An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit.

An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit.

An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit.

An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit. The parents report that their baby drags her legs rather than crawling on both hands and legs. They are concerned that this is abnormal. The father says that the child only recently began crawling and she does not pull to a stand. You noted at her 6-month visit that she was not rolling over or sitting; previous visits were unremarkable as was the mother’s pregnancy and vaginal delivery. While examining the baby, you note that when she is held by the axillae her legs are extended and crossed (i.e. the “scissoring” posture).

  • What is the most likely diagnosis? Why? An 11-month-old girl, well-known to your clinic since birth, arrives for a well-child visit.
  • What would be three differentials in this case? Why?
  • What developmental milestones are expected at this age?
  • What do you believe is your best course of action/treatment plan for this appointment? Why

 

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.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

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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Nurse Practitioner Core Competencies – nursing homework essays

Nurse Practitioner Core Competencies

Nurse Practitioner Core Competencies

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7.   Nurse Practitioner Core Competencies

Program Outcome #4:  Integrate professional values through scholarship and service in health care. (Professional identity)

MSN Essential IV: Translating and Integrating Scholarship into Practice Recognize that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

Nurse Practitioner Core Competencies # 7

Health Delivery System Competencies

1. Applies knowledge of organizational practices and complex systems to improve health care delivery.

2. Effects health care change using broad based skills including negotiating, consensus-building, and

partnering.

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3. Minimizes risk to patients and providers at the individual and systems level.

4. Facilitates the development of health care systems that address the needs of culturally diverse

populations, providers, and other stakeholders.

5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the

environment.

6. Analyzes organizational structure, functions and resources to improve the delivery of care.

7. Collaborates in planning for transitions across the continuum of care.

 

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeProgram Outcome Achievement
15 pts

Exceptional- The reflection specifically identifies and addresses the pre-determined program outcome and provides two (2) or more examples of how the student specifically achieved or had exposure to this outcome during this course/clinical.

13 pts

Exceeds- The reflection specifically identifies and addresses the pre-determined program outcome and provides one (1) example of how the student specifically achieved or had exposure to this outcome during this course/clinical.

12 pts

Meets- The reflection addresses the pre-determined program outcome in a generic manner without a specific example of exposure to or achievement of the outcome during this course/clinical.

6 pts

Needs Improvement- The reflection is vague and/or does not address the correct pre-determined program outcome that the student achieved or had exposure to during the course/clinical.

0 pts

Developing- The reflection does not address the program outcomes.

 

15 pts
This criterion is linked to a Learning OutcomeMSN Essential Competence
15 pts

Exceptional- The reflection specifically identifies and addresses the pre-determined MSN Essential Competency and provides two (2) or more examples of how the student specifically achieved or had exposure to this competency during the course/clinical.

13 pts

Exceeds- The reflection specifically identifies and addresses the pre-determined MSN Essential Competency and provides one (1) example of how the student specifically achieved or had exposure to this competency during this course/clinical.

12 pts

Meets- The reflection addresses the pre- determined MSN Essential Competency in a generic manner without a specific example of exposure to or achievement of the competency during this course/clinical.

6 pts

Needs Improvement- The reflection is vague and/or does not address the correct pre-determined MSN Essential Competency that the student achieved or had exposure to during the course/clinical.

0 pts

Developing- The reflection does not address the MSN Essential Competence.

 

15 pts
This criterion is linked to a Learning OutcomeNP Competency Achievement
15 pts

Exceptional- The reflection specifically identifies and addresses the pre-determined NP core Competency and provides two (2) or more examples of how the student specifically achieved or had exposure to this competency during this course/clinical.

13 pts

Exceeds- The reflection specifically identifies and addresses the pre-determined NP Competency and provides one (1) example of how the student specifically achieved or had exposure to this competency during this course/clinical.

12 pts

Meets- The reflection addresses the pre- determined NP core Competency in a generic manner without a specific example of exposure to or achievement of the competency during this course/clinical.

