This is the problem:make whole paper correct. I am attaching the rubric for week 2

 The quality issue,  I would like to do my project on, based on the QAPI tracker, is meeting the goal of making skilled nurse visits 3-6 days prior to death. The use of ESAS should be an indicator of decline so if this is done each visit, correctly, then visits can be increased prior to death. 

This is week 2 of the project and I had to change the subject so week 1 will have to be redone to 

Complete a review of current nursing evidence for your practice problem. To develop a plan for your quality improvement project you will need to find out what interventions have been successful when applied to your practice problem. The evidence-based process is a problem solving approach where you will assess research, clinical guidelines, expert opinions, and other relevant information and incorporate the results into your quality improvement project. Search for a minimum of five evidence-based sources related to your practice problem. You must include two-three research studies in your review.  Synthesize in your own words the evidence that supports your identified practice problem. For example, if your practice problem is reducing patient falls, you will summarize what the evidence you have found has to say about falls and how researchers have identified interventions that promote a decrease in the number of patient falls. In this example, the evidence will likely show that hourly rounding, non skid slippers, a fall risk assessment and low beds are all interventions that the research has shown to improve patient outcomes related to falls in a healthcare setting.

Submission and Grading Information

To prepare for this Assignment:

• Review the Capstone Paper Assignment Guide
• Locate the most current version of your Week 1 Assignment. You will add this section to that document.
• Review the Academic Writing Expectations Checklist Capstone Level
  • Note the new expectations for Use of evidence and Credit to Source
  • Use a Scholarly Voice
    • http://academicguides.waldenu.edu/writingcenter/scholarlyvoice
    • http://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859
  • Review the Walden University Writing Center webpage: Using Evidence: Synthesis
• Review the Week 3 Assignment Rubric

Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

For this Assignment, write 4-5 paragraphs that address the following:

Analysis of Existing Evidence

Summarize the findings from at least five evidence-based sources that support your practice problem. The goal of the analysis of existing evidence is to find the best evidence possible that support a change in practice. Identify research, clinical guidelines, expert opinions, and other relevant information and incorporate the results into your quality improvement project. You must include two-three research studies in your analysis. Using your own words synthesize the evidence that supports your identified practice problem. There should be no quotes or personal opinions included in this section.

APA Assignment 

Informatics in the Clinical Setting

Conduct an interview with someone in an informatics role in a clinical setting. Then, in a Microsoft Word document of 5-6 pages formatted in APA style, discuss each of the following criteria:

• Role description and education level required for the role.
• Describe their views on how their role affects patient safety and improves the quality of patient care.
• Describe the human factors faced in the role and other challenges.
• Express insights gained from the interview.
• Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies influence delivery of direct patient care.
• Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Unit 3 Discussion – Beliefs

Discussion: Unit 3, Due Wednesday by 11:59 pm CT

Beliefs

Instructions:

Post your thinking about the following:

• How do theist beliefs define atheist beliefs? Compare and contrast the two.
• What are the core beliefs of agnostics and atheists?
• Why does the U.S. Constitution dictate a division between the Government and all religions?
• How does the agnostic philosophy provide a positive counter-balance to religion, if it does?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

Please post 1 peer response

In the response post, include the following:

• What benefits do you see in having multiple religions and ways of thinking present in the world today?
• Why do you think that some religious people pick and choose the doctrines to follow while ignoring others that are written out in their scriptures?

Please be sure to validate your opinions and ideas with citations and references in APA format.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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. 

Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke. 

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family. 

Character Roles

Instructions:

• Who is the protagonist and who is the Antagonist in the following short story?
• How does the story let you know that one character is the protagonist and that another character is acting as the antagonist?
• What specific cues does the story provide for the reader to know the roles of the characters in the conflict, theme, and plot?

The King of Sharks: A Native American Myth from Hawaii

Retold by S. E. Schlosser

One day, the King of Sharks saw a beautiful girl swimming near the shore. He immediately fell in love with the girl.

Transforming himself into a handsome man, he dressed himself in the feathered cape of a chief and followed her to her village.

The villagers were thrilled by the visit of a foreign chief. They made a great luau, with feasting and games.

The King of Sharks won every game, and the girl was delighted when he asked to marry her.

The King of Sharks lived happily with his bride in a house near a waterfall.

The King of Sharks, in his human form, would swim daily in the pool of water beneath the falls.

Sometimes he would stay underneath the water so long that his bride would grow frightened.

But the King of Sharks reassured her, telling her that he was making a place at the bottom of the pool for their son.

Before the birth of the child, the King of Sharks returned to his people.

He made his wife swear that she would always keep his feathered cape about the shoulders of their son.

When the child was born, his mother saw a mark upon his back that looked like the mouth of a shark.

