All posts by : chebby

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected. (see article below)

Aznar-Martínez, B., Pérez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic  psychotherapy as the treatment of choice: Indications, challenges and benefits. Psychoanalytic  Psychology, 33(1), 1–20. https://doi-org.ezp.waldenulibrary.org/10.1037/a0038503

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

Please ensure that your slides are not too crowded and that they address the above questions in a succinct and understandable manner.

I would advise that you use the questions as headings so you can respond to them appropriately.

Please read the article embedded in the weekly 3 lesson on how to appraise an article to help you analyze and appraise your chosen article appropriately. (see article below)

https://class.content.laureate.net/1e1ce6ecc1ae4b8d716fba6fdac46401.pdf

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750‐1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
4.  Discuss opportunities for continuing education and professional development.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. 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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

You have been a CPA for many years and recently opened your own practice focusing on small businesses. You have a meeting with a client, Jack, who has an interesting career as a professional gambler. He makes about $100,000 per year and has won many tournaments on the circuit. He is considering entering the WSOP to play for “the bracelet.”

As is standard procedure, you ask Jack for his taxes, and he says he hasn’t filed taxes since 2016 (meaning he has not filed 2017, 2018, and 2019, where 2019 is the current year), because he does not work, due to his time spent playing poker and attending tournaments. He actually says he is now concerned because his father said he should have been filing taxes, but he believed an accountant he met at a party, who after many, many martinis said he would not have to file taxes because this is a “hobby.”

Your tasks:

Jack makes good money now, but in 2017 he thinks he had losses and barely broke even in 2018. The first project Jack agrees to pay you for ($1300 max) is for a tax memo concerning this issue.

1. Using an appropriate research tool, research to see if Gambling is income and subject to tax.

2. Using an appropriate research tool, research to see if Jack does have to file or not.

3. Assuming he does (regardless of the answer above), can you still file a return he has not filed previously in 2017 and 2018?

Using the information above, write the memo using the header below:
=====================================================================================

To:  File

From:  [Name]

Sbj:  Deductibility of Property Taxes under Code Section [Code Section] for the 2020 Tax Year. 

ASSIGNMENT 1

 EXECUTIVE SUMMARY

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

1. The purpose of the quality improvement initiative.

2. The target population or audience. (HEALTH CARE WORKERS IN NURSING HOME)

3. The benefits of the quality improvement initiative.

4. The interprofessional collaboration that would be required to implement the quality improvement initiative.

5. The cost or budget justification.

6. The basis upon which the quality improvement initiative will be evaluated.

Prepare this assignment according to the guidelines found in the APA Style.

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 required to submit this assignment to LopesWrite.

A topic idea I would like to select for this assignment is hand hygiene. In our current pandemic, hand hygiene is imperative as to reduce the spread of the Covid-19 virus that has proven to spread uncontrollably if not managed. As healthcare professionals working in a hotspot setting for viruses and diseases, it is important for we nurse to advocate for the hand hygiene of both ourselves, other staff, and patients. Nurses are almost always in direct contact with patients and although some of the patients might be immobile, the nurses are. Without knowing it, we can transmit bacteria from simply touching our everyday items that might even follow us home. This is because, seeing as our hands are the parts of our body that come in contact with the outside world the most, we are always touching things that might not be clean enough before coming in contact with another object/person. Proper hand hygiene and techniques should be advocated for between staff and patients to ensure that everyone is aware of the accurate ways to both washes, sanitize and protect their hands from contracting bacteria. If done so correctly, nurses can drastically limit the number of bacteria, germs and viruses that are spread through poor hygiene.

ASSIGNMENT 2

ORGANIZATIONAL CULTURE  and VALUE 

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint,  Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.

2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.

3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.

4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.

5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format 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.

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 required to submit this assignment to LopesWrite. 

ASSIGNMENT 3

Health Organization Evaluation

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide.

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 required to submit this assignment to LopesWrite. 

personal goal  statement

I need a power point with 20 slides including 1 slide for presentation and 1 for references for my Advanced Theoretical Perspectives for Nursing and the title is about  Historical background of chronic sorrow.

