module 5 final

Please see attach document

 
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ADV HEALTH ASSESSMENT

Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

 
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Discuss how health care professionals can ensure that patients’ rights are upheld and protected.

Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights.Word limit 500 wordsPlease make sure to provide citations and references (in APA, 7th ed. format) for your work.

 
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Replay to Jennifer

Generic Name: DoxepinTrade names: Silenor, Prudoxin, ZonalonDrug Class: Tricyclic antidepressant (TCA), Topical Skin ProductsDoxepine is in the tricyclic antidepressant class of medications and was approved by the FDA in 1969 for the treatment of major depressive disorder (Myers et al., 2022). In addition to its use for the management of depression, it has also shown efficacy with anxiety, insomnia, and pruritis associated with skin conditions such as atopic dermatitis and lichen complex chronicus (Almasi & Meza, 2022). In treating depression, doxepin increases the concentration of serotonin and norepinephrine in the synaptic cleft by preventing the reuptake of these neurotransmitters (Almasi & Meza, 2022).  Doxepin is also an antagonist of the alpha-adrenergic, muscarinic, and histamine (H1 and H2) receptors, making it potentially effective for multiple conditions. Systemic delivery of doxepin is currently FDA-approved for treating depression, anxiety, and insomnia. The topical formulation also has FDA-approval to treat pruritis. Off-label uses include migraine prophylaxis, chronic skin conditions, and neuropathic pain (Myers et al., 2022). Methods of delivery are as oral tablets (3 mg and 6 mg), oral capsules (10 mg, 25 mg, 50 mg, 75 mg, 100 mg, and 150 mg), and oral solutions (10 mg/mL) (Almasi & Meza, 2022).  Transbuccal delivery continues to be studied. Typical dosing for depression is 75-150 mg PO daily and 10-25 mg per day for pruritis (Myers et al., 2022). In targeting multiple receptors, doxepin’s side effects can be anticholinergic with conditions such as blurred vision, dry mouth, and urinary retention. Side effects may also be related to antihistamine effects such as sedation or anti-alpha-1-adrenergic in nature with postural hypotension (Myers et al., 2022).

 
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Developing a Culture of Evidence-Based Practice Peer answers

Respond to  two of your colleagues by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.APA FormatMin of 2 sources

 
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Evidence-Based Practice

Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice ChangeThe collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.To Prepare:Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.Consider the best method of disseminating the results of your presentation to an audience.The Assignment: (Evidence-Based Project)Part 4: Recommending an Evidence-Based Practice ChangeCreate an 8- to 9-slide narrated PowerPoint presentation in which you do the following:Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.Add a lessons learned section that includes the following:A summary of the critical appraisal of the peer-reviewed articles you previously submittedAn explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)Part 4: Disseminating ResultsCreate a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project:Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation.Explain how you would plan knowledge transfer and dissemination.Describe measurable outcomes with the implementation of EBP best practice.Summarize lessons learned.The narrated presentation accurately and completely summarizes theevidence-based project. The narrated presentation is professional innature and thoroughly addresses all components of the evidence-basedproject.The narrated presentation accurately and clearly describes in detailthe healthcare organization and culture, current opportunity for change,scope of the issue, and EBP best practice recommendation.The narrated presentation accurately and clearly describes how to planfor knowledge transfer, disseminate the results of the project to anaudience, citing specific and relevant examples.The narrated presentation clearly and accurately describes measurableoutcomes with the implementation of the EBP best practice andsummarizes lessons learned.Resource SynthesisThe narrated presentation fully integrates at least two outside resourcesand two or three course-specific resources that fully support thepresentation.Presentation NarrationNarration is present.PowerPoint Presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.The presentation must be professional; images are appropriately attributed;images are clear. The presentation text is readable. Presentation flows welland is presented in a logical order.Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.Uses correct grammar, spelling, and punctuation with no errors.

 
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Pathophysiology, Nursing Role Transition, Philosophy, Evolution, Taxonomy, and Phylogeny (Due 24 hours)

