentary. Psychotherapy, 51(1), 25–29. doi:10.1037/a0032520

You will select one of the following articles on group therapy to evaluate for this week’s Assignment.

Bélanger, C., Laporte, L., Sabourin, S., & Wright, J. (2015). The effect of cognitive-behavioral group marital therapy on marital happiness and problem solving self-appraisal. American Journal of Family Therapy, 43(2), 103–118. doi:10.1080/01926187.2014.956614

Himelhoch, S., Medoff, D., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis. AIDS Patient Care & Stds, 21(10), 732–739. doi:10.1089/apc.2007.0012

Pessagno, R. A., & Hunker, D. (2013). Using short-term group psychotherapy as an evidence-based intervention for first-time mothers at risk for postpartum depression. Perspectives in Psychiatric Care, 49(3), 202–209. doi:10.1111/j.1744-6163.2012.00350.x

Sayın, A., Candansayar, S., & Welkin, L. (2013). Group psychotherapy in women with a history of sexual abuse: What did they find helpful? Journal of Clinical Nursing, 22(23/24), 3249–3258. doi:10.1111/jocn.12168

Yildiran, H., & Holt, R. R. (2015). Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities. British Journal of Learning Disabilities, 43(1), 49–54. doi:10.1111/bld.12085

Managing Health Care Quality

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  1. Managing Health Care Quality
    Imagine that you are a hospital administrator at the Sunlight Hospital in California. The main complaint among the patients is the quality of care. Your job is to understand the state of the hospital, create value, increase efficiency, and turn the facility into a local hospital of choice. Whenever you are making visits in various wards to meet the employees and the patients, you hear how the patients love the hospital, but they would like to see certain improvements in care. The employees seem to be very busy executing their duties and not interacting much with the patients. The hospital board has asked you to compile a report of your findings and suggested strategy for achieving the hospital’s current goals.
    Note: You may create or make all necessary assumptions needed for the completion of this assignment.
    Write a 4–6 page paper in which you:

    • Classify five measurements of quality of care in a hospital, and justify the major reasons why you believe these measurements matter to patients in their process of choosing a hospital for emergency or inpatient care.
    • Specify four main features in health care organizations that can be used to design a successful quality improvement plan. Articulate the significant manner in which the specified features can lead to failure or success of quality of care in Sunlight Hospital.
    • Suggest the salient reasons why quality of care would add value to and create a competitive advantage for the Sunlight Hospital. Justify your response.
    • Go to Basic Search: Strayer University Online Library to find four recent (within the last five years) quality academic resources for this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.
    • Your assignment must follow these formatting requirements:
    • Be typed, double-spaced, using Times New Roman font (size 12), with 1-inch margins on all sides.
    • Follow APA or school-specific format for citations and references. Check with your professor for any additional instructions.
    • Include a cover page containing the title of the assignment, your name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.
    • The specific course learning outcomes associated with this assignment are:
    • Propose a quality improvement plan for a hospital that will add value and create a competitive advantage.
  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

Communicable Disease Selection

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Write a paper (2,000-2,500 words) in which you apply the concepts of   epidemiology and nursing research to a communicable disease. Refer to   “Communicable Disease Chain,” “Chain of   Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

Address the following:

  1. Describe the communicable disease (causes, symptoms, mode of     transmission, complications, treatment) and the demographic of     interest (mortality, morbidity, incidence, and prevalence). Is this     a reportable disease? If so, provide details about reporting time,     whom to report to, etc.
  2. Describe the determinants of health     and explain how those factors contribute to the development of this   disease.
  3. Discuss the epidemiologic triangle as it relates to     the communicable disease you have selected. Include the host     factors, agent factors (presence or absence), and environmental     factors. (The textbook describes each element of the epidemiologic     triangle). Are there any special considerations or notifications for     the community, schools, or general population?
  4. Explain the     role of the community health nurse (case finding, reporting, data     collecting, data analysis, and follow-up).
  5. Identify at     least one national agency or organization that addresses the     communicable disease chosen and describe how the organization(s)     contributes to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this     addressed in other countries or cultures? Is this disease endemic to     a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

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 Turnitin.

leadership theories

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  • Review the Resources and examine the
    • 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.

    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.

    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.

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.

pertinent history or medical information

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Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:

  • Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for this client.
  • Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
  • Explain any legal and/or ethical implications related to counseling this client
  • Using proper citation in APA Format, at least three references no more than five years old

scenario

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Please discuss for this weeks assignment what your steps would be to address this scenario:

a 78-year-old man on the medical floor continues to take his gown off after you have replaced it at least 7 times. the last time he took his gown off, he ripped out his iv and you had to start a new one.

* What is your solution to this problem?

* using the nursing process, describe how you came to this decision.

* what questions you would need to be answered to make a better decision?

For this assignment, you need to use your textbook as your reference. 

All citations should come from the textbook. It can only be your Fundamentals textbook 9th edition ONLY!(fundamental of nursing 9th edition by Patricia A. Potter)

Below is the rubric I will be using to grade. Please use this as a guide when writing your post.

Category

Please discuss for this weeks assignment what your steps would be to address this scenario:

a 78-year-old man on the medical floor continues to take his gown off after you have replaced it at least 7 times. the last time he took his gown off, he ripped out his iv and you had to start a new one.

* What is your solution to this problem?

* using the nursing process, describe how you came to this decision.

* what questions you would need to be answered to make a better decision?

For this assignment, you need to use your textbook as your reference. 

All citations should come from the textbook. It can only be your Fundamentals textbook 9th edition ONLY!(fundamental of nursing 9th edition by Patricia A. Potter)

Below is the rubric I will be using to grade. Please use this as a guide when writing your post.

Category

Point Values

Content; Fully met  8-10 points The post is original and contributes a factual answer, a new idea and an example that adds value to the discussion as well as responding to 2 classmates.

The entry provides answers to the question but does not provide a new idea.

Entry significantly misses a key question and does not answer the important question.

Fluency; Good grammar, sentence structure, and spelling.

APA/Word Count; Properly cited references and correct in text citations using the minimum amount of resources and 350 words or better.

Participation/Reply; Student answered instructor question and answer shows thoughtful responses linked to the experiences in the field AND connection to course material.

Content; Fully met  8-10 points The post is original and contributes a factual answer, a new idea and an example that adds value to the discussion as well as responding to 2 classmates.

The entry provides answers to the question but does not provide a new idea.

Entry significantly misses a key question and does not answer the important question.

Fluency; Good grammar, sentence structure, and spelling.

APA/Word Count; Properly cited references and correct in text citations using the minimum amount of resources and 350 words or better.

Participation/Reply; Student answered instructor question and answer shows thoughtful responses linked to the experiences in the field AND connection to course material.