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Author Archives: Academic Wizard

August 16, 2024
August 16, 2024

Choose one or more of the following to guide your self-reflection of your experience this week. Do not report on an extended SOAP note patient. The reflection should be a minimum of 100 to 150 words.

  • Discuss an encounter that was particularly interesting and what you learned from it?,
  • Discuss a difficult or challenging encounter and how you handled it?,
  • Discuss an example of how you were able to independently contribute to this week’s encounters?,
  • Were there any patient management plans developed by your preceptor that surprised you?,
  • Were you able to “teach” your preceptor anything this week?,
  • Identify a personal learning need you discovered while assessing or managing a specific diagnosis. What steps will you take to improve your understanding or skills?,
  • What insights did you gain during your experience this week that will prove most helpful for future encounters?,
  • What personal success do you want to celebrate?
  • If I could have a do over, I would have done this instead……

 

 

Self Reflection

Discussion The most interesting encounter this week was a thirty-five years old male patient who has been diagnosed with post-traumatic stress disorder. The patient reported to have served in the military for more than twenty-five years. He presented with severe symptoms which have been persistent since his retirement from the military. His symptoms of post-traumatic stress disorder include hyper vigilance, nightmares and flashbacks (Dutheil et al.,2021). Additionally, his next of kin reported that he has difficulties in maintaining relationships and also, he has a sense of detachment from his family. According to the patient, these symptoms have affected his life since it is hard for him to be understood by people who ha e not gone through similar experiences. After comprehensive examination, the patient was initiated to treatment which include medication, therapy, ex-military support groups and community support. Support groups works better for patients who have undergone similar experiences (Harnett et at.,2020).

 

Looking Ahead

  • What clinical goal would you like to tackle next week?
Discussion In the coming week, my main goal is to improve my competency in the use of cognitive behavioral therapy techniques to post traumatic stress disorder patients. Cognitive behavioral therapy is the most common therapy used in treatment of PTSD (McLean et al.,2022).
  • What is your proposed clinical schedule (date/time/total hours) for next week?
  • I have completed all clinical hrs required for this course.

 

I am going to email/message you to further discuss … (Optional)

  • Reviewing a challenging patient encounter.
  • Challenges/concerns with my preceptor and/or my clinical site.
  • The absence of the application of EBP/CPGs in the clinical setting.
  • Challenges with gaining access to enough patients in the required age range.
  • Challenges with gaining access to a wide variety of diagnoses for the course population.
  • Incorrect action(s) taken by me at the clinical site.
  • Locating resources to assist with my clinical experience.
  • Anything else . . .
Topic to Discuss If any, type your response here –

 

 

August 16, 2024
August 16, 2024

 

  • Discuss how the principles of good prescribing should be applied to this case.,
  • Describe a cultural consideration that may affect medication adherence for this patient.,

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources within the last 5 years.,
  • Due august 19 at 11:59pm.

A 23-year-old biracial (Black Asian) female arrives at the clinic for an evaluation. She has lost 30 pounds in 6 weeks without trying. She complains of feelings of guilt about her symptoms and everyday sadness that does not go away.  She also states she is not able to stay asleep and has difficulty concentrating.  Her family is Jamaican and has used herbal teas, not a psychiatrist in the past to treat these symptoms.

  • Discuss how the principles of good prescribing should be applied to this case.
  • Describe a cultural consideration that may affect medication adherence for this patient.

 

 

 

Principles Of Good Prescribing

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources within the last 5 years.
  • Due august 19 at 11:59pm.

A 23-year-old biracial (Black Asian) female arrives at the clinic for an evaluation. She has lost 30 pounds in 6 weeks without trying. She complains of feelings of guilt about her symptoms and everyday sadness that does not go away.  She also states she is not able to stay asleep and has difficulty concentrating.  Her family is Jamaican and has used herbal teas, not a psychiatrist in the past to treat these symptoms.

