A 20-year-old female presents with severe migraines.

/in /by

A 20-year-old female presents with severe migraines.

A 20-year-old female presents with severe migraines.

A 20-year-old female presents with severe migraines.  She has been treated for the last two years. What is the pathophysiology involved with the prodrome associated with migraine? Compare and contrast tension headache and cluster headache.  What is the pathophysiologic difference between migraine headache and tension headache? A 20-year-old female presents with severe migraines.

150 words, 1 reference, APA

 

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 :
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Research Design Alignment Table. – nursing homework essays

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Research Design Alignment Table.

Research Design Alignment Table.

This week, you be completing the Research Design Alignment Table. This table ensures your Prospectus Form has a logical progression from the research problem to the purpose of the study. The table should demonstrate that the identified framework grounds the investigation into the stated problem. When completing the alignment table, make sure that the problem, purpose, and framework in the left-hand column align with the research question(s) (RQs) (all rows). Ensure that each RQ address the problem and align with the purpose of the study.

To complete this section of the Prospectus Form, fill out the sections of the table that are addressed in your Prospectus Form.

Once you complete the table using the content you developed on the Prospectus Form, look to see that the information across each individual row match/align with the RQ listed for that row.

  1. By row, will the variables listed address the RQ?
  2. By row, will the analysis address the RQ?
  3. By row, can the analysis be completed with the data points that will be collected?

Note: At the prospectus stage, not all items in the table below can be identified (e.g., data points, data analysis). Please complete the items that you have identified in this Prospectus Form.

  • attachment

    wk10assgnwilliamssh.docx

DHA Prospectus Form

 

Students | Complete your doctoral prospectus within this form. Write your responses in the white spaces using a scholarly tone and include in-text citations and APA reference entries where appropriate. You can click on underlined terms and headings for descriptions, resource links, and examples located in the Appendix. For additional prospectus information and resources, refer to the Doctoral Research Coach. Complete the Research Design Alignment Table within this form using the information from earlier sections and self-assess your research design alignment. Submit this completed form into MyDR for formal evaluation and feedback when your committee chair indicates that you are ready to do so.

 

Student’s Name | Sherri Williams Student ID | A01031204

Program and Specialization* | DDHA 8246 Submission Date | 12/20/2021

*Remember that your study focus must be within the realm of your program and specialization area.

 

 

 

Evaluators Only | Complete this section and provide feedback on responses and rubric scores in the form where noted.

 

Committee Chairperson Name: Click or tap here to enter text. Overall Assessment: Choose score.

Second Committee Member Name: Click or tap here to enter text. Overall Assessment: Choose score.

PhD Program Director: Click or tap here to enter text. Overall Assessment: Choose score.

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Title

In 12 words or less, what is the working title for this study? Include the topic, variables and relationship between them, and the most critical key words.
Obstacles to fair access to high-quality health care for rural populations
Supporting Literature

The first step in developing your prospectus is to search the literature related to the general area related to healthcare administration you want to investigate (see social problem below). In your review of recent, empirical literature, what keywords did you search and in what databases?
The keywords and databases searched included Replace this text with your response.
Search Log
Database Search Terms Results Notes
Google Scholar HealthCare Costs, Benefits, Cost Control, Transportation, Health Barriers, Challenges 460,000 Too Broad
Google Scholar HealthCare Costs, Benefits, Cost Control, Transportation, Health Barriers, Challenges 17,700 Still Too Broad
ProQuest Transportation in rural areas 1234 Better relevant to the topic

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Assignment: PICOT/Research Question – nursing homework essays

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Assignment: PICOT/Research Question

Assignment: PICOT/Research Question

PICOT/Research Question

In adults 65 years and older diagnosed with diabetes mellitus, how effective are the use of

dietary supplements, such as cinnamon, compared to medication alone, such as insulin

therapy/oral hypoglycemics, in the prevention of diabetic complications within a one-year

period? Assignment: PICOT/Research Question

PICOT TABLE

 

 

P Adults 65 years and older diagnosed with diabetes mellitus

 

Age is one of the most important risk factors for type 2 diabetes with

individuals in older age groups assuming a high burden of disease. Selvin

and Parrinello (2013) stated that in the US, adults aged 65 or older had 20%

prevalence of diabetes in 2011 versus the 2.4% disease prevalence found

among adults 18 to 44 years of age.

