Components of the pension expense.

Now let’s have a close look over the three most important components of the pension expense. The treatment of expected and actual return on plan assets, particularly when the actual return is greater than the expected, the amortization of prior service cost and the unexpected gain/ loss. Discuss the accounting treatment of these items with suitable examples.

Sample Solution

 
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GETTING STARTED · Open the file SC_WD19_4a_FirstLastName_1.docx, available for download from the SAM website. · Save the file as SC_WD19_4a_FirstLastName_2.docx by changing the “1”

    GETTING STARTED·           Open the file SC_WD19_4a_FirstLastName_1.docx, available for download from the SAM website.·           Save the file as SC_WD19_4a_FirstLastName_2.docx by changing the “1” to a “2”.o      If you do not see the .docx file extension in the Save As dialog box, do not type it. The program will add the file extension for you automatically.·           With the file SC_WD19_4a_FirstLastName_2.docx still open, ensure that your first and last name is displayed in the footer.o      If the footer does not display your name, delete the file and download a new copy from the SAM website.    PROJECT STEPS1.         As an executive assistant at Crown Medical, a medical device manufacturer in Cleveland, Ohio, you are drafting a business proposal for a spin-off business focusing on a system for performing accurate hearing tests. The proposal must contain 1000 words or less.On page 1, expand the character spacing of the paragraph “Executive Summary” by 2 point to call attention to the heading.2.         Format the bulleted list in the “Objectives” section as follows to make the list more logical and attractive:a.         Demote the two bulleted items after the “Sales and marketing” item (“Design and carry out…” and “Establish awareness…”) by one level.b.         Change the color of the bullets to Aqua, Accent 5 for the four first-level bulleted items (“Management team”, “Sales and marketing”, “Product development”, and “Customer service”). 3.         Sort the four paragraphs in the “Company Background” section in ascending order by paragraph.4.         On page 2, split and merge cells in the “Start-Up Costs” table and insert a formula as follows to make the table easier to interpret:a.         Split the cell containing the text “Requested Funding Total Amount” into 2 columns and 1 row.b.         Insert a formula in cell B9 (the cell to the right of the “Total Requested:” cell) that sums the values above the cell.c.         Merge cells B9, C9, and D9 (the three cells to the right of the “Total Requested:” cell).5.         Format the “Start-Up Costs” table as follows to improve its appearance and usefulness:a.         Change the top and bottom cell margins to 0.04 for all cells in the table.b.         Shade row 1 (the header row) using the Aqua, Accent 5, Lighter 60% shading color.c.         Change the direction of the “Difference provided by owners” text so that it reads from top to bottom. d.         Resize column A to fit the cell contents using AutoFit.6.         Format and sort the table in the “Roles and Shares” section as follows to make the table more useful as a reference and to coordinate with the “Start-Up Costs” table:a.         Sort the table in descending order by the numbers in the “Share” column without sorting the header row.b.         Change the color of all the table borders to Aqua, Accent 5 to match the color of the “Start-Up Costs” table.c.         Distribute the rows in the table.d.         Change the width of column C (the “Share” column) to 1.35″.e.         Align the percentage amounts in the “Share” column using Align Center Right.7.         Format the shaded “For More Information” section at the bottom of page 2 as follows to set it apart from the rest of the document:a.         Change the indentation of the two paragraphs (“For More Information” and “Contact Michael Linde…”) to a 0.5″ Left Indent.b.         Format the heading text “For More Information” in Small caps to distinguish it from other headings. 8.         Update the field after the “Number of words:” text to accurately reflect the number of words in the document.9.         Insert a Draft 1 watermark to emphasize that the document is being developed. [Mac Hint: Insert a Text watermark using the Draft option. Change the Transparency to 50% and the Orientation to Diagonal.]10.      Add a cover page as follows to create a professional opening page for the document:a.         Insert the Slice (Dark) cover page.b.         Type Crown Auditory Testing as the document title.c.         Type Business proposal as the document subtitle.Your document should look like the Final Figure on the following pages. Save your changes, close the document, and then exit Word. Follow the directions on the SAM website to submit your completed project. Note: The word count is intentionally blurred. 

