Share the name of the person in the story and their drug of choice, your reaction to the story, and what you learned from reading it that would help you if you were counseling or educating someone with a substance-related disorder. Identify whether the person experienced use, intoxication or withdrawal.

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Share the name of the person in the story and their drug of choice, your reaction to the story, and what you learned from reading it that would help you if you were counseling or educating someone with a substance-related disorder.
Identify whether the person experienced use, intoxication or withdrawal.

Name 4 categories of substances to which use, intoxication or withdrawal can occur.
Go to http://www.drugfree.org/stories-of-hope/, select one Real-Life story and read it.
Share the name of the person in the story and their drug of choice, your reaction to the story, and what you learned from reading it that would help you if you were counseling or educating someone with a substance-related disorder.
Identify whether the person experienced use, intoxication or withdrawal.
Please use APA style for your cover page, citing references and formatting the reference page. DO NOT include font text larger than 12 or font color other than black.

 

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Statement of studies and/or sources of evidence that were included and excluded in the appraisal including rationale for the decision to include or exclude

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Statement of studies and/or sources of evidence that were included and excluded in the appraisal including rationale for the decision to include or exclude

Chapter 1
Introduction and Statement of the EBP project:
-Identification of Phenomenon of Interest or problem
– Background of the problem
-Significance of the problem
– Purpose statement
– Statement of the problem in PICOT format and burning clinical question
– Conceptual and Operational definition of Concept(s)

Chapter 2- Critical appraisal of the evidence
– Introduction- repeat purpose
– Search strategies and yield
– Statement of studies and/or sources of evidence that were included and excluded in the appraisal including rationale for the decision to include or exclude
– Explanation of the literature review protocols (ex. AGREE, CASP, etc.)used to conduct the critical appraisal and definition and source of levels of evidence
– Theoretical review of concepts
– Evaluation and synthesis of evidence and recommendations. Relevance to:
Practice change
Prospective implementation
Alternate recommendations
– Summary

Characteristics (FINER)of a good study question:

Feasible
Interesting
Novel (add to, extend, refute, what is already known)
Ethical
Relevant

Establish significance of the problem:
What is the incidence of this particular problem?
How many individuals are affected by this problem?
Will studying this problem actually improve the care that is delivered?
Will studying the problem potentially improve health policy?
Will studying the intervention lead to better health outcomes in patients?
Will studying the problem assist clinicians in giving a better understanding in the area so that more sensitive clinical care can be delivered?

 

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This articleis an overview of the status of noncommunicable diseases in the world. I think it is a very neat summary of what we have been calling chronic diseases.

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This articleis an overview of the status of noncommunicable diseases in the world. I think it is a very neat summary of what we have been calling chronic diseases.

This articleis an overview of the status of noncommunicable diseases in the world. I think it is a very neat summary of what we have been calling chronic diseases. Noncommunicable diseases is a better term to encompass these diseases. (http://www.nejm.org/doi/pdf/10.1056/NEJMra1109345)

Read the attached article and write a 400 word summary on the most impactful or meaningful findings to you.
You may earn an additional 1 extra credit point by providing a (minimum) 100-word suggestion to help prevent chronic respiratory or chronic kidney disease in elderly women living in a nursing home with limited income and control over their diet.

This articleis an overview of the status of noncommunicable diseases in the world. I think it is a very neat summary of what we have been calling chronic diseases. Noncommunicable diseases is a better term to encompass these diseases. (http://www.nejm.org/doi/pdf/10.1056/NEJMra1109345)

Read the attached article and write a 400 word summary on the most impactful or meaningful findings to you.
You may earn an additional 1 extra credit point by providing a (minimum) 100-word suggestion to help prevent chronic respiratory or chronic kidney disease in elderly women living in a nursing home with limited income and control over their diet.

 

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An explanation of the key statistical tests and how they measure significance (if applicable) • Please give me an answer based on this question from chapter 17 Chapter 17, “Inferential Statistics”

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Week9-Data Analysis—Small Group Discussion As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.
In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups.
To prepare:
• Review the information in your assigned chapter.
• As a group, develop a 1-page study sheet that includes the following:
• The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies.
• A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies.
• An explanation of the key statistical tests and how they measure significance (if applicable)
• Please give me an answer based on this question from chapter 17
Chapter 17, “Inferential Statistics”
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
This chapter focuses on inferential statistics, which are based on the laws of probability. It introduces sampling distributions, estimates of parameters, and levels of significance. In addition, the chapter provides an overview of some of the most commonly used inferential statistical tests, including t-tests, analysis of variance (ANOVA), and chi-square tests. Finally, the process of testing correlations is examined.

 

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Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people?

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Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people?

Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people? Is it a reasonable and socially responsible practice to offer international assistance in exchange for an opportunity to shape a country’s political and/or social system? Why or why not?
Ethical Issues and Foreign Investments

There are multifaceted ethical issues relating to international investments. One aspect relates to human rights. Most Latin American governments have constitutions that mandate health care as a human right, yet some of these countries provide poor health care for the majority of their population.

