1)  What are anabolic steroids? Why are they abused?
 

2) Why do some people crave drugs more than others?

Each question should be more than 100 words. (need to be done separately)

No plagiarism

proper citation and reference In Apa Formate 

BEFORE BEGINNING ASSIGNMENT. PLEASE READ THE REQUIRED READING IN THE ATTACHMENTS.

HOMEWORK ASSIGNMENT

Case Assignment-Fighting Chronic Disease and Community Nutrition Intervention

For this Case Assignment you will expand your understanding of core public health roles; specifically nutrition. Please answer these questions:

1. Discuss the differences in the role of public health in the prevention of infectious diseases and chronic diseases. In your opinion, which will be more important to the health of our nations over the next 20 to 30 years?

2. Discuss and explain the role of prevention in fighting and controlling the spread of chronic diseases and the impact of chronic diseases on health care spending.

3. Discuss the core public health responsibilities and how they have had an impact on nutritional issues in America, including obesity and diabetes. Do you believe that they have been effectively or ineffectively managed by public health agencies? Define and discuss the role of State government in this area and how it differs from that of the Federal government.

4. How do community nutritionists, public health nutritionist, and clinical nutritionist differ?

5. Why is nutrition important in health and disease treatment, control and prevention and how is nutrition related to any of the Social Determinants of Health?

6. Which organizations are involved in public health nutrition? Of the organizations identified which one has the most influence over public policy for public health nutrition? Please justify your response.

Please submit your Case Assignment at the end of Module 4. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.

2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.

3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.

4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/

5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.

6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: Your paper should be 5-7 pages (double-spaced) in length, and include 5-7 peer-reviewed reference citations (excluding title page and references)

Note: Wikipedia is not an acceptable source of information.

Module 4 – Background – Reading Requirement

The purpose of this assignment is to document sources of research evidence that address a national practice problem, including the level and quality of each source of research evidence. A synthesis of the evidence is conducted to determine the overall strength and quality of the evidence. The development of an evidence table and synthesis are foundational to inform actions and decisions to improve healthcare outcomes. Construction of an evidence table and synthesis supports professional formation of the DNP practice scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

• Compare and contrast differences and similarities of qualitative, quantitative, and mixed method designs. (POs 3, 9)
• Analyze qualitative and quantitative data for the purposes of critical appraisal of evidence. (POs 3, 9)
• Appraise systematic reviews for translation science. (POs 3, 5, 9)
• Evaluate selected statistical methods for the purposes of critical appraisal of evidence. (POs 3, 5, 9)
• Synthesize literature relevant to practice problems. (POs 3, 5, 9) 

PRACTICE PROBLEM WAS:  UNDER DIAGNOSIS OF DIABETES: CAUSE, EFFECTS AND RISK FACTORS

TOTAL POSSIBLE POINTS: 300

Preparing The Assignment

Follow these guidelines when completing each component of this assignment. Contact your course faculty if you have questions. It is each student’s responsibility to save and maintain all artifacts required in the e-Portfolio (Links to an external site.).

