Explain at      least five elements of critical thinking that you found in the reading material.

Prepare: In preparation for discussing the importance of critical thinking skills, please read the following articles: Critical Thinking and the Challenges of Internet (http://www.communicationtoday.sk/critical-thinking-and-the-challenges-of-internet/ ) and Common Misconceptions of Critical Thinking. You may also read other applicable sources found under the Week 4 Resources to gain a better understanding of what it takes to be a critical thinker.
Reflect: Reflect on the characteristics of a critical thinker. Critical thinking gets you involved in a dialogue with the ideas you read from others in this class. To be a critical thinker, you need to be able to summarize, analyze, hypothesize, and evaluate new information that you encounter.
Write: For this discussion, you will address the following prompts. Keep in mind that the article or video you’ve chosen should not be about critical thinking, but should be about someone making a statement, claim, or argument related to your Final Paper topic. One source should demonstrate good critical thinking skills and the other source should demonstrate the lack or absence of critical thinking skills. Personal examples should not be used.

  • Explain at      least five elements of critical thinking that you found in the reading material.
  • Search the      Internet, media, or the Ashford University Library, and find an example in      which good critical thinking skills are being demonstrated by the author      or speaker. Summarize the content, and explain why you think it      demonstrates good critical thinking skills.
  • Search the      Internet, media, or the Ashford University Library, and find an example in      which the author or speaker lacks good critical thinking skills. Summarize      the content, and explain why you think it demonstrates the absence of      good, critical thinking skills.

This post should be at least 300 words in length, which should include a thorough response to each prompt.
 

 
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Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece.

how does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective of nursing practiceDiscuss the various impacts of the multicultural environment on residents in a long-term care facility, including the following:

  • Implications in meeting physical needs
  • Meeting religious and spiritual needs
  • Pros and cons of implementing a multicultural facility council

You may use the following format as a template:

  • Title page
  • Abstract page
  • Introduction
  • Overview of long-term care facilities
  • Multicultural differences in long-term care facilities
  • Meeting the needs of residents in a long-term care facility
    • Physical
    • Religious and spiritual
  • Discussion on implementing a multicultural facility council in a long-term care facility
  • Conclusion
  • Reference Page

Support your work with at least 5 academic or professional peer-reviewed sources published within the past 5 years.

 
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Analyze the subjective portion of the note. List additional information that should be included in the documentation.

Assesment 1: Assessing the A

 

Assesment 1: Assessing the Abdomenbdomen

 

A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

 

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

 

Abdominal Assessment

 

SUBJECTIVE:

 

  • CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
  • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
  • PMH: HTN, Diabetes, hx of GI bleed 4 years ago
  • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
  • Allergies: NKDA
  • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

 

OBJECTIVE:

 

  • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Skin: Intact without lesions, no urticaria
  • Abd: soft, hyperctive bowel sounds, pos pain in the LLQ
  • Diagnostics: None

 

ASSESSMENT:

 

  • Left lower quadrant pain
  • Gastroenteritis
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

 

To prepare:

 

With regard to the SOAP note case study provided:

 

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

 

To complete:

 

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or Why not?
  4. What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.
 
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Discuss how the impact of religious rituals affects health care beliefs and practices

Discuss how the impact of religious rituals affects health care beliefs and practices

Discuss how the impact of religious rituals affects health care beliefs and practices of the Mexican population. Provide three examples of how nursing actions can lead to improved health outcomes for the Mexican patient who believes in religious rituals as part of their health care traditions
Religion is something that is encountered in daily life, either because the people follow specific beliefs and rules established by it or because it is something that is widely advocated for and subject to social conversations (Basu-Zharku, 2011). In essence, religion is often perceived to be a personal issue. Nevertheless, the latter has created interested by medical practitioners, psychologists, clinicians, doctors and scientific researchers at large on its impact on various human conditions including health. This paper discusses how religious rituals affect health care beliefs and practices of the Mexican population.

