discuss at least four challenges facing inner city urban hospitals today

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Groups 1 and 3 will present Case 1 on 09/20/2018. All groups will be required to turn in a position brief. For the position brief, please answer the nine questions listed below. Please include the questions with the brief. When answering the questions, please ensure to use all information given to the class as a reference. For the questions requiring external research, please ensure to cite the information.  The group presentation should be between 20-25 minutes. The presenting group will be required to provide at least four PowerPoint slides. One set of slides are to be given to the professor and the other three are to be distributed among the other groups. When presenting, business casual attire will be required. Non-business casual attire will result in a reduction of points. Please have the group leader submit an electronic copy of the brief [as a word document (.doc/.docx)] and (when applicable) the PowerPoint slides under the Tests and Quizzes section on blackboard by 11:59 PM Monday (09/24/2018).
1: Please provide a detailed summary of the case. Please ensure to include and discuss all relevant material .
2: Please discuss at least four challenges facing inner city urban hospitals today (external research from respectable sources is required to answer this question) .
3: Please discuss the policy associated with the formation of 501C3 hospitals and the rationale associated with their existence. In addition, please discuss the community benefit obligations under the PPACA and how it may relate to Summit Regional Hospital (external research from respectable sources are required to answer this question) .
4: Please discuss the concept of population health management and what is needed to succeed in this environment (external research from respectable sources are required to answer this question) .
5: Please perform a SWOT (strengths, weaknesses, opportunities and threats) analysis on Summit Regional. Identify and explain at least four points for each category (please ensure to use information provided in the case to support your answer) .
6:  Please illustrate and discuss all of the steps in the Evidence Based Management (EBM) model to analyze three overall problems and arrive at three specific evidence based solutions.  Please analyze the solutions separately and use a table/chart to organize/explain the points in the mode and also ensure to use information provided in the case to support your answer .
7: Please rank and explain the three evidence based solutions from most likely to implement to least likely to implement .
8: Please specifically identify how your group will implement the chosen solution and then identify how you will evaluate the effectiveness (impact) of the solution .
9: Please identify at least three examples of courses (taken during the HCA program), which were most applicable in helping to apply the material in the case. Please ensure to explain why these courses were chosen .

 
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Assessing and Treating Clients With Anxiety Disorders

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Week 5: Anxiolytic Therapy & PTSD Treatment

“I’m no longer at the mercy of my PTSD, and I would not be here today had I not had the proper diagnosis and treatment. It’s never too late to seek help.”
—P.K. Philips, PTSD patient

For individuals suffering from posttraumatic stress disorder (PTSD) and other anxiety disorders, everyday life can be a constant challenge. Clients requiring anxiolytic therapy may present with anxiousness, depression, substance abuse issues, and even physical symptoms related to cardiovascular, respiratory, and gastrointestinal ailments. As a psychiatric mental health nurse practitioner, you must be prepared to address the many needs of individuals seeking treatment for PTSD and other anxiety disorders.

This week, as you study anxiolytic therapies and PTSD treatments, you examine the assessment and treatment of clients with PTSD and other anxiety disorders. You also explore ethical and legal implications of these therapies.

Photo Credit: [shironosov]/[iStock / Getty Images Plus]/Getty Images

Assignment: Assessing and Treating Clients With Anxiety Disorders

Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt clients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, clients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with anxiety disorders.

Learning Objectives

Students will:
  • –Assess client factors and history to develop personalized plans of anxiolytic therapy for clients
  • –Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring anxiolytic therapy
  • –Evaluate efficacy of treatment plans
  • –Analyze ethical and legal implications related to prescribing anxiolytic therapy to clients across the lifespan.

sample that can be audit and submit with plagiarism less than 15%

 

Assessing and Treating Clients with Anxiety Disorder

Assessing and Treating Clients with Anxiety Disorders.

Anxiety disorders are the most prevalent category of mental illness and are characterized by chronic anxiety causing distress and interference in the individual’s life. According to DSM-5, excessive anxiety and worry must cause significant distress or impairment and occurs on more days than not for at least six months for diagnostic criteria (Stein et al., 2015) The disorder can be effectively treated with medication, psychotherapy, or a combination of the two modalities.