The Food and Drug Administration (FDA) is a U.S. government agency within the Department of Health and Human Services. Its primary role is to protect public health, by ensuring safety and effectiveness of drugs, vaccines, medical devices and food products. There are rigorous steps that may take years, and all these steps must be completed before a drug can be approved. The FDA has made some lifesaving investigational drug therapies available sooner than usual by offering an expedited drug approval process, known as “Fast Track”.

I. Discuss the process and regulations of Fast Track.

II. Identify which medical conditions warrant the use of “Fast Track” drugs.

 You should respond in a well-developed paragraph (300–350 words) integrating an evidence-based resource , Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation .At Least 2 APA references each

Response 1 

The purpose of this discussion is to discuss and describe treatment for R.S. who is diagnosed with bacterial vaginosis. Identifying the specific goals of treatment for this patient is essential to care for R.S. The specific goal of the Metronidazole treatment is to resolve the signs and symptoms of infection (Vallerand & Sanoski. 2016). The length of time for complete resolution of the infection depends on the organism and site of infection Vallerand, A. & Sanoski, C. (2016). Moreover, other specific goal of  treatment is to relieve vaginal symptoms, and potentially decrease the risk of acquiring HIV and other sexually transmitted infections such as Chlamydia, trachomatis, Neisseria gonorrhea, and viral STIs (Coudray & Madhivanan. 2020).  The drug therapy this writer would prescribe is metronidazole because it will help to fight the signs and symptoms of infection in R.S. (Woo, Terri Moser, Robinson & Marylou. 2020). Metronidazole is the first pharmacological method to treat bacterial vaginosis (Woo, Terri Moser, Robinson & Marylou. 2020). This medication is indicated for anaerobic bacterial infection (Woo, Terri Moser, Robinson & Marylou. 2020). The metronidazole mechanism of action is disrupting DNA and protein synthesis in susceptible organisms (Vallerand & Sanoski. 2016).  This writer would prescribe Metronidazole as 500 mg orally twice daily for 7 days (Woo, Terri Moser, Robinson & Marylou. 2020).

Metronidazole has parameters for monitoring the success of the therapy. This writer will assess the patient R.S. for signs of infection by monitoring the vitals signs, the appearance of discharge, and the white blood cell count (Vallerand & Sanoski. 2016). This assessment will  occur at the beginning of and throughout therapy (Vallerand & Sanoski. 2016).  Additionally, this writer will obtain specimens for culture and sensitivity before therapy and at the end of the therapy (Vallerand & Sanoski. 2016). Patient education is a crucial component of the prescribed treatment. This writer will instruct the patient to take medication as direction and even when feeling better (Vallerand & Sanoski. 2016). This writer will also instruct the patient that metronidazole may be taken with meals or a snack to decrease GI irritation (Woo, Terri Moser, Robinson & Marylou. 2020). More importantly, this writer will instruct and educate patient to avoid alcohol beverages during therapy and for 48 hours after completing it (Woo, Terri Moser, Robinson & Marylou. 2020). Similarly, this writer will instruct patient to abstain from sexual contact or use condoms for seven days after therapy begins (Woo, Terri Moser, Robinson & Marylou. 2020). Lastly, this will advise the patient to consult health care professional if no improvement in a few days or if signs and symptoms of superinfection (black, furry overgrowth on tongue; vaginal itching or discharge; loose or foul-smelling stools) develop (Vallerand & Sanoski. 2016). Metronidazole has several adverse effects. If the patient has seizures or stevens-johnson syndrome while taking this medication this writer would change the medication (Vallerand & Sanoski. 2016). One drug-drug interaction occurs with alcohol (Vallerand & Sanoski. 2016). Disulfram-like reaction may occur with alcohol ingestion (Vallerand & Sanoski. 2016).

Bacterial vaginosis has two treatment options. If the patient does not show signs of improvement with metronidazole. The second choice therapy is clindamycin: oral preparations or intravaginal ovules. Clindamycin would be prescribed to the patient as 300 mg orally twice daily for 7 days (Petrina, Cosentino, Rabe & Hillier. 2017). Clindamycin is the second line of treatment because the medication is an anti-infective used to treat symptomatic women (Vallerand & Sanoski. 2016). Alternative methods to help treat bacterial vaginosis are yogurt, probiotics, or boric acid (Falconi‐McCahill. 2019). Lifestyle management should be recommended for R.S. This writer will educate patients that many of the infections treated with metronidazole are due to sexual transmission (Woo, Terri Moser, Robinson & Marylou. 2020). This writer will advise R.S. the route of transmission and promote refraining from activity until the treatment is complete (Woo, Terri Moser, Robinson & Marylou. 2020). 

