Nursing  Pediatric – Week 7 Discussion 2nd REPLY

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Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.JO Discussion:A 7-month-old boy presents with an erythematous, confluent, slightly raised, and scaly rash on his cheeks; and his extremities are also covered with a fine papular rash. The infant has had some scaling behind the ears and on the scalp since early infancy, but the symptoms have recently increased. The mother applies baby oil to the scalp to relieve scaliness. Except for some intermittent rhinorrhea, the infant has otherwise been well. Immunizations are deficient; he received only the first set when he was two months old. The family history is positive for bronchitis. The infant’s weight is at the 75th percentile, and the height is at the 50th percentile. Vital signs are normal. The physical examination is normal, except for the presence of the rash.What are the characteristics of papulosquamous eruptions? Be thorough and descriptive.The hallmark of papulosquamous eruptions is the existence of thin scaling to thick adherence scaling, erythematous raised lesions that range in size from small papules (1-3 mm) to large discoid copper-colored plaques (>10 cm in diameter) (Bellet, 2021).What are the common conditions associated with papulosquamous eruptions in children? List at least 3 common conditions and include the pathophysiology of each condition.The three most common conditions associated with papulosquamous eruptions in pediatric patients include: Tinea, pityriasis rosea, nummular eczema.Tinea are dermophytes responsible for causing superficial fungal infections within keratinized tissues and specifically rely on keratinized cells to reproduce (Sahoo & Mahajan, 2016). Dermophytes are categorized into three groups based on the area of the body the infection occurs. Microsporum, causes infections on the hair and skin; Trichophyton infects the skin, hair, and nails; Epidermophyton infects the nails and skin (Sahoo & Mahajan, 2016). Pityriasis rosea is a viral infection causing a papulosquamous disorder presenting with large erythematous scaly plaque called the “mother patch” on the trunk or neck, which is followed by the eruption of multiple secondary small erythematous scaly Christmas tree appearing lesions on the trunk and back (Mahajan et al., 2016). Eczema/atopic dermatitis is a disorder that results from a complex interaction between defects in environmental and infectious agents, immune dysregulation, and skin barrier function (Kapur et al., 2018).  Eczema presents with papulosquamous eruptions that are found to be erythematous, pruritic, scaly, crusty, dry-leathery patches on the face, scalp, neck, trunk, extensor surfaces of the extremities, and flexural surfaces (Kapur et al., 2018).What are the appropriate treatments for common papulosquamous eruptions? Why?The appropriate treatments for common papulosquamous eruptions depend on the triggering/offending agent. Tinea is best treated with the antifungal class Azoles, with the preferred method of administration being applied topically (Sahoo & Mahajan, 2016). Pityriasis rosea is typically a self-limiting disorder, however, patients may require the utilization of topical steroids, antihistamines, and emollients to reduce the severity of pruritis associated with the rash (Mahajan et al., 2016).  Treatment of eczema/atopic dermatitis is geared towards reestablishing the skin barrier by applying topical calcineurin inhibitors, or topical corticosteroids to reduce inflammation, itching, breakdown of skin, and restoring the overall dryness of the skin (Kapur et al., 2018).When should children with papulosquamous eruptions be referred to a dermatologist?Children suffering from unrelenting papulosquamous eruptions not responsive to treatment, should be referred to a dermatologist to assist in the identification process of the rash.  A dermatologist can perform a skin biopsy or scraping of the skin containing the rash, to identify the underlying etiology of the rash. Dermatologists have particular training allowing them to serve as exceedingly proficient medical detectives and natural collaborators with other healthcare specialists to better serve to dermatological needs of patients (Grimes, 2018).Define the following: a) confluent, b) papular, c) papulosquamous, and d) rhinorrheaConfluent is the joining of skin lesions that become merged forming a patch/lesion that is not separate or distinct from one another (Farlex, 2021). Papular consists of or is characterized by papules (small solid conical elevation of the skin (Merriam-Webster, 2021). Papulosquamous is characterized by well-demarcated areas of papules and scale, classically on an erythematous background (Griffith, 2020). Rhinorrhea is defined as excessive mucous secretion from the nose (Merriam-Webster, 2021).ReferencesBellet, J. (2021). Chapter 307: Papulosquamous diseases. Retrieved fromhttps://pediatriccare.solutions.aap.org/chapter.aspx?sectionid=137947447&bookid=1626Farlex Inc. (2021). Confluent. Retrieved fromhttps://medical-dictionary.thefreedictionary.com/confluentGriffiths, C. (2020). Papulosquamous disease. Retrieved from https://oxfordmedicine.com/view/10.1093/med/9780198746690.001.0001/med-9780198746690-chapter-554Grimes P. E. (2018). A closer look at the role of the dermatologist in championing total women’s health through the dermatology gateway. International journal of women’s dermatology, 4(4), 189–192. https://doi.org/10.1016/j.ijwd.2018.09.006Kapur, S., Watson, W., & Carr, S. (2018). Atopic dermatitis. Allergy, asthma, and clinical immunology: official journal of the Canadian Society of Allergy and Clinical Immunology, 14(Suppl 2), 52. https://doi.org/10.1186/s13223-018-0281-6Mahajan, K., Relhan, V., Relhan, A. K., & Garg, V. K. (2016). Pityriasis Rosea: An Update on Etiopathogenesis and Management of Difficult Aspects. Indian journal of dermatology, 61(4), 375–384.https://doi.org/10.4103/0019-5154.185699Merriam-Webster. (2021). Papular. Retrieved fromhttps://www.merriam-webster.com/dictionary/papularMerriam-Webster. (2021). Rhinorrhea. Retrieved from https://www.merriam-webster.com/medical/rhinorrheaSahoo, A. K., & Mahajan, R. (2016). Management of tinea corporis, tinea cruris, and tinea pedis: A comprehensive review. Indian dermatology online journal, 7(2), 77–86. https://doi.org/10.4103/2229-5178.178099

