Categories
Nursing

440 DISCUSSION 5 # 2

Module 5 Overview
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Introduction
Quality drives excellence. How does nursing play a role in quality outcomes? The profession does this daily by providing excellent care to patients. The quality outcomes are also heavily dependent on the nursing case management team. This is becoming more prevalent with the demands to treat patients in an outpatient setting. So that lends the question; how soon is too soon for discharge? It also creates the need for strong care teams that can manage patients aggressively in an outpatient setting. This week will challenge us to look at our organization’s quality outcomes and programs and determine if they are effective or not. We will also begin to evaluate quality from a community aspect and discuss the impact of that on patient outcomes.
Learning Outcomes
After completing this module, you will be able to:
Identify the concept of patient centered healthcare goals
Describe the role of quality programs on a community
Explain the difference between differing quality outcomes.
Reading & Resources
Review the National Committee for Quality Assurance certification criteria.
Janet, P. B., Thoumi, A., Marquevich, V., De Groote, W., Linamara, R. B., Imamura, M., Vinicius, D. R., Wang, N., Dreinhoefer, K. E., Mangar, A., Ghandi, D. B. C., Ng, Y. S., Kheng, H. L., Tan Wei Ming, J., Yong, H. P., Inzitari, M., Mmbaga, B. T., Shayo, M. J., Brown, D. A., . . . Stein, J. (2020). COVID-19: maintaining essential rehabilitation services across the care continuum. BMJ Global Health, 5(5)
Prasad, V. L, Fay, K., & Mora, C. (2020). Complex Care Center: A Tool for the Care Continuum Conundrum. The Journal of Medical Practice Management, 35(6), 314-320.
Sauro, K., Maini, A., Machan, M., Lorenzetti, D., Chandarana, S., & Dort, J. (2021). Are there opportunities to improve care as patients transition through the cancer care continuum? A scoping review protocol. BMJ Open, 11(1)http://dx.doi.org/10.1136/bmjopen-2020-043374
Learning Activities
Discussion: Participate in Discussion 5 Discussion 5 Question 2
To do: Make forum posts: 3
There are a number of components of quality indicators: accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety of care environment. Choose one of these components and explain how it can influence quality of care.
Please support your discussion with facts, relevant examples, and at least two citations from the peer-reviewed professional nursing literature or the required textbook readings.
See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.

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Approximately 250 words

Categories
History

Module 13 – Darkening Decades: Recovery, Dictators, and Depression, 1920-1939

A) For “ARTifact” Report:
1. Please go to the website, e.g., of the British Museum, a link named – History of the World in 100 Objects. https://www.bbc.co.uk/programmes/articles/5KB52gmS1Hpsbv7DXn45QQN/a-history-of-the-world-in-100-objects-by-theme
(Note: some modules will have another museum instead, but the principle will be the same for all).
2. Choose an object (from anywhere in the world) from the period covered in this module (or about 30 years before or after the specific period covered in class in the current week), and present a report about the chosen artifact, with the explanation of the immediate context of the artifact seen in a wider historical context, in about 200 words (if over the word count that is fine need a detailed and eneging response).
Make sure that you pick 1 (one) of the 100 (one hundred) objects listed in the link – not any object that the British Museum has in its collection (which is about 8 million!). Do double-check – the list has literally 100 objects – and only about 1 or 2 will fit the bill for each module (see instructions for this assignment in the module itself).
3. Name the artifact at the top of your report, and present to the reader the artifact and its provenance, including the historical context from which it hails.
4. Your essay-style report is to contain 1 in-text references to the info from the British Museum website (make 1 reference), and at least 1 reference from the relevant information on the period and the artifact from the corresponding era found in your textbook. This textbook reference is to provide wider context or a compare/contrast moment, and cite your source (in-text and later include in the work cited section too).
5. Include the image of the chosen artifact under that.
6. Provide a Work Cited section at the end of the ARTifact Report (for all the cited information you used in the report and the source of your image. See examples for this in Originality, Citation, and Format. (Citation sources are provided)

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Approximately 250 words

Categories
Nursing

The Impact of Unconscious Bias in Healthcare: How recognize and Mitigate It

Based on the assigned readings, class lectures, and attached article below. Please discuss and answer the following questions in your group PowerPoint presentation/slides:
1. Define and discuss four biases in healthcare.
2. Identify processes to recognize and mitigate each of the four identified biases.
3. Each group member please prepare to do a 3-5 minute presentation.
4. 5 slides excluding title page and references

