I need a power point presentation with a minimum of  12 slides and  5 references based on the research attached bellow.

Discussion 2: Your Leadership Profile

Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

To Prepare:

Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources.

Please Note: This Assessment will take roughly 30 minutes to complete.

NOTE: Please keep your report. You will need your results for future courses. Technical Issues with Gallup:
If you have technical issues after registering, please contact the Gallup Education Support group by phone at +1.866-346-4408. Support is available 24 hours/day from 6:00 p.m. Sunday U.S. Central Time through 5:00 p.m. Friday U.S. Central Time.

• Reflect on the results of your Assessment, and consider how the results relate to your leadership traits.

By Day 3 of Week 5

Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific.

By Day 6 of Week 5

Respond to at least two of your colleagues on two different days by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

Learning Resources

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Resources for the StrengthsFinder Assessment Tool

Rath, T. (2007). Strengths Finder 2.0 – with Access Code.
Purchase the access code from the Walden bookstore. Then follow the instructions in the document “How to Access the Strengths Finder 2.0.
 

Document: How to Access Strengths Finder 2.0 (PDF)

 

Required Media

Laureate Education (Producer). (2014). Leadership [Video file]. Baltimore, MD: Author.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Moore Foundation. (n.d.). Nurses share lessons in leadership. Retrieved from https://www.youtube.com/playlist?list=PLopRJPO6GaifsYPGP_jcWXZzU10H3AaX7

3 sources for this discussion

The following post is from another student to wish I have to reply adding some extra information related to the post

APA

less than 10 % similarity

short answer

Investigate normal changes of aging related to the heart. 

Part two: Complete the project started in Part One (Educational Pamphlet) by adding factors that promote cardiovascular health to your pamphlet.

Older adults are vulnerable to cardiovascular diseases because of the heart muscles’ changes and blood vessels such as arteries, causing increased blood pressure. The cardiovascular system consists of the heart and the blood vessels, which pumps blood, carries nutrients and oxygen to all parts of the body, and releases carbon dioxide and other waste products from the body. Therefore, it is essential to maintain a healthy lifestyle to keep the cardiovascular system healthy and maintain a healthy weight (Mongraw-Chaffin et al., 2018). With the changes in arteries becoming stiffer and thicker, older adults must manage their blood pressure because it is a significant risk factor for heart disease; hence it should be checked regularly. Blood pressure should be checked at least once a year and even more frequently for an older adult with high blood pressure. Cessation of smoking if one is a heavy smoker may also help promote cardiovascular health since the smoke is harmful to the body. Older adults should stop smoking and practice a healthy lifestyle and promotion measures.

Other factors that promote cardiovascular health include eating a well-balanced diet, physical exercises, and maintaining a good weight. Massive weight causes obesity, which is another significant risk factor in heart diseases because of too much fat (Sacks et al., 2017). Physical activities are essential in reducing weight and also keeps one engaged and active. Physical activity should be scheduled at least three times a week, and intense workouts can be practice for approximately 45 minutes. Eating a well-balanced diet also helps maintain a healthy weight, mostly by eating green vegetables and fresh fruits. One should increase calories out and decrease calories in. Lastly, controlling cholesterol and reducing blood sugar is essential in maintaining cardiovascular health since too much blood sugar is likely to cause diabetes, which is sometimes a comorbidity of heart disease. The above mentioned are the ideal factors that promote cardiovascular health as recommended by the American Heart Association, which should be embraced by older adults and everyone.

References

Mongraw-Chaffin, M., Foster, M. C., Anderson, C. A., Burke, G. L., Haq, N., Kalyani, R. R., … & Vaidya, D. (2018). Metabolically healthy obesity, transition to metabolic syndrome, and cardiovascular risk. Journal of the American College of Cardiology, 71(17), 1857-1865 https://doi.org/10.1016/j.jacc.2018.02.055

Sacks, F. M., Lichtenstein, A. H., Wu, J. H., Appel, L. J., Creager, M. A., Kris-Etherton, P. M., … & Stone, N. J. (2017). Dietary fats and cardiovascular disease: a presidential advisory from the American Heart Association. Circulation, 136(3), e1-e23 https://doi.org/10.1161/cir.0000000000000510

FOR  HISFA SHAUKAT

Write at least three paragraphs

1) Discuss why President Clinton was impeached?

(2) Why was he not tried and convicted?

(3) If we are all  humans as they said, are we holding presidents to the double standards? Explain.

https://www.youtube.com/watch?v=luLpdr4n8m4

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

Evaluate the Health History and Medical Information for Mrs. J., presented below.