 
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Nursing  Major Religion: Hinduism

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Instruction:The research  must address the following:Summarize the major beliefs of that religion.Identify major religious holidays in that religious tradition.Discuss how the religious beliefs of the people practicing the religion you chose affect the health of the congregation.Compare and contrast the religion chosen with the Judeo-Christian beliefs that are commonly followed in the USA. Include effects of beliefs, holidays, specific practices, and knowledge.Discuss the effect of the religious practice you chose on the holistic health care of the individual.Discuss the general importance of religion and spirituality to the members of that faith community in their health.Discuss how your research has helped you understand the implications of that faith on the nursing care you might deliver to a person of that faithYour FINAL  should be:At least 6 pagesUse citations and references as neededTyped utilizing proper spelling, grammar and in APA style

 
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Nursing  Principles of Ethic

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Hello everyone, Kwabena Boateng is my name and people or friends normally called me “Kobe” for short. I also have a nickname called “Wapious” and please don’t ask me how I got that nickname. Currently, I am in the BSN  program and my goal and aspiration is to become a nurse in the near future. I have four adorable children, two girls and two boys ages 11, 8, 5 and 10 months. As you can tell. my hands are full and I am also a devoted Christian man who is also a Sunday school teacher teaching 2nd and 3rd graders. My goal is to help the upbringing  of these young  boys and girls into good Christian values. One aspect that I have realized is that, sometimes, when people know that  you value your religious values, at times they do take you for granted and act in such a way to bring you down. There is this ethical issue that happen at my work place that I would like to discuss.I work at a place predominantly about 99 percent males from all races and nationalities. Most of my work colleagues know that I am a Christian as a matter of fact also a Sunday school teacher that normally don’t work on Sunday’s. Just a couple of months ago, we were working at my department  and one of the guys brought up a topic for conversation as we normally do, talk more about sports mostly but this particular day, it was something different. The topic for that morning was about what everyone does on weekends, and it was turn taking for everyone when it gets to your turn. When it got to my turn, I said I prepare Bible stories, study materials and lessons for my 2nd and 3rd grades class on Saturday evening for Sunday service. Not knowing it did not sink well with one of the guys. He boldly said to me that he choose to spend his weekend at the gentlemen club and that I should join him that coming weekend. I respectfully objected by saying no and this guy started disrespecting me by calling me names and saying all kinds of profanity. He continue saying” do you do that for fun”. I responded by saying that I spend quality time also with dear family. He got irate and said to me ” Your life is boring” and continue saying lets go out and drink. I said to him, I don’t drink also. He continue saying all kinds of profanity and names whiles I did not alter another word again and walked away from the situation to de-escalate things because I did not wanted to get involve with what was going on because I knew that the end result will not be good considering we were at work environment. My question is this, why is it that some people cannot get along with you if you don’t do what they do or you don’t conform with them? I believe that, if someone respect you, it should be reciprocal irrespective of your political views, race, religious affiliation or background and it should be honored.When I read about the article regarding the Los Angeles county ambulance crew that they should not transport patients with little chance of survival, it is very bad. This is because what happen to the policy that patient care is of outmost importance and that it is held to high esteem regardless of your background, race or political affiliation. I believe that every patient needs to be transported to the hospital for equal treatment. With this covid-19 crisis happening, it should not change the care that needs to be giving to all patient and same treatment should be giving to all.