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Approximately 250 words

Categories
History

identify and research a pressing problem in American Government about which you feel strongly, and come up with a solution

You will identify and research a pressing problem in American Government about which you feel strongly, and come up with a solution. You will then write a letter to one member of the Executive or Legislative Branch who you identify as being able to implement the solution; his/her email or mailing address must be included in the letter. Your letter should explain the problem, provide evidence of the existence and scope of the problem, and propose a real solution. The letter should be approximately 1-2 pages single-spaced (12 point font with 1” margins).
Your paper must include:
• Evidence: You will identify a problem, and provide evidence of the existence and extent of the problem.
• Solution: No magic bullets! When you identify the problem, you need to come up with a real solution- how will it be implemented? What path through the federal government will it take?
• Sources: You need at least 3 sources (and more are certainly encouraged).
They should be high-quality sources- peer-reviewed journals, scholarly books, newspapers of record, reliable websites, and not Wikipedia! All of your sources must be cited via in-text citations- you may use parenthetical, footnote, or endnote format, but you must cite every piece of information you quote or paraphrase.

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Approximately 250 words

Categories
Nursing

Addiction Treatment

Power points on
1. The issue or controversy
2. The health practitioner’s role in the issue
3. thoughtful conclusion

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Approximately 250 words

Categories
History

exams

Exam 1: the exam will consist of questions based on the material
from chapters 15 and 16; Exam 2: the exam will consist of questions based on the material from chapters 17, 18, and 19
You can take the exam any time prior to the stated deadline for each exam. Exams are open book. Once you begin the
exam, you will have a maximum of 1 1/2hours (90 minutes) to complete the exam. **YOU CANNOT START THE
EXAM AND THEN COME BACK TO IT AT A LATER TIME. ONCE YOU START THE EXAM YOU HAVE
90 MINUTES TO COMPLETE IT**
**YOU MUST PURCHASE THIS BOOK-YOU WILL NEED IT FOR EXAMS AND DISCUSSION BOARD
ASSIGNMENTS**
1) Of the People: A History of the United States, Volume 2: Since 1865 Fourth Edition with Sources
ISBN-13: 978-0190909970
Authors: James Oakes, Michael McGerr, Jan Ellen Lewis, et al.
Publisher: Oxford University Press (www.oup.com/us/he)
**You may use an earlier edition of the text; however, be aware of the fact the exams are based on the edition stated
above, as are the Discussion Board questions**

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Approximately 250 words

Categories
Nursing

Casestudy

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.
Based on the “Case Study: Healing and Autonomy” and other required topic Resources, you will complete the “Applying the Four Principles: Case Study” document that includes the following:
Part 1: Chart
This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.
Part 2: Evaluation
This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.
Remember to support your responses with the topic Resources.
APA style is not required, but solid academic writing is expected.

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Approximately 250 words

Categories
Nursing

Decision tree for neurological disorder and treatments

I ordered and received assignment here but not well written, vague. It needs to be edited. As I was reviewing paper with rubrics, this paper is vague, my professor is pharmacist and wants to see pharmacological perspective evidence supported writing. I have attached my initial assignment, rubric, sample paper found on coursehero.
I have not been getting good grades in this course. I got 80 and 70 on last 2 papers. I need to submit a really really good paper.to bring my grade up. Please help me!