This paper addresses the pharmacology approach in treating a 46 year- old white male who is experiencing anxiety, and the impact pharmacokinetic and pharmadynamic processes will be explored to guide for the appropriate treatment.

Case Scenario

A 46-year-old white male who initially presented to ER with a complaint of chest pain and cardiac work- up was negative, and a PMHNP consult was sought for psychiatric evaluation. The client ‘s Hamilton Anxiety Rating Scale( HAM-A) was 26 indicating moderate to severe anxiety phase. The PMHNP decides to start the client on medications.

Options: Zoloft 50 mg Po Daily, imipramine 25 mg po BID, buspirone 10 mg BID. 

Decision: Zoloft 50 mg PO daily.

Rationale: Selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs ) benzodiazepines, buspirone, and α2δ ligands such as pregabalin and gabapentin are recommended as first line treatments for anxiety disorders spectrum (Stahl, 2017) However,  SSRI and SNRIs are efficacious in the treatment of generalized anxiety disorder (GAD) and panic attack as in the case of our patient in the scenario. Additionally, in cases of co-occurring GAD and depression, a common comorbidity, SSRIs can provide effective treatment for both GAD and major depression ( Johnson & Coles, 2014) .

Selecting sertraline (Zoloft) was based on the fact it belongs to the family of SSRI, and well recognized in the treatment of GAD and panic attack. Secondly, possible side effects of Zoloft which include sexual dysfunction, gastrointestinal abnormalities (nausea and diarrhea), insomnia, weight gain, and agitation and/or hyperactivation (Kamo et al.,2016) were explored prior selecting Zoloft. The patient was overweight (15 lb), hence a healthy lifestyle will be important for education, and the rest of side effects can be monitored and managed early in treatment.

Sertraline affects the serotonin neurotransmitter in the synaptic cleft by blocking the serotonin transporter from returning the remaining serotonin to the presynaptic cell. Sertraline is well absorbed in gastrointestinal tract, highly protein bound, predominantly metabolized by CYP 450 system  with half-life of 24- 26 hrs and removed primarily  by kidneys ( Woo & Wayne, 2013).

Imipramine, a tricyclic antidepressant was not my first choice because its possible side effects: blurred vision, dry mouth, urinary retention, drowsiness, weight gain, hypotension, and seizures (Stahl,2017)

Buspirone (Buspar), a serotonin receptor partial agonist can be appropriate for augmentation but not as first line treatment of GAD. Additionally, Buspirone takes longer (2 – 4 weeks) to have a full effect, and due to its sedation side effect, it would not be appropriate in our patient who has history of increased alcohol intake.

The goals of treatment of anxiety disorders are resolution of symptoms and prevention of relapse.

The client returns in four weeks, responding well to medication, anxiety decreased HAM A 18 from 26.

Options : Increase dose to 75 mg daily, increase dose to 100 mg daily, no change in drug/ dosage

Decision # 2 Increase dose to 75 mg daily. 

Rationale: Sertraline dosing in panic, PTSD, and social anxiety begin with 25 mg/day; increase to 50 mg/day after 1 week thereafter, usually wait a few weeks to assess drug effects before increasing dose; maximum generally 200 mg/day; single dose (Stahl,2017).

Moreover, increasing dosage slowly will reduce the possibility of acquiring side effects from the medication (Stein et al., 2014)

The client returns in four weeks, reports further reduction in anxiety symptoms HAM- A 10 (mild anxiety)

Options: Maintain current dose, increase to 100 mg daily, add Buspirone. 

Decision: Maintain current dose

Rationale: Major errors in psychopharmacological treatment of anxiety disorders include not achieving full remission of symptoms but instead accepting partial response, and not providing an adequate trial of medications (8 to 12 weeks ) before switching, discontinuing, or augmenting ( Woo & Wayne, 2013) . The patient was responding pretty well to medication ( 50% reduction in symptoms) , and reported no side effects. Therefore, continuing the same dosage, providing regular follow up with the patient to ensure medication adherence would be appropriate to meet the goals of remission.

