What were the main problems with the Articles of Confederation that led to the Constitutional Convention of 1787?

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Discussion 1: What were the main problems with the Articles of Confederation that led to the Constitutional Convention of 1787? How did the national government under the Constitution differ from the Articles of Confederation?

Answer:

Discussion 2: How did the British colonists evolve from good citizens to revolutionaries who could compose and back something as special as the Declaration of Independence? What were the causes of the American Revolution?

Answer:

RN-Evidence Based-Practice

Discussion 3: This week’s graded discussion topic relates to the following Course Outcomes (COs). CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

 

Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.

Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue.

Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study.

Sample (from another student’s post)

In the emergency department at Rockledge Regional Medical Center (P) how does using a medication reconciliation personnel (MRP)(I) compared to the nurse at the time of triage inputting a patients medication reconciliation (C) influence the amount of medication error reduction (O ) over a 30 day period (T)?

Just the other day at shift change I took over four patients and two of those patients were up for admission. In the chart of the admission patients, none of their medications have been entered from the previous nurse. This was brought to my attention from the hospitalist that was about to do the admission. Within the emergency department where I work, we are usually understaffed. What happens is that we will get two patients at once and one of those patients comes by ambulance. This patient does not have a list of medications that they are on but relates to nursing staff that they are “on a bunch of medications”. Now the nurse has to call around to two or three different pharmacies to find out what medication the patient is on. In the ED this is sometimes not feasible to do.

 Now, what if the emergency department would have a pharmacy tech on staff to do the medication reconciliation? This person would be able to sit with the patient and go over their medications. I had a patient hand me a large bag of pill bottles and says that they are on all these medications. Even doing a medication reconciliation like this there are still errors. The bottle says “200 mg once daily”. Their physician verbally told the patient to change to “100 mg once daily”, so now the patient is taking half the dose. This will lead to a medication error.  

With a study conducted by Digiantonio, Lund and Bastow (2018) having a medication reconciliation personnel (MRP) will reduce the number of medication errors. It was concluded when an MRP reviewed the charts that the medications were entered by the nurse that 98.5% of charts had at least one discrepancy. A discrepancy is considered drug omission, commission, wrong drug, wrong dose, or missing frequency. The study concluded that for the patient to have a continuity of care is to implement the use of a pharmacy-led medication reconciliation program. I feel that after reviewing this study that my hospital should do a trial run of having an MRP in the ED during the “busy” times. When a patient has over 40 medications to enter this can be time-consuming and errors could occur because we are usually busy in the ED. 

Answer:

 
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Explain how an LGBTQIA person’s sexual orientation development (according to Cass’s Model) has been influenced by her or his life experiences, historical context, and/or sociopolitical issues.

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The excitement of being a new manager has started to wear off.  Your boss is pressuring you because you need your team to work faster.  You need to find a way to motivate them!  Based on your psychology class, you realize that you have two choices.
CHOICE 1 – Praise.  You could focus on those who do really well and praise them for their success. There will be a bulletin board that highlights those employees with the best performance.
CHOICE 2 – Pay.  For those employees who produce more ,they get paid more.  The top 5% get a big raise.
Which choice do you make?  This is really important because your end of year bonus depends on your team’s productivity.  In your discussion post, share which choice you make and how that connects to what you have learned about motivation.

  • Use Cass’s Model of Sexual Orientation Formation to classify the developmental stage of one of the individuals in the documentary on the LGBTQIA community.
  • Explain how an LGBTQIA person’s sexual orientation development (according to Cass’s Model) has been influenced by her or his life experiences, historical context, and/or sociopolitical issues.
  • Explore how a person at two different stages of the Heterosexual Identity Development Model may respond to members of the LGBTQIA community.
 
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FACTORS AFFECTING SOCIAL BEHAVIORS

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FACTORS AFFECTING SOCIAL BEHAVIORS

Ma’am,

I have a paper that needs to be revised to an  assignment that is needed for a grade. I was wondering if you could assist and if so what would you charge me?  Keep in mind I am a valuabe customer and the assignment is the eding product of the below asignment…. I will need the paper revised by saturday, sorry so short notice just received assignment  from the instructor. The paper that needs revision is attached.  ma’am the paper consist of the previous sections attached below. Ms. Woods, the attached paper can be revised to what the instructor is requesting which is

Use the work you completed in the previous units to write your Case Study Final Paper. You should have already answered all of the following relevant questions. Now you just need to put it together in a concisely written paper.

