PSYC 355 Week 2 SPSS

/0 Comments/in /by

PSYC 355 Week 2 SPSS

 

PSYC 355 Week 2 SPSS

Independent Samples t-Tests

Part 1:

Green & Salkind: Lesson 24, Exercises 1–5

The following helpful tips are numbered to correspond with the exercise number to which they refer:

1.      Type these values out underneath your copied and pasted output. (3 pts)

2.      Instead of identifying these values on your output, as the text states, write them in your Word file as written answers for #2 a, b, and c. (3 pts, 1 point for each letter)

3.      The effect size statistic must be computed by hand (or calculator). Use the second “easier” formula for d, found in the section on Effect Size Statistics in this lesson. (3 pts)

4.      All homework “Results sections” must follow the example given in the Course Content document “Writing Results of Statistical Tests in Current APA Format” (Note: you do not have to refer to a figure). (3 pts)

5.      Create a boxplot (not an error bar graph) using the following steps (covered also in Lesson 21). (3 pts)

Go to Graphs > Legacy Dialogs > Boxplot > Select “Simple” > Select “Summaries for Groups of Cases”

Click “Define” and Variable = “Time Spent” (this is your dependent variable) and Category Axis = “Weight” (this is your independent, or grouping, variable)

Click OK

Part 2:

1. A learning psychologist is interested in comparing the success of 2 different mnemonics (memorization methods) on performance in a memory task. He assigns students to two groups, one which learns and uses a language-based rhyming memory technique, and one which learns and uses a visual “method of loci” spatial memory technique. He then administers a memory task to each group of students. The students are scored based on the percentage of correct answers. Using the table below, enter the data into a new SPSS data file and use an independent-samples t test to analyze the claim that the two mnemonic styles are different.

The steps will be the same as the ones you have been practicing in Part 1 of the assignment—the only difference is that you are now responsible for creating the data file as well. Remember to name and define your variables under the “Variable View,” then return to the “Data View” to enter the data. (3 for output)

Table is shown on following page.

Language-Based

82

89

67

94

76

63

89

84

93

Spatially-Based

93

78

99

87

78

62

87

91

95

2. Create a boxplot illustrating the differences between the two methods of language learning. (3)

3. Write a current APA-style Results section based on your analyses. All homework “Results sections” must follow the example given in the SPSS tutorials and the Course Content document “Writing Results of Statistical Tests in APA Format” (note: you do not have to refer to a figure). Remember to include a decision about the null hypothesis. (4)

Part 3: Cumulative Homework

1. The effects of a new faith-based anxiety treatment program are studied in a group of elderly patients with Generalized Anxiety Disorder (GAD). One of the outcome measures is the Geriatric Anxiety Inventory (GAI) (Pachana et al., 2007), a measure with possible scores from 0–20, with higher scores indicating higher anxiety. A large group of elderly patients completed the GAI before treatment. Fifteen patients with GAI scores of 10 or higher were chosen to participate in the study. The patients underwent the treatment program and completed the GAI at the end of treatment. The scores are listed below. Do the elderly patients exhibit lessened anxiety, as demonstrated by their GAI scores, after participating in the faith-based treatment program? Choose the correct test to analyze this question, set up the SPSS file, and run the analysis. Follow the directions under the table below.

GAI Score Before Treatment

GAI Score After Treatment

10

12

17

13

10

13

16

11

11

15

18

11

11

14

15

7

11

12

14

9

10

12

11

13

13

17

9

13

10

12

1.      Paste appropriate SPSS output. (5)

2.      Paste appropriate SPSS graph. (5)

3.      Write a current APA-style Results section based on your analyses. All homework “Results sections” should follow the example given in the SPSS tutorials and the Course Content document “Writing Results of Statistical Tests in APA Format” (note: you do not have to refer to a figure). Remember to include a decision about the null hypothesis. (5)

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NURS 6660: Bipolar Disorder

/0 Comments/in /by

NURS 6660: Bipolar Disorder

 

NURS 6660: Bipolar Disorder

Question

NURS6660 Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent

Week 8 Discussion

Pediatric Bipolar Depression Disorder Debate

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact.

In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

Learning Objectives

Students will:

Evaluate diagnosis of pediatric bipolar depression disorder

Analyze consequences to diagnosing/failing to diagnose pediatric bipolar depression disorder

To Prepare for the Discussion:

The instructor will assign you a position for or against the issue of diagnosing pediatric bipolar depression disorder.

