Nursing  Reply Discussion

Follow the discussion questions participation and submission guidelines.·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)·      Minimum of two references on each answer, not older than 2015.

 
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Nursing  Accountability Care Organization

This assignment will be at least 1500 words. Address each bulleted item (topic) in detail including the questions that follow each bullet. There should be three (3) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics.This week you will reflect upon accountability in healthcare and address the following questions:Briefly define an Accountability Care Organization (ACO) and how it impacts health care providers:How do ACOs differ from the health maintenance organizations (HMOs) of earlier yearsWhat role does health information technology (HIT) play in the newer models of care?What is the benefit of hospitals partnering with primary care providers?How does bundling payments contain healthcare costs?How does pay for performance (P4P) improve quality care?Briefly discuss the value-based purchasing program?How do value-based purchasing (VBP) programs affect reimbursement to hospitals?Who benefits the most from value-based reimbursement and why?How does the VBP program measure hospital performance?

 
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Nursing  Analyze and discuss the following: Risk factors for heart disease. Risk factors for breast cancer. Enumerate the step for a cardiovascular system physical exam.

Analyze and discuss the following:Risk factors for heart disease.Risk factors for breast cancer.Enumerate the step for a cardiovascular system physical exam.6 pages APA

 
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Nursing  dax

In 1973, Dax Cowart was involved in an accident and suffered the loss of both hands, eyes, and ears, and two-thirds of his skin area. The accident also killed his father. Dax spent 232 days hospitalized in a burn unit, followed by another 6 months at other post-acute settings. Throughout his ordeal, he repeatedly insisted that treatment be discontinued and that he be allowed to die. You are to research the story of Dax Cowart and respond to the following questions:Briefly describe Dax’s initial situation and his beliefs.Did Dax have the moral or the legal right to refuse care? Why or why not?Was Dax competent to make a decision? Yes or no. Explain.Were the physicians paternalistic? Yes or no. Explain.Were there any violations of the 7 universal principles of ethics? If so, what were they and how were they exhibited?Should the mother have been allowed to make the decisions for her son, in view of having just lost her husband? Why or why not?What were Dax’s beliefs in the later years of his life? Explain.this should be at least 3-4 typed, double spaced pages. College level writing using APA formatting is expected.  A cover page and reference page, with at least 3 scholarly references, is required. Title page and reference page do not count for the 3-4 pages of content. *May wish to use headings to differentiate each bullet.

 
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Nursing  Ethics

DeontologyRequired Reading: KantianismRequired Reading: Introduction to DeontologyRequired Reading: The Groundwork of the Metaphysic of Morals by Immanuel KantWatch this video introducing Kantian ethichttps://youtu.be/mQ2fvTvtzBMhttps://youtu.be/8bIys6JoEDwWriting assignment:In 500 words or more (no less), create a maxim and evaluate it via the three formulations of the Categorical Imperative. Your maxim should only involve moral questions [i.e. “Stealing is always wrong”, but not “Doing jumping jacks is always wrong”]. The moral question should be general enough to apply to first principles and should involve no circumstantial qualifiers [i.e. “Stealing is always wrong”, not “If I am not hungry or chasing a bad guy or when no one is looking, stealing is always wrong”]. You may use examples, but you will still need to include a full scholarly definition of each, with commentary. You may use Wikipedia as a starting point, but be aware that Wikipedia is not a scholarly source and therefore can never be quoted in your paper. You will need to include in-text citations in your essay (last name, date, pg#) along with an APA formatted References page. You can find tools and examples of APA citation formats at the Purdue University Online Writing Lab.

 
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Nursing  Cultue in Nursing

1) Minimum 7 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pagePart 1: minimum 2 pagesPart 2: minimum 2 pagesPart 3: minimum 3 pages (Due 48 hours)Submit 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)Part 3: Include AACN, 2008All 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:Culture in NursingA 24-year-old Pakistani immigrant woman has given birth to a healthy boy. She expresses sadness that her family cannot be there to see him. The nurse is confused about why the mother is not happy.1. What is the cultural context of her sadness?2. What can the nurse do to assist her?A 55-year-old man is hospitalized for opportunistic infection and asks for his partner to be with him overnight. He stated that previous hospitals did not allow his partner to visit and that is why he chose your hospital.3. What are the ethical issues and what framework would you use to analyze the situation?4. Describe the research that may support the request.Part 2:Culture in NursingA hospital in a religiously and ethnically diverse community invites local religious leaders, including those belonging to religions with significant health-related beliefs and practices, including Judaism, Islam, Jehovah’s Witnesses, Church of Jesus Christ of Latter-Day Saints (Mormonism), and Roman Catholicism, to participate in a panel discussion on religion and health care practices. The panel is asked various questions about health-related beliefs and practices such as diet; medications; medical procedures; practices related to birth, reproduction, and death; religious organizational infrastructure for visiting the sick; healing rituals; specific needs during illness and hospitalization; and other health-related issues.1.  Are spirituality and religion the same?a. Explain the rationale for your answer.2.  What is meant by ethnoreligious beliefs and practices?a. Provide an operational definition using your own words.3.  How are a client’s religious and cultural practices interconnected?4.  What scientific evidence is there that clients’ religious beliefs and practices influence their overall health, prevent or alleviate certain diseases, and/or contribute to longevity?5.  How does your knowledge of a client’s health-related cultural beliefs and practices influence your nursing care for him or her?Part 3:Culture in NursingPurpose:The purpose of this XXX is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.1.  Introduction (1/2 page)Introduces the purpose of the reflection and addresses  BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy.2. Course ReflectionReflect and reflect on your learning from the Culture in Nursing course ona. “Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities ,and populations.b. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.c. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.d. Use behavioral change techniques to promote health and manage illness.3. Conclusion (1/2 page)

