Please reply in one paragraph:

What do you think is meaning behind the the poem Those Winter Sundays?

https://www.poetryfoundation.org/poems/46461/those-winter-sundays 

Half to one page paper. APA format. One reference is fine (must be within 5 yrs). May use the rarticel  attached to the question. ZERO PLAGIARISM

Rath (2017) explains that people should focus more on strengths than weaknesses: “At its fundamentally flawed core, the aim of almost any learning program is to help us become who we are not. . . From the cradle to the cubicle, we devote more time to our shortcomings than to our strengths” (p. 3). Throughout nurses’ careers, the status quo is to work tirelessly to improve or change characteristics and talents for which the individual is weak. While I agree that in our profession weak areas do need to be addressed, I think we could do more to develop those areas where individuals naturally “shine.”

Reference: Rath, T. (2017). Discover your CliftonStrengths. New York, NY: Gallup Press.

Question: As a leader managing change, how might you leverage the strengths of others to compensate for characteristics you are still developing in your own professional leadership personality?

Change Implementation and Management Plan

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

• Review the Resources and identify one change that you believe is called for in your organization/workplace.
  • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
• Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

• An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
• A description of the change being proposed
• Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
• Details about the type and scope of the proposed change
• Identification of the stakeholders impacted by the change
• Identification of a change management team (by title/role)
• A plan for communicating the change you propose
• A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Subjective Data to Obtain from Patient

            Inquiry of information medications, including current or previous use of over the counter products, vitamins and other herbal supplements. I can inquire about the history of pregnancies, miscarriages, abortions and deliveries, and lactation history in gynecologic and obstetric history. Early menarche, nulliparity or childbirth after 30 years are essential facts to collect from the patient as they prolong exposure to estrogen, which can predispose a person to malignant breast cancer. I can further assess any irradiation history involving the breast region or surrounding tissues (Hsu et al., 2020). Inquiry can be made on any changes in the patient’s skin and hair noted.

            Further systemic information can be obtained in different areas with symptoms such as mood changes and temperature intolerance. Hematologic/ lymphatic system problems such as anemia, easy bruising, fatigue, history of blood transfusion, and family history of anemia are also vital to obtain. I can also inquire on malignancy in other body systems, especially colon cancer, ovarian or endometrial cancer, which predispose the patient to breast cancer. Lifestyle factors like dietary factors and alcohol consumption may alter estrogen metabolism and are crucial data to inquire (Hsu et al., 2020).

Other Objective Findings to Assess

Objective data to obtain include assessing for swollen legs and hands, which may be due to the tumor in the breast’s dermal lymphatics. Check the thyroid for enlargement or, if fair, assess the throat for any mass or any prominent lymphadenopathy, the mouth mucous membranes, and any lesions (Hsu et al., 2020).

Diagnostic Exams to Order

            Mammography can be conducted to reveal the lump’s size and exact location and for early detection and diagnosis. Another test is a biopsy, either a fine needle biopsy or a tissue specimen taken from the lump to confirm whether the tumor is benign or malignant. Ultrasound may also be conducted to measure the lump’s size and check if it has affected the axillary region; it may also be used in guiding biopsy to obtain a section of the lump (Ultrasound-guided procedure). Breast Magnetic Resonance Imaging may also use magnetic and radio waves to create pictures of the breast’s interior (Abu-Naser & Bastami, 2016).

Three Differential Diagnoses

Fibroadenoma

Breast cysts

Breast cancer

The rationale for Differential Diagnosis

            The patient presents with a non-tender, unilateral, firm, painless, located in the upper outer quadrant; however, the lump is non-mobile and 5mm in size, different from the very mobile lump fibroadenoma, which usually is 1-3cm. Breast cysts present with a lump in the breast; however, the lump is very mobile, and the breast is painful or tender. Breast cancer presents with a non-mobile, non-tender, firm lump in the upper outer quadrant of the breast; however, the lump is problematic irregular and poorly delineated, there is also nipple discharge, nipple retraction, dimpling of the skin over the lump, skin ulceration, enlarged nipples and breast pains which are not apparent in the last stages (Aksanh et al., 2020).