  • Discuss how the principles of good prescribing should be applied to this case.
  • Describe a cultural consideration that may affect medication adherence for this patient.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources within the last 5 years.
  • Due august 19 at 11:59pm.

 

August 16, 2024
August 16, 2024

Which of the culture and caring theories most resonates with you for your practice as an NP?

 

In my future role as a Psychiatric Mental Health Nurse Practitioner, the nursing theory resonates with the Quality-Caring Model because it reveals and illustrates the importance of nursing in the context of evidence-based practice in contemporary healthcare. It encourages a method or manner of being, that subverts modernist norms and emphasizes the importance of connections. The blended model characterizes the two main connections that make up professional encounters by restating the relationship-centered aspect of nursing work. It is predicted that caring relationships benefit patients and their families as well as healthcare providers and systems (Thomas et al., 2019).

 

How does the theory integrate the nursing paradigm? ,

 

The Quality care Model unifies the nursing paradigm by centering the nursing process around relationships. This paradigm places a strong emphasis on the value of connections with patients, families, coworkers, oneself, and the community. To foster efficient caregiving and cohesive teams, it also recommends that nurses collaborate with other members of the healthcare team. The approach helps nurses deliver high-quality care by fusing these compassionate interactions with evidence-based practice (Compton et al., 2018).

culture and caring theories

 

What parts of the theory do you identify with? How does the theory help to meet CLAS standards to advance health equity?

 

One aspect of Duffy’s quality care model that resonates with me is how understanding patients’ perspectives on caring behaviors can assist the nursing team in identifying areas where rapport-building and improving the quality of life for patients and their families. Because it identifies eight caring factors acknowledging each other’s distinct meaning, fostering a healing atmosphere, offering attentive reassurance, human respect, encouraging behavior, meeting basic human needs, and working together to solve problems the Duffy quality care model contributes to meeting the CLAS standard by tailoring care to a patient’s linguistic and cultural preferences, medical professionals can assist improve health outcomes for a range of groups and reduce health disparities (U.S. Department of Health & Human Services, 2019).

 

References

 

Compton, E., Gildemeyer, K., Mason, T., Hartranft, S., & Sutton, S. (2018). Nurses’ Caring Behaviors: The Perception of Patients with Cancer at the Time of Discharge After Surgery. Clinical Journal of Oncology Nursing, 22(2), 169–174. https://doi.org/10.1188/18.cjon.169-174Links to an external site.

 

Thomas, D., Newcomb, P., & Fusco, P. (2019). Perception of Caring Among Patients and Nurses. Journal of Patient Experience, 6(3), 194–200. https://doi.org/10.1177/2374373518795713Links to an external site.

 

U.S. Department of Health & Human Services. (2019). What is CLAS? Think Cultural Health. https://thinkculturalhealth.hhs.gov/clas/what-is-clasLinks to an external site.

August 16, 2024
August 16, 2024

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4–5 page report.

program that would improve outcomes.

Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.

This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.

You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.

In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:

REQUIREMENT

Complete this assessment in three steps:

  1. Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.,
  2. Conduct a comparative analysis of different health care systems focusing on one aspect of the system you are proposing to change.,
  3. Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.,

The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

  • Identify an aspect of a local or regional health care system or program that should be a focus for change.
  • Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
  • Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
    • Choose one of the following options for selecting the two systems or programs:
      • Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
      • Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
    • Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
  • Explain why specific changes will lead to improved outcomes.
  • Determine the financial and health implications associated with the proposed changes.
    • Address the implications of making the changes.
    • Address the implications of not making the changes.
  • Write clearly and concisely in a logically coherent and appropriate form and style.
  • Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
August 13, 2024
August 13, 2024

Mastering in physics

Question-1. A box of mass m is sliding along a horizontal surface.

Part A The box leaves position x=0 with speed v0. The box is slowed by a constant frictional force until it comes to rest at position x=x1.,

Find the magnitude of the average frictional force that acts on the box. (Since you don’t know the coefficient of friction, don’t include it in your answer.)Express the frictional force in terms of m, v0, x1  Mastering in physics 

Mastering in physics ƒ
Part B After the box comes to rest at position x1 a person starts pushing the box giving it a speed v1.