6 pts

Needs Improvement- The reflection is vague and/or does not address the correct pre-determined NP core Competency that the student achieved or had exposure to during the course/clinical.

0 pts

Developing- The reflection does not address the NP core competency.

 

15 pts
This criterion is linked to a Learning OutcomeGrammar, Syntax, Spelling, & Punctuation
5 pts

Exceptional- Grammar, spelling, and/or punctuation are accurate, or with zero to one error.

4 pts

Exceeds- Two to four errors in grammar, spelling, and syntax noted.

3 pts

Meets- Five to seven errors in grammar, spelling, and syntax noted.

2 pts

Needs Improvement- Eight to nine errors grammar, spelling, and syntax noted.

0 pts

Developing- Post contains ten or greater errors grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.

 

5 pts
This criterion is linked to a Learning OutcomeParticipation (if deductions apply, please subtract from total prior to saving)
0 pts

0 points deducted- Enters reflection by 11:59 p.m. MT on Saturday of Week 8.

0 pts

A zero will be assessed if not turned in by 11: 59 p.m. MT Saturday of Week 8.

 

0 pts
 

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41-year-old obese male patient is diagnosed with congestive heart failure (CHF).

41-year-old obese male patient is diagnosed with congestive heart failure (CHF).

41-year-old obese male patient is diagnosed with congestive heart failure (CHF).

41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

  1. Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic? How would you explain to this patient how it works?
  2. If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? As his health care provider, how would you change his treatment in this situation?

 

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.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

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 :
NURSING10

 
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Political affiliation in Health – nursing homework essays

Political affiliation in Health

Political affiliation in Health

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
  • Consider who benefits the most when policy is developed and in the context of policy implementation.

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Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.

 

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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The Connection Between Academic and Professional Integrity.

The Connection Between Academic and Professional Integrity.

The Connection Between Academic and Professional Integrity.

Part 2, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template you began in Module 1, write a 2- to 3-paragraph analysis that includes the following:

  • Explanation for the relationship between academic integrity and writing
  • Explanation for the relationship between professional practices and scholarly ethics
  • Cite at least two resources that support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.
  • Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity.

Part 2, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by identifying and describing strategies you intend to pursue to maintain integrity and ethics of your:

  1. academic work as a student of the MSN program and
  2. professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template

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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The purpose of this discussion is to explore the business plan.

The purpose of this discussion is to explore the business plan.

The purpose of this discussion is to explore the business plan.

Purpose

The purpose of this discussion is to explore the business plan. A business plan is a written document that describes in detail a proposed program, project, or service. The depth and complexity of the business plan will vary by the project. For projects with large capital investments, a thorough business plan is crucial. DNP-prepared nurses are often required to submit a business plan to gain approval for any proposed change in staffing, to obtain new equipment, or develop a new program. Our discussion this week allows us to look at a business plan.

Instructions

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Reflect upon your readings and personal or professional experience and address the following.

  • Examine why it is essential for the you to be able to present a solid business plan when meeting with stakeholders regarding your DNP project.

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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Adult Assessment Tools or Diagnostic Tests

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests

This week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients’ conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.

 

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests: Prostate-Specific Antigen
Include the following:

  • A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.
    • What is its purpose?
    • How is it conducted?
    • What information does it gather?
  • Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

Learning Objectives

Students will:

•            Evaluate the validity and reliability of assessment tools and diagnostic tests

•            Analyze diversity considerations in health assessments

•            Apply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment

•            Apply assessment skills to collect patient health histories

 

Assignment 1: Adult Assessment Tools or Diagnostic Tests:

Prostate-Specific Antigen

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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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Summary Of Presentation – nursing homework essays

  • attachment

    Instructions.docx

  • attachment

    WindshieldSurvey_OakParkIL.pdf

Windshield Survey – Oak Park, Illinois, United States

 

· Summarize the presentation on Oak Park, Illinois, and provide a reflection on this experience to identify lessons learned.