During the 1980s, the general populace of these countries deteriorated, even though several Latin American countries developed strategies to preposition medical personnel and services to rural areas. Throughout this time, many international donors provided assistance; however they did so with imposed conditions. An example of this constrained assistance was the World Bank, which imposed restrictions that included privatization of health care, as well as required limitations on universal access.

Did the World Bank and other international donors act responsibly and ethically in constraining their humanitarian assistance? Who has the responsibility for the health care of the Latin American people? Is it a reasonable and socially responsible practice to offer international assistance in exchange for an opportunity to shape a country’s political and/or social system? Why or why not?

 

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There is a line between helping folks in need and practicing law when illegally prohibited from doing so.

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There is a line between helping folks in need and practicing law when illegally prohibited from doing so. Where is that line when estate planning is involved? The matters below should help you assess this ethical question.

HW2

There are different reasons people have wills drafted. Here, we look at different scenarios and see how a will would benefit each in these specific situations.
Examine the need for a will in the following scenarios, and then indicate who from this group is most in need of a will.

Elderly widow living in a nursing home –

Wealthy, married couple with grown children
Widower in his 30s with two small children
Couple in their second marriage, each having grown children from his/her prior marriage, and the two having a minor child together
24 year old unmarried, childless college student
Disabled adult
Justify your ideas and responses by using appropriate examples and references from Westlaw (including primary sources such as cases, statutes, rules, regulations, etc.), government Web sites, peer-reviewed legal periodicals (not lawyer blogs), which can be supplemented by law dictionaries or the textbook. This means you need to use more than just your text and legal dictionaries.

There is a line between helping folks in need and practicing law when illegally prohibited from doing so. Where is that line when estate planning is involved? The matters below should help you assess this ethical question.

 

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Identify nursing care models utilized in today’s various health care settings.Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings.

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Identify nursing care models utilized in today’s various health care settings.Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings.

Guidelines
Purpose
The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.
Course Outcomes
Completion of this assignment enables the student to meet the following course outcomes.
CO#1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)
CO#2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO #3)
CO#3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO #7)
CO#6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO #7)
CO#7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO #2, and #3)
CO#8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO#8)
Due Dates
This assignment is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT, end of Week 5.
Points
This assignment is worth 200 points.
Directions
Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
Write a 5-7 page paper that includes the following:
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
Write your paper using APA format. Submit to the Dropbox.

 

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Analyze pathophysiologic mechanisms associated with selected disease states. Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes.

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Analyze pathophysiologic mechanisms associated with selected disease states. Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes.

No unread replies. No replies.
Week 5 Summary
Hello Class, Congratulations on completing Week 5! The course outcomes for this week were:
Course Outcomes Program Outcomes
1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1,7)
4 Distinguish risk factors associated with selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with selected disease states. (PO 1)
7 Explore age-specific and developmental alterations in physiologic and disease states. (PO 1, 4)
Case Study Summary
Discussion Part 1 (graded)
Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:
Sodium (Na+) 156 mEq/L
Potassium (K+) 4.0 mEq/L
Chloride (Cl–) 115 mEq/L
Arterial blood gases (ABGs) pH- 7.30; Pco2-40; Po2-70; HCO3-20
Normal values
Sodium (Na+) 136-146 mEq/L
Potassium (K+) 3.5-5.1 mEq/L
Chloride (Cl–) 98-106 mEq/L
Arterial blood gases (ABGs) pH- 7.35-7.45 Pco2- 35-45 mmHg Po2-80-100 mmHg HCO3–22-28 mEq/L
List five (3) reasons on why she may have become bed ridden?
Based on these reasons what tests would you order?
Describe the molecular mechanism of the development of ketoacidosis.
What is the general differential?
1. Diabetic Ketoacidosis
2. Hyperglycemic hyperosmolarity
3. Dehydration
4. Sepsis
5. Acute kidney damage
Assuming that DKA is likely, what could have caused her sudden decline?
1. Respiratory infection
2. Dehydration
3. Medication non-compliance
4. Stroke
5. Sepsis
What tests are appropriate? Blood glucose every 1-2hrs until stable, every 4-6 after that. Electrolytes q1-2hr, q4-6 once stable.
Calculate anion gap (likely very high in a DKA patient). Repeat ABG Initial BUN to assess renal function and possible acute kidney injury.
What symptoms would you expect to find in Ms. Blake?
Those of ketoacidosis: tachypnea, confusion, lethargy, decreased level of consciousness, cardiac arrhythmias, and fruity acetone breathe (a break down ketone product acetone from either acetoacetate or alpha hydroxybutyrate). What would be the treatment? Insulin (short and long acting), ringers lactate or 0.45 saline, oxygen, and monitor K and Na. Be sure to anticipate the drop in K that will come when you correct the acidosis with fluids and insulin and begin preemptively replacing K. Molecular mechanism of ketoacidosis: In uncontrolled diabetes hepatic gluconeogenesis and serum glycogenolysis increase and exacerbate hyperglycemia. Lipolysis leads to metabolism of free fatty acids which produces ketones and ketoacids. Ketone bodies are produced when oxaloacetate enters the glugoneogenesis process rather than the citric acid cycle when insulin deficiency produces high levels of acetyl co-A. Ketones, such as beta-hydroxybutyrate, acetone, and acetoacetate then build up in the blood.
Discussion Part Two

 

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On the basis of your understanding about CHIP, create a 2- to 3-page report in a Microsoft Word document on the political challenges regarding the CHIP.