When the box reaches position x2(wherex2 > x1), how much work has the person done on the box? Assume that the box reaches x2 after the person has accelerated it from rest to speedv1.Express the work in terms of m, v0, x1, x2, v1

Question-2

Understand that conservative forces can be removed from the work integral by incorporating them into a new form of energy called potential energy that must be added to the kinetic energy to get the total mechanical energy.

The first part of this problem contains short-answer questions that review the work-energy theorem. In the second part we introduce the concept of potential energy. But for now, please answer in terms of the work-energy theorem.(PART-A to PART E)

Mastering in physics

Question-1. A box of mass m is sliding along a horizontal surface.

Part A The box leaves position x=0 with speed v0. The box is slowed by a constant frictional force until it comes to rest at position x=x1.

Find the magnitude of the average frictional force that acts on the box. (Since you don’t know the coefficient of friction, don’t include it in your answer.)Express the frictional force in terms of m, v0, x1
Part B After the box comes to rest at position x1, a person starts pushing the box, giving it a speed v1.

When the box reaches position x2(wherex2 > x1), how much work has the person done on the box? Assume that the box reaches x2 after the person has accelerated it from rest to speedv1.Express the work in terms of m, v0, x1, x2, v1

Question-2

Understand that conservative forces can be removed from the work integral by incorporating them into a new form of energy called potential energy that must be added to the kinetic energy to get the total mechanical energy.

The first part of this problem contains short-answer questions that review the work-energy theorem. In the second part we introduce the concept of potential energy. But for now, please answer in terms of the work-energy theorem.(PART-A to PART E)

August 13, 2024
August 13, 2024
  • Determine the fundamental ways in which the NCAA’s ethics program failed to prevent the scandals at Penn Stateµ, Ohio State, and the University of Arkansas.
    • Support your response with one example from each of these schools’ scandals.
  • Examine the principal ways in which the leadership of the NCAA contributed to the ethical violations of Penn State, Ohio State, and the University of Arkansas.
    • Support your response with one example from each of these schools’ scandals.
  • Predict the key differences in the scenarios that occurred at Penn State, Ohio State, and the University of Arkansas if an effective ethics program was in place.
    • Provide a rationale for your response.
  • Postulate two actions that the NCAA leadership should take in order to regain the trust and confidence of students and stakeholders.
  • Recommend two measures that the HR departments of colleges and universities should take to prevent similar incidents from occurring in the future.
  • Determine the fundamental ways in which the NCAA’s ethics program failed to prevent the scandals at Penn State, Ohio State, and the University of Arkansas.
    • Support your response with one example from each of these schools’ scandals.
  • Examine the principal ways in which the leadership of the NCAA contributed to the ethical violations of Penn State, Ohio State, and the University of Arkansas.
    • Support your response with one example from each of these schools’ scandals.
      • NCAA's ethics program
  • Predict the key differences in the scenarios that occurred at Penn State, Ohio State, and the University of Arkansas if an effective ethics program was in place.
    • Provide a rationale for your response.
  • Postulate two actions that the NCAA leadership should take in order to regain the trust and confidence of students and stakeholders.
  • Recommend two measures that the HR departments of colleges and universities should take to prevent similar incidents from occurring in the future.
August 13, 2024
August 13, 2024
  • The last part of a change process typically includes the analysis and monitoring of any interventions that were implemented. This process entails data collection and measuring outcomes. The analysis would also require assessing the actual effectiveness of the interventions.

 

Once the initial effectiveness of interventions is determined, it is important to continue with routine or regular follow-up evaluations These evaluations would enable organizations to do the following:

 

Identify any other areas requiring improvement,

Track progress,

Make any necessary adjustments to the interventions,

Answer the following questions:

 

What are some examples of ways to analyze the effectiveness of organizational development (OD) interventions?

