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Pneumonia 1 page explanation

Case Study:

Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion. 

Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.

Please complete the following questions: 

• Describe Cluster Headache and its epidemiology.
• What would be your goals for therapy for Richard? Give rationale with evidence from articles. 

Please limit your posts to the above 2 questions.

no references needed

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
5. Significance of the topic and its implications for nursing practice.
6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

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

For this assessment, you will determine the relevant statistical tests to apply to the analysis of a data set, and then write a 3–4 page interpretation of the results of your analysis.

This assessment will ask you to select, apply, and interpret the results of a variety of statistical tests on a health care data set. This may include tests you have learned about or applied previously in the course, or the new nonparametic t-Test which is presented in the resources for this assessment. The challenge is using what you have learned to determine the best course of action to complete the interpretative tasks the assessment lays out for you. This attempts to mirror real-world situations where the data or statistical analysis could be approached in a variety of different ways. To decide which statistical test to use for the various dependent variables to be analyzed, one must first know more about the data type (measurement level) within those variables.

Overview

Public health researchers are often involved in collaborating in the design, development, and analysis of community initiatives of varying complexity. While this course alone will not provide sufficient training for you to act as a statistical consultant, it does offer a broad and practice-based analytic foundation that can position you to better understand and more fully contribute to real-world project teams. Building on the basic statistical concepts and analytical techniques of the previous units, this assessment is an opportunity to use your cumulative quantitative-analysis skills to address a broad set of real-world research questions.

Demonstration of Proficiency

By successfully completing this assessment you will address the following scoring guide criteria, which align to the indicated course competencies.

• Competency 2: Apply appropriate statistical methods using common software tools in the collection and evaluation of health care data. 
  • Perform the most appropriate parametric or nonparametric test to answer each question.
• Competency 3: Interpret the results and practical significance of statistical health care data analyses. 
  • Assess the assumption of normal distribution prior to analysis.
  • Appropriately interpret the statistical output (such as estimate, p-value, confidence interval, and effect size) resulting from each statistical test.
  • Summarize the clinical implications, significance, and potential limitations of the study data and outcomes.
• Competency 4: Assess the quality of quantitative research methods reported in peer-reviewed health care literature. 
  • Describe the practical significance of the results of statistical tests.
• Competency 5: Address assignment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. 
  • Articulate meaning relevant to the main topic, scope, and purpose of the prompt. 
  • Apply APA formatting to in-text citations and references.

Instructions

Complete the following for this two-part assessment.

Software

The following statistical analysis software is required to complete your assessments in this course:

• IBM SPSS Statistics Standard or Premium GradPack, version 22 or higher, for PC or Mac.

You have access to the more robust IBM SPSS Statistics Premium GradPack.

Please refer to the Statistical Software page on Campus for general information on SPSS software, including the most recent version made available to Capella learners.

Part 1: Yoga and Stress Study Statistical Tests

1. Use the Yoga Stress (PSS) Study Data Set [XLSX] to determine the measurement level of data of the dependent or outcome variable (Psychological Stress Score) you are analyzing. 
   • Is the data categorical, ordinal, or interval or ratio?
2. Before performing any statistical tests, you must determine which tests would be most appropriate for your data type. 
   • Perform a preevaluation of the data for outliers (all variables) and normal distribution (only dependent variables) as you have done previously.
   • Use How to Choose a Statistical Test [PPTX] as general guidance in helping you to decide which test to use.
   • Use the readings, media, resources, and textbook as guides to perform an analysis of the selected variables.
3. Perform and interpret an appropriate series of statistical tests (including preanalytical testing for outliers and normal distribution of data) that answer the following research questions: 
   • How would you quantitatively describe the study population? 
     • Summarize the primary demographic data using descriptive statistics.
   • Is there any association between gender and race in this military study? 
     • Perform an appropriate chi-square analysis.
4. Perform preliminary assessment of the data, then compare pretest to post-test scores. 
   • In total population being studied, what was the effect of the yoga intervention on stress?
5. Provide the SPSS “.sav” output file that shows your programming and results for this assessment.

Part 2: Interpretive Report

1. Summarize the clinical implications related to the statistical outcomes for each of the questions above.
2. Describe potential limitations of the study (Part 1, number 3).

Additional Requirements

• Length: Your paper will be 3–4 typed, double-spaced pages of content plus title and reference pages.
• ​Font: Times New Roman, 12 points.
• APA Format: Your title and reference pages must conform to APA format and style guidelines. See the APA Module for more information. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.

Employee Retention Issues in Workplaces

Employee retention in workplaces remains one of the main issues human resource managers are dealing with for decades. That is why, in 2016, the Society for Human Resource Management (SHRM) reports that 46% of HR managers deem employee turnover as their top concern (Lee et al., 2018). Therefore, many programs have been experimented to improve employee’s turnover in workplaces. This situation is also common in the healthcare system. This situation has brought many harmful consequences to workplaces. The lack of experienced workers and the increase in the cost of human resources in new employees’ orientation are the main issues that workplaces are dealing with regarding employee turnover. That is why it is understandable that the issue presented in chapter 60 of the textbook refers to programs that may help retain health care professionals in workplaces.