1. The assignment will include the following components.
   1. Title Page
   2. Introduction
      1. Purpose Statement
      2. Practice Problem Identification (identified in Weeks 1, 2, and 3 Discussion) (cited)
      3. Sources of Research Evidence Identification (identified in Weeks 1, 2, and 3 Discussion) (cited)
   3. Implications of the Practice Problem at the National Level and Local Level (1–2 paragraphs)
      1. Significance
      2. Prevalence
      3. Economic Ramifications
   4. Synthesis of Evidence to Address the Selected Practice Problem, Including 2 Qualitative Research Studies, 2 Quantitative Research Studies, and 2 Systemactic Reviews (identified in Weeks 1, 2, and 3 Discussions) (2 paragraphs)
      1. Main Points/Salient Messages That Emerge From the Sources (Cited)
      2. Compare and Contrast Main Points From All Sources (Cited)
      3. Objective Discussion of Facts
   5. Appraisal of the Evidence to Address the Selected Practice Problem (1–2 paragraphs)
      1. Level of Evidence
      2. Quality Rating of Evidence
      3. Suitability of the Evidence to Address the Practice Problem
   6. Summary Tables of Evidence to Address the Selected Practice Problem Using the Johns Hopkins Nursing Evidence-Based Practice Evidence Summary Tool (Links to an external site.)
      1. 2 Qualitative Research Studies (identified in Week 1 Discussion)
      2. 2 Quantitative Research Studies (identified in Week 2 Discussion)
      3. 2 Systematic Reviews (identified in Week 3 Discussion)
   7. Conclusion
      1. Summation of the Impact of the Practice Problem at the National Level and Local Level
      2. Summation of the Appraisal of Evidence to Address the Practice Problem
      3. Summation of the Evidence Synthesis
   8. References
      1. Reference Page With Complete References for the 6 Sources of Research Evidence
   9. APA Style and Organization
      1. APA Standards for Scholarly Papers
      2. Grammar and Mechanics
      3. Level I Headings are included

All Chamberlain University policies related to plagiarism must be observed. This written assignment will be screened for originality by Turnitin.

Rubric

Week 6—Evidence Synthesis Grading RubricWeek 6—Evidence Synthesis Grading RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroductionRequirements 1. Includes a focused purpose statement 2. Identifies selected practice problem 3. Identifies sources of research evidence30.0 ptsIncludes no fewer than 3 requirements.26.0 ptsIncludes no fewer than 2 requirements23.0 ptsIncludes no less than 1 requirements.0.0 ptsNo requirements for this section presented.30.0 pts
This criterion is linked to a Learning OutcomeImplications of the Practice Problem at the National Level and Local LevelRequirements 1. Describes the significance of the practice problem at the national level and local level 2. Discusses the prevalence of the practice problem at the national level and local level 3. Discusses the economic ramifications of the practice problem at the national level and local level40.0 ptsIncludes no fewer than 3 requirements35.0 ptsIncludes no fewer than 2 requirements31.0 ptsIncludes no fewer than 1 requirement0.0 ptsNo requirements for this section presented40.0 pts
This criterion is linked to a Learning OutcomeEvidence SynthesisRequirements 1. Describes scope of the evidence synthesis 2. Discusses the main points of sources (sources are cited) 3. Describes the relationship of sources to other selected sources (sources are cited) 4. Discusses facts objectively 5. Presents ideas and claims (sources are cited)50.0 ptsIncludes no fewer than 5 requirements43.0 ptsIncludes no fewer than 4 requirements38.0 ptsIncludes no fewer than 2 requirements0.0 ptsNo requirements for this section presented50.0 pts
This criterion is linked to a Learning OutcomeEvidence AppraisalRequirements 1. Describes the levels of evidence 2. Discusses the quality of evidence 3. Discusses the suitability of the evidence to address the practice problem50.0 ptsIncludes no fewer than 3 requirements43.0 ptsIncludes no fewer than 2 requirements38.0 ptsIncludes no fewer than 1 requirement0.0 ptsNo requirements for this section presented50.0 pts
This criterion is linked to a Learning OutcomeEvidence Summary ToolRequirements 1 Provides complete summary for first qualitative research study 2 Provides complete summary for second qualitative research study 3 Provides complete summary for first quantitative research study 4 Provides complete summary for second quantitative research study 5 Provides complete summary for first systematic review 6 Provides complete summary for second systematic review40.0 ptsIncludes no fewer than 6 requirements35.0 ptsIncludes no fewer than 5 requirements31.0 ptsIncludes no fewer than 4 requirements0.0 ptsNo requirements for this section presented40.0 pts
This criterion is linked to a Learning OutcomeConclusionRequirements 1. Includes a summation of the impact of the practice problem at the national level 2. Includes a summation of the evidence appraisal 3. Includes a summation of the evidence synthesis30.0 ptsIncludes no fewer than 3 requirements26.0 ptsIncludes no fewer than 2 requirements23.0 ptsIncludes no fewer than 1 requirement0.0 ptsNo requirements for this section presented30.0 pts
This criterion is linked to a Learning OutcomeReferencesRequirements 1. Cites and references for 6 selected sources of evidence30.0 ptsIncludes no fewer than 6 complete references26.0 ptsIncludes no fewer than 5 complete references23.0 ptsIncludes no fewer than 4 complete references0.0 ptsNo requirements for this section presented30.0 pts
This criterion is linked to a Learning OutcomeAPA Style and OrganizationRequirements 1. Uses APA standards for scholarly papers 2. Grammar and mechanics are free of errors 3. Uses required evidence summary table 4. Uses required Level I Headings30.0 ptsIncludes no fewer than 4 requirements26.0 ptsIncludes no fewer than 3 requirements23.0 ptsIncludes no fewer than 1 requirement0.0 ptsNo requirements for this section presented30.0 pts
Total Points: 300.0PreviousNext
 

