Nursing  English/ Nursing

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By the due date assigned, post your response of at least 150-200 words to the Discussion Area. By the end of the week, comment on at least two of your classmates’ submissions.IMPORTANT NOTE: Your instructor will assign a play for the class to read and will post the information as a Week 3 Announcement (i.e., The Glass Menagerie, Trifles, or A Doll’s House).Prompt: The setting (space, place, and time) forms the backdrop and defines the atmosphere for a play. Settings sometimes symbolically present plot and character issues. For example, a locked door could represent an obstacle within a character’s life. At other times, the setting can limit or permit the characters’ actions.Think about the setting in the play you read. Consider these aspects:Physical space in which the story is placed (confined or open, small or large, limited to one place or not)Cultural and social landscape in which the story is situatedTime in which the action takes place (time of day, year, era, or century)Stage directions, including lighting, music, and placement of propsDiscuss the setting and stage directions in the play you read. Does the setting produce certain responses from the audience? In what ways does the setting influence the events? Does the setting constrain or liberate the characters? How does the setting reflect the central ideas of the play?Tips: Remember to provide evidence for your claims in the form of quoted passages from the play. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document.Check grammar and spelling before posting.Williams, The Glass Menagerie is the play.

 
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Nursing  NUR600- REPLY TO DISCUSSION MARIA

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ClotrimazoleThe therapeutic actions of Clotrimazole (Lotrimin) include treatment of tinea corporis (ringworm; fungal skin infection that causes a red scaly rash on different parts of the body), tinea cruris (jock itch; fungal infection of the skin in the groin or buttocks), and tinea pedis (athlete’s foot; fungal infection of the skin on the feet and between the toes) (Kumari & Kesavan, 2017).  Clotrimazole is in a class of antifungal medications called imidazoles.The essence of its mechanism of functioning is stopping the growth of fungi that cause infection (Kumari & Kesavan, 2017).  It prevents growth of several types of fungi by preventing interfering with the production of the membrane that surrounds fungal cells (Kumari & Kesavan, 2017).  The mechanism of action of clotrimazole is associated with primary fungistatic or fungicidal activity, depending on the concentration of clotrimazole at the site of infection (Woo & Robinson, 2020).  Clotrimazole also disrupts the vital processes in the fungal cell, suppressing the formation of components necessary for building vital cellular structures (proteins, fats, DNA, polysaccharides), damaging nucleic acids and increasing the excretion of potassium.  In addition to the antimycotic activity, clotrimazole also acts on gram-positive microorganisms (streptococci, staphylococci, Gardnerella vaginalis) and gram-negative microorganisms (Bacteroids).Topical clotrimazole comes as a cream and liquid to apply to the skin.  It is usually applied twice a day to address the rash problem identified (morning and night) (Woo & Robinson, 2020).  Clotrimazole is poorly absorbed through the skin and mucous membranes, and has practically no systemic effect (Woo & Robinson, 2020).  The duration of treatment depends on the severity of the disease, the localization of pathological changes and the effectiveness of therapy.  If signs of hypersensitivity or irritation appear, treatment is discontinued (Woo & Robinson, 2020).  If there is no effect within 4 weeks, the diagnosis should be confirmed.Taking into consideration potential threats of using clotrimazole for a 6-week-old baby, Ms. Jones will need to be educated to use the medication strictly according to the treatment plan, because it can cause potential side effects if used unproperly.  Some of the possible side effects are rash; hives; stomach pain; fever; chills; nausea; vomiting; foul-smelling vaginal discharge (Woo & Robinson, 2020).  If anything of these occurs, Ms. Jones is educated to discontinue the medication and call the office (Woo & Robinson, 2020).  Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug.Also, prior to use of clotrimazole, it is important to cleanse and thoroughly dry the area.  By all means, it is important to avoid contact of clotrimazole with eyes and application to severely cracked or irritated areas.  Besides, Ms. Jones needs to be warned to return to the office should she notice the signs and symptoms of an allergic reaction to clotrimazole.  When the medication is finished, it is important to dispose it in order to ensure that children and pets do not take it in and cause harm to themselves as a result (Kumari & Kesavan, 2017).  The best way to dispose this medication is through a medicine take-back program.ReferencesKumari, B., & Kesavan, K. (2017). Effect of chitosan coating on microemulsion for effective dermal clotrimazole delivery. Pharmaceutical development and technology, 22(4), 617-626. https://doi.org/10.1080/10837450.2016.1230629Woo, T., & Robinson, M. (2020). Pharmacotherapeutics for advanced practice nurse prescribers. (4th ed.). F.A Davis.