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Approximately 250 words

Categories
Nursing

Pathophysiology

Week 2: Discussion
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Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
Explain the pathophysiology of heart failure by analyzing a patient’s symptoms. (CO1)
Differentiate between systolic and diastolic heart failure. (CO1)
Explain the significance of physical exam and diagnostic findings in the diagnosis of heart failure. (CO4)
Due Date:
Initial post is due on Wednesday by 11:59 p.m. MT. All posts are due by Sunday, 11:59 p.m. MT
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.
Total Points Possible: 100
Requirements:
Read the case study below.
In your initial discussion post, answer the questions related to the case scenario and support your response with at least one evidence-based reference by Wed., 11:59 pm MT.
Provides a minimum of two responses weekly on separate days; e.g., replies to a post from a peer; AND faculty member’s question; OR two peers if no faculty question using appropriate resources, before Sun., 11:59 pm MT.
Case Scenario:
A 72-year-old male presents to the primary care office with shortness of breath, leg swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends three weeks ago because of shortness of breath that became worse with activity. He decided to come to the office today because he is now propping up on at least 3 pillows at night to sleep. He tells the NP that he sometimes sleeps better in his recliner chair. PMH includes hypertension, hyperlipidemia and Type 2 diabetes.
Physical Exam:
BP 106/74 mmHg, Heart rate 110 beats per minute (bpm)
HEENT: Unremarkable
Lungs: Fine inspiratory crackles bilateral bases
Cardiac: S1 and S2 regular, rate and rhythm; presence of 3rd heart sound; jugular venous distention. Bilateral pretibial and ankle 2+pitting edema noted
ECG: Sinus rhythm at 110 bpm
Echocardiogram: decreased wall motion of the anterior wall of the heart and an ejection fraction of 25%
Diagnosis: Heart failure, secondary to silent MI
Discussion Questions:
Differentiate between systolic and diastolic heart failure.
State whether the patient is in systolic or diastolic heart failure.
Explain the pathophysiology associated with each of the following symptoms: dyspnea on exertion, pitting edema, jugular vein distention, and orthopnea.
Explain the significance of the presence of a 3rd heart sound and ejection fraction of 25%.
Category Points % Description
Application of Course Knowledge
30
30%
The student:
Differentiates between systolic and diastolic heart failure.
States whether the patient is in systolic or diastolic heart failure. 
Explains the pathophysiology associated for each of the following symptoms: dyspnea on exertion, pitting edema, jugular vein distention, and orthopnea. 
Explains the significance of the presence of a 3rd heart sound and an ejection fraction of 25%. 
Support from Evidence-Based Practice
30
30%
Initial discussion post is supported with appropriate, scholarly sources; AND
Sources are published within the last 5 years (unless it is the most current CPG); AND
Reference list is provided and in-text citations match; AND
All answers are fully supported with an appropriate EBM argument
Interactive Dialogue
30
30%
In addition to providing a response to the initial post due by Wednesday, 11:59 p.m. MT, student provides a minimum of two responses weekly on separate days; e.g., replies to a post from a peer; AND faculty member’s question; OR two peers if no faculty question. A response to faculty could include a question posed to a student or the entire class or a faculty question directed towards another student. AND
Evidence from appropriate scholarly sources are included; AND
Reference list is provided and in-text citations match
90
90%
Total CONTENT Points= 90 pts
Discussion Format
Category
Points
%
Description
Organization
5
5%
Organization:
Case study responses are presented in a logical format; AND
Responses are in sequence with the numbered questions; AND
The case study response is understandable and easy to follow; AND
All responses are relevant to the case topic
Format
5
5%
Discussion post has minimal grammar, syntax, spelling, punctuation, or APA format errors*
(*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
10
10%
Total FORMAT Points= 10 pts
100
100%
DISCUSSION TOTAL=____ out of 100 points
(*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
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Approximately 250 words

Categories
Accounting

GENERAL RESEARCH

Identify and research a US public company in your pathway that has Property, Plant and Equipment. . It should be on the Fortune 500 list. Don’t use a company that someone has already used. Please put the company’s name as the subject of your post. Access their recent (less than 12 months) annual 10-K report for the company at the EDGAR filings at SEC Edgar search tool or Yahoo or Google finance. Include the URL of the report in your initial post.
Requirements:
Initial post:
Review the report and in a minimum of 3 paragraphs, tell us the following:
The name of the company and your pathway
When was the report filed and the time period it covers, indicating specific dates, not just 2021?
What are the company’s major product lines?
What Property, Plant, and Equipment categories do they have and what are the dollar amounts for each category? If the numbers are in millions, state that.
What methods of depreciation do they use for those categories? Hint: See the notes to the financial statements.
What did you find interesting about they types of Property, Plant, and Equipment they have and the depreciation methods they have chosen?
Proper spelling, punctuation, capitalization, grammar, etc. are required.
Do not copy and paste any information. Your posts should be in your own words.
Follow the minimum requirements for discussion board posts located in the general discussion area. Recall, those are the minimum requirements, more posts are always encouraged.

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Approximately 250 words