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Briefly compare and discuss at least two theories of intelligence and the contemporary assessment measures related to those theories.

 
PAGE WELL-WRITTEN ASSIGNMENT   DUE TOMORROW  8/9/2018    PLEASE FOLLOW DIRECTIONS   NO INTRODUCTION
 
(Age Group-  Preschool-aged children through age 7)
For your initial post, you will present at least two viewpoints debating professional approaches to assessment used in psychology for your assigned age group. Please see the list below for your assigned age group. In addition to the required reading, research a minimum of one peer-reviewed article from the Ashford University Library on ability testing research at is pertains to your assigned age group.
In your initial post, you must

  • 1. Briefly compare and discuss at least two theories of intelligence and the contemporary assessment measures related to those theories.
  • 2. Analyze challenges related to assessing individuals in your assigned age group and describe any special ethical and sociocultural issues which must be considered. Preschool-aged children through age 7
  • 3. Analyze and provide evidence from validation studies supporting and opposing the use of specific instruments with your assigned population.
  • 4. Present the pros and cons of individual versus group assessment of ability.
  • 5. Summarize the implications of labeling and mislabeling individuals in your assigned age group as a result of testing and assessment.  Preschool-aged children through age 7
 
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Compare and contrast the primary care NP role with other APN roles and the role of physician assistants.

 
opic: NP and APN Roles Comparison
Compare and contrast the primary care NP role with other APN roles and the role of physician assistants. What are the similarities among the roles and what are the differences?
Discussion Topic 1: Model Implementation
Describe a model that you might use to introduce the policy change your group is advocating for in your position paper. How would you implement that model? Give an overview of the policy change your group is advocating for.
Initial posts for each discussion topic must also include 2 peer-reviewed citations. Citations must include outside sources. Additionally, comments should also include a citation to support assertions. A minimum of 200 words. While the discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references. Each post requires it’s Own answer. They do not require a front face sheet.

 
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Identify a nursing/health issue state bill that you support or do not support (for example:

Identify a nursing/health issue state bill that you support or do not support (for example: long working hours, under-staffing, mandatory overtime).

Please write a short letter to your local politician. Please review the Chapter 44 Lobbying Policymakers: Individual and Collective Strategies – Letter

Writing, a sample letter is provided (p396). Within your letter, you may use short citations to provide statistics or supporting evidence. Please

respond to your classmates.


 

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opinion writing

opinion writing

Diabetes Management: An
Exploration into the Verbal Support
Attempts of Relational Others
Darlene K. Drummond
This research employed a message-centered approach to explore how women managing
diabetes through diet modification describe the support attempts of relational others
including family, friends, co-workers and health professionals. In-depth interviews with
30 women diagnosed with non-insulin dependent diabetes were conducted. From this
data, five speech acts that women with diabetes encounter when attempting to engage in
healthy eating behaviors were identified and illustrated: deterrence, indifference,
encouragement, compliment and temptation. The context and features of the acts are
dissected to better understand when an act is perceived as supportive or nonsupportive.
Keywords: Social support; Diabetes management; Diet
Many diabetics do not exercise regularly nor maintain healthy diets to lose the
weight necessary to acquire glycemic control (Glasgow et al., 1989; Wilson et al.,
1986). This is particularly the case for overweight, middle-aged women living with
diabetes (Wing, Marcus, Epstein, & Jawad, 1991). As a result, approximately 160,000
Americans die each year from diabetes and its related complications including heart
disease, stroke, blindness, kidney failure, and gangrene (Shortridge-Baggett & van der
Bijl, 1996). Nevertheless, several psychosocial factors like patient knowledge, previous
levels of adherence, perceived confidence in one’s ability to perform a behavior and
level of satisfaction with health care influence attempts to manage diabetes (Burke &
Dunbar-Jacob, 1995). One of the most salient and positively influential factors is the
availability of social support (Pham, Fortin, & Thibaudeau, 1996).