The main issues that make up the author’s concern are reducing employee turnover in healthcare workplaces and retaining nurses in those settings. Their approaches were trying to find some loyalty programs that may help experienced nurses and new nurses.

The finding was not easy since a program that may work for new nurses may not impact professional nurses’ interest. For instance, a study published in the American Journal of Preventive Medicine has shown that young nurses from 33 years old or younger do not plan to stay in workplaces and are determined to have their own business (Sellers et al., 2020). That is proof that policies that address the interest of experienced nurses may not influence younger nurses. One focus of professional nurses is a healthy workplace. If the environment does not protect employees, experienced nurses may leave their workplaces and look for a better one. This health protection may include better health insurance provided by the workplace.

 The student believes that those issues persist in workplaces today. Many reasons make her understand that workplaces are still suffering from this persistent situation. If we analyze the causes, one should admit that young nurses are dealing with issues like the need to feel part of an organization that will help them grow professionally. They also have concerns about their childcare system. However, they share with the experimented nurses the need for the management to value them. Those are current issues that the healthcare workplaces are dealing with. As good responses to those issues, the enforcing of the emerging nurse leader program and the magnet recognition program may bring solutions that meet nurses’ interest in the current healthcare workplaces

We can make a difference in participating in nurses’ organizations that provide ideas to help sustain the healthcare system with experienced and educated nurses. That will help solve the issues related to nurse’s turnover in workplaces that will positively impact the patient outcome.

References

Lee, T. et al. (2018). Managing Employee’s Retention and Turnover with 21st Century Ideas. Retrieved from http://assets.humanresourcesonline.net/conferences/2019/TMA/TMA%20MY%20Pre-Reading%20Articles/Journal4.pdf (Links to an external site.)

Sellers, K. et al. (2020). Using Public Health Workforce Surveillance Data to Prioritize Retention Efforts for Younger Staff. Retrieved from https://www.sciencedirect.com/science/article/pii/S0749379720301756nu

Please do the following in its entirety: 

Answer all question please. 

Please  sure to use a cover sheet and please submit a reference page with  your assignment. Late assignments will not be accepted. NO EXCEPTIONS PLEASE!!!!

1.Apatient is having cardiac enzymes drawn to rule out a Myocardial Infarction.

  a) What are the clinical indication and nursing implications for the following enzymes and their importance as a marker for Myocardial Infarction?

CK  

    CK-MB 

     Myoglobin and Troponin 1.

2.A patient has chest pains and is worried of having a second Myocardial Infarction.

     a) What are the discriminating differences between chest pains from angina pectoris  versus the pain associated with Myocardial Infarction.

You pick a disease and speak on bad habits that people have with that disease.

APA formatted

Original Work!

Minimum 3 references within 5 years

Due in 24 hours.

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 5, 6 and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

              Part 9: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

A neighbor, who is 3 months pregnant, asks to talk to you because she has felt tired for the last 2 days, has a headache, a rash, and does not feel like eating. You take her vital signs and find that she has a low-grade fever. She has recently traveled to an area where there is risk for Zika virus disease.

1. To what could your neighbor have been exposed

2. how could the exposure have occurred?

3. What advice would you give your neighbor?

Part 2: Crisis intervention 

 1. Discuss what is complicated grieving.

2.  Mention at least 3 clues for identifying complicated grief reaction and explain them. 

Part 3: Ethical

Case Study, Chapter 15, Collective Bargaining and the Professional Nurse

A nurse manager is concerned about a competing hospital in town that is publically hearing a lot about collective bargaining and the steps that the nurses have been taking to start a union. The nurse manager’s organization is aggressively providing in-depth education to all employees about collective bargaining in order to answer numerous questions that have arisen recently.

1. What are reasons that nurses want to join a union?

2. What are the reasons that nurses do not want to join a union?

3. What are the common union organizing strategies? 

Part 4: Aging

When caring for older adults, it is important for the nurse to understand special considerations for medication use in the older population. 

1. List at least two considerations and education you would provide for following medication: Analgesics: Aspirin, acetaminophen and Diuretics: Thiazides, loop diuretics, potassium-sparing diuretics?

You are the nurse caring for an 82-year-old patient with a diagnosis of: Ineffective Breathing Pattern. 

2. List two (2) interventions for this diagnosis with supporting rational.

Part 5. Healt care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2.  What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Part 6. Healt care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2.  What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Part 7: Healt care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2.  What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Part 8

1. What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. 

2. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues? 

Part 9

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.

2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

3. With what people or agencies would you work in facilitating the proposed interventions and why?

N492 Discussion Mod 2:

Discuss the concept of life review. What are the goals and benefits of a life review? How is life review similar and different than ordinary remembering?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.