 
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Nursing  6052-assignment wk7

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Assignment: Evidence-Based Project, Part 3: Critical Appraisal of ResearchRealtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.To Prepare:Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.https://journals.sagepub.com/action/saml2posthttps://oce-ovid-com.ezp.waldenulibrary.org/article/00000446-201011000-00027?sequence=0&clickthrough=yhttps://oce-ovid-com.ezp.waldenulibrary.org/article/00000446-201009000-00024?sequence=0&clickthrough=yhttps://oce-ovid-com.ezp.waldenulibrary.org/article/00000446-201007000-00026?sequence=0&clickthrough=yThe Assignment (Evidence-Based Project)Part 3A: Critical Appraisal of ResearchConduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.Part 3B: Critical Appraisal of ResearchBased on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

 
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Nursing  Policy

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Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate inpolicy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

 
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Nursing  Nursing

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Interview a fellow peer in your class who works in a different health discipline than you. Begin your interview with the following questions:What is your role as a health care team member?How do you define professionalism and how does professional responsibility influence your work?Do you consider leaders in your organization stewards of health care? Why or Why not?Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?In 500-750 words, summarize your interview and share your impressions of your peer’s responses.Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

 
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Nursing  Respond to the peer post

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Management of heart disease is a major focus in health care today. Treatment modalities for the various complications that occur because of heart disease are some of the more costly treatments in all of health care. One specific procedure, transcatheter aortic valve replacement (TAVR), is an effective option for CAD patients needing valve replacement and who are often too high of a surgical risk for traditional or standard surgery. According to Faroux et al., (2019), about one half of TAVR candidates have coronary artery disease (CAD). However, TAVRs are being performed in inconsistent facilities with varying levels of experience (Faroux et al, 2019). Because of this, it is essential that healthcare providers have a better understanding of the quality-of-life and cost-effectiveness of TAVRs as compared to other treatment modalities. Gialama et al., (2018), explain that valvular heart disease (VHD) is estimated to be at 2.5% currently in industrialized countries; and is markedly increased after 65 years of age. Therefore, the prevalence, and proposed treatments, need further exploration to ensure the most appropriate treatments is provided in the most cost-effective manner.To determine cost-effectiveness, a systematic review by Gialama et al., (2018) summarized 24 studies published between 2012 and 2017, which focused on the economic evaluation of transcatheter aortic valve implementation and transcatheter mitral valve repair versus standard surgical procedures. Although the conclusion of this review indicates there is cost-effectiveness, the limitations of this study, and need for further research make the outcomes questionable (Gialama et al., 2018).Does the research design answer the research question? Explain your rationale.The short answer is yes; however, more research is needed. Another point to consider is not only the cost-effectiveness of the procedures themselves, but the long-term impact. Will patients need more healthcare, or less? Determining cost-effectiveness needs to include more than just the costs of the procedures and associated costs; but the costs of needed care “down the road”. If the procedure is a “one and done” then, it is clearer, but if the procedure is only a band-aid for now, then is it really cost-effective? Additionally, limitations of the review, discussed below, continue to support the question of valid proof of cost effectiveness (Gialama et al., 2018).Were the study sample participants representative? Why or why not?No. The studies included in this review were limited (further discussed below). The criteria for this review was very specific; but may have omitted studies done in other areas, and published in other languages, which may have provided much-needed enhanced information. Exclusions included: studies in other languages, abstracts, editorials, letters, case reports, conference presentations, expert opinions, reviews, all of which could provide more data to substantiate the cost-effectiveness, or not (Gialama et al., 2018).Compare and contrast the study limitations in this study.Limitations in this review are primarily related to the exclusions. The review included 24 studies, all in the English language, and many needing further research. Based upon this information, the limitations of the study are largely excluding patient data which would be helpful in fully determining the cost-effectiveness for both the short-term and long-term effect.Based on this evidence summary, would you consider this systematic review as support for your selected practice problem? Explain your rationale.This systematic review provides a foundation for understanding of the cost-effectiveness of the TAV procedures, however, until more is known about studies conducted in more diverse settings, and a more streamlined process for evaluation in comparable institutions and experience, the results from this review are not conclusive enough to make a definitive determination of the overall cost-effectiveness of this treatment modality.ReferencesFaroux, L., Guimaraes, L., Wintzer-Wehekind, J., Junquera, L., Ferreira-Neto, A. N., Del Val, D., Muntané-Carol, G., Mohammadi, S., Paradis, J. M., & Rodés-Cabau, J. (2019). Coronary artery disease and transcatheter aortic valve replacement, Journal of the American College of Cardiology, 74(3), 362-372. doi: 10.1016/j.jacc.2019.06.012. PMID: 31319919.https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/8181349183Gialama, F., Prezerakos, P., Apostolopoulos, V., & Maniadakis, N. (2018). Systematic review of the cost-effectiveness of transcatheter interventions for valvular heart disease. European Heart Journal, 4(2), 81-90. DOI:10.1093/ehjqcco/qcx049https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/7541083438Permalink:Systematic Review (Links to an external site.)NR714 Wk3 Austin Johns Hopkins Individual Evidence Summary Tool.docx

 
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Nursing  discussion post

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How can community health nurses apply the strategies of cultural competence to their practice?Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering.What is a possible barrier to applying the strategy/example chosen?Use an example that is different than the postings of other students. This example should include an evidence-based article that addresses a cultural issue.MINIMUM OF 1 REFERENCE, 400 WORDS, NO PLAGIARISM PLEASE

 
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Nursing  Please 250 words with apa style, Attached is the rubrics pleas follow them.

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Question:The Essentials of Master’s Education in Nursing reelects the profession’s continuing call for imagination, transformative thinking, and evolutionary change. Explain the importance of following the essentials of Master’s Education in Nursing in a clinical nurse practitioner program such as the FNU? Please select one of the essentials and expand as to why the selected essential is crucial in succeeding in this program. (Essentials I-IX)

 
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Nursing  DQ

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Reflect on the analysis of the sin of suicide and thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response.

 
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Nursing  Books or tablets

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Wich one is better for students books or tablets?

 
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