I Dietary supplements like cinnamon

 

It is believed that dietary supplements like cinnamon help patients to control

blood glucose. Hasanzade et al. (2013) stated that traditional herbs and

spices such as Ròu Guì and Cinnamomum cassia are commonly used for

control of glucose. They also stated that cinnamon was the most bioactive

among spices such as mint, green tea, and carnation.

Commented [RC1]: Where is the title page?

Commented [RC2]: Page numbers are missing!

Commented [RC3]: Each element is identified from the PICOT question

Commented [RC4]: Each element is supported by a reference.

Commented [RC5]: Good use of APA format! You don’t need to use a different reference each time, but

each section should be supported with a reference

 

 

 

 

C Insulin/Oral hypoglycemic medications

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Insulin and/or oral glycemic medications are universally used to treat and

manage diabetes due to their ability to control blood sugar levels. Insulin

offers a unique ability to control hyperglycemia when used from the time of

diagnosis and when metabolic control is disturbed by medical illness,

procedures, or therapy, as well as in the longer term (Home et al., 2014).

O Prevention of diabetic complications

The ultimate goal of diabetes management is prevention of long-term

complications. Uncontrolled diabetes can lead to a number of short and

long-term health complications, including hypoglycemia, heart disease,

nerve damage, limb amputation, and vision problems. According to Vinik &

Vinik (2003), chronic complications can be devastating to patients with

diabetes mellitus. The major cause of morbidity and mortality among these

patients are complications such as cardiovascular illness, macrovascular

disease, and microvascular disease, with retinopathy, nephropathy, and

neuropathy.

 

 

 

 

T Within a one-year period

 

There is no set time frame for diabetic complications to occur. It all

depends on how uncontrolled the management has been. The duration of

diabetes and the degree of glycemic control achieved are noted to be risk

factors for complications (Nickerson & Dutta, 2012).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Hasanzade, F., Toliat, M., Emami, S. A., & Emamimoghaadam, Z. (2013). The effect of

cinnamon on glucose of Type II diabetes patients. Journal of Traditional and

Complementary Medicine, 3(3), 171–174. https://doi.org/10.4103/2225-4110.114900

Home, P., Riddle, M., Cefalu, W. T., Bailey, C. J., Bretzel, R. G., Del Prato, S., Leroith, D.,

Schernthaner, G., van Gaal, L., & Raz, I. (2014). Insulin therapy in people with type 2

diabetes: Opportunities and challenges? Diabetes Care, 37(6), 1499–1508.

https://doi.org/10.2337/dc13- 2743

Nickerson, H. D., & Dutta, S. (2012). Diabetic complications: Current challenges

and opportunities. Journal of Cardiovascular Translational Research, 5(4),

375–379. https://doi.org/10.1007/s12265-012-9388-1

Selvin, E., & Parrinello, C. M. (2013). Age-related differences in glycemic control in diabetes.

Diabetologia, 56(12), 2549–2551. https://doi.org/10.1007/s00125-013-3078-7

Vinik, A. I., & Vinik, E. (2003). Prevention of the complications of diabetes. The American

Journal of Managed Care, 9(3 Suppl), S63–S84.

 

Commented [RC6]: The reference page starts on a new page.

Commented [RC7]: References placed in alphabetical order

Commented [RC8]: References follow APA 7e format

 

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An example of an evidence-based practice (EBP) project

/in /by

  • attachment

    41F35C30-B38C-427C-A863-4DB4CBE08A0A.png

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.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

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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Describe a health promotion model in an initiate behavioral changes.

/in /by

Describe a health promotion model in an initiate behavioral changes.

Describe a health promotion model in an initiate behavioral changes.

1.Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?

250 words with 3 references peer review

2. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).

Compare your current preferred learning strategies to the identified strategies for your preferred learning style.

Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

Provide a summary of your learning style according the VARK questionnaire.

Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.

Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.

Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

750-1000 words with minimum of 3 references peer review

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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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Use the following coupon code :
NURSING10

 
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Describe the organizational structure of your healthcare organization to your peers/colleagues.

/in /by

Describe the organizational structure of your healthcare organization to your peers/colleagues.

Describe the organizational structure of your healthcare organization to your peers/colleagues.

Explain the organizational structure of your healthcare organization to your peers/colleagues. Does one of the common management theories support this structure? If yes, which theory?  Where is the formal leadership?  Where is the informal leadership?  Describe how this structure impacts the process of change (positively or negatively).

Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature.