Use at least 2 references, not the same. Write an answer based on this assignment.

Question 1

Establishing clear and effective communication in the medical setting has proven essential to provide high-quality medical care and also to ensure greater safety for the patient Communication is one of our best weapons to provide quality patient-centered care. Nurses have to be aware of the barriers to this effective communication as well as the new challenges posed by care adapted to the patient’s culture, which can become more than a problem, but an opportunity to grow in our profession. We have to remember that the purpose of the patient meeting is to provide information and confirm understanding of that information later. One strategy for better understanding is for us to explain the information to you slowly and in small doses, giving patients enough time to process the information. Gently ask the patient what he has understood during the conversation. If the purpose of the interaction is to do health education, include empowering patients to be the main doers in their care, giving them access to all the information about their disease process. Communication involves verbal and nonverbal message, emotional state of involved individuals, and the cultural background that influences message interpretation. Nurses need to observe nonverbal behavior as they communicate with fellow healthcare workers and patients. Most importantly, they should always ensure that their own nonverbal behavior harmonizes with their verbal interactions (Ali, Rahnavard, Salsali, & Negarandeh, 2016). 

Question 2

During patient stay at hospital, they interact with different healthcare workers within the hospital. Efficient clinical practice entails accurate communication of critical information. Lack of effective communication among healthcare professionals puts the patients’ safety at risk. Some of the reasons for this include misinterpretation of critical information, lack of critical information, neglected changes in patients’ condition, and imprecise orders over phone. Medication errors is a common consequence of ineffective communication in a healthcare setting. Such errors can lead to severe harm or unforeseen death of the patient.

Question 3

When congruence the verbal signals are congruent with each other and always congruent with nonverbal ones. When there is congruence between them, communication is clear. A serious context is accompanied by a limited emission of non-verbal signals, while an informal context calls for greater expressiveness. The impact a healthcare professional makes on their colleagues and patients during face-to-face communication is largely accounted by their nonverbal behavior. These first impressions are critical in any communication and include; maintaining eye contact, and maintaining consistent vocal patterns, which can be speaker with more volume and a bit faster, or speaking slower with less volume. Additionally, a nurse must ensure they use vocal pauses strategically in order to enhance an impression of confidence.

Question 4

Electronic communication is widely being utilized in nursing practice. Through the use of electronic records, patient information can be retrieved and distributed precisely and quickly. However, wrong information may be retrieved and distributed leading to miscommunication. Most organizations have information systems that support access to current data, exceptional clinical and research data to enhance evidence-based practice. I believe if e-mail is kept professional, it would be more effective method of communication. Many systems allow for easier sending of emails to everyone within the healthcare facility. In order to use e-mail competently and effectively, it is necessary to have effective writing skills.

