Discussion Topic

 Write 100 word response:

I would like to share a poem by Lao Tzu…

As for the best leaders,

The people do not notice their existence.

The next,

The people honor and praise.                                                                                                                  

The next, the people fear,

and the next, the people hate…

When the best leader’s work is done,

the people say, “We did it ourselves!”

To lead the people, walk behind them.

What are your thoughts on this poem as far as leading as one of the functions of management?

Good, good

 

Purpose: PICO questions are used by practicing nurses and researchers to focus research questions and develop an efficient literature search strategy.  It is essential that future nurses learn how to do this to develop evidenced-based solutions to patient care problems in a healthcare organization. 

Assessment:  This assignment is worth 68 points and represents 20% of your final course grade.  It is graded according to the embedded rubric in this submission folder.  Late submissions will incur a 10% deduction per day, unless a Late Pass is used.

Instructions:

  1. Write a PICO question based on a scenario you choose from the list of scenarios attached below.  Use the templates in the EBP Step by Step 3 article to help create your questions. You may need to do a pre-search to finding an intervention (the “I”) that has been studied and published to solve the problem.
  2. Identify the PICO elements for each question. 
  3. Develop a search strategy using at least 3 keywords from the P, I, and O parts of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one of your keywords. 
  4. Locate 4 articles that help answer your PICO question.  The articles must meet the following requirements: 
    • must be primary source quantitative research articles.  
    • No article can be older than 2016. 
  5. Obtain pdfs of the four articles you selected from the ResU database.  If not available for the ResU database, you may request access from the ResU Library, or you can email me the citation for the article, and I will attempt to locate a pdf of it. 
  6. On a Word document, include your scenario; write your PICO question as a sentence; identify the P, I, C, and O for each question; and list the search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use the template attached here. See also the link to the MeSH terms website below.
  7. Provide a properly formatted APA reference page for your selected articles from Step 4 of these instructions. See the link to the APA and Writing LibGuide below.
  8. Name each document (one Word doc and 4 article pdfs) as follows and upload to the appropriate submission folder in Brightspace:  

Discussion Board

Select two grand nursing theories and discuss how each theorist addresses the metaparadigm for nursing. Discuss briefly the similarities and differences of the two. 

Nursing Debate

Answer each question,,, APA Style,,,at ,least three references and citations

 1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?

2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general. 

3. What is your vision of nursing’s future? How will you contribute to shaping it? 

4. Interview a nurse educated in a diploma program at least 20 years ago.

a-How did that nurse’s education differ from your education today? 

5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice. 

6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.

a-Were the answers realistic? 

b-Did they over- or underestimate the responsibilities most nurses have?

c-Did they recognize the wide variety of things nurses do?

d-Was there a difference by age or gender of the person answering the question?

e-What do the results tell you about the public’s image of nursing? 

f-What do you think influences their image the most? Explain your answer.

7. Describe the nurse of the future.

a-What does he or she do?

b-Do you think nursing will become a more powerful force in health care?

c-Why or why not? 

nurs435prompt

Conflict often occurs and continues because interests are perceived as incompatible. Consider a recent dispute you had with someone and discuss the following:

  • If you were seeking help from a neutral third party, would you prefer a facilitative or an evaluative approach to finding a resolution? Does it depend on the nature of the dispute or the disputants? Explain your answer.
  • Describe the role that perception plays in conflict and provide a specific example of how parties might overcome perception problems.

Nursing Essay

Follow the instruction please,

This is similar to the issues with the other drafts. Although you demonstrate your understanding of the steps of the nursing process, you fail to apply them to the community. 

Write one page of paper in “Nursing Assessment” in an APA format.

Topic: Nursing Assessment in the Community.

 

Write another one page of paper in “Nursing Diagnosis ” in an APA format.

Topic: Nursing Diagnosis in the Community.

All together is two separate paper you will be writing. 

 This is similar to the issues with the other drafts. Although you demonstrate your understanding of the steps of the nursing process, you fail to apply them to the community. 

Discussion Question

1- Discussion question: The nurse is completing a physical examination on a patient complaining of breast pain. Discuss important information to document during a physical examination of the breast.

2- 3 paragraphs of 3 sentences each

3- 2 references not older than 2015

4- APA style

Advanced Pharmacology Response to a discussion post

  RI   

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history in your case study.