See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

 

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 :
NURSING10

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

LOCAL HEALTHCARE ORGANIZATION – nursing homework essays

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LOCAL HEALTHCARE ORGANIZATION

LOCAL HEALTHCARE ORGANIZATION

Assessment Description

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

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In your interview, address the following:

  1. Risk management strategies used in the organization’s risk control program, along with specific examples.
  2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
  3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
  4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
  5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

  1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
  2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

 

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STUDENT-Bipolar_Depression-SKINNY_Reasoning

/in /by

  • attachment

    STUDENT-Bipolar_Depression-SKINNY_Reasoning11.pdf

© 2018 Keith Rischer/www.KeithRN.com

Bipolar Depression/Mania SKINNY Reasoning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Brenden Manahan, 35 years old

 

Primary Concept

Mood and Affect

Interrelated Concepts (In order of emphasis)

• Psychosis

• Clinical Judgment

• Patient Education

STUDENT-Bipolar_Depression-SKINNY_Reasoning

NCLEX Client Need Categories Percentage of Items from Each

Category/Subcategory

Covered in

Case Study Safe and Effective Care Environment

✓ Management of Care 17-23% ✓ ✓ Safety and Infection Control 9-15% ✓

Health Promotion and Maintenance 6-12% ✓ Psychosocial Integrity 6-12% ✓ Physiological Integrity

✓ Basic Care and Comfort 6-12% ✓ ✓ Pharmacological and Parenteral Therapies 12-18% ✓ ✓ Reduction of Risk Potential 9-15% ✓ ✓ Physiological Adaptation 11-17% ✓

 

 

 

© 2018 Keith Rischer/www.KeithRN.com

SKINNY Reasoning

 

Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Brenden Manahan is a 35-year-old male, who has been admitted to the crisis intervention unit for exacerbation of his

bipolar disorder. He was admitted on a 501 (involuntary inpatient admission, patient has been deemed either dangerous to

self or others) and brought to the hospital by police because his mother feared for his safety. In the past few weeks he

stopped taking his medication because he feared that his mother was poisoning him.

Brenden has not slept in the past four days due to racing thoughts. He believes that he is the head of the CIA and told

his mother that he needed her car to go to CIA headquarters in McLean, Virginia, and fire everyone. When the police

arrived they noted that Brenden was speaking at a very rapid rate and pace and was becoming increasingly agitated. He

began yelling that the police where there to poison him and prevent him from returning to his job.

He has been admitted to the locked mental health unit for evaluation of his mental capacity and stabilization. Brenden

will participate in the following education groups: medication education, and bipolar illness education. The goal is to

resume lithium carbonate and divalproex sodium.

STUDENT-Bipolar_Depression-SKINNY_Reasoning

Personal/Social History: Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six times due to non-adherence to the

medication regimen. Brenden is divorced and has a 3-year-old son who lives with his mother. He was recently in court to

have his visitations reduced to one supervised visit a week. He lives with his mother, who is supportive.

What data from the histories is important and RELEVANT and has clinical significance for the nurse?

RELEVANT Data from Present Problem: Clinical Significance:

 

 

 

 

 

 

 

RELEVANT Data from Social History: Clinical Significance:

 

 

 

 

Patient Care Begins: What VS data are RELEVANT and must be recognized as clinically significant by the nurse?

RELEVANT VS Data: Clinical Significance:

 

 

 

 

 

 

 

Current VS: WILDA Pain Assessment (5th VS): T: 99.1 F/37.3 C (oral) Words: Patient denies

P: 110 (regular) Intensity:

R: 28 (regular) Location:

BP: 142/84 Duration:

O2 sat: 99% room air Aggravate:

Alleviate:

 

 

 

© 2018 Keith Rischer/www.KeithRN.com

 

What assessment data is RELEVANT and must be recognized as clinically significant by the nurse?

RELEVANT Assessment Data: Clinical Significance:

 

 

 

 

 

 

 

 

 

What MSE assessment data is RELEVANT that must be recognized as clinically significant to the nurse?

RELEVANT Assessment Data: Clinical Significance:

 

 

 

 

 

 

 

 

 

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Current Assessment: GENERAL

APPEARANCE:

Is disheveled, and according to his mother, he has not showered in several days.

NEURO: Oriented to person and place but not to time, impaired ability to concentrate, labile

emotions, has not slept for four days

RESP: Breath sounds clear however, patient is breathing rapidly and deeply

CARDIAC: Pink, warm and dry, no edema, heart sounds regular with no abnormal beats, pulses strong,

equal with palpation at radial/pedal/post-tibial landmarks

GI: Abdomen soft/nontender, bowel sounds audible per auscultation in all four quadrants, has

adequate appetite.