Health Education

            Reassuring the patient on their image mainly because of the difference in size between their breasts; encourages them to express fears, feelings and concerns. Advice the patient to report any complications such as fever. Prepare the patient psychologically to accept the diagnosis they will be given and to be ready to follow the measures for treatment and prevention as will be appropriate.

References

Abu-Naser, S. S., & Bastami, B. G. (2016). A proposed rule based system for breasts cancer diagnosis. http://dstore.alazhar.edu.ps/xmlui/handle/123456789/297

Aksan, H., Kundaktepe, B. P., Sayili, U., Velidedeoglu, M., Simsek, G., Koksal, S., … & Uzun, H. (2020). Circulating miR‐155, let‐7c, miR‐21, and PTEN levels in differential diagnosis and prognosis of idiopathic granulomatous mastitis and breast cancer. BioFactors. https://iubmb.onlinelibrary.wiley.com/doi/abs/10.1002/biof.1676

Hsu, Y. H., Chen, V. C. H., Hsieh, C. C., Weng, Y. P., Hsu, Y. T., Hsiao, H. P., … & Gossop, M. (2020). Subjective and objective cognitive functioning among patients with breast cancer: effects of chemotherapy and mood symptoms. Breast Cancer, 1-10. https://link.springer.com/article/10.1007/s12282-020-01168-y

Reflect on a team you have or are currently working on in your workplace. Describe and analyze a scenario in which group/team dynamics facilitated or created barriers to patient safety. Compare group/team behavior to QSEN (Quality and Safety Education for Nursing) competencies for teamwork and collaboration. Provide references to support effective group/team dynamics. 

· Develop  a two page (content) paper that:

o Describes the situation/scenario and discusses the safety implications.

o Discusses how the team effectively or ineffectively demonstrated the QSEN competencies.

o Describes how group/team dynamics improved or threatened patient safety.

First, you will create a timeline or infographic to address the following questions:

1. Research and provide examples or comparisons that demonstrate these changes over time from each of the categories: Print, Radio/Music, Cinema, Television, and the Internet. Include images of each artifact.
2. How have these various forms of communication have evolved since they were first introduced? (Give a “before” and “after”)

Second, you will write a mini-statement answering the following question.

1. In 300-500 words, give your opinion: Will pop culture ever stop using a form of media? Why or why not?

Specifications:

You will submit an Infographic or timeline in response to part 1 with an accompanying mini-statement to address part 2. Your infographic can be submitted as MS Word document or if you use an online infographic creator like the ones listed below you can submit your infographic as a URL.  Your accompanying mini-statement can be included on your infographic or submitted separately as an MS Word document.

Structural Versus Strategic Family Therapies

Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

In a 3-page paper, address the following:

• Summarize the key points of both structural family therapy and strategic family therapy.
• Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
• Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
• Recommend a specific therapy for the family, and justify your choice using the Learning Resources.

pls use this references

Vetere, A. (2001). Therapy matters: Structural family therapy. Child Psychology & Psychiatry Review, 6(3), 133–139. Retrieved from http://www.iupui.edu/~mswd/D642/multimedia/word_doc/StructuralFamilyTherapy_Vetare.pdf

https://www.therapistaid.com/therapy-guide/genograms ( to do this Provide an example of a family in your practicum using a structural family map.)

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.

• Chapter 4, “Bowen Family Systems Therapy” (pp. 56-71)
• Chapter 5, “Strategic Family Therapy” (pp. 72-88)
• Chapter 6, “Structural Family Therapy” (pp. 89-104

and any other references selected 

The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Attention Wizard: Week 9 

Please pay attention to the questions and instruction. 

Week 9 Discussion: Simulation for a performance improvement.  

Week 9 Assignment: Simulation in Health care. (Excel) Please provide space for Name.

Please answer the following questions regarding the demand for health care.

• In your own words use utility analysis to explain why people demand health. How does the Law of Diminishing Marginal Utility fit into the analysis?
• How would you expect the price elasticity of demand for medical care to vary with health status? Give a specific example.

Investing in Other People’s Life Insurance – WSJ.pdf

• Using the Academic Success and Professional Development Plan Template document that you began to work on in Module 1 and have continued expanding throughout this course, you will develop a curriculum vitae (CV) in Part 5 based on your current education and professional background.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.