References

Johnson, E. M., & Coles, M. E. (2014). Failure and Delay in Treatment-Seeking Across Anxiety Disorders. Community Mental Health Journal, 49(6), 668-674. Retrieved from https://web-a-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=29&sid=7eabbc3a-b3a4-4cbf-b934-aa75c2e5b6fd%40sessionmgr4007

Kamo, T., Maeda, M., Oe, M., Kato, H., Shigemura, J., Kuribayashi, K., & Hoshino, Y. (2016). Dosage, effectiveness, and safety of sertraline treatment for posttraumatic stress disorder in a Japanese clinical setting: a retrospective study. BMC Psychiatry, 16(1). Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=6&sid=2ee0b7c6-b1c7-44e7-9b93-42c3b9a745c3%40sessionmgr102

Stein, D. J., Craske, M. A., Friedman, M. J., & Phillips, K. A. (2014). Anxiety Disorders, Obsessive-Compulsive and Related Disorders, Trauma- and Stressor-Related Disorders, and Dissociative Disorders in DSM-5. American Journal of Psychiatry, 171(6), 611-613. Retrieved from https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2014.14010003

Woo, T. M., & Wynne, A. L. (2013). Pharmacotherapeutics for nurse practitioner prescribers(3rd ed.). Philadelphia, PA: F.A. Davis Co.

 

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
 
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issues or challenges that the leaders of today's health care organizations face

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DETAILS: CHOOSE TWO ISSUES.

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)

2. Reorganization in Response to Merger or Consolidation of Services

3. Layoffs as a Result of Declining Revenues

4. Influx of Registry, Part-Time, and Temporary Contract Staff

5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars

6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (800-1,200 words) that is directed toward your staff, in which you address the following:

1. Inform the staff of the two issues (from the topics provided) your organization is facing.

2. Describe the impact of these issues on your department.

3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

5. A minimum of FOUR academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines

In addition to your textbook, “The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment.

 
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Describe how this experience has influenced your development as a nurse.

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Topic: Reducing the risk of Harm that caused by medication mistakes:Education program
ESSAY OVERVIEW:
Submitting an essay is one of the items required to complete your application for the Online DNP-NP program. This tool is to provide clarity regarding what the content of that essay should be, as well as some helpful tips in order to submit a scholarly essay that addresses all elements the review committee looks for in a DNP-NP application essay.
Your essay needs to describe 3 experiences that have prepared you for doctoral study and the nurse practitioner role: one from previous nursing course work, one from an experience as a practicing nurse, and one that reflects your strengths. Additionally, describe a problem that interests you and would lend itself to a scholarly project; include academic literature to support the project.
Below is a basic outline on how to arrange your essay with the key elements to include:
I. Introduction
II. Experience from previous nursing coursework
a. Describe how a specific educational related experience (provide details/context) has helped prepare you for doctoral study and the nurse practitioner role.
i. Influence
1. Describe how this experience has influenced your development as a nurse.
2. Include thoughtful analysis on your development related to the experience.
ii. Impact
1. Explain how this experience has changed you as a nurse for the better.
III. Experience as a practicing nurse
a. Describe how a specific experience as a practicing nurse (provide details/context) has helped prepare you for doctoral study and the nurse practitioner role.
i. Influence
1. Describe how this experience has influenced your development as a nurse.
2. Include thoughtful analysis on your development related to the experience.
ii. Impact
1. Explain how this experience has changed you as a nurse for the better.
IV. Experience that demonstrates your greatest strengths
a. Describe how a specific experience which demonstrates your strengths in the field of nursing (provide details/context) has helped prepare you for doctoral study and the nurse practitioner role.
i. Influence
1. Describe how this experience has influenced your development as a nurse.
2. Include thoughtful analysis on your development related to the experience.
ii. Impact
1. Explain how this experience has changed you as a nurse for the better.
V. Scholarly project
a. Discuss your initial thoughts on what your DNP project might be.
i. Issue
1. Describe a patient issue related to your concentration (primary care vs. acute care) and explain your interest in this topic.
(Section continued on next page) ONLINE DNP-NP
2
ii. Academic Literature
1. Find three appropriate evidence based sources that support your topic.
2. Properly use and cite those sources to demonstrate previous published background related to support your proposed scholarly topic.
iii. Explain:
1. How you would study this issue.
2. This could be through a proposed research study, a quality improvement project or maybe even a partnership with another organization locally.
VI. Conclusion
*Write no more than 2 paragraphs on each experience and 2-3 paragraphs on the explanation of the scholarly project.
FORMAT
The essay should be written using the following specifics:
Times New Roman – 12 Point Font
3-4 Pages
Double Spaced
APA citation and reference page for sources
HELPFUL TOOLS
What is a Scholarly Project?
The scholarly project includes a comprehensive, literature review that addresses a specific clinical practice problem and a methodology to find a solution. It is a chance for DNP students to investigate a clinical issue that they are interested in and that affects their patients on a daily basis.
Are you having difficulty developing your Scholarly project idea?
The following websites may help:
NONPF’s – Criteria for NP Scholarly Projects in the Practice Doctorate Program
AACN’s The Essentials of Doctoral Education for Advanced Nursing Practice (see pages 3-5 for greater understanding of the DNP program and scholarly project.)
Do you need information on APA format?
We suggest visiting Maryville University’s Library Resources for more information.
Be sure to:
Write in a professional, scholarly tone
Proof-read your essay
Spell check!
Include an introduction and a conclusion
The use of “I, me, my” is appropriate
Use appropriate grammar and punctuation
Address all required parts of the essay (see outline)
Assume your reader is new to nursing jargon
Avoid the use of a lot of acronyms
 