 
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Topic: Evaluate the Health History and Medical Information for Mr.M

Topic: Evaluate the Health History and Medical Information for Mr.M

Topic: Evaluate the Health History and Medical Information for Mr.M

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

Temperature: 37.1 degrees C

BP 123/78 HR 93 RR 22 Pox 99%

Denies pain

Height: 69.5 inches; Weight 87 kg

Laboratory Results

WBC: 19.2 (1,000/uL)

Lymphocytes 6700 (cells/uL)

CT Head shows no changes since previous scan

Urinalysis positive for moderate amount of leukocytes and cloudy

Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay Instruction

Must have: Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

Describe the clinical manifestations present in Mr. M.

Rubric criteria:

Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms.

Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.

Rubric criteria:

A detailed discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. Strong rationale and reliable data are used to explain why the diagnoses are relevant and should be considered.

When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

Rubric criteria:

A thorough discussion of abnormalities a nurse would expect to find during a nursing assessment is presented. Strong rationale and evidence are provided for support.

Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.

Rubric criteria:

A thorough discussion of the effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, is presented. Strong support for the discussion is provided.

Discuss what interventions can be put into place to support Mr. M. and his family.

Rubric criteria:

All relevant interventions that can be put into place to support Mr. M. and his family are thoroughly discussed.

Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

Rubric criteria:

Four or more actual or potential problems faced by the patient are thoroughly discussed. The posed problems are clearly related to his condition. Strong rationale is provided and supports the discussion.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide.

.

Answer preview to evaluate the Health History and Medical Information for Mr. M.

Evaluate the Health History and Medical Information for Mr. M.

 

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Which independent and dependent variables do you need to collect

Which independent and dependent variables do you need to collect

Which independent and dependent variables do you need to collect

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Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

(My change project is on Hypertension)

Answer preview to which independent and dependent variables do you need to collect

Which independent and dependent variables do you need to collect

 

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Discuss one way you will be able to evaluate whether your project made a difference in practice.

Discuss one way you will be able to evaluate whether your project made a difference in practice.

Discuss one way you will be able to evaluate whether your project made a difference in practice.

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In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change.

Discuss one way you will be able to evaluate whether your project made a difference in practice.

(My change project is about hypertension)

Answer preview to discuss one way you will be able to evaluate whether your project made a difference in practice.Discuss one way you will be able to evaluate whether your project made a difference in practice.

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Use the following coupon code :
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Discussion: According to the ACC/AHA guidelines, what medications should this patient be prescribed.

Discussion: According to the ACC/AHA guidelines, what medications should this patient be prescribed.

Discussion: According to the ACC/AHA guidelines, what medications should this patient be prescribed.

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Case Study

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History: Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: + Heberden\’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis.

PSYCH: Normal affect. Cooperative.

SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1. According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2. Does he need medication(s) given his history of MI?

3. Considering that you have a case study, you only need 2 posts for this discussion board, 1 initial and 1 reply. As usual, all posts must be supported by at least 2 peer reviewed references and all paragraphs must be cited.

Requirements: 500 words

Answer preview to according to the ACC/AHA guidelines, what medications should this patient be prescribed

According to the ACC AHA guidelines, what medications should this patient be prescribed

 

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Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member.

Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member.

Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member.

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Assignment Content

Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member. The diabetic family member, JK, is a 66-year-old African American woman with hypertension and asthma. JK lives in a food desert and does not drive. JK\\\’s family visits her weekly, but they have complicated lives and are unable to provide daily care for her.