 
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Nursing  Nursing role and scope

Thank you for your insight response and positions on nursing education requirements. I see a little confusion however when you say that having the associate degree and bachelor degrees are assets and needed, but then stated you support the bachelor degree as the minimum requirement for licensure. We can’t have both. If the BSN was to be required to sit for licensure, the associate degree would go away. OR maybe the associate degree would replace the LPN requirement. That remains to be seen. Don’t forget to use your textbbook in initial responses (Black, 2020)! Please attach the pdfs of your articles so we can read them.

 
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Nursing  Week 8 Discussion pharm

Discussion 1:Margaret is a 40-year-old white female in for her annual asses. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, “about a pack per day” and states “I know that I am not eating right.”Margaret has been on the “pill” for almost 20 years and has always liked the method. She states the she has heard that smoking and taking the pill are not good, and she is worried about that. “I really do not need birth control since I am separated but just in case I probably need something.” She states that she has been in a mutually monogamous relationship (as far as she knows) since her marriage 18 years ago. She denies a new partner since her separation. Menarche was at 11 years, her cycles when on the pill are regular and very light. Her menstrual period should start tomorrow as she just finished her active pills. She denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and her pregnancies were full term and uncomplicated at ages 24 and 26. Family history is significant for both parents with HTN and mom has type 2 diabetes. Her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and coronary artery disease. Her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.Assessment:Margaret’s assessment finds her height 5’5″, weight 172 lb (up 10 lb. from last year), current body mass index (BMI 28.6), and blood pressure (BP) 148/88. Head, eyes, ears, nose, and throat (HEENT) are grossly within normal limits (WNL). No thyromegaly or lymphadenopathy. Heart rate is regular and rhythm is without murmurs, thrills, or rubs. Lungs are clear to auscultation in all lobes. Breasts are without masses, nipple discharge, asymmetry, or lymphadenopathy; self breast examnation techniques and frequency reviewed during examnation. Abdomen is soft, nontender, with no masses or hepatosplenomegaly; bowel sounds present in all four quadrants. Pelvic assessment reveals normal vulva and negative Bartholin’s and Skene’s glands; vagina is pink, rugated, with minimal white nonodorous discharge; cervix is pink, multiparous os. Pap smear collected during speculum examination was normal. Bimanual examination reveals a retoverted, firm, mobile, nonenlarged, nontender uterus with negative cervical motion tenderness; adnexa nontender; and ovaries palpable bilaterally, mobile, without masses. Lower extremities were without edema or varicosities.1. What options are appropriate for this patient?2. What contraceptive options are contraindicated?3. What type of patient education is indicated?4. Given that she has a normal pelvic exa, does that change would that influence your decision?

 
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Nursing  Module 2 Discussion

Barriers to HealthPart 1:Previous  NextYour comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.” Before delving into your response to this Discussion question, I would like us to continue to get to know each other through another icebreaker. You will be seeing these icebreakers at the beginning of each module’s Discussion.  The icebreaker for this Discussion is as follows:Ice-breaker: You can choose whichever statement(s) you would like. I am passionate about  _________________. If I could choose any other career/job, I would work as a _____________. If I had the time, I would love to ______________.Discussion topic:Describe your professional role (current or future) in overcoming societal, systemic, or structural influences (force) that create barriers to healthy behaviors. Please specify your profession, type of job, and give examples. After describing your role, ensure you give examples of how you will go about aligning the role with your passion and how you will achieve your future role(s).Part 2:Describe your professional role (current or future) in overcoming societal, systemic, or structural influences (force) that create barriers to healthy behaviors. Please specify your profession, type of job, and give examples. After describing your role, ensure you give examples of how you will go about aligning the role with your passion and how you will achieve your future role(s).

 
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Nursing  Respond to my peer post!!!!!