Review the Learning Resources concerning the controversy over the diagnosis of pediatric bipolar depression disorder.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post:

Write “for” or “against” in the subject line of your Discussion post.

Based on the position you were assigned, justify whether or not pediatric bipolar depression disorder should be diagnosed.

Support your position with evidence and examples.

By Day 6

Respond to at least two of your colleagues who argued the opposite side as you by countering their argument with evidence. Identify at least two consequences to support your position.

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

DHA 723: Integrating E-Health

/0 Comments/in /by

DHA 723: Integrating E-Health

 

DHA 723: Integrating E-Health

DHA 723 Week 7 Individual Assignment Integrating E-Health Applications
Write a 500-word executive summary that includes the following:

Recapitulate your views.

Articulate your rationale for agreeing or disagreeing with the speakers.

Describe how to apply the speakers’ ideas in your current organization.

DHA 723 Assignment Integrating E-Health

Write a 1,400- to 1,750-word paper on the evolution of a software application used in your health care organization or another health care organization, such as a clinic, surgical center, hospital, imaging center, cancer center, and so forth. Explain how the process functioned before the software application was implemented.

Diagram the timeline and the decision makers involved in recognizing system vulnerabilities, identifying viable alternatives, and selecting optimal software.

Electronic health (eHealth) and mobile health (mHealth) tools can support and improve the whole process of workplace health promotion (WHP) projects. However, several challenges and opportunities have to be considered while integrating these tools in WHP projects. Currently, a large number of eHealth tools are developed for changing health behavior, but these tools can support the whole WHP process, including group administration, information flow, assessment, intervention development process, or evaluation.

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NURS 6660: Client Treatment

/0 Comments/in /by

NURS 6660: Client Treatment

 

NURS 6660: Client Treatment

Question

NURS6660 Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent

Week 4 Assignment 2

Decision Tree

For this Assignment, you examine the client case study in this week’s Learning Resources. Consider how you might assess and treat pediatric clients presenting with symptoms noted in the case.

Note: This Assignment is the first of three assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine Case 1. You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?

 

Assignment: NURS 6660 Client Treatment

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Submit your Assignment. Refer to Week 3 for additional guidance.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn2+last name+first initial.(extension)” as the name.

Click the Week 4 Assignment 2 Rubric to review the Grading Criteria for the Assignment.

Click the Week 4 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn2+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NU641 Case Study Week 14: Thyroid Disorders

/0 Comments/in /by

NU641 Case Study Week 14: Thyroid Disorders

List specific goals of treatment for Maria.

In the case of Maria, primary hypothyroidism is a medical condition where the thyroid gland does not produce enough hormones. Treatment for this condition includes hormone replacement therapy with synthetic thyroid hormones. The goal of this treatment should be to restore normal thyroid hormone levels in the body, reduce signs and symptoms, and minimize the risk of long-term complications (Bilous et al., 2021). The doctor should aim to monitor her progress to assess how well the treatment is working. This can be done by regularly checking her blood work for any changes in hormone levels. She may need to adjust her dosage to achieve the desired results if needed.

The doctor should also assess Maria regularly to ensure the treatment is effective and to spot any side effects. While treating Maria, it is important to provide her with emotional support and education. She should be aware of the signs and symptoms of hypothyroidism and be able to recognize any changes in her health (Bilous et al., 2021). With the right support, Maria can make lifestyle changes that can be beneficial in optimizing her treatment outcomes.

What drug therapy would you prescribe? Why?

In the case of Maria, a 29-year-old woman with a seven-month history of heavy, irregular menses, weight gain, constipation, and decreased energy, I would recommend levothyroxine, a synthetic form of the hormone thyroxine, to treat her primary hypothyroidism. This hormone helps regulate metabolism, energy, and body temperature and is the most commonly prescribed drug for patients with this condition. The dosage, frequency, and duration of the drug therapy depend on the degree of the patient’s hypothyroidism and their individual needs; however, I would typically prescribe a daily dosage of 25-50 mcg. This dosage can then be increased gradually until the desired level is achieved. Depending on the patient’s individual needs, the frequency and duration of the drug therapy may need to be adjusted. Always monitor the patient’s TSH and T4 levels regularly to ensure the dosage is effective (Effraimidis et al., 2021). In summary, to treat Maria’s primary hypothyroidism, I would prescribe levothyroxine, with a starting daily dosage of 25-50 mcg, and adjust the dosage, frequency, and duration as required. Regular monitoring is also vital for ensuring the effectiveness of the medication.