Parts  6 and 7  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 14 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.Part 1: minimum  1 pagePart 2: minimum  1 page and one paragraphPart 3: minimum  1 page and two paragraphsPart 4: minimum  4 pages (72 hours)Part 5: minimum  1 pagePart 6: minimum  1 pagePart 7: minimum  1 pagePart 8: minimum  1 pagePart 9: minimum  1 pagePart 10: minimum  1 pagePart 11: minimum  2 pages (48 hours)Submit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted 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 4:   Minimum 6 references (APA format) per part not older than 5 years  (Journals, books) (No websites)Part 11:   Minimum 4 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: PathophysiologyPulmonary Function:D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.Case Study QuestionsAccording to the case study information1. Hhow would you classify the severity of D.R. asthma attack? (One paragraph)2. Name the most common triggers for asthma in any given patients (One paragraph)a. Specify in your answer which ones you consider applied to D.R. on the case study.Based on your knowledge and your research3. Explain the factors that might be the etiology of D.R. being an asthmatic patient (One paragraph)Part 2: PathophysiologyAnswer the questions in a single paragraph. Make sure the number of words is similar.Fluid, Electrolyte and Acid-Base Homeostasis:Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:Serum glucose 412 mg/dLSerum sodium (Na+) 156 mEq/LSerum potassium (K+) 5.6 mEq/LSerum chloride (Cl–) 115 mEq/LArterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/LCase Study QuestionsBased on Ms. Brown admission’s laboratory valuesOne paragraph1. Could you determine what type of water and electrolyte imbalance does she has? explainBased on your readings and your research2. Define and describe Anion Gaps and its clinical significance.One paragraph3. Describe the signs and symptoms to the different types of water imbalancea. Describe clinical manifestation she might exhibit with the potassium level she has.One paragraph4. Which would be the most appropriate treatment for Ms. Brown and why?One paragraph5. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?Part 3: Nursing Role Transition (Write in the first person)Role: NurseUnit: DialysisInclude the role and unit of care in the answers to the questions1. What makes a team effective in terms of achieving expected outcomes for the patients?  (One paragraph)2. What makes a team ineffective in terms of achieving expected outcomes for the patients?  (One paragraph)3. What is your input on your teamwork being effective? (One paragraph)4. Do your teamwork effective? why? (One paragraph)5. How can the nurses avoid being a part ineffective in the teamwork (One paragraph)Part 4: Nursing Role Transition (72 hours)Role: ANP-certified registered nurse anesthetists1. Abstract (One paragraph)2. Introduction (One paragraph)3. Describe the role (Two paragraphs)4. Why are you becoming a Nurse Practitioner? (Write in the first person– Two paragraphs)Find one research article, expert opinion about the Nurse Practitioner role5. Summarize the article. (Two paragraphs)6. What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?  (One paragraph)7. Describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes. (Write in the first person-Two paragraphs)8. Conclusion (One paragraph)Part 5:Philosophy/Critical ThinkingAnswer the questions in a single paragraph. Make sure the number of words is similar.According to the movie, WitOne paragraph1. Describe the involvement of nurse Susy with the main character of the movie.2. Compare what could you have done differently?Write in the first person.One paragraph3. Discuss the family dynamic and how this affects the main character.4. Discuss the nurse’s action and how this impacts the relationship with the patientOne paragraph- Writ in the first person5. In your opinion, do you think that the nurses working with the patient posse a strong work ethic? Give examples.Write in the first person-Parts  6 and 7  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 6: Evolution, Taxonomy, and PhylogenyWatch the following videos on evolution, taxonomy and phylogeny and understand how they are related to one another. Then, read the following scientific article by Donley et al. (2004) (see part 6 and 7 File) and answerhttps://www.youtube.com/watch?v=F38BmgPcZ_Ihttps://www.youtube.com/watch?v=12XO8vYqBsAThe pap3r discusses similarities between lamnid sharks and tunas. Lamnids, sharks belonging to the family Lamnidae such as Carcharodon carcharias and Isurus oxyrinchus1. All have which taxonomic groupings in common?2. Explain the concept of convergent evolution as discussed in the article.a. Provide a correctly cited example of one other pap3r that discusses convergent evolution between these taxonomic groups.Scientific literature often involves approaching complicated topics with terms or concepts you have never encountered before.3. Provide an example of something the article you found interesting but were unfamiliar with prior to reading.a. Discuss ways you find it helpful to approach these complex subjects when reading a pap3r.Part 7: Evolution, Taxonomy, and PhylogenyWatch the following videos on evolution, taxonomy and phylogeny and understand how they are related to one another. Then, read the following scientific article by Donley et al. (2004) (see part 6 and 7 File) and answerhttps://www.youtube.com/watch?v=F38BmgPcZ_Ihttps://www.youtube.com/watch?v=12XO8vYqBsAThe pap3r discusses similarities between lamnid sharks and tunas. Lamnids, sharks belonging to the family Lamnidae such as Carcharodon carcharias and Isurus oxyrinchus1. All have which taxonomic groupings in common?2. Explain the concept of convergent evolution as discussed in the article.a. Provide a correctly cited example of one other pap3r that discusses convergent evolution between these taxonomic groups.Scientific literature often involves approaching complicated topics with terms or concepts you have never encountered before.3. Provide an example of something the article you found interesting but were unfamiliar with prior to reading.a. Discuss ways you find it helpful to approach these complex subjects when reading a pap3r.Part 8: Nursing leadership1. Explain why leaders are made and are not born (Three paragraphs)Part 9: Nursing Leadership1. Define what is meant by strength-based leadership in nursing (One paragraph)2. Give one profound/complete example of strength-based leadership in nursing (One paragraph)3. What characteristics have the nurses capable of demonstrating strength-based leadership (One paragraph)Part 10: Nursing Leadershipwrite in the first personRole: NursePosition to advocate: PatientSituation: A head nurse who appeared to be intoxicated with alcohol physically abused an elderly woman while she was showering her. The nurse became aware of the behavior of the head nurse.Nursing should be an advocate for themself, their client, and their profession.1. Describe the situation daily2. Describe your position3. How did you deal with the situation as a leader nurse?Part 11:Nursing philosophy (Write in the first person)1. Introduction (One paragraph)2. What is your idea of what a nurse should be? (One paragraph)3. Why do you want to be a nurse? (One paragraph)4. How do you identify with the feelings of others? (One paragraph)5. How do you plan to handle conflict amongst your patient and their family members? (One paragraph)6. Do you enjoy and find fulfillment in serving others? (One paragraph)Role: Nurse

 
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Research the range of contemporary issues teenagers face today.

In a 700-1,000 words, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:Describe the contemporary issue and explain what external stressors are associated with this issue.Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.Cite a minimum of 5 peer-reviewed sources published within the last 5 years in APA 2007 format, including incitation to complete this assignment.

 
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Genitalia

Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.Why are women at a higher risk of UTI than males?What would you educate to decrease the risk of UTI?Summarize the pros and cons of newborn circumcision.Describe the following signs on a female examination:GoodellHegar’sMcDonald’sChadwickName the characteristics of the following type of hernias:Indirect inguinalDirect inguinalFemoralSubmission Instructions:Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources.

 
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Healthcare IV

12PPT slide and speaker notes

 
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