  • Problem
    • What is the problem?
  • History
    • Give a brief history of the conditions under which the problem developed and how it came to public awareness. Is there more than one organization involved? If so, how has each contributed to the problematic conditions?
    • Why is it a social problem? What segment of society sees the conditions as a social problem? How have the group or groups concerned about the problem responded?
    • What group or groups have been most directly impacted by the problem?
    • What types of social inequality has the problem produced? Although inequalities of wealth and/or income may be present, look beyond these to address other principle areas where inequalities may be manifest – class, gender, race, ethnicity, health, education, etc.
  • Organizational Culpability
    • Is there evidence of corruption, prejudice and discrimination in the behavior of the organization or organizations that carry primary responsibility for the problem?
    • Does globalization play a part in the problem? Why or why not? Be sure to explain the concept of globalization.
    • What strategy has the institution that bears primary responsibility for the problem employed to legitimize their conduct? How have they justified their actions?
    • What is the organization doing to reduce or alleviate the problem? Is it doing anything? What seems to be the motivation for this action? How is the action being reported to civic groups, governmental agencies, national or international monitoring bodies and the public? Do the efforts at remediation (if there are any) appear to be succeeding?
  • Social Impact
    • Cultural values, norms, folkways and mores are learned and become a part of a people’s way of life through socialization. Have these cultural elements contributed to the problem?
    • What sociological theory of stratification best helps us to understand the nature, extent and impact of the problem? Briefly summarize the main tenets of the theory and explain how it may be applied to the problem under study.
    • What roles have status, power and privilege played in conduct that has been problematic?
    • Have the problem and its attendant conditions influenced the mobility and status attainment of those involved?
    • Does globalization play a part in the problem? Why or why not? Be sure to explain the concept of globalization.
  • Conclusion
    • Can can this problem be solved? If so, identify and discuss at least two possible solutions either working now or being planned.
    • How will this problem affect the future of the social group involved?
    • What further research needs to be done on this topic?
 
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Why is it important to have the monitoring and evaluation criteria in mind throughout the strategic planning process?

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CREATE A GRAPHIC REPRESENTATION OF THE STRATEGIC-PLANNING PROCESS IN A HEALTH CARE ORGANIZATION.

Application: The Strategic Planning Process Revisited

At the beginning of this course, you developed a graphic representation of the strategic-planning process. How has your understanding of this process grown? For this Application Assignment, you will integrate ideas and perspectives presented throughout this course as you expand upon your initial graphic.

Prepare for this Application Assignment as follows:

  • What insights have you gained about the strategic planning process throughout this course? Consider the following questions:
    • What new insights about the internal and external factors that influence strategic planning have you gained?
    • What are the key elements of strategy formulation?
    • How do organizations translate their strategic objectives into operational realities?
    • What factors contribute to successful implementation or create barriers that need to be addressed?
    • Why it is important for marketing to be aligned with strategic planning?
    • Why is it important to have the monitoring and evaluation criteria in mind throughout the strategic planning process?
    • How has your awareness of the relationships and connections among various aspects of strategic planning grown?

 

  • What insights gained throughout this course that a health care manger should incorporate in their career.
  • Revisit the graphic representation of the strategic-planning process you created for the Week 1 Application. How would you revise your assessment of the strategic-planning cycle in light of what you have learned throughout this course?What recommendations do you now have for creating a strategic-planning process that is flexible yet sets the long-term direction for an organization?

Then write a 2- to 3-page paperthat addresses the following:

  • Create a graphic representation of the strategic-planning process in a health care organization. (This may be a revised version of your Week 1 Application Assignment.)
  • Describe in writing any elements of the strategic-planning process that you are not able to capture in your graphic representation.
  • Describe how your view of the strategic-planning process has grown, including one or more key insights that will guide your future work in health care organizations.
 