Response 2

  Some conditions may affect the client in the community which can make the client feel embarrassed to seek medical attention, but it can be as dangerous as any other health condition when treatment is not delivered promptly and those conditions are associated with sexually transmitted diseases (STD). It can be situations when the person may also infect the partner and both may need treatment. In the discussion board this week R.S. is a 32 years old female which has been having a vaginal discharge for the past month and only have one partner and has been diagnosed with Bacterial Vaginosis. Although Bacterial vaginosis is not considered a sexually transmitted infection the reason for occurrence is associated with multiple sex partners, douching, unprotected intercourse, and the decrease amount of natural flora (Woo, 2020). This condition is caused primarily due to a replacement of the normal flora which is acidic at pH 4.5 to an overgrowth of anaerobic organisms such as Prevotella spp., Mobiluncus spp., Gardnerella vaginalis, or Mycoplasma hominis (Woo, 2020). These organisms tend to grow in a less acidic environment, as presented by the case study were R.S. pH is 5.5 during microscopic examination.

        The main goal of treatment for this condition is to make the symptoms subside before it morphs into something more serious. The first-line treatment is usually initiated with metronidazole 0.75% gel applied vaginally for five days (Allen, 2020). By initiating this therapy, the patient will also monitor itself and follow up with the prescriber whether the treatment is being effective. This type of condition may reoccur on multiple occasions and is important for the patient to seek the prescriber if the condition reoccurs where a different treatment option may be needed. The reason for choosing this treatment option is that it is the least amount of time and can have a better effect since is applied to the site. However, the patient needs to take some precautions during therapy such as do not consume alcohol during and at least three days after the completion of treatment due to the risk for disulfiram-like reactions (Woo, 2020). The patient should also report any burning, stinging, or change in taste which are rare symptoms, but it should be reported while in this therapy (Mayo clinic, 2020). The prescriber should seek a different treatment or add therapy if this first-line treatment is not being effective.

        Although there is a different option that someone may take this writer would prescribe clindamycin 300mg twice daily for 7 days as second-line therapy. The reason for prescribing an oral medication is that it would act quickly and have a more systemic action instead of continuing with the topical option. Besides, it could only be that the patient did not have a useful treatment with the clotrimazole cream due to not following the treatment correctly which can affect the overall treatment. By reading the literature this writer did not found many over-the-counter (OTC) treatment options while treating this condition. The most mentioned OTC was the introduction of probiotics as an adjunct therapy with the antibiotic, but there was no convincing data that attest to its efficacy (Ellington, & Saccomano, 2020). However, while taking antibiotics such as clindamycin, taking a probiotic can decrease the chances of damaging the intestinal natural flora, in this situation it may not help with the current bacterial vaginosis, but it will protect the natural flora which implies that it may be a good reason to take a probiotic while on antibiotic therapy. The main dietary recommendation while taking clindamycin is not to take grapefruit juice together. Clindamycin is a CYP3A4 substrate and grapefruit juice is a strong inhibitor of this substrate, which implies that while taking Clindamycin R.S. should avoid grapefruit juice (WellRx, 2020).Other education factors can help this patient prevent reoccurrences such as limiting sexual partners, using condoms, improving hygiene with sharing sex toys, and the avoidance of douching (Ellington, K., & Saccomano, S. J. (2020). Overall, educating the patient to take/administer the medication as prescribed. Communicate with the prescriber any adverse effects are also an important recommendation to be made while treating the patient in the community.

RUBRIC:

 Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100 

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS AND THE PREVIOUS ASSIGNMENT FROM LAST WEEK, WHICH IS FROM MODULE 1 ASSIGNMENT. 

Thank you.  

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

• Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
• Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
• Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

• Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
• Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
• Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
• Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
• Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.