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples

Discussion Post. Respond to this discussion . 2 citations APA 7th edition

Advanced nurse practitioners need to be knowledgeable about pharmacokinetics and pharmacodynamics when assisting in the diagnosis and treatment of disorders. Pharmacodynamics explains the relationship between drug concentration and drug response and pharmacokinetics describes the relationship between the rates of change of drug concentrations in various parts of the body (Corrie & Hardman, 2020). The purpose of this discussion is to review a patient’s case that was observed and examine how pharmacokinetic and pharmacodynamic factors alter the patient’s response to a drug administered and what the patient’s personalized plan of care entails.  Patient Case.  The patient a 70-year-old was admitted for community-acquired pneumonia (CAP). The patient had a history of alcohol abuse and chronic kidney disease, but no dialysis had been started yet. The patient had a low-grade fever (temperature was 99.5), occasional coughing, and no complaints of pain. Blood work was ordered which revealed elevated white blood cells, creatine, and BUN levels. After blood cultures were drawn, antibiotics were ordered and started.  Factors Affecting the Patient’s Pharmacokinetic and Pharmacodynamic Processes  Levofloxacin (a fluoroquinolone antibiotic) was ordered to be given intravenously. For elderly patients, with renal impairment, dosage adjustments should be necessary to prevent drug-related toxicity because levofloxacin is primarily renally eliminated as an unchanged moiety (Cojutti et al., 2017). When prescribing new medications particularly for the elderly, extra consideration should be taken and monitoring done for expected and adverse effects (Cojutti et al., 2017). The physiological changes of aging have a substantial impact on prescribing practices for the elderly, thus beginning a new medication at low doses and gradually increasing it, takes into account the potential of an increased effect or toxicity of the drug, and the impact of decreased elimination, altered volume of distribution and longer half-life (McKearney & Coleman, 2020).  Plan of Care  The plan of care for the patient would include laboratory monitoring to monitor for deteriorating renal function, regular medication review to assess the effectiveness of the drug, and any adverse effects.  Nonessential polypharmacy would be avoided, and holistic therapeutic care provided to the patient (McKearney & Coleman, 2020). Ensuring that the patient is safe and frequently educated on any therapy changes will be attained.  

References  Cojutti, P. G., Ramos-Martin, V., Schiavon, I., Rossi, P., Baraldo, M., Hope, W., & Pea, F. (2017). Population Pharmacokinetics and Pharmacodynamics of Levofloxacin in Acutely Hospitalized Older Patients with Various Degrees of Renal Function. Antimicrobial agents and chemotherapy, 61(3), e02134-16. https://doi.org/10.1128/AAC.02134-16.

  Corrie, K., & Hardman, J. G. (2020). Mechanisms of drug interactions: pharmacodynamics and pharmacokinetics. Anaesthesia & Intensive Care Medicine, 21(5), 219–222.  McKearney, K., & Coleman, J. J. (2020). 

Prescribing medicines for elderly patients. Medicine, 48(7), 463–467. https://doi-org.ezp.waldenulibrary.org/10.1016/j.mpmed.2020.04.004    

New Works 10/19

Work #1:

Describe in 500 words the shared security responsibility model that a dba must be aware of  when moving to the cloud.

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Do not use attachments as a submission. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’.   You should make your initial post by Thursday evening so your classmates have an opportunity to respond before Sunday.at midnight when all three posts are due. 

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  Please do not submit attachments unless requested.

Work #2:

 1) How do investors measure the risk of individual common stocks? Please describe one of these methods in detail. 

Work #3:

Dear, below are the tasks we need to do for the project. Right now for this week, we need to do the first task (week #9)

Project schedule:

Week 9:  Submit your company selection with the stock exchange by posting to the discussion board thread under the title “Course Project (select/post company in week 9 for approval)”.  I will approve each student’s selection of a company for this project.

Week 13:    Use the tools and techniques presented in this course to analyze the company’s profitability, liquidity, leverage and the common stock as an investment.  The length of the paper should be 4 to 5 typewritten pages.  The paper will be due by day 7, 11:59pm EST. 

Week 14 & 15:   Prepare a presentation (5 minutes) for a Zoom meeting call.

Course reflection

 

Course reflection Crisis Intervention  Introduction (8 pts) 8% of total result 8 6 4 You Decide Reflection (80 pts) 80% of total result 80 69 58 Conclusion (4 pts) 4% of total result 4 2 1 Clarity of writing (6 pts) 6% of total result 6 4 2 APA format (2 pts) 2% of total result