GU: Voiding without difficulty, urine clear/yellow

SKIN: Skin integrity intact

CHEMICAL USE: Denies both use/abuse of ETOH or other street drugs

Mental Status Examination: APPEARANCE: Is disheveled, and according to his mother he has not showered in several days. He is

unshaven, and has a significant odor coming from his body and or clothes. His clothes are

not consistent with the weather, it is 95 degrees and is wearing multiple layers of clothing

and has winter boots on.

MOTOR BEHAVIOR: Psychomotor agitation present, appears restless; he is unable to sit still

SPEECH: Talking fast with pressured speech.

MOOD/AFFECT: Appears ecstatic, bright affect

THOUGHT PROCESS: Delusional, flight of ideas/ jumping from one idea to another

THOUGHT CONTENT: Believes that the CIA is controlling the nurses’ actions and following him and that he must

get to the CIA headquarters immediately.

PERCEPTION: Denies hallucinations

INSIGHT/JUDGMENT: Has lack of insight into current condition and reason for inpatient hospitalization

COGNITION: Oriented to person and place but not to time, his immediate and recall were intact but

remote memory is not.

INTERACTION: Approaches others, but does not engage in lasting conversation

SUICIDAL/HOMICIDAL: Denies homicidal/suicidal ideation

 

 

© 2018 Keith Rischer/www.KeithRN.com

Diagnostic Results: Basic Metabolic Panel (BMP)

Na K Gluc. Creat.

Current: 142 4.0 102 1.0

 

Complete Blood Count (CBC)

WBC % Neuts HGB PLTs

Current: 8.9 70 12.9 325

MISC.

Lithium

Current: 0.2

 

What data must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential/Physiologic Adaptation)

RELEVANT

Diagnostic Data:

Clinical Significance:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© 2018 Keith Rischer/www.KeithRN.com

Part II: Put it All Together to THINK Like a Nurse! 1. After interpreting relevant clinical data, what is the primary problem?

(Management of Care/Physiologic Adaptation)

Problem: Pathophysiology in OWN Words:

 

 

 

 

 

 

 

 

Collaborative Care: Medical Management 2. State the rationale and expected outcomes for the medical plan of care. (Pharm. and Parenteral Therapies)

Medical Management: Rationale: Expected Outcome: Admit to unit and engage

patient in milieu

Urine drug screen

 

Lithium 600 mg PO BID

Depakote 375 mg PO BID

Trazodone 100 mg PO PRN

sleep

 

Lorazepam 1 mg PO BID

 

 

 

 

Collaborative Care: Nursing 3. What nursing priority (ies) will guide your plan of care? (Management of Care)

Nursing PRIORITY:

 

 

PRIORITY Nursing Interventions: Rationale: Expected Outcome:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© 2018 Keith Rischer/www.KeithRN.com

4. What psychosocial/holistic care PRIORITIES need to be addressed for this patient? (Psychosocial Integrity/Basic Care and Comfort)

Psychosocial PRIORITIES:

 

PRIORITY Nursing Interventions: Rationale: Expected Outcome:

CARING/COMFORT:

How can you engage and show that this

pt. matters to you?

 

 

Physical comfort measures:

 

 

 

 

 

 

EMOTIONAL SUPPORT:

Principles to develop a therapeutic

relationship

 

 

 

 

 

 

SPIRITUAL CARE/SUPPORT:

 

 

 

 

CULTURAL CARE/SUPPORT:

(If Applicable)

 

 

 

 

 

5. What educational/discharge priorities need to be addressed to promote health and wellness for this patient and/or family? (Health Promotion and Maintenance)

 

