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• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review

 Module 3 Discussion

What makes a team?

Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 Reply for the following discussion. at least 150 words, 2 references, APA style, Turnitin less than 10 % and 0% AI.

Mounjaro (tirzepatide) and Ozempic (semaglutide) are two groundbreaking therapies for type 2 diabetes and obesity, each offering distinct benefits based on their unique mechanisms of action. While both drugs improve glycemic control and facilitate weight loss, understanding their differences is key to tailoring treatment to individual patient needs.

Ozempic is a glucagon-like peptide-1 (GLP-1) receptor agonist that works by stimulating glucose-dependent insulin secretion, suppressing glucagon release, and delaying gastric emptying. These effects stabilize blood glucose levels, particularly after meals, and increase satiety, leading to significant weight loss. The efficacy of Ozempic in lowering hemoglobin A1c (HbA1c) levels and reducing body weight has been well documented over several years, making it a trusted option with a well-established safety profile (Wilding et al., 2021).

In contrast, Mounjaro employs a dual mechanism of action by targeting both GLP-1 and glucose-dependent insulinotropic polypeptide (GIP) receptors. This dual receptor engagement not only enhances insulin secretion and lowers glucagon levels but also appears to drive greater weight reduction. The simultaneous activation of both incretin pathways leads to more robust metabolic effects, which may translate into more pronounced improvements in glycemic control and weight loss for certain patient populations. Clinical evidence suggests that tirzepatide might offer superior reductions in HbA1c and body weight compared to therapies solely based on GLP-1 agonism (Buse et al., 2021).

The benefits of these medications extend beyond glucose regulation. Both drugs contribute to lowering cardiovascular risk factors through weight reduction and improved metabolic profiles. However, the choice between them often depends on individual patient characteristics and treatment history. For instance, patients who have experienced positive outcomes with traditional GLP-1 receptor agonists may continue to see benefits with Ozempic. On the other hand, individuals with severe obesity or those who have not achieved optimal glycemic control might find Mounjaro’s dual-action approach more effective.

Another important consideration is the safety and tolerability of these agents. Both Ozempic and Mounjaro are associated with gastrointestinal side effects, such as nausea, vomiting, and diarrhea, particularly during the initial phase of treatment or dose escalation. Despite these similarities, the extensive clinical use of Ozempic has provided a more established long-term safety profile, whereas Mounjaro, being newer, continues to be evaluated in broader patient populations.

In conclusion, while both Mounjaro and Ozempic offer significant benefits in managing type 2 diabetes and obesity, their differences in receptor activity and resultant metabolic effects provide clinicians with a diverse toolkit for personalized treatment. The dual mechanism of Mounjaro may offer enhanced benefits for some patients, whereas Ozempic’s established efficacy and safety make it a reliable choice for many. Individualized patient assessment remains essential in selecting the most appropriate therapy.

You see a child whose family believes in natural therapy for illnesses (e.g., diet therapy, massage, heat treatments).

How will you incorporate the family’s beliefs into the treatment of a child with an acute upper respiratory infection? With leukemia?

Submission Instructions:

• Your initial post should be at least 600 words, formatted and cited in current APA style with support from at least 3 academic sources. Your initial post is worth 8 points.

sMART Goals

For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic, Timely. Be sure to answer the following questions for each goal summary: Can you measure it? Is it attainable? Is it realistic? What is the time frame you have set for completing that goal?  

Format: Each goal summary should be at least 100 words – totaling 500 words for this assignment (added to the speaker notes). The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.  The presentation should consist of 10 slises (excluding the introduction and reference page).  

Access the County Health Rankings & Roadmaps websiteLinks to an external site. and search for health outcomes data for your state. Use the Rankings feature on the Data by County page to determine the county with the best and worst health outcomes rankings. Identify the ranking of your home county or the county where you practice.  

Next, use the Search by County feature to find your home county. Review the available data.   

Finally, use the Compare Counties feature to compare your home county to those identified with the best and worst health outcomes ranking in your state. Reflect on findings. 

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   • Provide an overview of the health outcomes and factors in your country. Which health factors are strengths in your county? Which are areas for improvement?  
   • Consider the communities within your county. What influencing factors might be at the root of health factors needing improvement?  
   • How does your home county or county of practice compare to the counties with the highest and lowest health outcomes rankings?   
   • How will the information you found impact your role as an advanced practice nurse? 
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:
   • Cite a scholarly source in the initial post.
   • Cite a scholarly source in one faculty response post.
   • Cite a scholarly source in one peer post.
   • Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
   • Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.
   • Peer Response: Respond to at least one peer.
   • Faculty Response: Respond to at least one faculty post.
   • Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

Assignment attach below

Directions: Read over the SOAP note and formulate a primary diagnosis.  Based on the diagnosis complete the SOAP note with the details that would be expected for the diagnosis. Use UptoDate and/or Dyna MedPlus to find out what is expected from the history and physical, diagnostic workup and management for the diagnosis. Include other peer review resources and and journal articles to support the development of your SOAP note. Complete and attach the evaluation & management score sheet to show how you coded the note for billing in each section.

• Upload a copy of your completed SOAP note.
• Upload a copy of the evaluation & management score sheet.

Case Study: A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner .On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm3 and is otherwise normal.