 
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Nursing problem

Evidence Based Nursing Project
Fall 2018
Group members:
Be sure to list the names of those who participated in the project.
1
Knowledge Discovery
Do not add anything to this slide.
2
Nursing problem
Desired outcome
4
Background questions with answers
May need to put answers here
5
Background questions with answers (con’t)
May need to put answers here
6
PICOT question
P- Patients in the acute care setting
I- Hourly rounding
C- No hourly rounds
O- Preventing or decreasing falls
Keywords used for literature search
Databases used for literature search
Search strategy to find systematic reviews
10
Search strategy to find practice guidelines
11
Number and types of studies
This should be the number that you found that studied both the same intervention and outcome since these are the “keeper” studies. Note: this number may be more then you actually end up critiquing.
12
Level of evidence of studies found
See page 11 in the textbook
13
Evidence Summary
Give author (s) date of research article
Study design:
Sample size:
Sample characteristics:
Setting:
Intervention studied:
Outcome studied:
Measurement of outcome:
Study findings:
Strength/quality of study:
Level of evidence:
Quantitative research individual study critical analysis
Name of group member who did critique: _________________________
Give the permalink for the article you are analyzing in space below:
Is there a comparison? (yes or no):
If there is a comparison what is it? (put N/A if there is no comparison)
If there is a comparison is it the same as you noted for the comparison above? (yes/no or N/A):
What is the study question(s) or hypotheses? (Use a direct quote. If neither of these are not stated put not stated)
Is the design appropriate for testing an intervention? (yes or no)
Is the setting similar to your setting/population of interest? (yes or no)
What was/were the sampling inclusion criteria?
What was/were the sampling exclusion criteria?
 
“Wre the subjects randomly assigned to the experimental and control groups?” (Melynk & Fineout-Overholt, 2015, p. 118)
(enter yes or no – note: if this is no then the study is not as strong and it is not a randomized controlled trial)
If the subjects were randomly assigned “was random assignment concealed from the individuals who were first enrolling subjects into the study?” (Melynk & Fineout-Overholt, 2015, p. 118)
(yes or no)
“Were the subjects and providers kept blind to study group?” (Melynk & Fineout-Overholt, 2015, p. 118)
yes or no – also note this is the blinding and an randomized controlled trial is strong but it is very strong if it is double blinded)
 
“Were reasons given to explain why subject did not complete the study?” (Melynk & Fineout-Overholt, 2015, p. 118)
(yes or no)
“Were the subjects analyzed in the group to which they were … assigned?” (Melynk & Fineout-Overholt, 2015, p. 118) pt yes or no
“Was the control group appropriate?” (Melynk & Fineout-Overholt, 2015, p. 118)
Put yes or no
 
“Were the subjects in each of the groups similar on demographic and baseline clinical variables?” (Melynk & Fineout-Overholt, 2015, p. 118)
Put yes or no
Did the researcher use power analysis to determine the appropriate sample size?
Put yes or no
 
Is the same size adequate?
Put yes, no, or unknown)
Are you convinced that everyone received the same intervention?
Yes or no – explain why or why not
“Were the follow-up assessments conducted long enough to fully study the effects of the intervention?” (Melynk & Fineout-Overholt, 2015, p. 118)
Yes or no – explain why or why no
After reading how the outcome was measured do you think this is the same as your O in your PICO question?
Yes or no and explain
What type of validity was used to make sure that the measurement tool really measured what it was intended to measure? (put an X next to all that apply below)
 
 
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Analyze the problem scenario that you have chosen, and organize your analysis into sections that correlate to each step in the selected problem solving strategy.