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patients

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2 journal enteries

Directions*** week 9 and 10 are separate assignments and each need their own reference list. At least 2 references requires for each week. APA format. No certain page requirement as long as it covers the topics
Week 9 Journal
An advance directive is a legal document that defines a patient’s wishes for medical care. This document is a way for patients to share their wishes with family members and health care providers when their illness or mental capacity prevents them from making decisions. As an advanced practice nurse who has care discussions with patients and their families, you need to not only be familiar with the process of completing an advance directive, but also understand how this document might impact your role in patient care and treatment.
Journal Entry Part 1
For the first part of your journal entry, reflect on the Five Wishes presented on the Five Wishes website and PDF and complete your Five Wishes. Explain your state’s requirements for advance directives, including whether your Five Wishes can be turned into a formal document. (**I will message you the state i live in) Then, explain how your experience of completing your Five Wishes advance directive will help you guide discussions with patients and their families. Finally, explain how you might apply the Five Wishes advance directives to your nursing practice. Include how this advance directive might benefit patients in decision making for specialized areas of care.
** Five wishes reference https://class.waldenu.edu/bbcswebdav/institution/USW1/201750_27/MS_NURS/NURS_6540/readings/USW1_NURS_6540_fiveWishSample_Week%209.pdf
Journal Entry Part 2
For the second part of your journal entry, reflect on geriatric patients from your practicum site with disorders related to specialized areas of care, such as oncology, nephrology, urology, gynecology, and neurology. Describe a case of a frail elder patient who must make decisions related to specialized areas of care. Then, explain potential patient outcomes and include whether treatments would be beneficial and how they would impact the patient’s quality of life. Finally, describe the patient’s wishes in terms of treatments and interventions for the disorder (Was there an advanced directive?) and how the patient might want to spend any remaining time. Include how environmental factors, such as family, caregivers, ethnicity, culture, religion, and/or personal values, might impact decision making for treatments and interventions. If you did not have an opportunity to evaluate a patient with this background during the last 9 weeks, you can select a related case study or reflect on previous clinical experiences.
Week 10 Journal
 
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Identify two nursing interventions that could be taken to help decrease the affect health disparities have on your selected culture.

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Identify two nursing interventions that could be taken to help decrease the affect health disparities have on your selected culture.

 

Health Care Disparities: Wk 5

Discussion:
In this discussion board, you will focus on a specific cultural group and how health disparities play a role in, health, employment and education.
Directions
1) Select one of the cultures (African-Americans, Mexican Americans, Appalachians) and answer the statements below related to the specific culture that you have selected.

a) What are the disparities associated with this culture?
b) How do the disparities affect health status?
c) How do the disparities affect employment?
d) How do the disparities affect education?
e) Identify two nursing interventions that could be taken to help decrease the affect health disparities have on your selected culture.
f) What would be the biggest nursing challenge when implementing your nursing interventions?

2) Be sure to include and introduction and a conclusion.

3) All paragraphs must be at least 4 sentences in length.

Submit original message by 11:59 pm Thursday of Week 5.
• Use APA style format
• Include a minimum of 2 (no more than 3) professional references

 

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Explain economic, social, political, environmental, complexity, inequity, ethical/moral, etc

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Question description
Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.
Instructors, training on how to grade is within the Instructor Center.
Peer Review Assignment 
Peer reviews should provide feedback to a peer on the criteria expected in the paper. The Week 6 Feedback Form can be downloaded from the Appendices section of the course guide by clicking the link here. Follow these instructions:
For Online Students:

  1. Choose a classmate’s paper from the “Easy Drop off/Pick up Zone” discussion thread in the course shell.
  2. Obtain the Peer Review Feedback Form from the course shell.
  3. Comment on all criteria, noting strengths and / or areas for improvement on the feedback form.
  4. Provide completed Peer Review Feedback Form by posting it to the same “Easy Drop off/Pick up Zone” discussion thread AND submitting it to the Peer Review Assignment link above.

For On-ground Students:

  1. Receive a classmate’s paper from your professor.
  2. Obtain the Peer Review Feedback Form from the course shell.
  3. Comment on all criteria, noting strengths and / or areas for improvement on the feedback form.
  4. Provide completed Peer Review Feedback Form and classmate’s paper as directed by your professor.