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Description of the selected disorder (Identify the DSM diagnostic category for the disorder and distinguish between diagnostic and commonly used terminology.)

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Refer to the Course Project Overview. Early in the course, you selected a specific disorder. (I picked depression) Research it using your textbook and Argosy University online library resources. A minimum of 5 sources in addition to your textbook should be used. At least three of those sources should be peer-reviewed journal articles. The remaining 2 sources may be books, journal articles, or reputable web sites (like those from professional organizations or governmental agencies, not Wikipedia or similar sites).
Review the rubric, as it provides detailed instructions on how best to succeed on this assignment. In the rubric, you will find that you need to address the following in a paper:

  • Description of the selected disorder (Identify the DSM diagnostic category for the disorder and distinguish between diagnostic and commonly used terminology.)
  • Causative factors of the disorder
  • Diagnosis of the disorder
  • Treatment of the disorder
  • Survey of current research on the disorder

Write a 4–5-page paper in Word format. Remember to use the rubric as you write your paper. Apply APA standards to citation of sources, and include an APA style  title/cover page and reference page.

 
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successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

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Use the Hays ADDRESSING Model Template to assess your cultural identity and analyze the implications your cultural identifications may have on your professional relationships.
Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.
In our diverse society, multicultural competency is key for any professional in the field of psychology. It is vital to recognize that cultural identity is multifaceted and to analyze how your own cultural identifications and biases may impact your professional relationships.
SHOW LESS
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

 
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According to Tang (2003), an effective EHR should have health information of patients and allow access by authorized personnel.

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According to Tang (2003), an effective EHR should have health information of patients and allow access by authorized personnel.

ELECTRONIC HEALTH RECORDS

Running Head:

Name:

Number:

University:

Instructor:

Date:

ELECTRONIC HEALTH RECORDS (EHR)

Electronic Health Record is also referred to as Electronic Patient Record. It comprises the electronic data of patients that include demographics, medication, allergies and medical history (Stead, 2010). This kind of information is can be shared by different health cares if it is in shared network. The advantages of such a system is that a patient can be treated effectively in any medical facility because the doctors or nurses will be able to retrieve the medical history of the person from the database which can shed more light as to the current condition the patient may be suffering from. It also shortens the time taken by the administration to admit a patient because personal details of the patient are available if the patient has been treated before. This essay is a discussion on attributes that a. electronic health record should have in a hospital, private practice, community health and the residential aged care facility and looking at their differences and similarities.

Hospital

The EHR should enable data collection and also be able to do regular checking to support regulatory and authorization requirements. It should also give information pertaining different departments like the ICU, emergency, admission, diagnostic and the pharmacy. This would enable patients to know services offered in each department. It should be possible for computers within the hospital to access the health records from any department to facilitate treatment and diagnosis. The EHR should support both audio and visual records from departments such as surgery and psychology unit and other interviews that the doctor or patient would like to revisit so that it is easier to track errors made during diagnosis and correct them.

