Nursing  Nursing

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Course Competency:Analyze      the increased complexity of care among older adults.Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she asks the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to teach older adult clients (and their family members) about.In-service Topic Options:Coronary      artery diseaseYour supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:Identify the client problem your in-service will address.Describe at least five consequences of the client’s problem related to the health,      safety, and well-being of older adults.Explain your rationale for choosing the client problem you selected.

 
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Nursing  nursing research

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Developing a Culture of Evidence-Based PracticeAs your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.To Prepare:Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.Reflect on which type of dissemination strategy you might use to communicate EBP.Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.All citations in APA styleResources ProvidedMelnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 10, “The Role of Outcomes on      Evidence-based Quality Improvement and enhancing and Evaluating Practice      Changes” (pp. 293–312)Chapter 12, “Leadership Strategies for      Creating and Sustaining Evidence-based Practice Organizations” (pp.      328–343)Chapter 14, “Models to Guide Implementation      and Sustainability of Evidence-based Practice” (pp. 378–427)Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspxNewhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8fNote: You will access this article from the Walden Library databases.Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6aNote: You will access this article from the Walden Library databases.Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0eNote: You will access this article from the Walden Library databases.Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188Note: You will access this article from the Walden Library databases.Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0eNote: You will access this article from the Walden Library databases.

 
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Nursing  Policy

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Instructions: This assignment is an analysis of local, state, or federal health policy. Must be five to seven pages in length excluding the title, abstract and reference pages and be written in current APA format. Must include at least five current scholarly journal articles or primary legal sources.Select a state health policy reform innovation. Discuss the rationale for the policy, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. ethical outcome based on evidence. Examples of state innovations include Maryland’s hospital rate setting, Vermont’s single payer system, and Massachusetts’ health reforms.

 
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Nursing  Fix this Homework

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I NEED FIX SOMES RECOMMENDATIONS THAT THE PROFESSOR MAKE ME:1-  Please go through the material in the Prepare & Explore modules of this week’s information. Finally, please read the required information about Systematic Reviews & Meta Analysis in your Polit & Beck textbook. I really think this will help you better understand what is needed.2-Once you do this, you will need to locate a Systematic Review study that is associated with the National Health Topic/Problem you chose during Week 1(My practice problem is Obesity in Children from 0-5 years).3-Only one article of this study type is needed.These are the orientation for this homework.Please do this part first:Select one of the eight practice problems that burden the overall health of the United States. Conduct a library search for one systematic review(without meta-analysis; with meta-analysis; meta-synthesis)addressing this problem. Appraise the systematic review using the Johns Hopkins Research Evidence Appraisal Tool. My practice problem is Obesity in Children from 0-5 years.Please Answer each questions separated and use at least 3 sources no later than 5 yearsAnalyze the evidence summary of the selected quantitative research study to address the following.1-Does the research design answer the research question? Explain your rationale.2-Were the study sample participants representative? Why or why not?3-Compare and contrast the study limitations in this study.4-Based on this evidence summary, would you consider this quantitative research study as support for your selected practice problem? Explain your rationale.Second PartAfter appraising and determining the Level of Evidence and Grade of Quality for your selected systematic review, summarize your findings. Transfer your findings to the ORIGINAL Johns Hopkins Individual Evidence Summary Tool. Complete each column including specific details about the systematic review.I Attached the ORIGINAL Johns Hopkins Individual Evidence Summary Tool to complete. Please complete The first and second week with the third week IN THE ORIGINAL Johns Hopkins Individual Evidence Summary Tool to complete THAT I attached. I NEED TO FIX THE DISCUSSION BOARD TOO. PLEASE TAKE CARE ABOUT THIS HOMEWORK.Remember I need that you send me the permalink in PDF.

 
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Nursing  The Social Network Movie

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Write a 3 page MLA format paper about the movie “The social network”.Instructions will be attached in a separate document.