It was then she realized who her husband had been.

The child’s name was Nanave.

As he grew towards manhood, Nanave would swim daily in the pool beside the house.

Sometimes, his mother would gaze into the pool and see a shark swimming beneath the water.

Each morning, Nanave would stand beside the pool, the feathered cloak about his shoulders, and would ask the passing fishermen where they were going to fish that day.

The fisherman always told the friendly youth where they intended to go. Then Nanave would dive into the pool and disappear for hours.

The fishermen soon noticed that they were catching fewer and fewer fish.

The people of their village were growing hungry. The chief of the village called the people to the temple.

“There is a bad god among us,” the chief told the people. “He prevents our fishermen from catching fish. I will use my magic to find him.” The chief laid out a bed of leaves.

He instructed all the men and boys to walk among the leaves. A human’s feet would bruise the tender leaves, but the feet of a god would leave no mark.

Nanave’s mother was frightened.

She knew her son was the child of a god, and he would be killed if the people discovered his identity.

When it came turn for the youth to walk across the leaves, he ran fast and slipped.

A man caught at the feathered cape Nanave always wore to prevent him from being hurt. But the cape fell from the youth’s shoulders, and all the people could see the shark’s mouth upon his back.

The people chased Nanave out of the village, but he slipped away from them and dived into the pool.

The people threw big rocks into the pool, filling it up. They thought they had killed Nanave. 

But his mother remembered that the King of Sharks had made a place for her son at the bottom of the pool, a passage that led to the ocean. Nanave had taken the form of a shark and had swum out to join his father, the King of Sharks, in the sea.

But since then, the fishermen have never told anyone where they go fishing, for fear the sharks will hear and chase the fish away. (Schlosser, 2017)

Please post 1 peer response

In the peer response, include the following:

• Why do you agree or disagree with the initial response about which character is the protagonist and who is the antagonist?
• In what ways do you think that ambiguity reflects the reality of life in general?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Assignment:

This week students will be addressing the following essay questions. Insure all aspects of the questions are addressed. Submission needs to be in APA format. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual).

1. Discuss the various ways that ICD-10-CM coding is used throughout the United States. Why is accuracy in coding so important?
2. Explain the difference between ICD-10-CM and ICD-10-PCS. When are they used?
3. What impact does the ICM-10-CM manual have on healthcare and medicine in today’s world?
4. What are the ten steps for accurate ICD-10-CM coding? State and explain each step in paragraph form
5. In your own words, what is the difference between V, W, X, or Y code and a Z code?
6. Explain when the following would be used and give an example of: Hyphen usage, checkmark, placeholders, and punctuation

For the following, provide the ICD-10-CM codes (some might require more than 1 code). There is a free website listed at the end of the Chapter on page 127 that will help you with coding. Here is another website that might help: http://www.icd10data.com/

1. Weight loss
2. Hypothyroidism
3. gastroesophageal reflux disease
4. acute bronchitis with COPD
5. urinary infection due to E. coli
6. concussion, loss of consciousness 40 min
7. cancer of bladder
8. Physical, child for school
9. DTP vaccination
10. Heel injury (wound) due to broken glass

• This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page. 
• Complete answers will essays will require at least 1000 words, approximately 4 pages (250 words = about 1 page). Title and reference pages do not count toward the total word or page count. 
• Alignment of ICD codes should be completed after the essay questions and before the reference page.
• Title page and reference page do not count towards word count.
• Ensure sources are referenced and cited in the paper

Hello all, this is the information I found from the article to answer these questions. 

• dependent variable(s) and the instrument(s) used to measure them.

The dependent variables in this study were PTSD severity and symptoms of avoidance, intrusion, and hyperarousal. The dependent variable was measured using logistic regression and χ2 tests aimed to analyze the relationship between the dependent and independent variable. 

• how the data for the dependent variable(s) were collected.

PTSD severity and symptoms were collected using the Impact of Event Scale-Revised (IES-R). The IES-R consisted of 22 items the participants had to assess and score using a 5-point scale. Their scores were then added together, any score higher than 24 was a concern for the researchers. 

• the intervention and procedures for delivering it.

Participants of the intervention group were all given a diary that consisted of a folder with loose paper attached with metal fasteners. The participants were all given the same guidelines to follow in their diary. Participants, visitors, and the interdisciplinary team members were encouraged to include their observations too.  

I NEED TO RESPONSE TO THIS POST.

WEEK 11- Discussion #8

Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection. APA FORMAT , 250 WORDS. 

Attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC: 

Joint Commission Model for Improving LGBTQ Health     

Lesbian, Gay, Bisexual and Transgender Health: https://www.cdc.gov/lgbthealth/