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On the basis of your understanding about CHIP, create a 2- to 3-page report in a Microsoft Word document on the political challenges regarding the CHIP.
Political Challenges of the CHIP

 

On the basis of your understanding about CHIP, create a 2- to 3-page report in a Microsoft Word document on the political challenges regarding the CHIP.

Your report should be created using the following guidelines:

Review at least two articles on the given topic, and write a review for each article.
Evaluate the main points of the articles, and relate them to your course and text readings.
Compare and contrast each article reviewed. Which of these articles do you find more relevant from a professional point of view, and why?
[Note: Find at least two sources of information for the topic utilizing such resources as the South University Online Library journal databases (for example, Cumulative Index to Nursing and Allied Health Literature (CINAHL) or ProQuest) or reputable Internet resources. Do not use the text or the assigned articles for this assignment.]

Support your responses with examples.

Cite any

 

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Discuss the theory of relational ethics as it applies to this case. What is it? How does it impact the allocation of resources?

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Discuss the theory of relational ethics as it applies to this case. What is it? How does it impact the allocation of resources?

DS 2-3 pages Times new roman 12 pt

Be sure to provide in-text citation(s) and a reference list to support your viewpoints. Please use at least three (3) research sources (not Wikipedia, or fact sheets). Please do so in ALL subsequent submissions.

Delmonico, F. L., Domínguez-Gil, B., Matesanz, R., & Noel, L. (2011). Organ transplantation 1: A call for government accountability to achieve national self-sufficiency in organ donation and transplantation. The Lancet, 378(9800), 1414-8. Retrieved from http://search.proquest.com/docview/900104741?accountid=14375

Doig, C. & Rocker, G. (2003). Retrieving organs from non-heart-beating organ donors: a review of medical and ethical issues. Canadian Journal of Anesthesia, 50(10), 1069-1076. http://www.springerlink.com/content/xq622m7g54h87301/

Fraser, Kimberly D,R.N., PhD., Estabrooks, Carole,R.N., PhD., Allen, Marion,R.N., PhD., & Strang, Vicki,R.N., PhD. (2010). The relational nature of case manager resource allocation decision making: An illustrated case. Care Management Journals, 11(3), 151-6.

Frunza, M., Frunza, S., Catalin, V. B., & Grad, O. (2010). Altruistic living unrelated organ donation at the crossroads of ethics and religion. a case study. Journal for the Study of Religions and Ideologies, 9(27), 3-24. Retrieved from http://search.proquest.com/docview/816629192?accountid=14375

Howard, Richard J,M.D., PhD., Cornell, Danielle L,R.N., B.S.N., & Cochran, L. (2012). History of deceased organ donation, transplantation, and organ procurement organizations. Progress in Transplantation, 22(1), 6-16; quiz 17

Miller, F. G., & Truog, R. D. (2008). Rethinking the ethics of VITAL ORGAN DONATIONS. The Hastings Center Report, 38(6), 38-46. Retrieved from http://search.proquest.com/docview/222366351?accountid=14375

The goal of the Session Long Project is to identify and evaluate the ethical principles used in resolving ethical dilemmas, and to apply the principles to specific ethical issues that may have professional, sociological, economic, legal or political implications.

Often times a patient needs a lot of resources prior to being discharged from the hospital. Some organizations use discharge planners or case managers to aid in acquiring these resources. The topic of this SLP is about Jenna, a young woman who could not be discharged home until the issue of resources to care for her was resolved. This story demonstrates that resource allocation decision making is inherently complex, a process that is dynamic, multidimensional, and iterative. After reading the article, “The relational nature of case manager resource allocation decision making: An illustrated case” by Fraser, Estabrooks, and Strang and doing additional research, please respond to the questions listed below:

1. Provide a brief summary of Jenna’s case. What was her medical condition? What was her prognosis? Why was it important for her to go home? Did she get to go home? If so, how did that impact her recovery?

2. What were the resources that Jenna needed to go home? What barriers did her case manager encounter in acquiring these resources?

3. Discuss the theory of relational ethics as it applies to this case. What is it? How does it impact the allocation of resources? Think about your own discipline of study, how does this theory apply to acquiring scare resources? Provide an example.

4. Based on what you have read about this case and resource allocation, do you agree with the statement “that resource allocation decision making is inherently complex, a process that is dynamic, multidimensional, and iterative”? Why or why not? What are your views on the fairness of the process? Was it done in a fair manner in this case? Did Jenna get preferential treatment because of her case manager? If there was no one advocating for her, what do you think the outcome would have been?

 

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