Note: On-ground students should submit the feedback form and paper to the professor during the class meeting in which the paper is reviewed; online students should submit the feedback form and paper to the professor via the “Easy Drop off/Pick up Zone” discussion thread and Peer Review Assignment link in the course shell.
As you read a classmate’s paper, address these criteria:

  • Identify the course, assignment, and date.
  • Provide positive feedback, where appropriate, on the criteria.
  • Identify areas for improvement, where appropriate, and recommend improvements.

The specific course learning outcomes associated with this assignment are:

  • Recognize the elements and correct use of a thesis statement.
  • Recognize transitional words, phrases, and sentences.
  • Identify effective sentence variety and word choice.
  • Identify positive qualities and opportunities for improvement in writing samples.
  • Analyze the rhetorical strategies of ethos, pathos, logos in writing samples and for incorporation into essays or presentations.
  • Correct grammatical and stylistic errors consistent with Standard Written English
  • Recognize how to organize ideas with transitional words, phrases, and sentences.

Assignment 3: Persuasive Paper Part 1: A Problem Exists
ELIZABETH FOSTER
November 5, 2017
PROFESSOR HOLLY SPRINKLE
STRAYER UNIVERSITY
Should laws governing nursing homes be changed?
Although the nursing homes are filled with the elderly, should they be made to relingquish all of their property to pay for nursing home. Is the system failing the elderly?
The Federal Government should not allow this to happen to the elderly. What are they doing to resolve this matter.
Nursing home care is undeniable expensive, what happens when you’ve worked all your life and you plan to have a nice nest egg stored away for and your loved ones only to sell it in order for you to live out the rest of your life in a nursing facility?
There should be laws in place for any individual that is experiencing a medical disease or can no longer care for themselves and is under doctor’s order must transistioned into a nursing home. The nursing homes all have different prices that they charge. Usually payments will be made through Medicare, Medicaid, private insurances or personal monies that have been saved. When I was completing the paperwork for my mother to be admitted into a nursing facility, the admission office kindly told me that her Medicare will not cover her stay because she was diagnosed with Dementia which means her level of care will more than likely remain the same for the duration of her stay at the facility so therefore is best that the paperwork be drawn up so that Medicaid which is a state/federal health insurance program for low income patients. Which the nursing home care is covered through Medicaid and plus the facility is garuanteed to get paid.
Over all, 31.5 percent of Medicaid’s $400 billion in shared federal and state spending goes to long-term care for the elderly and the disabled. According to the U.S. Bureau of the Census, slightly over 5 percent of the 65+ population occupy nursing homes, congregate care, assisted living, and board-and-care homes, and about 4.2 percent are in nursing homes at any given time.
With more than 70 million people enrolled in Medicaid, the program certainly faces long-term financial challenges. Federal Medicaid spending is projected to grow 6 percent a year on average, rising to $650 billion in 2027 from $389 billion this year, according to the Congressional Budget Office.
“Certainly, nursing homes would be part of those cuts, not only in reimbursement rates but in reductions in eligibility for nursing home care.” (www.nytimes.com/2017/06/24)
Skilled nursing staff consisting of RNs, LPNs, and certified nurses’ aides (CNAs) are available to provide 24-hour medical attention. Skilled nursing facilities are commonly used for short-term rehabilitative stays. Extending stays into longer-term care must be medically necessary for the treatment of a serious medical condition and is largely dependent on state and federal benefit regulations. (www.agingcare.com)
Interview with Water’s Edge Health Care and Rehabilitation Center (my mother is a residence here)
Explain economic, social, political, environmental, complexity, inequity, ethical/moral, etc
We are definitely under staffed and paid. There hasn’t been any raises in three years. Unfortunately a lot of our nurses due to child care issues will have to switch off shifts just so they’ll be able to work. Upper management doesn’t address the problems at hand instead they keep patching things up around here and nothing is being done about it. Who’s in charge of decision-making and withthe end-of-life care. The staff has lack of resources so that we may perform our job duties as needed. We have made suggestions to the management team that maybe they should bring in some animals to get the residents involved more and to cheer them up. Have more Family and Friends Day instead of once a year. Get the youth/community attention about our aging residents. Give the residents more to eat so they’re not unhappy throughout the evening. We need to adopt a better system with dealing with the residence monthly Patient Allowance Exchange-give them more than $35.00 a month to spend on personal items.
No matter what, I will still be part of the care team. I will still be my mother’s advocate. I will give much of my attention and my life to help her. I have learned to accept and respect reality. I try hard to have a life of my own so that I don’t get burned out. That’s a wining situation for both sides.