What are the parameters for monitoring the success of the therapy?

Once a diagnosis of primary hypothyroidism is made, it is important to monitor the patient’s progress with therapy. The most reliable way to monitor the success of therapy is to regularly measure the patient’s Free T4, Thyroid Stimulating Hormone (TSH) level, and thyroid peroxidase (anti-TPO) antibodies. Additionally, indicators such as symptoms, body weight, blood pressure, physical examination, and electrolyte levels should be monitored to help determine if the patient is responding to treatment. In Maria’s case, it is important to monitor her Free T4, TSH, and anti-TPO antibody levels to ensure they return to normal levels (Fitzgerald & Falhammar, 2022). Her progress should also be monitored via physical examination, weight, and blood pressure. The patient should also be evaluated for other thyroid-related conditions, such as thyroid nodules or Graves’ Disease, as these can significantly impact the success of treatment. Furthermore, any changes in symptoms, such as an increase in energy levels or a decrease in menstrual problems, should also be monitored as indicators of success with therapy.

Discuss specific patient education based on the prescribed therapy.

Given Maria’s diagnosis of primary hypothyroidism, it is important for her to be provided with adequate patient education regarding the prescribed levothyroxine therapy. Patient education typically involves providing Maria with information about her condition and medications. As such, it is important to stress the importance of taking the prescribed levothyroxine to achieve and maintain optimal health. Additionally, Maria should be informed of the potential side effects of the medication, as well as any signs and symptoms that could indicate that a change in dosage or additional medical attention is necessary (Jonklaas et al., 2021). Additionally, patient education should include an explanation of the importance of taking the medication regularly and at the same time of day each day to ensure optimal absorption of the medication. Additionally, Maria should be encouraged to avoid taking food or supplements containing iron or calcium within four hours of taking the levothyroxine, as this can interfere with the absorption of the medication. Furthermore, it is important to discuss follow-up plans with Maria to assess the medication’s effectiveness and make any necessary adjustments or changes.

List one or two adverse reactions for the selected agent that would cause you to change therapy.

In the case of Maria, who has primary hypothyroidism, it is essential to monitor the treatment with levothyroxine carefully. Side effects of levothyroxine can include insomnia, nervousness, appetite changes, and an irregular heartbeat (Jonklaas et al., 2021). If Maria were to experience any adverse reactions, it might be necessary to change the therapy prescribed. Therefore, in the case of an elevated heart rate, severe insomnia, or drastic changes in appetite, it would be wise to switch to an alternative thyroid hormone medication or to adjust the dosage of levothyroxine being taken.

What would be the choice for second-line therapy?

The second-line therapy choice for primary hypothyroidism, when treatment with levothyroxine is insufficient, is liothyronine. Liothyronine is a medication that acts as a synthetic form of the thyroid hormone triiodothyronine (T3). The usual dosage is 5-20 mcg/day orally, which can be adjusted depending on the patient’s response and levels of the thyroid hormones. It is recommended to take the medication once a day and to reassess TSH, free T4, and free T3 concentrations after six weeks (Concepción-Zavaleta et al., 2021). If the new tests reveal that the patient is still symptomatic, treatment can be further adjusted. Liothyronine should be taken for no more than 2-3 months. It is important to monitor TSH and thyroid hormone levels throughout treatment to determine which therapy is the most effective for each individual.

What over-the-counter and alternative medications would be appropriate for Maria?

Over-the-counter medications such as multivitamins, probiotics, and omega-3 fatty acids may help to ameliorate some of the symptoms of primary hypothyroidism. Multivitamins should be taken at the recommended dosage of one pill per day. Probiotics can be taken in one capsule daily, while omega-3 fatty acids can be taken at 1-2 tablespoons daily (Concepción-Zavaleta et al., 2021). Alternative treatments such as acupuncture may also help improve primary hypothyroidism symptoms. Acupuncture should be done for at least ten sessions over 4-6 weeks. It is important to consult a healthcare professional before beginning any alternative treatment.

What lifestyle changes would you recommend to Maria?

In light of Maria’s diagnosis of primary hypothyroidism, it is important to recommend the lifestyle changes necessary to help manage the condition. In particular, Maria should focus on changes to her diet, exercise habits, and stress levels. First and foremost, it is important to ensure that Maria has a balanced and healthy diet (Mahdavi et al., 2021). Consuming foods high in nutrients, vitamins, and minerals can help her maintain a healthy weight, boost her immunity, and improve overall energy levels, which the condition may hamper. Additionally, it is important to be mindful of Maria’s current iron and calcium supplement intake, opting for food sources of these important minerals instead.