· 2 paragraphs minimum

· References in APA format (7th Edition)

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. Summary Of Presentation

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.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

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.
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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
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Quality improvement or change project.

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Implementation and Measure of Results

Amisadai Mederos

Denver College of Nursing

NUR445: Capstone

Sharon Bator

December 12, 2021

 

Implementation and Measure of Results

The process of change implementation is necessary to bring out the best in patient care in the current and future practice. Implementing the change involving the installation of alarms and nursing education requires the systematic change implementation process and review. Within the change process, a lot of concepts are experienced. The people involved in the change are all the nursing care practitioners. The nurses are the immediate people in the patient’s care (Suresh, 2018). It is also essential to involve the doctors and other clinicians since they are in the collaborative management of the patients. In the change approval, it is the role of the hospital administrator or the head of the hospital to approve it. The departmental head has a share in advising the administration regarding the change.

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It is vital to select the best process to bring out convenience in plan communication. The clear concept is to communicate all the past inconveniences of the recent practices. A provision of the advantages and anticipated efficiency of the plan promotes a good understanding to the recipients of change. It is also necessary to get the people’s views who will be affected by the change. In implementing the actual change, the detailed procedural approach promotes success. The first step involves the communication of the entire problem to the whole stakeholders. All the medical staff, specifically the nurses, need to understand the change. A provision of the detailed statistics on the recent falls and the direct impact to the patients is an eye-opener to accept the change and prepare psychologically and physically for the arrival of the change.

The next step is the actual installation of the alarms in the rooms. The alarms are in line and followed by specific demonstrations to the nurses in the department. There can be supervision for a little duration to assess the actual implementation and acceptance. The last step for the change is a follow-up and review. The change agents can allocate people to provide feedback and further guide on the use and response to the alarms. The collection of data will entail using a survey with the dissemination of some questionnaires to the nursing staff in the department. The questionnaires have a role in addressing the specific needs of the patients without deviation. The questionnaires can explain all the concepts of the change and the views of the staff. Validity and reliability are critical factors in the research (Aguinis et al., 2019). It is essential to use the pretest and posttest questionnaires to check if the tool will measure what is intended and provide the intended results.

The data from the survey questionnaires will be entered into the data analysis tool and represent the information in terms of digits or statistical presentations to generate the results. The results will reflect the actual need for the implementation. The overall action for the results is a provision to the hospital management. The hospital will also use the data in making decisions and planning for the needs of the patients. The hospital can also use the results to do collaborative management with other hospitals and different units like the supplies of more equipment. Results also determine the need for a workforce. The same results also define and explain the need for continuous research to improve patient care and prevent more complications and accidents consistently.

 

References

Aguinis, H., Hill, N. S., & Bailey, J. R. (2019). Best practices in data collection and preparation: Recommendations for reviewers, editors, and authors. Organizational Research Methods, 1094428119836485. https://journals.sagepub.com/doi/abs/10.1177/1094428119836485

Suresh, S. (2018). Nursing research and statistics. Elsevier Health Sciences. https://books.google.com/books?hl=en&lr=&id=xsliDwAAQBAJ&oi=fnd&pg=PP1&dq=nursing+research+text+book+2018&ots=sa9h3

 
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Explain what happens physiologically with chronic renal failure and the GFR.

Explain what happens physiologically with chronic renal failure and the GFR.

Explain what happens physiologically with chronic renal failure and the GFR.

Reply 1

 

Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process. Explain what happens physiologically with chronic renal failure and the GFR.