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  1. Interrelated Concepts In order of emphasisRow1:
  2. Psychosis Clinical Judgment Patient Education:
  3. NCLEX Client Need Categories:
  4. Safe and Effective Care Environment:
  5. Management of Care:
  6. Safety and Infection Control:
  7. Health Promotion and Maintenance:
  8. Psychosocial Integrity:
  9. Physiological Integrity:
  10. Basic Care and Comfort:
  11. Reduction of Risk Potential:
  12. Physiological Adaptation:
  13. RELEVANT Data from Present ProblemRow1:
  14. Clinical SignificanceRow1:
  15. RELEVANT Data from Social HistoryRow1:
  16. Clinical SignificanceRow1_2:
  17. Current VS:
  18. WILDA Pain Assessment 5th VS:
  19. Words:
  20. P 110 regular:
  21. Patient deniesIntensity:
  22. R 28 regular:
  23. Patient deniesLocation:
  24. BP 14284:
  25. Patient deniesDuration:
  26. O2 sat 99 room air:
  27. Patient deniesAggravate Alleviate:
  28. RELEVANT VS DataRow1:
  29. Clinical SignificanceRow1_3:
  30. Current Assessment:
  31. Is disheveled and according to his mother he has not showered in several days:
  32. NEURO:
  33. RESP:
  34. CARDIAC:
  35. GI:
  36. GU:
  37. Voiding without difficulty urine clearyellow:
  38. SKIN:
  39. Skin integrity intact:
  40. Denies both useabuse of ETOH or other street drugs:
  41. RELEVANT Assessment DataRow1:
  42. Clinical SignificanceRow1_4:
  43. Mental Status Examination:
  44. APPEARANCE:
  45. SPEECH:
  46. Talking fast with pressured speech:
  47. MOODAFFECT:
  48. Appears ecstatic bright affect:
  49. Delusional flight of ideas jumping from one idea to another:
  50. THOUGHT CONTENT:
  51. PERCEPTION:
  52. Denies hallucinations:
  53. COGNITION:
  54. INTERACTION:
  55. Denies homicidalsuicidal ideation:
  56. RELEVANT Assessment DataRow1_2:
  57. Clinical SignificanceRow1_5:
  58. Basic Metabolic Panel BMPRow1:
  59. Creat:
  60. Current:
  61. 10:
  62. Complete Blood Count CBCRow1:
  63. PLTs:
  64. Current_2:
  65. 325:
  66. MISCRow1:
  67. Lithium:
  68. Current_3:
  69. 02:
  70. RELEVANT Diagnostic DataRow1:
  71. Clinical SignificanceRow1_6:
  72. ProblemRow1:
  73. Pathophysiology in OWN WordsRow1:
  74. RationaleAdmit to unit and engage patient in milieu Urine drug screen Lithium 600 mg PO BID Depakote 375 mg PO BID Trazodone 100 mg PO PRN sleep Lorazepam 1 mg PO BID:
  75. Expected OutcomeAdmit to unit and engage patient in milieu Urine drug screen Lithium 600 mg PO BID Depakote 375 mg PO BID Trazodone 100 mg PO PRN sleep Lorazepam 1 mg PO BID:
  76. Nursing PRIORITY:
  77. PRIORITY Nursing InterventionsRow1:
  78. RationaleRow1:
  79. Expected OutcomeRow1:
  80. Psychosocial PRIORITIES:
  81. RationaleCARINGCOMFORT How can you engage and show that this pt matters to you Physical comfort measures:
  82. Expected OutcomeCARINGCOMFORT How can you engage and show that this pt matters to you Physical comfort measures:
  83. RationaleEMOTIONAL SUPPORT Principles to develop a therapeutic relationship:
  84. Expected OutcomeEMOTIONAL SUPPORT Principles to develop a therapeutic relationship:
  85. RationaleSPIRITUAL CARESUPPORT:
  86. Expected OutcomeSPIRITUAL CARESUPPORT:
  87. RationaleCULTURAL CARESUPPORT If Applicable:
  88. Expected OutcomeCULTURAL CARESUPPORT If Applicable:
  89. Answer5:

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Discussion, Influencing Health Care Through Advocacy.

/in /by

Discussion, Influencing Health Care Through Advocacy.

Discussion, Influencing Health Care Through Advocacy.

In 300 words and 2 references each

1. Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse’s role as advocate for improving health care delivery. What specific bills has the legislator/nurse sponsored or supported that have influenced health care. Influencing Health Care Through Advocacy.

2. Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?

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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.

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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Concept topic (Nursing care in the Emergency care unit).

/in /by

Concept topic (Nursing care in the Emergency care unit).

Concept topic (Nursing care in the Emergency care unit).

Part I- locate 4 scholarly articles related to your intended Concept topic(Nursing care in the Emergency care unit). Indicate where you obtained the article (ex- journal, online journal, book, etc) and correctly format the 4 articles as a reference list.Please save your file as:

APALastNameFirstInitial.

 

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. Concept topic (Nursing care in the Emergency care unit).

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.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

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.

Get a 10 % discount on an order above $ 100
Use the following coupon code :
NURSING10

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"