In terms of exercise, Maria should talk to her healthcare provider to establish a tailored exercise plan to help her maintain a healthy weight and increase her energy levels. Since primary hypothyroidism can cause tiredness, fatigue, and malaise, the exercise plan should be reasonable. Rather, it should consist of low-impact aerobic exercises, such as swimming and walking, to boost her energy without taking too much from her (Mahdavi et al., 2021). Finally, Maria should take steps to reduce her stress levels. This often requires lifestyle changes, such as simplifying one’s life and focusing on activities that bring joy and relaxation. Mindfulness practices such as yoga, tai chi, and meditation can also help to reduce stress. Additionally, Maria needs to get proper rest to help her body cope with the condition’s symptoms.

Describe one or two drug–or drug–food interactions for the selected agent.

Patients taking levothyroxine are advised to avoid eating soy products, fiber-containing foods, and calcium supplements within four hours of taking the medication, as these could interfere with the drug’s absorption. One drug-drug interaction to consider is when levothyroxine is taken in combination with carbamazepine, as this can reduce the effectiveness of levothyroxine (Mahdavi et al., 2021). When taking levothyroxine, patients should also be mindful of interactions with other medications, such as antacids, antidepressant medications, and anticoagulants. They should discuss any potential interactions with their healthcare provider. In addition, alcohol consumption should be monitored while taking levothyroxine, as it can enhance the side effects of the drug, such as nervousness, insomnia, and a rapid heart rate (Effraimidis et al., 2021). Alcohol consumption has also been linked to reduced levels of thyroid hormones in the body and should be avoided if possible. Overall, patients should speak with their healthcare provider about any potential interactions and follow the specific dosing instructions for optimal dosing and absorption of the medication.

 

References

Bilous, I., Pavlovych, L., & Kamyshnyi, A. (2021). Primary hypothyroidism and autoimmune thyroiditis alter the transcriptional activity of genes regulating neurogenesis in patients’ blood. Endocrine Regulations, 55(1), 5–15. https://doi.org/10.2478/enr-2021-0002

Concepción-Zavaleta, M. J., Ildefonso-Najarro, S. P., Paz-Ibarra, J., Fernández-Dávila, F. R. V., Gómez-Condori, D. C. D., Rivera-Fabián, K. E., Herrera-Cabezas, R. G., & Concepción-Urteaga, L. A. (2021). Liothyronine use in primary hypothyroidism — current concepts. Endokrynologia Polska, 72(6), 650–660. https://doi.org/10.5603/ep.a2021.0093

Effraimidis, G., Watt, T., & Feldt-Rasmussen, U. (2021). Levothyroxine Therapy in Elderly Patients with Hypothyroidism. Frontiers in Endocrinology, 12. https://doi.org/10.3389/fendo.2021.641560

Fitzgerald, S. A., & Falhammar, H. (2022, June 16). Redefinition of Successful Treatment of Patients with Hypothyroidism. Is TSH the Best Biomarker of Euthyroidism? Frontiers in Endocrinology, 13. https://doi.org/10.3389/fendo.2022.920854

Jonklaas, J., Bianco, A. C., Cappola, A. R., Celi, F. S., Fliers, E., Heuer, H., McAninch, E. A., Moeller, L. C., Nygaard, B., Sawka, A. M., Watt, T., & Dayan, C. M. (2021). Evidence-Based Use of Levothyroxine/Liothyronine Combinations in Treating Hypothyroidism: A Consensus Document. Thyroid, 31(2), 156–182. https://doi.org/10.1089/thy.2020.0720

Mahdavi, M., Amouzegar, A., Mehran, L., Madreseh, E., Tohidi, M., & Azizi, F. (2021). Investigating the prevalence of primary thyroid dysfunction in obese and overweight individuals: Tehran thyroid study. BMC Endocrine Disorders, 21(1). https://doi.org/10.1186/s12902-021-00743-4

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

NU641 Case Study Week 14: Thyroid Disorders

Write four pages Each

Provide 6 or more references for both papers. 

Jessica wants her’s to look more like PV3 and Airen’s. Jessica wants four pages.

Pay Attention: For question 2 and 6. When mentioning a drug. Provide the dosage, frequency and duration. Just as Airen mentioned. The same is done in PV2 and PV1 question 2.

