Archive for category: My Nursing Writer

Do any of the above suspects seem to fit your profile?

PART 1 Amend Phase 4 IP to reflect instructors comments to ensure all the material is met including word count!! (between 600-800 words)

Part 2: Week 5 500-700 new material

After an initial investigation involving interviews of Martha’s family, friends, and so forth, 3 possible suspects have been worked up: Royce Triplett, Kenneth Hubbard, and Marcus Maher. The following is a summary of the facts surrounding each of the suspects.

Royce Triplett
African-American, age 44, 5’11”, 167 lbs.
Royce is a member of Martha’s church, and they both sing in the choir. Divorced twice, he and Martha have been out for coffee a couple of times, but when he has asked Martha out on a date, she turned him down because “he is too young for me.” Royce reportedly is not content just being friends with Martha, and there have been a few occasions when Royce has acted possessive towards Martha; several members of the choir report that when another male member of the choir asked Martha out for dinner, Royce was “not happy” about that and started to have conflicts with the other member of the choir until that person quit the choir. Royce has a history of domestic violence with his first wife but none with his second wife, although they did divorce because he was too controlling. He has been employed for the last 23 years as a locksmith and handyman; he owns his own business and can be considered to be doing well. Martha’s neighbor does not recall ever seeing him at her residence. He refuses to provide a DNA sample or to submit to a medical exam to check for injuries because “cops just want to clear cases by pinning them on the first black man they can paint as a suspect.” He lives approximately an hour away by car from Martha’s home. He claims to have been home alone at the time of the crime.
Kenneth Hubbard
African-American, age 25, 6’3″, 220 lbs.
Kenneth is unemployed and lives in his parents’ basement five blocks away from the park near where Martha lives. Considered a local eccentric, he spends most of his time hanging out at the park playing basketball or drinking. He has a prior arrest for assaulting his father in a fight that resulted in his barricading himself in his room until being talked into surrendering by a police negotiator. He was placed on a 72-hour mental health hold and diagnosed with depression and alcohol dependence. Approximately 3 weeks ago, Keeper had escaped from Martha’s backyard; Kenneth found him and had “sort of” adopted him, asking his parents (who did not know that Martha owned Keeper) if he could keep him as a pet. In the meantime, Martha had posted flyers around the neighborhood offering a reward for the return of Keeper. A few days later, Martha spotted Kenneth playing with Keeper in the park and reclaimed him. Kenneth was initially upset about losing Keeper, but since it was obvious whom he belonged to, he had no choice. About a day later, he found one of Martha’s flyers offering a reward for the return of Keeper. Kenneth went to Martha’s house to ask for the reward. Martha refused to give him one since he did not voluntarily return Keeper. She did agree to allow Kenneth to walk Keeper from time to time. Kenneth will not voluntarily offer a DNA sample because “that’s how the government tracks you.”
Marcus Maher
African-American, age 24, 5’9″, 153 lbs.
Marcus (street name: “Easy”) is a former member of a violent gang. Marcus has an extensive rap sheet for drug-related offenses, but none for the last year; he is currently on parole for a trafficking charge, and according to his parole agent, “has been behaving” until he failed to check in Wednesday, two days after Martha’s murder. 6 months ago, he had a conflict with Martha when she spotted him hanging around the park with some fellow gang members. Martha (who was walking Keeper at the time) confronted Easy and his buddies about dealing drugs in the park. They assured her that they were not (Vice and the Gang Unit both confirm that the park is considered neutral territory and off limits), and actually (according to Easy) hit it off. They even referred to her as “Big Mamma” and admired her courage. Easy has been inside Martha’s house. He was there with his girlfriend and their 2-year-old daughter, who Martha occasionally babysits. Marcus’s whereabouts are currently unknown; according to his girlfriend, he was accused of being a snitch and is hiding out from his former gang. She denies that he had anything to do with Martha’s death. Marcus lives is a large apartment building with his girlfriend and child about a mile (12 blocks) from Martha’s home.

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The state of New Worcester has an income limit of $1,000/month to be eligible for Medicaid. Is there anything that can be done to protect the excess social security payments from being subject to spend down requirements?

Teri is a single widow, age 78, living in the hypothetical American state of New Worcester. Teri purchased a a house in New Worcester in 1967 for $28,000. The current fair market value of the house is $385,000. Teri has four children: Alan, Beth, Cathy and Don. All four are adults and all four have children of their own. However, Don has been having marital troubles and is contemplating divorce. Beth is estranged from one of her adult children, Bertha.

Teri is in relatively good health, but suffers from hypertension and mild heart disease. She is on medication and is being treated for both. Mentally, she is sharp and astute.

Aside from the house, Teri has about $200,000 in cash and securities in savings and a 401(k) account with a current balance of $225,000. She is taking annual minimum required distributions from that account. In addition, she receives $1,800 per month in social security benefits.

She is primarily concerned with Medicaid planning as she doesn’t want to lose her assets if forced to go to a nursing home eventually. Your supervising attorney decides to recommend that Teri set up an irrevocable Medicaid planning trust and to transfer some or all of her assets to that trust.

During the course of the meeting and subsequent discussions, the following questions come up:

1) How much of a taxable capital gain would Teri have to report if she sold the house tomorrow for fair market value?

2) If the house is transferred to the Medicaid trust, what should the trust do to ensure the best capital gains tax treatment of the house?

3) What should the trust do to ensure that Bertha and Don’s soon-to-be-ex spouse do not have access to the trust funds?