 

Evaluate the following community health resources for JK’s situation:

United States Department of Agriculture

Food Access Research Atlas Overview

Food Access Research Atlas Map

CDCA Look Inside Food Deserts

Small Food Stores and Availability of Nutritious Foods

State Health StatisticsAmerican Nutrition Association

USDA Defines Food Deserts

Create a plan detailing opportunities for JK to gain adequate access to appropriate foods for 1 week. Your plan must:

Create an appropriate and realistic estimated budget.

Identify shopping locations in your chosen area

Map out transportation means, routes, and timing in your chosen areaDefine and explain support services and list how they can assist JK

Compare JK\\\’s community with your county census data. (Bexar County Texas)

Format your assignment as one of the following:3- to 5-slide presentation

Aligned with assessment (3)

1. Analyze the community nurse’s role in promoting health and preventing or mitigating disease.

2  Evaluate community-based health care needs of vulnerable populations.

3 Evaluate environmental factors influencing health within the community.

Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Use the following coupon code :
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Discussion: Clinical aspect that need to be taken into account for developing the evidence-based change proposal.

Discussion: Clinical aspect that need to be taken into account for developing the evidence-based change proposal.

Discussion: Clinical aspect that need to be taken into account for developing the evidence-based change proposal.

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My change proposal is Hypertension———————————————————–Assignment

After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal.

Explain how your proposal will directly and indirectly impact each of the aspects.

Answer preview to clinical aspect that need to be taken into account for developing the evidence-based change proposal.

Clinical aspect that need to be taken into account for developing the evidence-based change proposal. 

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Discussion: Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.

Discussion: Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.

Discussion: Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.

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Chief Complaint(CC)

“I came for my annual physical exam, but do not want to be a burden to my daughter.”

History of Present Illness (HPI)

At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs

PMH

Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis

PSH

S/P cholecystectomy

Drug Hx

Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.

General

+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.

Head, Eyes, Ears, Nose & Throat (HEENT)

No changes in vision or hearing, no difficulty chewing or swallowing.

Neck

No pain or injury

GU

no urinary hesitancy or change in urine stream

Integument

multiple bruises on his upper arms and back.

MS/Neuro

+ falls x 2 within the last 6 months; no syncopal episodes or dizziness

PE

B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8

HEENT

Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.

Lungs

CTA AP&L

Card

S1S2 without rub or gallop

Abd

benign, normoactive bowel sounds x 4

Ext

no cyanosis, clubbing or edema

Integument

multiple bruises in different stages of healing – on his upper arms and back.

Neuro

No obvious deformities, CN grossly intact II-XII

Once you received your case number, answer the following questions:

Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.

Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Submission Instructions:

Your instructor will assign you your case number and you will post on the case number you have been assigned.

You will reply to the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)

All replies must be constructive and use literature where possible.

Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.

You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Requirements: 500 words

Answer preview to discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

 

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Discuss: Public health is charged primarily with healthcare prevention and promotion for the community as a whole.

Discuss: Public health is charged primarily with healthcare prevention and promotion for the community as a whole.

Discuss: Public health is charged primarily with healthcare prevention and promotion for the community as a whole.

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Public Health vs. Medical Care

Public health is charged primarily with healthcare prevention and promotion for the community as a whole.  Medical care differs from public health in relation to the primary focus. Medical care does practice prevention, but also focuses on the treatment aspects of healthcare. Differentiate between the public health approach in regard to community focus and prevention campaigns versus the medical care approach of treatment of medical issues.

Examples for public health are:

1) Health promotion events such as weight lose

2) Physical fitness campaigns

Examples of medical care are:

1) Treatment of diabetes

2) Treat of hypertension

Within the context of the COVID-19 pandemic, compare and clearly contrast a minimum of five similarities and differences.

Directions to student: You must complete this discussion in (no less than 750 words) into three substantive paragraphs 250 words each.

Make sure you address the subject topic within the context of the COVID-19.

Make sure you include at least four APA-formatted citations/references.

Answer preview to public health is charged primarily with healthcare prevention and promotion for the community as a whole.

Public health is charged primarily with healthcare prevention and promotion for the community as a whole. 

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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