Private Practice

The system should ensure that private doctors and physicians can communicate with patients at home so that home based treatment is monitored. It should also enable documentation of the demographics of the patient (Terry, 2010).

Community health

The EHR system should be able to register the demographics of the patient that include address, name, age, primary language and gender. The EHR should support calculation of fees and billings of patients who get treated at community health centers so that health fees can be adjusted depending on the financial situation of the patient. This will be possible if the system allows recording of the housing status of the patient in addition to ethnicity (California Health Care Foundation, 2007). The population served by community health services is huge and so the EHR should enable storage of personal patient information to enable follow up of the treatment being provided to the patient by giving the patient a unique identifier. The EHR system should also be able to link data appropriately and maintain its integrity. The system should allow patients to record individually and by family. It should be possible for the patient to have more than one guarantor without necessarily having multiple accounts and it should also differentiate between the patients and the guarantors.

Residential aged care

The EHR system should be able to document the treatment being received by the patients since most patients at advanced age can forget. It should also contain information that would be helpful to the care givers. It should be possible for patients to access their information and should facilitate transfer of patients to other facilities.

Similar attributes

According to Tang (2003), an effective EHR should have health information of patients and allow access by authorized personnel. This information should include patient’s medication, diagnosis, laboratory checkup results and any other important health information. This would enhance the ability of the caregiver to reach a medical conclusion faster. The EHR should be able to manage results that would enable different care givers and physicians attending to the patient to quickly access the results for proper diagnosis of a patient. It would be helpful if the EHR has order management where the doctors and other care givers can enter the prescriptions and tests so that this procedure is not repeated by the pharmacist to improve the speed and accuracy in executing orders (Handler, Holtmeier, Metzger, Overhage, Taylor & Underwood, 2010). It should be characterized by decision support that include reminders, alerts and prompts to improve compliance and identify possible drug interactions in addition to hastening the process of diagnosis and treatment.

The EHR should include patient support where patients can access their medical records and enable them to also conduct self-testing which will assist in management of conditions like diabetes. Patient support can help care givers monitor home treatment of the patient. Attributes that support scheduling and administration would improve the efficiency in health care systems. Reporting factor would be helpful in making sure that health care organizations respond quickly to state, federal or private requirements to enable disease surveillance and ensure the safety of the patient. For an EHR to be useful to all health providers and care givers, it should have enabled electronic communication and connectivity to enable access for authorized personnel wherever they may be. It should enhance sharing of research and disco

 

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State Regulations for Advanced Practice Nurses

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Assignment: State Regulations for Advanced Practice Nurses

Although your roles and responsibilities may differ based on your practice setting (think emergency department versus inpatient hospital setting or outpatient specialty medicine clinic), they may also vary depending on the state in which you practice. Because each state has its own laws and regulations that determine the scope of practice for advanced practice nurses, it is your responsibility to understand your own state’s guidelines. This Assignment involves locating the Nurse Practice Act for your state and reviewing practice guidelines, licensing requirements, and the certification process.

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To prepare:

  • Locate the Nurse Practice Act for your state, as well as any other state legislation that outlines practice for Advanced Practice Registered Nurses (APRNs). Reflect on the definition and scope of practice of the APRN according to your state.
  • Consider which state board is responsible for licensure of APRNs. Determine whether your state requires nursing board approval, board of medicine approval, or joint board approval for APRN practice.
  • Consider the DEA (Drug Enforcement Administration) Drug Schedule categories approved for APRN prescribing. Think about how this might impact your clinical practice.
  • Research the national certifying board options and application processes for the Adult Geriatric Acute Care Nurse Practitioner. Think about which exams are recognized by your state board and which board options best suit your professional needs. Assignment: State Regulations for Advanced Practice Nurses

To Complete:

Address the following in a 1- to 2-page paper:

  • Explain the definition and scope of practice for APRNs according to the Nurse Practice Act in your state.
  • Identify the state board that is responsible for licensure of APRNs.
  • Identify the DEA Drug Schedule categories approved for APRN prescribing in your state. Explain whether this might impact your clinical practice, and if so, explain how. Assignment: State Regulations for Advanced Practice Nurses
  • Identify which national certifying board options are recognized by your state board. Explain which options best suit your professional needs and why. Describe the application processes for these options.