 
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Nursing  Post Douglas

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Respond on two different days who selected a different scenario than you, in one or more of the following ways:Share insights on how the factor you selected impacts the disorder your colleague identified.Ask a probing question regarding the disorder that your colleague identified.Suggest an alternative disorder for the scenario your colleague selected.Main PostRespiratory AlterationsWindell (2018) acknowledges the clinical name for croup is laryngotracheobronchitis, which reveals that it is an inflammation of the larynx, trachea, and bronchi caused by a viral infection that mostly affects children between the ages of six months and three years. The incomplete immunization history could explain the croup in an older child. The low-grade temperature also guides in the diagnosis of viral croup. According to Henningfeld (2019), viral croup is often accompanied by a low-grade fever and is responsible for 70 to 75 percent of croup cases.Pathophysiology of CroupThe pathophysiology of croup stems from the infection; the infection causes the immune system to respond. The virus that causes croup inflames the windpipe and voice box, and this swelling means they become narrowed (Windell, 2018). This narrowing causes the barking cough that is associated with croup. The mucous membranes of the larynx are tightly adherent to the underlying cartilage, whereas those of the subglottic space are looser and thus allow accumulation of mucosal and sub-mucosal edema (Huether & McCance, 2017). The edema, the mucous, and swelling make croup a life-threatening disease, children’s airways are smaller than adults and time is valuable.Factors of Genetics and GenderFor gender, croup is more prevalent in males than females by a 5:1 ratio. Huether and McCance (2017) report that approximately 15% of children who experience croup have a family history of the disease.ConclusionRespiratory alterations or disease processes can turn into life-threatening moments quickly, it is important that the practitioner be able to differentiate and diagnose the disease to begin the treatment process. A thorough physical examination coupled with an active interview with both patient and parents can guide the practitioner towards the correct diagnosis.ReferencesHenningfeld, D. A. P. D. (2019). Croup. Magill’s Medical Guide (Online Edition). Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=ers&AN=86194029&site=eds-live&scope=siteHuether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.Windell, J. (2018). Coping with Croup. Community Practitioner, 91(8), 22–24. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=rzh&AN=132575714&site=eds-live&scope=siteWeek 6 Discussion Post .doc (56.5 KB)

 
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Nursing  p1,p2,p3 and p4

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words   .

 
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Nursing  Case Study 1 HTN and Case Study 2 TESTICULAR CANCER

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Case Study 1 & 2 (10 Points)Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case StudyCase Study 1Mr. JS presents today to your office for a follow up appointment after a BP reading at home of166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, whichis well controlled, experiencing less than 1 attack per month.On today examination, MR JS’s vital signs are as follows:Temperature: 96.8ºHeart Rate: 68 bpmBlood Pressure: 168/92Respiration: 14Ox Sat: 95% at room airPain: denies pain.Labs:Last LDL on records (6 months ago): 189Current Medications:Atorvastatin 40 mg/dayMetoprolol tartrate 10 mg/twice/dayCASE STUDY QUESTIONS:1) According to the recently released American Heart Association guidelines on hypertension,what should be the BP goal for a patient with chronic stable angina and hypertension?2) In addition to diet and lifestyle modifications, what is the medication of choice to control theBP of a patient with chronic stable angina? Provide rationale3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented andprovide rationale.4) Please explain whether you would request any laboratory or screening tests for this patientand why (if any)5) How would you achieve the B/P goal recommended for this patient according to theguidelines provided above?6) Provide References in APA style……………………………………………………………………………………………………………………………………………………..Case Study 2Testicular CancerCase StudiesA 21-year-old male noted pain in his right testicle while studying hard for his midterm collegeexaminations. On self-examination, he noted a “grape sized” mass in the right testicle. Thisfinding was corroborated by his healthcare provider. This young man had a history of delayeddescent of his right testicle until the age of 1 year old.Studies ResultsRoutine laboratory studies Within normal limits (WNL)Ultrasound the testicle Solid mass, right testicle associated with calcificationsHCG (human chorionic gonadotropin) 550mIU/mL (normal: <5)CT scan of the abdomen Enlarged retroperitoneal lymph nodesCT scan of the chest Multiple pulmonary nodulesDiagnostic AnalysisAt semester break, this young man underwent right orchiectomy. Pathology was compatible withembryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary noduleindicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During aleave of absence from college, and after banking his sperm, this young man underwentaggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed completeresolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.Critical Thinking Questions1. What impact did an undescended testicle have on this young man’s risk for developingtesticular cancer?2. What might be the side effects of cytotoxic chemotherapy?3. What was the purpose of preserving his sperm before chemotherapy?4. Is this young man’s age typical for the development of testicular carcinoma?

 
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Nursing  NSG 6101

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Informed Consent FormBy the due date assigned, submit the Informed Consent Letter to the Submissions Area (please note that this is only an example and no data may be collected).Informed Consent LetterProcedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).This is something that the professor posted separate. Hopefully can help to answer this work…..Informed Consent: Informed consent is usually documented by a form that will vary from agency to agency. However, the three important aspects of informed consent are that the individual has been given sufficient information about the research to make an informed choice; the information has been given in a way that the individual can understand; and the consent is voluntary.

 
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Nursing  Identify and discuss two biological variations that are common to East Indian descent

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Topic: Identify and discuUpload ss two biological variations that are common to East Indian descent.Minimum 150 wordsAt least 2 cited references (one must be the course textbook).

 
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