Whether the research design answer the research questionIn Ash et al (2017), the researchers were aiming at profiling the current family-based childhood obesity prevention as an intervention through the employment of the systematic review and the quantitative content evaluation techniques to help in the identification of the present gaps in the awareness. The method employed by the authors was a wide-ranging search approach using the databases PubMed, PsycINFO, and CINAHL. This was done to guide on the identification of the eligible interventions that can help in the prevention of childhood obesity accompanied with lively family component that was developed between 2008 and 2015. The search results reveal that the existence in the few numbers of interventions that target the diverse population and the obesity risk habits beyond the diet and the physical exercises inhibiting the process of developing a all-inclusive, custom-made intervention (Ash et al., 2017).Li et al. (2017) performed the systematic review and meta-analysis using prospective cohort research article for the estimation of the relationship existing between sleep duration and obesity during childhood. Through the employment of the study method, the researchers managed to respond to the research question i.e., the short sleep duration leads to the increase in the exposure to childhood obesity (Li et al., 2017).Aftosmes-Tobio et al (2016) aimed at describing how the media use and media-associated parenting approaches and the expertise are operationalized in the research work for the purposes of determine if the research studies calculated the ecological aspects such as persons, families, or the societal-level aspects are directly linked to the media parenting practices. The researchers utilized standardized. The multi-stage process to identify as well as the screened article was concerned about the parenting and childhood obesity. The outcome of the study is revealing that exhaustive measurements of the media use that is reflecting on the present trends in the technology and the diverse contexts of use are required to help in understanding media use as well as the parent regulation process in preventing child exposure to media (Aftosmes-Tobio et al., 2016).Whether the study sample participants were representativesIn Ash et al (2017), a total of 84 samples from the underserved population and non-traditional families and as well as the racial or ethnic composition were used. Even though this is a smaller sample, it gives a clear picture of the role played by family-based childhood obesity prevention interventions (Ash et al., 2017).The researchers in Li et al. (2017) used a total of 12 studies which represented a population of 15. This sample population is less based on the number of study articles used for the review. Therefore, the study outcome cannot be used for the generalization of what is happening to children in terms of sleep duration on obesity and BMI (Li et al., 2017).In Aftosmes-Tobio et al (2016), a sample 103 studies were used by the researchers. The articles used are adequate to give the required information concerning media parenting within the childhood obesity study context (Aftosmes-Tobio et al., 2016).Comparing and contrasting the limitationThe limitation showed by the researcher in Ash et al (2017) is that the focus was on the articles that were published over relatively narrow time-period. The researchers also failed to evaluate the effectiveness or the quality of the intervention thus limiting the potential of the review. The outcome of the study can be influenced by the number as well as the choice of the databases searched thus subjecting it to the publication bias (Ash et al., 2017).The limitations presented by Li et al. (2017) is that even though a comprehensive literature search was done, there was bias in the publication that was discovered through the use of Begg’s test which was re-evaluated RR through the use of the trim and fill technique. Many cohort used were from the United States and Europe thus failure of the research outcomes to represent the Asian and the African individuals. The researchers failed to consider the impacts of sleep quality and patterns on the weight gain of a child (Li et al., 2017).In Aftosmes-Tobio et al (2016), the limitation pointed out by the researcher is that there was a restriction of the review to English-language and non-intervention studies and this might have caused the limitation of the final sample of studies available for evaluation. The researchers failed to assess the risk of the bias across studies or the strength of the evidence for study outcomes because they were not important to the research (Aftosmes-Tobio, et al., 2016).Whether this quantitative research study would be considered as a support to the selected problemThe key themes identified by the researchers included intervention characteristics, article characteristics, and the sample characteristics. The rise in childhood obesity is a burden to the nation. Therefore, efforts are being made to have an effective intervention. The researchers showed the need of having intervention effort, especially in the low- and middle-income nations. Ash et al (2017) study is therefore revealing the importance of family-based childhood obesity intervention that can be used to tackle the issue of obesity among children (Ash et al., 2017).In Li et al. (2017), the authors used a few samples. Nevertheless, the outcome reveals an important aspect concerning the importance of sleep duration on the reduction of obesity which is an important issue of discussion. This intervention can therefore be used to address the problem of obesity among children (Li et al., 2017).In Aftosmes-Tobio et al (2016), the parenting practices as a measure is concerned with the larger rule of specific towards restricting the screen time. Even though 60 percent of the studies measured at least a single ecological factor, child particular and community-level were hardly measured. The research work is important in addressing the problem since it shows the importance of media use and the parenting regulation on the exposure of a child to obesity (Aftosmes-Tobio et al., 2016).ReferencesAftosmes-Tobio, A., Ganter, C., Gicevic, S., Newlan, S., Simon, C. L., Davison, K. K., & Manganello, J. A. (2016). A systematic review of media parenting in the context of childhood obesity research. BMC Public Health, 16, 320. https://doi.org/10.1186/s12889-016-2981-5Ash, T., Agaronov, A., Aftosmes-Tobio, A., & Davidson, K. K. (2017). Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 113. https://doi:10.1186/s12966-017-0571-2Li, L., Zhang, S., Huang, Y., & Chen, K. (2017). Sleep duration and obesity in children: A systematic review and meta‐analysis of prospective cohort studies. Journal of paediatrics and child health, 53(4), 378-385. https://doi:10.1111/jpc.13434Ash et al (2017); Permalink: https:// doi.10.1186/s12966-017-0571-2Li et al. (2017): Permalink: https://doi.10.1111/jpc.13434Aftosmes-Tobio et al (2016); Permalink: https://doi.org/10.1186/s12889-016-2981-5Johns Hopkins Nursing Evidence.docx

 
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