Why is key stakeholder involvement and feedback important to evaluate success of OD interventions?,

What monitoring strategy would you recommend to ensure that OD interventions are maintained?,

Reflect on a successful change that you were a part of. What advice would you give to help others manage change?,

Your final submission should consist of a 5–7-page Word document (including cover page and resource page).

change process

 

Please use this template to complete your work.

The last part of a change process typically includes the analysis and monitoring of any interventions that were implemented. This process entails data collection and measuring outcomes. The analysis would also require assessing the actual effectiveness of the interventions.

Once the initial effectiveness of interventions is determined, it is important to continue with routine or regular follow-up evaluations These evaluations would enable organizations to do the following:

  • Identify any other areas requiring improvement
  • Track progress
  • Make any necessary adjustments to the interventions

Answer the following questions:

  1. What are some examples of ways to analyze the effectiveness of organizational development (OD) interventions?
  2. Why is key stakeholder involvement and feedback important to evaluate success of OD interventions?
  3. What monitoring strategy would you recommend to ensure that OD interventions are maintained?
  4. Reflect on a successful change that you were a part of. What advice would you give to help others manage change?

Your final submission should consist of a 5–7-page Word document (including cover page and resource page).

Please use this template to complete your work.

August 13, 2024
August 13, 2024
  1. Master’s-level nurses need to be able to think critically about the evidence outcomes data and other relevant information they encounter throughout their daily practice. ,Often the evidence or information that a nurse encounters researches or studies is not presented in the exact context of that nurse’s practice., A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.,
  2. evidence outcomes data
  3. Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.
August 13, 2024
August 13, 2024
  • Identifying analysis techniques for assessing competitive advantage is important for building health care strategy gift.,Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment., This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team,assessing competitive advantage
  • community project, or other care setting is making a positive difference.Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.
August 13, 2024
August 13, 2024

 

evolution of epidemiology in public health.

Choose 1 of the following key pioneers in the field, and discuss his influence and contribution to epidemiology in public health:

evolution of epidemiology

Hippocrates

John Graunt

Edward Jenner

Lemuel Shattuck

Edwin Chadwick

John Snow

Louis Pasteur

Robert Koch

Part 2

**Using Health condition: Hypertension, African Americans, and the state of Georgia as the subjects for this assignment. ***

Choose a disease or health condition., Determine a local jurisdiction on which you would like to concentrate (city township  county or state). ,Examine the epidemiology of the chosen disease reviewing its history and trend comparing the national trend to the chosen local jurisdiction., Describe the local jurisdiction (population and demographics)., This will be the introduction to your final assignment.

evolution of epidemiology in public health.

Choose 1 of the following key pioneers in the field, and discuss his influence and contribution to epidemiology in public health:

Hippocrates

John Graunt

Edward Jenner

Lemuel Shattuck

Edwin Chadwick

John Snow

Louis Pasteur

Robert Koch

Part 2

**Using Health condition: Hypertension, African Americans, and the state of Georgia as the subjects for this assignment. ***

Choose a disease or health condition. Determine a local jurisdiction on which you would like to concentrate (city, township, county, or state). Examine the epidemiology of the chosen disease, reviewing its history and trend, comparing the national trend to the chosen local jurisdiction. Describe the local jurisdiction (population and demographics). This will be the introduction to your final assignment.

evolution of epidemiology in public health.

Choose 1 of the following key pioneers in the field, and discuss his influence and contribution to epidemiology in public health:

Hippocrates

John Graunt

Edward Jenner

Lemuel Shattuck

Edwin Chadwick

John Snow

Louis Pasteur

Robert Koch

Part 2

**Using Health condition: Hypertension, African Americans, and the state of Georgia as the subjects for this assignment. ***

Choose a disease or health condition. Determine a local jurisdiction on which you would like to concentrate (city, township, county, or state). Examine the epidemiology of the chosen disease, reviewing its history and trend, comparing the national trend to the chosen local jurisdiction. Describe the local jurisdiction (population and demographics). This will be the introduction to your final assignment.