Get help from the best in academic writing.

Surname 2 Student’s Name Professor’s Name Course Date #Q8: A Midsummer Night’s Ap History Essay Help

PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Emotional care for the child and the care giver free college essay help
QUESTIONAUG 16, 2019

How would the LPN contribute to the plan of care for a surgical client? You may choose any surgical procedure, related to pregnant patient or a pediatric patient. Identify three need areas and identif

How would the LPN contribute to the plan of care for a surgical client? You may choose any surgical procedure, related to pregnant patient or a pediatric patient. Identify three need areas and identify a goal for each and four standard interventions from which you would select. Utilize APA formatting to cite your resources. Be sure to cover the following:

Description of the disorder that led to the need for surgerySafety concerns for this age group or stage of development.Ambulation, rest, play, toys, and games for this patient.Fluid and nutritional needs for the patient following surgery.Equipment that will be needed for the patient following surgery.Educational needs of the patient and family.Emotional care, for the child and the care giverNeeded health care information under the care of the RN would the LPN need to identify?

Spelling, grammar and APA format

Description of the disorder that led to the need for surgery

Safety concerns for this age group or stage of development.   Ambulation, rest, play, toys, and games for this patient. Fluid and   nutritional needs for the patient following surgery. Equipment that will be   needed for the patient following surgery.

Identify health information needed to provide care to the   post-op client.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Model of spiritual assessment questions admission college essay help: admission college essay help
QUESTIONAUG 16, 2019

Nurses are caring people, and with that in mind, they sometimes have trouble asking patients personal or more intimate questions. Your assigned textbook reading for this module includes a list of spir

Nurses are caring people, and with that in mind, they sometimes have trouble asking patients personal or more intimate questions. Your assigned textbook reading for this module includes a list of spiritual assessment questions that nurses can use to learn more detailed information regarding the spirituality of their patients. Ensure that you read these questions and identify three (3) of the questions that you might have difficulty asking a patient. Discuss why you believe these three questions would be difficult for you to ask your patient and how you can overcome this uneasiness.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Discussion on Diabetes Case Study essay help free
QUESTIONAUG 16, 2019

Diabetes Case Study Chief Complaint “My left foot feels weak and numb. I have a hard time pointing my toes up.” History of Present Illness D.T. is 42-year-old Caucasian woman who has had an elevated b

Diabetes Case Study

Chief Complaint

“My left foot feels weak and numb. I have a hard time pointing my toes up.”

History of Present Illness

D.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.

Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone.

Past Medical History

Seasonal allergic rhinitis (since her early 20s)Breast biopsy positive for fibroadenoma at age 30Gestational diabetes with second child 10 years agoMultiple yeast infections during the past 3 years that she has self-treated with OTC antifungal creams and salt bathHypertension for 10 years

Past Surgical History

C-section 14 years ago

OB-GYN History

Menarche at age 11Last pap smear 3 years ago

Family History

Type 2 DM present in older brother and maternal grandfather. Both were diagnosed in their late 40s. Brother takes both pills and shots.Mother alive and wellFather has COPDTwo other siblings alive and wellAll three children are alive and well

Social History

Married 29 years with 3 children; husband is a school teacherFamily lives in a four bedroom single family homePatient works as a seamstressSmokes 1 pack per day (since age 16) and drinks two alcoholic drinks 4 days per weekDenies illegal drug usesNever exercises and has tried multiple fad diets for weight loss with little success. She now eats a diet rich in fats and refined sugars.

Allergies

NKDA

Medications

Lisinopril 10 mg dailyLoratadine 10 mg daily

Review of Systems

General

Admits to recent onset of fatigue

HEENT

Has awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speaking

Cardiac

Denies chest pain, palpitations, and difficulty breathing while lying down

Lungs

Denies cough, shortness of breath, and wheezing

GI

Denies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipation

GU

Has experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinence

EXT

Denies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episode

Neuro

Has never had a seizure and denies recent headaches

Derm

Has a rash under her bilateral breast and in groin area

Endocrine

Denies a history of goiter and has not experienced heat or cold intolerance

Vital Signs

BP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbs

What you need to do:

Develop an evidence-based management plan.Include any pertinent diagnostics.Describe the patient education plan.Include cultural and lifespan considerations.Provide information on health promotion or health care maintenance needs.Describe the follow-up and referral for this patient.Prepare a 3–5-page paper (not including the title page or reference page).

Format

The paper should be no more than 3–5 pages (not including the title page and reference pages.

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.

Your writing Assignment should:

follow the conventions of Standard American English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format as outlined in the APA Progression Ladder.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

The Exercise Risk Questionnaire Assesment essay help services: essay help services
QUESTIONAUG 15, 2019

Assignment Background: The Exercise Risk Questionnaire (ERQ) and Risk Classification Calculator (RCC) are tools used to determine if exercise is safe and appropriate for a client. For this Assignment,

#3A – Assignment Background:

The Exercise Risk Questionnaire (ERQ) and Risk Classification Calculator (RCC) are tools used to determine if exercise is safe and appropriate for a client. For this Assignment, you will conduct both a self-assessment as well as a client assessment using your client (SEE ATTACHMENT). You will determine both your personal risk status as well as your exercise and fitness needs based on your age and precautions. You will also determine your clients personal risk status as well as his exercise and fitness needs based on his age and precautions.

Instructions:

Part 1: Self-Assessment

Complete the ERQ assessment and RCC (http://www.exrx.net/Testing/ERQ.html and http://www.exrx.net/Calculators/RiskClass.html. Using your results, discuss whether you answered “yes” on any questions in the ERQ or RCC and if so, which questions? Based on your results, are you considered high, moderate, or low risk? Would you need a physician’s approval before beginning an exercise program? Do you have any precautions or limitations to consider when designing an exercise program?

