Write a 1 paragraph summary about what you learned about typhon and the most important skills you will use in clinical rotation. 

In this activity, we will be applying principles of appreciative inquiry to professional evaluation and collaboration across practice, leadership, and academic settings.  We will also begin to frame appreciative inquiry items within a self-evaluation process of one’s nursing performance.

• Continue to discuss how a model of pride and achievements through appreciative inquiry enhances the professional evaluation processes and collaboration within and across a variety of areas: nursing practice, leadership/management positions, and academic settings.
• Design TWO questions within the appreciative inquiry framework that could be used for a self-evaluation of your nursing performance.

 Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting. 

Case Study #1

Gastrointestinal Disorders. 

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a “sedentary job with lots of emotional moments,” he has smoked a pack of cigarettes a day for 30 years, and he had “two or three mixed drinks in the evening” until 2 months ago. He states, “I haven’t had anything to drink in 2 months.” He denies having regular exercise: “just no time.” His diet consists mostly of “white bread, meat, potatoes, and ice cream with fruit and nuts over it.” He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products.

. 1. Identify four general health risk problems that T.H. exhibits.

 2. Identify a key factor in his family history that might have profound implications for his health and present state of mind.

3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him.What is diverticulitis? What are the consequences of untreated diverticulitis?

4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?

5. What is the rationale for ordering bed rest?

T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg  4 tomes per day for 5 days.

6.For each medication, state the drug class and the purpose for T.H.

 7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale

8.What is a disulfiram reaction?

9. What are the signs and symptoms of an allergic reaction

Answer All questions in APA format with a separate reference page.

Post a description of a group therapy session with older adults, including the stage of the group, any resistances or issues that were present, and therapeutic techniques used by the facilitator. Explain any challenges that may occur when working with this group. Support your recommendations with evidence-based literature.

References that must be used

Wang, C., Tzeng, D., & Chung, W. (2014). The effect of early group psychotherapy on depressive symptoms and quality of life among residents of an apartment building for seniors. Psychogeriatrics: The Official Journal of the Japanese Psychogeriatric Society, 14(1), 38-46. doi:10.1111/psyg.12037

Watkins, R., Cheston, R., Jones, K., & Gilliard, J. (2006). ‘Coming out’ with Alzheimer’s disease: Changes in awareness during a psychotherapy group for people with dementia. Aging & Mental Health, 10(2), 166-176. doi:10.1080/13607860500312209

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Chapter 18, “Psychotherapy with Older Adults” (pp. 625–660)

 nursing diagnosis

1. Decreased Cardiac Output  related to Altered myocardial contractility 

2. Risk for Impaired Skin Integrity related to immobility

3. Activity Intolerance related to immobility

 4. Risk for Infection related to Inadequate primary defenses: broken skin, traumatized tissues; environmental exposure

5.  Risk for Impaired Gas Exchange related to Alveolar/capillary membrane changes: interstitial, pulmonary edema, congestion

6.  Excess Fluid Volume related to  increased antidiuretic hormone (ADH) production, and sodium/water retention. 

chronic decease  

For this assignment, please go to: https:/ /www.sec.gov/edgar.shtml

Step 1: Select the About EDGAR tab in the left column

• read about the purpose of the EDGAR database and
• view the quick tutorial
• write a brief paragraph on
  • what the EDGAR database purpose is
  • what EDGAR stands for (EDGAR is an acronym).

Step 2: Select the EDGAR SEARCH TOOL tab (see above) and select a publicly-traded company of your choice. (KPMG Company)

• Select the most recent 10K and review the annual report. This report will be many, many pages so just scan the report to get a feel of the level of information in an annual report.
• Based upon your review, answer the following questions:

1. What is the name of your company?
2. What is the CIK for your company?
3. What is the purpose of the CIK?
4. What is the SIC for your company?
5. What is the purpose of the SIC?
6. Using EDGAR, list 6 competitors of your company. (hint: use one of the codes in the EDGAR search bar).
7. a. Screenshot the list of the 6 competitors listed by EDGAR.
   b. Who were the outside auditors of the current annual report?
   c. What type of audit opinion did they receive?
   d. Screen shot the audit opinion signed by the outside auditors.
   e. What are the types of audit opinions they could have received?
8. What is the current year’s current ratio?

   a. Screen shot the location of the 10K where you found this information.

9. What Inventory valuation method did they use?

   a. Where did you find this information?
   b. What accounting principle were they following in reference question 8a above?

10. What information is found in the following forms on EDGAR?

    a. 8K
    b. 10Q
    c. 10K

Hi I’m looking for someone to write my essay for health care its about being a RN