For Robert, Also focus on PV3 and other samples. Make sure to provide the dosage, frequency and duration for question 2 and 6. Please do not use the 5mcg in PV2 for Robert. I think it is too small.

NU641 Case Study Week 14 – Thyroid Disorders

 

Maria is a 29-year-old woman with a seven-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow.

 

Laboratory studies are as follows:

 

TSH is 15.3 mIU/mL (elevated), free T4 is 0.3 mIU/mL (decreased), and total cholesterol is 276 mg/mL.

 

Diagnosis: Primary Hypothyroidism

  1. List specific goals of treatment for Maria.
  2. What drug therapy would you prescribe? Why?
  3. What are the parameters for monitoring the success of the therapy?
  4. Discuss specific patient education based on the prescribed therapy.
  5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
  6. What would be the choice for second-line therapy?
  7. What over-the-counter and/or alternative medications would be appropriate for Maria?
  8. What lifestyle changes would you recommend to Maria?
  9. Describe one or two drug–drug or drug–food interactions for the selected agent.

 

Clinical experience week 7

/0 Comments/in /by

Clinical experience week 7

Clinical Experience and Patient Assessment in a Primary Care Setting

This week’s experience working as a student nurse practitioner in a primary care clinic allowed me to integrate better the knowledge I have learned in school and acquaint myself with my student nursing skills. During auscultation, I detected wheezes and the patient’s elevated respiratory rate; the chart revealed that she has seasonal allergies and spends most of her time in her chest. These data suggest that the clinician needs to meet her diagnostic goals and help her maintain optimal lung health to give an effective treatment plan. Breathlessness, wheezing, and coughing were all part of the patient’s bronchial asthma symptom complex.

The patient may be diagnosed with asthma, COPD, or allergic rhinitis, among other diagnoses that frequently confound medical professionals. Based on the patient’s medical history, there were indicators that the associated allergies and respiratory issues could potentially cause an asthma attack. Therefore, in this case, the asthma attack was actual. When these symptoms are present, especially in frequent smokers, another condition may be the primary cause of chronic cough and dyspnea. The concurrent presentation of seasonal diseases, which can be linked to the history of allergies, is one of the best indicators for diagnosing allergic rhinitis (Jansen et al., 2021). We carefully looked into the matters that were crucial to this investigation. After that, we monitored and evaluated the patient’s tidal volume until it died.

A patient is prescribed a long-term inhaler, which works on the airways to prevent the inflammation from worsening and producing negative symptoms. Furthermore, a quick-acting bronchodilator can be taken immediately in an emergency to treat a worsening disease. I also demonstrated to them how to use the examples and recommendations for the allergen avoidance strategy. In order to do this, adding nasal corticosteroid spray to the medication will be the best option. In order to lessen exposure to allergens, this research discusses occupational health promotion methods such as using inhalers, quitting smoking, and changing the office environment (Keogan et al., 2021). This one-day clinical encounter indicates that the supervisor’s use of an evidence-based medicine concept-based research and analytical evaluation technique is a viable means of diagnosing and treating respiratory disorders in a respiratory specialist. In addition to my proficiency with technology, typical patient plans or directions, and analytics, I want to demonstrate my care. I am going to make humility, empathy, and compassion manifest. Improving patient care and, as a result, my patients’ clinical outcomes are some of the abilities I would like to include in my practice.

References

Jansen, E. M., van de Hei, S. J., Dierick, B. J., Kerstjens, H. A., Kocks, J. W., & van Boven, J. F. (2021). Global burden of medication non-adherence in chronic obstructive pulmonary disease (COPD) and asthma: a narrative review of the clinical and economic case for smart inhalers. Journal of Thoracic Disease, 13(6), 3846. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264677/

Keogan, S., Alonso, T., Sunday, S., Tigova, O., Fernández, E., López, M. J., … & TackSHS Project Investigators (all listed in Appendix). (2021). Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas. Journal of Asthma, 58(9), 1169-1175. https://www.tandfonline.com/doi/abs/10.1080/02770903.2020.1766062

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

Clinical experience week 7

Describe your clinical experience for this week in the primary care office. Describe the assessment of a patient you saw in the primary care office as a Nurse practitioner student, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. Mention the health promotion intervention for this patient. What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse? Support your plan of care with the current peer-reviewed research guideline. Your initial post should be at least 300 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years.