4) Should the 401(k) assets be transferred to the trust? Explain.

5) What kind of rights or powers can or should the trust safely give to Teri?

6) The state of New Worcester has an income limit of $1,000/month to be eligible for Medicaid. Is there anything that can be done to protect the excess social security payments from being subject to spend down requirements?

Please answer each question in 1-2 paragraphs. There is no need to IRAC each question. Please make sure to explain your answers and please cite applicable authority for all assertions of law that you make.

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Explain of how nursing management relates to medical management and provide succinct correct clinical rationales

nursing case study
Length: 2500 2750 words
Weighting: 40%
Details: This academic paper requires students to write ? up the patient presented at their Clinical Case Conference (CCC) to their Nurs3005 PEP facilitator and present it as a detailed report. There must be analysis of the patient?s medical condition(s) demonstrating the ability to apply theoretical concepts including (but not limited too) pharmacology; patho-physiology; anatomy and physiology. There must be presentation and evaluation of nursing and medical management of the patient. Sound clinical rationales must be provided that support the care afforded the patient. Appropriate evidence sources must be used and Harvard referencing used throughout. Students are encouraged to write up this report prior to undertaking their CCC presentations. For specific details please refer to the marking rubric or to My tutor?s structures below.
Structures in details:
? My tutor?s structures For this report (the same of Marking rubric):
introduction
1. Introduces patient presenting for Case Conference
2. Presents biographical data
3. Presents current medical history of patient
4. Presents relevant past medical history of patient
discussion
1. Demonstrate understanding of patient?s medical condition(s) including relevant anatomy and physiology and in depth pathophysiology discussion
2. Nursing management Included clinical assessment using (IS)BAR or a systems ? based approach
3. Discuss nursing management with evaluation
4. Explain of how nursing management relates to medical management and provide succinct correct clinical rationales
5. Explain the role of interdisciplinary team involvement
6. Describe care provided by the interdisciplinary team and primary health care strategies clearly.
7. Describe clinical assessment findings clearly using clinical assessment ISBAR or a systems ? based approach.
8. Logical and orderly progression of ideas
9. Use headings.
10. Describe medical management and treatments including all relevant pharmacological non ? pharmacological treatments explain pain management with clear clinical rationales.
11. Provide relevant laboratory results / diagnostic tests and explain it succinctly.
12. Evidence of ability to make clinical inferences based upon the data available.
13. Describe relevant psychosocial aspects of the case reported empathically and management.
14. Describe Ethical and legal aspects clearly and objectively.
15. Address all relevant and contentious areas thoroughly.
16. Consider additional reading evident and incorporate in presentation.
17. Provide meaningful synthesis of the evidence presented
18. Cover education needs of patient / family very well.
19. Address Discharge Planning and show comprehensive awareness of the patient?s needs as identified and clearly discuss in presentation.
Article discussion
1. Describe how your nursing research article findings/recent evidence is related to the patient / venue and make link between the literature findings and the presented case consistently and persuasively.
2. Compare and critique in detail the management and nursing care of the patient with the best and most recent available evidence.
3. Make feasible / thoughtful suggestions of alternative management and nursing care based on the best available evidence
Summary/Conclusion
1. Present a succinct and complete summary of the crucial aspects of the case.
2. Describe the short and long term outcomes in depth.
3. Make insightful comments about whether the case and its management was representative.
4. Describe learnings from the exercise clearly and make other relevant insightful comments
Organisation/structure
Clear organised and structured presentation
Use of appropriate headings
Use 3rd person
Spelling & grammar
Font 12 point
Spacing/margins
Adherence to word limit
References
Recent (ie in the last 5-6 years)
Relevant
Wide scrutiny
Ability to demonstrate sound links between theory and practice
follow Flinders Uni- Harvard referencing guide
Both text and list Referencing are required

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Compare and contrast the two definitions of advanced practice nursing as defined by the American Association of Colleges of Nursing (AACN) DNP Essentials, the APRN consensus model, and as defined in your textbook.

Write a 2-pages discussion on the following topic:

Compare and contrast the two definitions of advanced practice nursing as defined by the American Association of Colleges of Nursing (AACN) DNP Essentials, the APRN consensus model, and as defined in your textbook. Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred.

Textbook

Hamric, A., Hanson, Ch., Tracy, M. & O’Grady, E. (2014) Advanced Practice Nursing: An Integrative Approach. 5th Ed. Elsevier

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Imagine your 19 year old cousin has recently gone through many changes in his life and you suspect he is suffering from major depression. What would you tell your cousin about this disease?
Read the articles listed below. Then, in a 1-2 page paper, answer the following:

Imagine your 19 year old cousin has recently gone through many changes in his life and you suspect he is suffering from major depression. What would you tell your cousin about this disease? How would you help him find the best treatment possible? What type(s) of therapy would you recommend? How would a psychologist determine his or her behavior to be normal? Feel free to refer to additional sources than those mentioned below.

The Pill Paradox
Link to article
Raeburn, P. (2004, September). THE PILL PARADOX. Psychology Today, 37(5), 72-78. Retrieved June 19, 2008, from EBSCO MegaFILE database.

The binds that tie-and heal: How families cope with mental illness
Link to article
Gravitz, H. (2001, March). THE BINDS THAT TIE–AND HEAL: HOW FAMILIES COPE WITH MENTAL ILLNESS. Psychology Today, 34(2), 70. Retrieved June 19, 2008, from EBSCO MegaFILE database.

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