 
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Nursing  Evidence-Based Project

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Is there a difference between “common practice” and “best practice”?When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices.  Clinical area of interest is Psychiatric Mental Health Nurse Practitioner. You will also analyze this research to compare research methodologies employed.To Prepare:Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.Part 1: An Introduction to Clinical InquiryCreate a 4- to 5-slide PowerPoint presentation in which you do the following:Identify and briefly describe your chosen clinical issue of interest.Describe how you used keywords to search on your chosen clinical issue of interest.Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.Provide APA citations of the four peer-reviewed articles you selected.Part 2: Identifying Research MethodologiesAfter reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:The full citation of each peer-reviewed article in APA format.A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.RubricPart 1: An Introduction to Clinical InquiryCreate a 4- to 5-slide PowerPoint presentation in which you do the following:·   Identify and briefly describe your chosen clinical issue of interest.·   Describe how you used keywords to search on your chosen clinical issue of interest.·   Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.·   Provide APA citations of the four-peer reviewed articles you selected.–Levels of Achievement:Excellent 36 (36%) – 40 (40%) The presentation clearly and accurately identifies and describes in detail the chosen clinical issue of interest.The presentation accurately and thoroughly describes in detail how keywords were used to search on the chosen clinical issue of interest.The presentation accurately and clearly identifies in detail four or more research databases that were used to conduct a search for selected peer-reviewed articles.The presentation accurately provides APA citations of four or more peer-reviewed articles selected.Good 32 (32%) – 35 (35%) The presentation accurately identifies and describes the chosen clinical issue of interest.The presentation accurately describes how keywords were used to search on the chosen clinical issue of interest.The presentation accurately identifies at least four research databases that were used to conduct a search for selected peer-reviewed articles.The presentation accurately provides APA citations of at least four peer-reviewed articles selected.Fair 28 (28%) – 31 (31%) The presentation inaccurately or vaguely identifies and describes the chosen clinical issue of interest.The presentation inaccurately or vaguely describes how keywords were used to search on the chosen clinical issue of interest.The presentation inaccurately or vaguely identifies at least four research databases that were used to conduct a search for selected peer-reviewed articles.The presentation inaccurately provides APA citations of the peer-reviewed articles selected.Poor 0 (0%) – 27 (27%) The presentation inaccurately and vaguely identifies and describes the chosen clinical issue of interest or is missing.The presentation inaccurately and vaguely describes how keywords were used to search on the chosen clinical issue of interest or is missing.The presentation inaccurately and vaguely identifies less than four research databases that were used to conduct a search for selected peer-reviewed articles or is missing.The presentation inaccurately provides APA citations of the peer-reviewed articles selected.Feedback:Part 2: Identifying Research MethodologiesAfter reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:·  The full citation of each peer-reviewed article in APA format.·   A brief statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.·   A brief description of the aims of the research of each peer-reviewed article.·  A brief description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.–Levels of Achievement:Excellent 45 (45%) – 50 (50%) The response accurately and clearly provides a full citation of each article in APA format.The responses accurately and thoroughly explain the selection of these articles and/or how they relate to a clinical issue of interest, including a detailed explanation of the ethics of research.The responses accurately and clearly describe the aims of the research.The responses accurately and clearly describe the research methodology used, and clearly identify the type of methodology used with specific and relevant examples.The responses accurately and clearly describe the strengths of each of the research methodologies used, including a detailed explanation of the reliability and validity of how the methodology was applied in each of the articles selected.The responses provide a complete, detailed, and specific synthesis of two outside resources related to the selection of articles and two or three course-specific resources.Good 40 (40%) – 44 (44%) The response accurately provides a citation of each peer-reviewed article in APA format.The responses accurately explain the selection of these peer-reviewed articles and/or how they relate to a clinical issue of interest, including an accurate explanation of ethics.The responses accurately describe the aims of the research of each peer-reviewed article.The responses accurately describe the research methodology used and type of methodology used with some examples.The responses accurately describe the strengths of each of the research methodologies used, including an explanation of the reliability and validity of how the methodology was applied in each of the peer-reviewed articles selected.The responses provide an accurate synthesis of at least one outside resource related to the selection of the peer-reviewed articles. The response integrates at least one outside resource and two or three course-specific resources.Fair 35 (35%) – 39 (39%) The response inaccurately or vaguely provides a citation of each peer-reviewed article in APA format.The responses inaccurately or vaguely explain the selection of these articles and/or how they relate to a clinical issue of interest, including the explanation of the ethics.The responses inaccurately or vaguely describe the aims of the research of each article.The responses inaccurately or vaguely describe the research methodology used and the type of methodology used, with only some examples.The responses inaccurately or vaguely describe the strengths of each of the research methodologies used, including the explanation of the reliability and validity of how the methodology was applied in each of the articles selected.The responses provided vaguely or inaccurately synthesize outside resources related to the selection of the articles. The response minimally integrates resources that may support the responses provided.Poor 0 (0%) – 34 (34%) The response inaccurately and vaguely provides a citation of each peer-reviewed article in APA format or is missing.The responses inaccurately and vaguely explain the selection of these articles and/or how they relate to a clinical issue, including the explanation of ethics of research, or they are missing.The responses inaccurately and vaguely describe the aims of the research, or they are missing.The responses inaccurately and vaguely describe the research methodology used, the type of methodology used with no examples present, or they are missing.The responses inaccurately and vaguely describe the strengths of each of the methodologies used, including the explanation of the reliability and validity of the methodology, or they are missing.The responses provide a vague and inaccurate synthesis of outside resources related to the selection of the articles and fail to integrate any resources to support the responses provided, or is missing.Feedback:Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.–Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.A clear and comprehensive purpose statement, introduction, and conclusion are provided, which delineates all required criteria.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment are stated but are brief and not descriptive.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.Purpose, introduction, and conclusion of the assignment is vague or off topic.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.No purpose statement, introduction, or conclusion is provided.Feedback:Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.–Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (one or two) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (three or four) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%)