Chronic renal failure can also be described as chronic kidney disease (CKD). According to McCance and Huether (2018), “chronic kidney disease (CKD) is the progressive loss of renal function associated with systemic diseases such as hypertension, diabetes mellitus, systemic lupus erythematosus, or intrinsic kidney disease, including acute kidney injury, chronic glomerulonephritis, chronic pyelonephritis, obstructive uropathies, or vascular disorders.” CKD is directly related to the decline of the glomerular filtration rate (GFR). There are stages of CKD depending on the value of the GFR. There are many factors that can contribute to the development of CKD, however, the two main things that have been consistent to be main contributors are proteinuria and increased angiotensin II activity. McCance and Huether (2018) states that, “proteinuria contributes to tubulointerstitial injury by accumulating in the interstitial space and activating complement proteins and other mediators and cells, such as macrophages, that promote inflammation and progressive fibrosis.” Angiotensin II causes glomerular and systemic hypertension that directly impacts the nephrons, which are the main filters in your kidneys. It also increases glomerular capillary permeability, contributing to proteinuria. In addition, “Angiotensin II also may promote the activity of inflammatory cells and growth factors that participate in tubulointerstitial fibrosis and scarring” (McCance & Huether, 2018). As fibrosis and scarring takes place, the nephrons become damaged and are unable to filter the blood properly leading to end stage renal disease.

When diagnosing CKD, multiple labs should be ordered. A complete metabolic panel should be ordered as the first test to check for BUN, creatinine and GFR levels. Blood urea nitrogen (BUN) measures the amount of urea nitrogen in your blood, which is one test to see how well your kidneys are working. Creatinine is released from your muscles and can also test how well your kidneys are working. As the GFR rate decreases, BUN and creatinine will elevate showing signs of decreased kidney function. GFR levels will vary and can show what stage of kidney disease a person has. Stage I consists of a GFR greater than 90 ml per minute of plasma flow which is normal, stage II is classified as a GFR between 60 to 89 indicating mild damage, stage III has a GFR of 30 to 59 indicating moderate damage, Stage 4 includes a GFR of 15 to 29 indicating severe damage, and stage V, or End-Stage Renal Disease (ESRD), entails a GFR of less than 15 (McCance & Huether, 2018). A urinalysis should also be done to check for protein.

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Reference

McCance K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Elsevier.

Reply 2

 

Chronic kidney disease (CKD) is a condition characterized by a gradual loss of kidney function over time.  It is the progressive loss of renal function associated with systemic diseases such as hypertension, diabetes mellitus (most significant risk factor), hypertension, systemic lupus erythematosus, or intrinsic kidney disease, including acute kidney injury, chronic glomerulonephritis, chronic pyelonephritis, obstructive uropathies, or vascular disorders (McCance et al., 2018, p. 1267).  It is referenced to a declining Glomerular filtration rate (GFR), which shows the kidneys filtration rate and tells how the kidneys are functioning and filter blood. CKD decreases filtration and tubular functions that is shown throughout all organs in the body. Decreased renal function interferes with the kidneys’ ability to maintain fluid and electrolyte homeostasis. The ability to concentrate urine declines early and is followed by decreases in ability to excrete excess phosphate, acid, and potassium which is reflected in the GFR. Obtaining a complete medical history of the patient and family history is crucial when identifying risks for decreased kidney function.  Doctors determine the stage of kidney disease using the glomerular filtration rate (GFR), a math formula using a person’s age, gender, and their serum creatinine level (identified through a blood test). Creatinine, a waste product that comes from muscle activity, is a key indicator of kidney function. When kidneys are working well they remove creatinine from the blood; but as kidney function slows, blood levels of creatinine rise. Lab tests such as complete urinalysis (U/A), urine albumin-to-creatinine ratio (UACR), creatinine with estimated GFR, blood urea nitrogen (BUN), electrolytes, glucose, calcium, phosphorus, albumin, and a complete blood count (CBC) are used  in diagnosing CKD and determining the level of kidney disease in an individual. CKD is divided into five different levels and depending on the level of the GFR will assist in determining what additional diagnostic work ups are needed (Chen et al., 2019, p. 1295).

Reference

Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic Kidney Disease Diagnosis and Management: A Review. JAMA322(13), 1294–1304. https://doi.org/10.1001/jama.2019.14745

McCance K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.) St Louis, MO: Mosby Inc; ISBN-13: 978-0323583473

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