Question 5

Good communication skills and having firsthand information is very helpful when discussing patient needs. SBAR is an abbreviation for Situation, Background, Assessment, and Recommendation. In my clinical experience I have seen the use of SBAR utilized to offer a framework for communicating critical patient information in a manner that is systematic and organized. the SBAR method center on the immediate situation so as to allow quicker and safe making of decisions concerning patient care (Simamora & Fathi, 2019).

Question 6

Patient handoffs are very important in ensuring the continuity and safety of patient care. This should support the transition of vital information and continuity of care as well as treatment. Ineffective handoffs lead to undesirable effects and patient safety risks. To successfully communicate patient needs from one nurse to another, the change-of-shift report is highly recommended. The report should address relevant information related to events that transpired, and be handed over to individuals tasked with providing continuity of care. Examples of what to include would be patient information, diagnosis, past medical history, allergies, advances directive, detailed aspects of the patient care and health, including vital signs, pending and critical tests, as well as recommendations that you consider appropriate for the care and safety of the patient.

Question 7

As a nurse I would check the doctor’s order immediately and I would make sure to call the laboratory to request the laboratories and deliver them to the doctor as it should have happened in the first instance. In the same way, I would make sure to speak in private with the doctor and demand respect for my work, which was probably a bit delayed due to circumstances beyond my control, this would be of course after establishing patient safety as a priority.

Question 8

Accountability forms part of delegation whereby a registered member of the staff delegates a task to a given staff member and that member accepts the task. Both the registered member of the staff who has delegated the task and the staff member accepting the task are accountable in making sure that the task delegated is correct and will cause no harm to the patient. Registered practitioners are accountable to regulatory bodies based on principles of practice and patient care. Thus, accountability involves protection of patients, healthcare providers, and employers from the effects of nursing practice that is dreadful, inattentive, and unsafe. Registered nurses have a legal liability to the patients they serve. Activities like HCA, or AP, need to be delegated appropriately (Whitehead, Weiss, & Tappen, 2009).

Question 9

Delegation is a central nursing responsibility, and RN’s are entitled to delegate several tasks. Nurses mostly delegates tasks to LPN’s and UAP. Factors such as; the scope of practice in relation to the task, task complexity and predictability, possibility of any harm, and level of critical thinking needed to do the task must be accounted for before RNs deciding when and what to delegate. The UAPs and LPNs have the ability to practice patient care and assistive tasks (Whitehead, Weiss, & Tappen, 2009). They will be motivated by the fact that they frequently work under the supervision of a registered nurse, hence Dennie and Elias effectively delegate client care tasks and ensure their safety.

Question 10 

Direct delegation involves verbal direction by the RN registered member concerning an activity or task in a particular nursing care scenario. On the other hand, indirect delegation involves an approved outline of tasks or activities that have been instituted in the policies and procedures of a healthcare facility.

1.A Most state nurse practice acts authorize RNs to delegate. The act outlines the legal parameters of nursing practice. The RN is required to assign and delegate tasks while considering the needs and state of patient, possibility of any harm, task complexity, stability of the patient’s condition, delegated staff’s abilities, predictable outcomes, and the context of other patient needs (Whitehead, Weiss, & Tappen, 2009). The decisions regarding delegation and assignment base on the core principles of health safety and wellbeing of the public.

2.A Prioritizing is extremely important, since each situation requires a timely and specific intervention depending on its seriousness, and the patient safety is at stake.

3.A my patients may need help with their personal hygiene and grooming, with their meals and daily maintenance of comfort.

3.B She was very effective and dedicated in carrying out her work when it comes to delegating, always on the basis that the resolution to delegate a task is aimed at improving patient care.

3.C Since responsibility is not delegated, unless is appropiate to do it, the delegated task must be continuously monitored and alerted to any situation, through supervision of the work carried out the nurse preceptor can ensure that the tasks were completed safely and appropiately.

References

Ali, F., Rahnavard, Z., Salsali, M., & Negarandeh, R. (2016). Exploring nurse’s comunicative role in nurse-patient relations: A qualitative study. Journal of Caring Sciences , 5 (4), 267-268.

