All posts by : chebby

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.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

answer the question in 1 page 

 PLEASE FOLLOW THE INSTRUCTION BELOW

ZERO PLAGIARISM

5 REFERENCES

 New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies. 

Nurse informatics and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 4 peer-reviewed research articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

• Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
• In your conclusion, synthesize the findings from the 4 peer-reviewed research articles

You are a project manager at a food agricultural organization and you are assigned to review nutritional policies.

1). Write the nutritional policies

2). Identify five stakeholders and their roles in the implementation of the nutritional programs at the community level.

SOAP Note Case , I uploaded an example, you can create your own case, with a person older than 40 years  . Including patient name initials , date of birth and all the examples of personal and medical history provided in the example uploaded, use my example just for guide. I need all the information wrote  in the example, No require references, PLEASE everything must be related because is the same case. 

PLEASE DON’T USE THE FOLLOWING DIAGNOSIS :

NO HYPERTENSION

NO CERVICITIS

NO TUBERCULOSIS EXACERBATION

NO ASTHMA EXACERBATION

NO ACUTE PERICARDITIS

NO Bronchioectasis

Will be a TOTAL OF 4 SOAPS, PLEASE WHEN DONE WHICH EACH ONE, POST IT BY CASE # , NOT TOGETHER , IN SEPARATE DOCUMENTS.

FOR EXAMPLE: SOAP 8, SOAP 9 AND LIKE THAT.

BE AWARE OF THE DEADLINE BECAUSE I HAVE A END TIME FOR SUBMIT IT , IF TIME PASS IM SORRY BUT I WILL NOT NEED THE WORK AND THEN I HAVE TO DISPUTE.

THANKS FOR HELP AND SUPPORT AND DEDICATION