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 Describe a time when you recognized your values had an impact on your decision. How might this affect clinical reasoning at the bedside?  

Course reflection assignment is part of the portfolio that students must complete during last class of the program. This assignment is due on week #15. Course reflection assignment has a value of 100 points. It accounts for 20% of the final grade.

Please read guidelines, grading criteria / Rubric and all details regarding the Course Reflection assignment due on week #8 (Monday, October 19 at 11:59 PM EST).

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide

Copy and paste no references

1. What changes in veins occur to create varicose veins?
2. What is the disease process with superior vena cava syndrome?
3. How does atherosclerosis cause an aneurysm?
4. What are the differences between healthy vessel walls and those that promote clot formation?
5. What are the causes of pulmonary emboli?
6. What can trigger an immune response within the bloodstream that can result in an embolus?
7. Describe thromboangiitis obliterans (Buerger disease).
8. Describe Raynaud disease.
9. What is the cause of the hypertrophy of the myocardium associated with hypertension?
10. What pathologic change occurs to the kidney’s glomeruli as a result of hypertension?
11. What is the primary mechanism of atherogenesis?
12. What is the effect of oxidized low-density lipoproteins (LDLs) in atherosclerosis?
13. Which inflammatory cytokines are released when endothelial cells are injured?
14. What alteration occurs in injured endothelial cells which contributes to atherosclerosis?
15. Differentiate between ischemia and infarction.
16. Which of the lipids is manufactured by the liver and primarily contains cholesterol and protein?
17. Which elevated lipid value may be protective of the development of atherosclerosis?
18. What are the risk factors for developing coronary artery disease?
19. Which risk factor increases the risk of developing coronary artery disease up to threefold?
20. How does nicotine increases atherosclerosis?
21. Which lab test is an indirect measure of atherosclerotic plaque?
22. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes?
23. Which form of angina occurs most often during sleep as a result of vasospasms of one or more coronary arteries?
24. What is the expected electrocardiogram pattern for a person when a thrombus in a coronary artery lodges in the vessel and the infarction extends through the myocardium from the endocardium to the epicardium?
25. How does angiotensin II increase the workload of the heart after a myocardial infarction?
26. How long after a myocardial infarction is the scar tissue that forms most vulnerable to injury?
27. What are the enzyme indicators of a myocardial infarction?
28. A patient complains of sudden onset of severe chest pain that radiates to the back and worsens with respiratory movement and when lying down. These clinical manifestations are indicative of which disease?
29. What is the significance of the pulsus paradoxus that occurs as a result of pericardial effusion?
30. Biventricular dilation is the result of which form of cardiomyopathy?
31. Which form of cardiomyopathy is characterized by ventricular dilation and grossly impaired systolic function, leading to dilated heart failure?
32. The hallmark of which form of cardiomyopathy is a disproportionate thickening of the interventricular septum?
33. Which form of cardiomyopathy is usually caused by an infiltrative disease of the myocardium, such as amyloidosis, hemochromatosis, or glycogen storage disease?
34. Which are the clinical manifestations of aortic stenosis?
35. Aortic and mitral regurgitation as well as mitral stenosis are caused by which common disease?
36. Which predominantly female valvular disorder is thought to have an autosomal dominant inheritance pattern, as well as being associated with connective tissue disease?
37. Which disorder causes a transitory truncal rash that is nonpruritic and pink with erythematous macules that may fade in the center, making them appear as a ringworm?
38. Infective endocarditis is most often caused by which type of microorganism?
39. What are risk factors for infective endocarditis?
40. What is the most common cardiac disorder associated with acquired immunodeficiency syndrome (AIDS) resulting from myocarditis and infective endocarditis?
41. What contributes to the physiologic changes that mediate ventricular remodeling?
42. In systolic heart failure, what effect does angiotensin II have on stroke volume?
43. A patient is diagnosed with pulmonary disease and elevated pulmonary vascular resistance. Which heart failure may result from this condition?

Chapter 34: Alterations of Cardiovascular Function in Children

Study Questions

1. When does most cardiovascular development occur?
2. What is the function of a patent opening between the left and right atria in a fetus?
3. At birth what is the most important change that takes place?
4. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.
5. When does systemic vascular resistance in infants begin to rise?
6. Congenital heart defects that cause acyanotic congestive heart failure usually involve what kind of shunt?
7. Congenital heart defects that cause hypoxemia, and therefore cyanosis, usually involve what kind of shunt?
8. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?
9. An infant has a continuous-machine type of murmur best heard at the left upper sternal border throughout systole and diastole. The infant has a bounding pulse and a thrill on palpation. These clinical findings are consistent with which congenital heart defect?
10. The infant diagnosed with a small patent ductus arteriosus (PDA) is likely to present with what clinical manifestations?
11. An infant has a crescendo-decrescendo systolic ejection murmur located between the second and third intercostal spaces along the left sternal border. There is also a wide fixed splitting of the second heart sound. These clinical findings are consistent with which congenital heart defect?
12. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect?
13. How do children with tetralogy of Fallot compensate to relieve hypoxic spells?
14. What is the location coarctation of the aorta (COA)?
15. Classic manifestations of a systolic ejection murmur, cyanosis of the lower extremities, and decreased or absent femoral pulse are indicative of an older child with which congenital defect?
16. What is the most important clinical manifestation of aortic coarctation in the neonate?
17. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click?
18. Which heart defect produces a systolic ejection click at the upper left sternal border with a thrill palpated at the upper left sternal border?
19. Describe the cardiac defect of transposition of the great vessels.
20. Describe the cardiac defect of total anomalous pulmonary venous return.
21. Which heart defect results in a single vessel arising from both ventricles providing blood to both the pulmonary and systemic circulations?

After reading the profiles of the healthcare administrators provided in Chapter 4 of the course text as well as reviewing the challenges and changes described in Chapter 5, please respond to the following:

• Discuss the key themes discovered among the profiles of the healthcare administrators/managers.
• Evaluate the growth/changes described in healthcare management. What will be the impact on the health system (both direct and non-direct) of these changes?

1000 words , atleast 3 peer reviewed sources in APA format

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

  Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references .  

Childhood Disintegrative Disorder

Social media monitoring: Employers of health care workers should monitor social media cites of their employees before hiring and while employed. Write on Pros and Cons

The Process of responding to disaster and outbreak is a great challenge that facing public health system, Write  an essay : answering on the following: 

1- What  the main phases of disasters.

2-Demonstrate the role and activities of public health authorities in each phase regarding the covid-19 outbreak response in KSA.  

Guidelines:

1. Font should be 12 Times New Roman

2. Heading should be Bold

3. The text color should be Black 

4. Line spacing should be 1.5

5. Length of the write-up should be not more than 500 words.

6. Avoid Plagiarism

7. Assignments must be submitted with the filled cover page

8. All assignments must carry the references using APA style. Please see below web link about how to cite APA reference style.

9. https://guides.libraries.psu.edu/apaquickguide/intext. Click or tap to follow the link.