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

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

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

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

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

Prepare this assignment according to the guidelines found in the APA Style Guide,  An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

I need one paragraph for each section of the rubric. No plagiarism please!! You will compare two similar but different products in terms of their nutritional value, financial impact, and convenience factor.  Attached you will find the rubric and two food labels to compare. 7th edition APA format please. Due Saturday, 10/31/2020 @ 12pm.

Instructions

In this assignment, you will be required to use the Heart Rate Dataset to complete the following:

• Identify the variables in the dataset
• Classify each variable as qualitative or quantitative discrete or quantitative continuous
• Specify the possible values of each variable
• Give a brief written description of what each variable tells us about the data provided.

Steps

1. Open the Heart Rate Dataset in Excel
2. There are 3 columns of data. Each column represents a different variable.  What are the 3 variables represented in the dataset?
3. Identify each of the 3 variables as qualitative, quantitative discrete, or quantitative continuous
4. Identify the possible values of each of the 3 variables in this dataset.
5. Briefly describe what information each of the 3 variables tells us about the data

Additional Instructions:

Your assignment should be typed into a Word or other word processing document, formatted in APA style. The assignments must include

Reply to this discussion post ( site sources if applicable)

Healthcare-associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter-associated urinary tract infection (CAUTI), one of the most common healthcare-associated infections. Conferring to Kennedy, Greene, & Saint (2016), “healthcare-associated infections affect 5% to 10% of all hospitalized patients each year in the United States, account for nearly *45 billion in direct hospital costs, and cause nearly 100,000 deaths annually.” Because catheter-associated urinary tract infection (CAUTI) is one of the most common healthcare-associated infections in the United States and is reasonably preventable, the Centers for Medicare and Medicaid Services stopped reimbursing hospitals in 2008 for the additional costs of caring for patients who develop CAUTI during hospitalization.

Financial aspect.

CAUTI has significant clinical and economic consequences. Catheter-associated bacteriuria may be associated with excess mortality, even after controlling for under-lying factors such as severity of illness and comorbidities; hospital-onset bloodstream infection resulting from a urinary source has a case fatality of 32.8%. In addition, each episode of CAUTI is estimated to cost at least $600 while urinary-tract-related bloodstream infection costs at least $2,800. Consequently, CAUTIs result in as much as $131 million excess direct medical costs nationwide annually (Chenoweth, & Saint, 2016).

Quality aspect

Under quality aspect, consulting between nurses and physician and inserting catheters when absolutely necessary is a requisite to prevent associated infection. Also, removing the catheter as soon as it is no longer needed, a maneuver which may be prompted by automated computer stop orders is a quality aspect that has helped stop urinary tract infection.

Clinical aspect

Reducing CAUTI requires both nurse and physician support. Although a physician order has been historically viewed as essential to place or discontinue the catheter, nurses may be empowered to make decisions about removal without a physician order in some settings, and they are most affected with respect to workload if the catheter is discontinued. In a recent survey, “the vast majority of nurses viewed themselves as responsible for the evaluation and discontinuation of the catheter, but only two-thirds thought it does not affect their workload” (Chenoweth, & Saint, 2016). Most of the work to reduce unnecessary urinary catheter use involves a nurse-driven assessment for appropriateness, with many requiring physician approvals for discontinuation.

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Reply to this discussion post 

Understanding the health care system at a local level is important when researching evidence-based practice. Determining the needs and perceptions of a population that are being studied and attempted to change is an important factor. If the local area that is being researched is rural, resources will be limited to health care. If urban areas are being researched, there are more resources and populations to consider. If the health care system issues are not of interest or don’t apply to areas, then they are less likely to be supported for change. The United States health care system continues to struggle and “our nation struggles with persistent health disparities and rising health care costs, nurses have a moral obligation to shape health and social policy in ways that will advance the health and well-being of the public” (Mason, 2016). Nurses can continue to bring crucial perspectives to promote safety and healthy well being to our communities and neighborhoods. 

     Working with my preceptor, one of Adventist Health Sonora uses redesign projects that call for a pre-op nurse navigator to coordinate evidence-based practices for optimization of the pre-op patients like BMI, smoking, diabetes. The position is not held so working on ways to accomplish pre-op optimization in a way that patients are still getting these practices. A care redesign example is for care of patients with cellulitis/soft tissue injury and the algorithm includes consulting with an on-call podiatrist and/or limb salvage center and that position is not held so this has been adapted by the Wound care team for consults. 

     Increasing one’s knowledge about communities and health disparities can be accomplished in many ways. Understanding the needs of the local levels can increase the ability to care for patients of these populations.