Simamora, R., & Fathi, A. (2019). The Influence of Training Handover Based SBAR Communication For Improving Patient Safety. Indian Journal of Public Health Research & Development , 10 (9), 1280-1285.

Whitehead, D., Weiss, S., & Tappen, R. (2009). Essentials of Nursing Leadership and Management . FA Davis.

This is a Collaborative Learning Community (CLC) assignment.

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10‐15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
2. Explain how the nursing theory incorporates the four metaparadigm concepts.
3. Provide three evidence‐based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Childhood Obesity with a Focus on Physical Activity

HEALTHY PEOPLE 2020 Objective: Recess and Physical Education in the Nation’s Public and Private Elementary Schools 

 For this discussion, find and watch a recorded speech via YouTube or other online video repositories. In your post, analyze the speech for effectiveness. For example, what communication styles or traits did the speaker use? Was the main message effectively communicated?

Please be sure to include the link to the speech as well.

Initial Posting:

In 2-3 paragraphs, respond to the topics detailed below.

• What speech did you choose and why?
• What did you like about it?
• Was the speaker a natural speaker or was it forced? Describe.
• What did you learn from it and how can you apply it to your life?
• Would you seek out other speeches by this person or on this topic? Why or why not?
• How did the speaker use nonverbal communication to get his/her point across?

CAN ANYONE DO THIS ASSIGNMENT TODAY 10.00, HERE IS THE EXAMPLE I WANT IT THE SAME WAY BUT WITH ANOTHER PATIENT AND I WANT YOU TO ELABORATE MORE ON THERE. I WANT IT TO BE A DIFFERENT SITUTION BUT SIMILAR CONTENT.

Role of the Family Nurse Practitioners (FNPs) consists of dealing with 45% acute health problems, 34% episodes of exacerbation of chronic conditions and 24.5% for non-illness related health promotion visits. Collaboration with supervised Physician and signed collaborative agreement must be in place. Data suggests that mid level health professionals provide counseling in 84%, where Physicians counsel in 61% of visits. Advance Care Providers not only share the patient’s load, but also ensure superior patient satisfaction by providing non-billable services before, during, and after treatment (Pickard, 2014 p.130).

Non-billable value-adding activities comprise of educating patients, monitoring treatment care, following patients from the beginning to the end, managing adverse events/reactions, coordinating referrals to other specialist and keeping communication with them, preparing for procedures and executing them, answering questions, and handling complicated cases (Yopp, Wall, & Miller, 2016, p. 749).    

          Nurse practitioners (NPs) are required to follow state’s regulations at their work place. Medications of schedule II, III, IV, and V are considered to be controlled substances, consequently NPs are allowed to prescribe them under the supervision of a collaborating medical doctor (MD). Floridian NPs, who undergo proper training and have appropriate experience, can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising Physician is certified, trained, or permitted to treat and manage patients with opioid use disorder (Florida Scope of Practice Policy – State Profile).

References

Florida Scope of Practice Policy – State Profile. (n.d.). Retrieved from

http://scopeofpracticepolicy.org/states/fl/2019

Pickard, T. (2014). Calculating your worth: Understanding productivity and value. Journal of the 

           Advanced Practitio­ner in Oncology, 5(2), 128–133. http://dx.doi.org/10.6004/

           jadpro.2014.5.2.6

Yopp A. W., Wall H. M., & Miller K.C. (2016) Recognizing the Contributions of Advanced

           Practitioners to Oncology Care: Are Current Metrics Enough? Journal Advance Practice 

           Oncology.7:748–754. https://doi.org/10.6004/jadpro.2016.7.7.6

  PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW

1). ZERO (0) PLAGIARISM

2). 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

Here is the assignment below:

Boards of Nursing (BON) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of the nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of the nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for the nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have the legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

P/S Note:  The assignment said to write a comparison of at least two APRN (Advanced Practice Registered Nurse) board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ.  I practice in the District of Columbia (Washington, DC), and the state of Maryland (MD).