By Day 7

This Assignment is due.

Note: You must include references to support your paper. The School of Nursing also requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting. Assignment: State Regulations for Advanced Practice Nurses

Submission and Grading Information

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

  • Please save your Assignment using the following naming convention: “WK1Assgn+lastname+first initial”.
  • Click the Week 1 Assignment link.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
  • Click on the Submit button to complete your submission. Assignment: State Regulations for Advanced Practice Nurses Assignment: State Regulations for Advanced Practice Nurses

Assignment: State Regulations for Advanced Practice Nurses Rubric

 

Excellent Good Fair Poor
Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.
27 (27%) – 30 (30%)
Assignment exceedsexpectations. All topics are addressed with a minimum of 75% containing exceptionalbreadth and depth about each of the assignment topics.
24 (24%) – 26 (26%)
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.
21 (21%) – 23 (23%)
Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.
0 (0%) – 20 (20%)
Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
Quality of Work Submitted:
The purpose of the paper is clear.
5 (5%) – 5 (5%)
A clear and comprehensive purpose statement is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Purpose of the assignment is stated, yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Purpose of the assignment is vague or off topic.
0 (0%) – 3 (3%)
No purpose statement was provided.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts.
9 (9%) – 10 (10%)
Demonstrates the ability to critically appraise and intellectually explore key concepts.
8 (8%) – 8 (8%)
Demonstrates a clear understanding of key concepts.
7 (7%) – 7 (7%)
Shows some degree of understanding of key concepts.
0 (0%) – 6 (6%)
Shows a lack of understanding of key concepts, deviates from topics.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.
18 (18%) – 20 (20%)
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view. Assignment: State Regulations for Advanced Practice Nurses
16 (16%) – 17 (17%)
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.
14 (14%) – 15 (15%)
Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.
0 (0%) – 13 (13%)
Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view.
Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.
18 (18%) – 20 (20%)
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.
16 (16%) – 17 (17%)
Summarizes information gleaned from sources to support major points, but does not synthesize. Assignment: State Regulations for Advanced Practice Nurses
14 (14%) – 15 (15%)
Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.
0 (0%) – 13 (13%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
Written Expression and FormattingParagraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity. Assignment: State Regulations for Advanced Practice Nurses
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.
Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors. Assignment: State Regulations for Advanced Practice Nurses
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and FormattingThe paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100

Assignment: State Regulations for Advanced Practice Nurses

 
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Describe the double helix structure, the bonds, the bases

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MODULE 3 BIOLOGY

Explain, in detail, the structure of DNA. Describe the double helix structure, the bonds, the bases, etc. Use the description of a ladder to help you explain each part and how they fit together.
What is the difference between DNA and RNA? Discuss the process of transcription. Begin with the DNA ladder having two sides and end with the mRNA separating from the DNA.
What is translation? Explain the steps of translation starting with the mRNA and ending with protein synthesis.
What is meiosis? Explain in detail the stages of meiosis? Why is meiosis important?
What is a sex-linked trait? Give an example to and explain how sex-linked traits work. What is the difference between a sex-linked trait and a sex-influenced trait? Discuss at least two autosomal genetic disorders. What are the characteristics of the diseases? How they are inherited?
 
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  How can a nurse provide spiritual care and assistance to a patient?

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Your grade will be based on your thoroughness and completeness in answering each question. Each response must be based off of evidenced based research; I do not want your personal opinion. I want to know what you learned from the evidence you researched. You must include your resources cited in APA format.  Fifty percent will be deducted from any response that does not include outside resources.
–  After researching and studying spirituality and religion, summarize how spirituality and religion differ?
–   How can a nurse provide spiritual care and assistance to a patient?
–  Please explain the difference between culture and ethnicity.
–    How do you plan to become culturally competent and provide transcultural care?
–  The Hot/Cold theory proposes that illnesses caused by heat or cold must be treated with substances having the opposite property. A Puerto Rican client believes she has arthritis because she rinsed her hands in cold water after washing her dishes in hot water. She believes if she eats “hot” foods like chili peppers, the symptoms will subside. Based on what you have learned about providing culturally competent care, how would you respond?

 
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