 
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Explain three codependent characteristics

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Psychology homework help

 

In a Relationship with a Substance Abuser

Directions:

Nearly everyone probably knows someone who places other people’s health, welfare, and safety before their own. When they do this, they can lose contact with their own needs, desires, and sense of self-worth.

  1. Please watch the movie When a Man Loves a Woman. It is available from Amazon On-Demand rental for streaming or download and Netflix DVD rental.  You may also be able to find the movie at your local public library or video rental store.
  2. Refer to the characteristics of codependent people as discussed in the assigned weekly readings. Choose three of the characteristics to examine.
  3. Search the AUO library and include at least one peer-reviewed journal article on treatment for codependence to use for research.
  4. Based on the character of the husband in the movie When a Man Loves a Woman,  your weekly readings and the research article you reviewed, write a 4-5 page paper that addresses the following for each of the three characteristics you picked:
    1. Explain three codependent characteristics. Explain why you have chosen each particular characteristic. Provide three examples, one for each characteristic, of how those codependent characteristics specifically apply to the husband’s character in the film.
    2. Evaluate how each codependent characteristic is detrimental to this person’s ability to establish and maintain healthy relationships.
    3. Analyze how the codependent behavior has evolved within the substance abuse environment.
    4. Apply what you have learned from the assigned readings and the peer-reviewed article to recommend at least two strategies for breaking codependent behaviors within a substance abuse environment.

Please note that you may locate the movie, When a Man Loves a Woman, on YouTube.

Your paper should be 4-5 pages long.

 
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Explain how you think you would react if, now or in the future, you discovered that you were infertile.

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Explain how you think you would react if, now or in the future, you discovered that you were infertile.

1.) Explain how you think you would react if, now or in the future, you discovered that you were infertile. What do you think you would do about having children? Would you have children or did you do to have children? Explain in detail. In addition, if you already experience this, please, explain how you reacted and what did you do about having children? Did you have children or did you not have children? Explain in detail.

2.) Discuss your attitudes and opinions about gay and lesbian couples having children through assisted fertility techniques or through adoption. Explain in detail.

3.) Picture groups of kindergarten boys and girls playing on the playground at recess. List at least three clear differences you are likely to see in the groups’ activities, interactions, and behaviors. Based on what you’ve read in this chapter, what might explain these differences? Explain in detail.

4.) Imagine you are looking for a new romantic relationship and you meet someone with whom you really it off. You enjoy the same activities, you share similar attitudes and beliefs, and you find each other physically and sexually attractive. As the relationship progresses and begins to grow more intimate, your new partner confides in you that he or she is transgender and has undergone sex reassignment surgery. How do you think you might react to this news? What do you think might happen from that point on in the relationship? Explain in detail.

5.) Imagine that you wake up tomorrow morning and your sexual orientation has changed (from straight to gay, from gay to straight, or from either to bisexual, etc.). Discuss how you might feel about such a change and how such a transformation would alter your life and your view of the world around you. Explain in detail.

6.) Imagine for a moment that you are the parent of a son or daughter (your choice) who informs you that he or she is gay. How do you think you would react? What would be the three most important things you would want to tell your child after hearing the news? Explain in detail.

 

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Discuss current research that links patient safety outcomes to ADN and BSN nurses

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Question description
Discussion 1
Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research? 250 words
Discussion 2
What is the difference between a DNP and a PhD in nursing? Which of these would you choose to pursue if you decide to continue your education to the doctoral level? 250 words
What does culturally competent care mean to you personally? How can you apply it to your daily nursing practice using Leninger and Purnell’s models of cultural competence?
Must be 250-300 words
Must be APA format

Assigned Readings

  • Blais, K. & Hayes, J. (2015). Professional nursing practice, concepts and perspectives (7th ed.). Upper Saddle River, NJ: Pearson Education. — Chapters 21 and 22
Supplemental Readings

  • Dudas, K. I. (2012). Cultural competence
 
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