Analyze the problem scenario that you have chosen, and organize your analysis into sections that correlate to each step in the selected problem solving strategy.
ase 1

write a 2-3 page paper reviewing your research on problem solving using the Internet. In addition to the websites provided:

Mullen, Timothy. 2014. Trident University Writing Guide. Accessed on July 28, 2015 athttps://mytlc.trident.edu/index.php

Advice on Academic Writing. University of Toronto Library. Accessed on July 29, 2015 at http://www.writing.utoronto.ca/advice

Find and use at least two additional websites on problem solving to write your paper on:

How you found your references on problem solving and the key guidelines to identifying credible internet sources
Compare the two methods of problem solving that you found and comment on which you think is most useful to you
Report any issues you had conducting your research and/or formatting your document in Microsoft Word
Assignment Expectations
Format your paper using the following parameters:

Center the title, your name, and date on a separate page. Use Times New Roman, 14 point)
Bold the title only
Set Left and Right margins at 1 inch
Number the pages
Insert a footer
Introduction:
Left justified
Times New Roman, 12 point)
Line spacing at 1 ½
Middle Paragraphs
Use bulleted list in one paragraph
Insert a picture or chart
Conclusion
Right justified
Times New Roman, 11 point
Line spacing at single
Complete a word count of the entire document and report it at the end of your document before the References section.
Include a References section using the guidelines from the two Writing resources provided above. Include those sites as references in addition to the two sites you found on Problem Solving.
SLP 1

When faced with a problem, what do you do to solve it? In this SLP assignment you will apply a systematic approach to problem solving. SLP 1 is divided into two (2) parts. In Part I, of the assignment, you will read three (3) articles that present variations on step-by-step problem solving strategies and then select one (1) of these strategies; you will engage in pre-writing to develop a solution to a problem scenario. In Part II of the assignment, you will present a synthesis of your ideas about solving the problem. As Voltaire said, “No problem can withstand the assault of sustained thinking.”

Part I

Preparation and Pre-writing: Follow the steps below to explore a problem through reading and writing –

1. Choose one (1) of the problem scenarios as a topic choice for your paper

Scenario 1: You have worked at your company for eleven (11) years. You have returned to college to earn a Bachelor’s degree in order to increase your chances for a promotion. You are nearly finished with your degree; a supervisor’s position in a competing company becomes available in another state. The start date is in two (2) weeks, during your final exam period for your courses. The position offers a $15,000 per year salary increase, a car allowance, and relocation expenses. Your former supervisor works for the company and is recommending you for the position based on your outstanding job performance; if you want the job, it’s yours. All of the other supervisors at this level in the company have Master’s degrees. You know that you would be expected to earn your Bachelor’s degree and continue on to a Master’s degree. Your present company offers tuition reimbursement, but the new company does not.

Scenario 2: Your child comes home from school with an assignment sheet for a school project. He / she is very excited about the project and begins work immediately, doing research on the Internet and gathering materials. You read over the assignment sheet and notice that your child is not including all of the required items in the project, and you have some ideas for how to improve the quality of the presentation. You recently read an article in a parenting magazine about the importance of a child developing responsibility for his / her own learning. You recall the many ways in which your parents took over your school projects. You, on the other hand, want to encourage your child’s confidence in his / her ability to complete a project independently. The next day, you are at the grocery store when you see a parent of a student in your child’s class. That parent has spent over $30 in supplies for the science project and is taking a day off of work to put the pieces of the project together.

Scenario 3: You have two jobs—one during the week from 9:00 am to 6:00 pm, and one on Saturday from 3:00 pm to 11:00 pm. You are taking two classes—one that meets from 6:00 to 10:00 pm, and one class online. You have two kids—one who plays soccer, and one who is in band. You have two elderly parents who no longer drive. You have two siblings—one who lives two (2) miles away, and one who lives in another state. You have two (2) papers due in your classes the same week that one (1) of your children has a soccer tournament, and the other child has a band concert. You are coaching the soccer team, and you are in charge of fundraising for the band. You have a goal to complete your degree in two (2) years. Your doctor tells you that your blood pressure, your cholesterol, and your weight are too high and recommends several medications that cost you nearly $200 per month after your insurance co-pay.


 

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