 
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Nursing  Replies for peers. Need ONE Response Per Each Discussion Total 2 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Discussion

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References less than 5 years

 
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Nursing  Case study

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Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.Chronic Stable AnginaE.H. is a 45-year-old African American man who recently moved to the community from another state. He requests renewal of a prescription for a calcium channel blocker, prescribed by a physician in the former state. He is unemployed and lives with a woman, their son, and the woman’s 2 children. His past medical history is remarkable for asthma and six “heart attacks” that he claims occurred because of a 25-year history of drug use (primarily cocaine). He states that he used drugs as recently as 2 weeks ago. He does not have any prior medical records with him. He claims that he has been having occasional periods of chest pain. He is unable to report the duration or pattern of the pain. Before proceeding, explore the following questions: What further information would you need to diagnose angina (substantiate your answer)? What is the connection between cocaine use and angina? Identify at least three tests that you would order to diagnose angina.Diagnosis: Angina1. List specific goals of treatment for E.H.2. What dietary and lifestyle changes should be recommended for this patient?3. What drug therapy would you prescribe for E.H. and why?4. How would you monitor for success in E.H.?5. Describe one or two drug–drug or drug–food interactions for the selected agent.6. List one or two adverse reactions for the selected agent that would cause you to change therapy.7. What would be the choice for the second-line therapy?8. Discuss specific patient education based on the prescribed first-line therapy.9. What over-the-counter and/or alternative medications would be appropriate for E.H.?

 
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Nursing  2. Health Care Policy, Nursing Research and Nursing Theory (Due 20 hours)

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1) Minimum 3 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pagePart 1: minimum 1 pagePart 2: minimum 1 pagePart 3: minimum 1 pageSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Part 1: Health Care PolicyAs an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.1. Should nurses be unionized?2. How does being unionized impact a workforce culture of safety?3. Include one MSN Essential in your discussion that relates to this topic.Part 2: Nursing Research1,Reflect on Ethical Issues and Consent in nursing researchPart 3: Nursing Theory1. How does the theory of expanding consciousness apply to our healthcare society today?2. How does theory affect the nursing profession to provide care to a diverse population of patients?3. Can you identify with any of these theories in your profession? and explain why.

 
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Nursing  SPHE461 Week 6 Forum

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Answer the following question in 250-350 words, excluding source siting. Thanks!Much like the “self-proclaimed-experts” that we mentioned last week, there are fitness professionals that offer nutrition information to their clients.  There is basic information that we can offer.  However, most Personal Trainers or Strength & Conditioning coaches are not Registered Dietitians (R.D.).  RDs are legally allowed to evaluate patients/clients and prescribe nutritional programming.  This is the law, though there are many Fitness Professionals who profess to have nutrition expertise and offer nutrition programs, sell supplements, and/or ascribe to one specific type of “diet”.Please discuss the inherent legal challenges to these behaviors, which can essentially amount to practicing without a license.Then, pick a health issue (you can use the same one you used last week) and discuss the types of nutrition education would be appropriate for that client, along with behavior that would not be appropriate.  Please justify both with appropriate supporting material.Of course, these two items can be combined in your discussion.

 
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Nursing  D7maternal mental health ssential VIII: Clinical Prevention and Population Health for Improving Health.

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As you plan, develop, implement and evaluate your nursing practicum project, reflect on how this project and your graduate education have prepared you to meet the growing needs of healthcare and the diverse populations we serve.This week you will address Essential VIII: Clinical Prevention and Population Health for Improving Health.see attached pdf file for masters essential400 words: 2 scholarly sites

 
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Nursing  Week 5

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When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.To Prepare:Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

 
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