 

The Elderly’s Function Loss

/0 Comments/in /by

The Elderly’s Function Loss

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

The Elderly’s Function Loss

Instructions for The Elderly’s Function Loss assignment: Question description

Function Loss Assignment for the Elderly:

Car Fit can be found at http://www.car-fit.org. This is a group that helps the elderly promote safety by making driving a safer activity.
Also, watch a brief video that explains what they do. Then click on a few of the links to get a sense of the highlights of the program.
After becoming acquainted with the program, select a couple of the features that address the loss of function in the elderly, which can make driving a dangerous activity.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

Nursing Degree Programs Assignment

/0 Comments/in /by

Nursing Degree Programs Assignment

Nursing Degree Programs Assignment

Week 3 – W3 Assignment 1 Discussion

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

To support your work, use your course and text readings and articles from the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Complete the following task:

Read the following and choose one of the articles from the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Database in the South University Online Library.
Romero-Collado, A., Raurell-Torreda, M., Zabaleta-del-Olmo, E., Homs-Romero, E., & Bertran-Noguer, C. (2015). Course content related to chronic wounds in nursing degree programs in Spain.Journal of Nursing Scholarship, 47(1), 51-61. doi: 10.1111/jnu.12106
Yung-Mei, Y., Hsiu-Hung, W., Fang-Hsin, L., Miao-Ling, L., & Pei-Chao, L. (2015). Health empowerment among immigrant women in transnational marriages in Taiwan. Journal of Nursing Scholarship, 47(1), 135-142. doi: 10.1111/jnu.12110
Discussion:

Read the process for data collection employed in the study. As a part of your discussion response, identify the method used in the study.
Provide a bulleted list of the five tasks performed as part of data collection in the study. Follow the bulleted list in the summary as key points. Click here to enter your responses in the organizer.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

 

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me: 
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Nursing: Physical Health Assessment

/0 Comments/in /by

Nursing: Physical Health Assessment

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

Nursing: Physical Health Assessment

Healthy People Initiative

The topic this week asks you to apply what you have learned to the following case study.

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 and your text as a guide, answer the following questions.

What additional information would you like to gather from Maria?
What are Maria’s real and potential health risks?
Why is Maria’s culture important when obtaining the health assessment?
Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

 

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me: 
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
 

Quality Improvement Milestones

/0 Comments/in /by

Quality Improvement Milestones

CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER

Quality Improvement Milestones

Throughout history, major events have influenced quality improvement efforts in health care. For example, the Institute of Medicine’s report To Err is Human: Building a Safer Health System revealed statistics about errors in patient safety that result in thousands of deaths annually. Health care providers must be cognizant of the purpose and philosophy of quality improvement efforts as they lead the charge for improving health outcomes and patient safety. This Discussion is intended to help you understand how various developments have shaped contemporary perspectives and approaches to promoting health care quality.

By tomorrow 11/28/17, write a minimum of 550 words essay in APA format with 3 references from the list below which addresses the level one headings as numbered below:

Post a cohesive scholarly response that addresses the following:

When “To Err is Human” was published in 1999, it marked an important milestone in Quality Improvement Science.

1) Analyze how this milestone has influenced the health care delivery system and nursing practice.

2) Provide an example from your own work history and experience as to how the patient safety movement has affected your practice.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed.Chicago, IL: Health Administration Press.

Chapter      1: “Healthcare Quality and the Patient”
Chapter      2: “Basic Concepts of Healthcare Quality”
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.

Executive summary: Released in 1999, this groundbreaking report provides the rationale for implementing comprehensive improvements in patient safety, an important subset of health care quality. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

Executive summary: This report was published by the Institute of Medicine in 2001 to highlight the significant gap between the state of health care quality and where it should be. The report draws attention to the need to improve the U.S. health care delivery system as a whole, and identifies six areas for improvement: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Wachter, R. M. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173.

This article presents an analysis of progress in patient safety since the publication of the IOM report, To Err is Human.As you read this article, evaluate the author’s critique, and consider recent developments that continue to shape patient safety efforts in health care.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Concepts of quality and patient safety. Baltimore: Author.

This video examines the recent history of the quality improvement movement, including two pivotal IOM reports, To Err is Human and Crossing the Quality Chasm. Dr. Donald Berwick introduces six dimensions of quality: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Other topics addressed include transparency, the prevention of adverse events, and the usefulness of international comparisons for quality assessment and improvement.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

 

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me: 
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Discussion: Quality Improvement Milestones