Next, determine your exercise needs based on your age and precautions. Describe the minimum exercise recommendations per the Physical Activity Guidelines for Americans based on your age and cohort. Discuss whether you are currently meeting the recommendations. If yes, provide a detailed discussion about your current exercise program. If you are not meeting the recommendations, discuss how you are falling short and what has prevented you from achieving them in the last 30 days. 

Part 2: Client Assessment (Justin)

Read your clientsbiography (SEE ATTACHMENT). Using this information, complete the ERQ assessment and RCC (SAME LINKS AS ABOVE).  Based on the results, discuss whether he answered “yes” on any questions in the ERQ or RCC, and if so, which questions? Based on his results, is he considered high or low risk? Would the client need a physician’s approval before beginning an exercise program? Does he have any precautions or limitations to consider when designing an exercise program for him?

Next, determine his exercise needs based on his age and precautions. Describe the minimum exercise recommendations per the Physical Activity Guidelines for Americans based on the client’s age and cohort. Discuss whether he is currently meeting the recommendations. If yes, provide a detailed discussion about his current exercise program. If he is not meeting the recommendations, discuss how he is falling short and what has prevented him from achieving them in the last 30 days. 

Requirement

APA FormatU.S. references within 5-7 yearsMinimum length 3 pagesNO PLAGIARISM

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Breach of ethics in healthcare research college application essay help online: college application essay help online
QUESTIONAUG 15, 2019

Please help with this assignment. This assignment should be 2 paragraphs in length. Please use the following information: Identify a recent breach of ethics in healthcare research. Describe which of t

Please help with this assignment. This assignment should be 2 paragraphs in length. Please use the following information:

Identify a recent breach of ethics in healthcare research. Describe which of the principles in the readings were breached. What safeguards could have been put into place to prevent the breach?

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Elements of the Affordable Care Act college essay help service
QUESTIONAUG 15, 2019

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials: “Abo

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

“About the Affordable Care Act”“Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Factors that affect the health of communities descriptive essay help: descriptive essay help
QUESTIONAUG 14, 2019

Prepare a 3–4 page report on a critical health issue in a community or state. Describe the factors that contribute to the health issue and interventions that have been implemented. Explain the scope a

Prepare a 3–4 page report on a critical health issue in a community or state. Describe the factors that contribute to the health issue and interventions that have been implemented. Explain the scope and role of nursing in the interventions, and recommend ways the scope of the interventions might be expanded.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

SHOW LESS

Competency 1: Explain the factors that affect the health of communities.Explain the factors that contribute to a critical health care issue within a specific community.Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.Describe current interventions to target a critical health care issue within a specific community.Describe the scope and role of nursing in current interventions that target a critical health care issue.Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.Describe a critical health care issue within a specific community.Write content clearly and logically with correct use of grammar, punctuation, and mechanics.Correctly format citations and references, using current APA style.

Requirements

Format this assessment as a professional report. It may help to look at reports or other documents used within your organization and to follow that formatting. You must still follow APA guidelines for in-text citations and references, and include a title page and reference page.

Within the report:

Describe one critical health issue in your community or state that has grown larger or has the potential to become larger. Be sure to include any statistics available on the health issue. Tip: check your county and/or state health department Web site.Explain the factors that contribute to this health issue. Consider things such as access to health care services, economics, culture, attitude, education, health care policies, and so on.Describe any interventions your community or state has put in place to address the health care issue. Include information on how long the interventions have been in place, how the community was made aware of the interventions, and so on.Describe the scope and role of nursing and public health nursing in the interventions to reduce the health issue.Recommend evidence-based ways the scope of the interventions could be expanded to increase positive health outcomes. Think in terms of cost, efficiency and access, effectiveness, and the use of both conventional and unconventional interventions.

Additional Requirements

Complete your assessment using the following specifications:

Title page and reference page.Number of pages: 3–4 (not  including the title and reference pages).At least 3 current scholarly or professional resources.APA format for citations and references.Times New Roman font, 12-point, double-spaced.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Proposed Implementation with a change model essay help services
QUESTIONAUG 14, 2019

Need to re-write my paper so must use same researchs but analize and see what i missed. Follow the rubric as is not the objectives but the rubric.  10 different research-based references was used and

Need to re-write my paper so must use same researchs but analize and see what i missed. Follow the rubric as is not the objectives but the rubric. 

10 different research-based references was used and must look each one. See reference page for each plus any additional reference I used. 

At the end its also a Proposed Implementation with a change model – PDSA (follow rubric and use references that I included)

All work is about nurse-driven protocols for CAUTI.  The protocols is the discussion of my proposed PICOT question (also there)

PLEASE MUST DO APA FORMAT AND REVISED MINE BECAUSE THIS PROFESSOR IS APA PROFESSIONAL!!!!!

Any questions ask please. Dont assume as I cant fail!

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

How individual learning styles affect the degree argumentative essay help
QUESTIONAUG 14, 2019

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be co

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

Click “OK” to receive your questionnaire scores.Once you have determined your preferred learning style, review the corresponding link to view your learning preference.Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).Compare your current preferred learning strategies to the identified strategies for your preferred learning style.Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

In a paper (750‐1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

Provide a summary of your learning style according the VARK questionnaire.Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer‐reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Process for recruiting and hiring candidates. argumentative essay help: argumentative essay help
QUESTIONAUG 14, 2019

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Advanced Nursing Research in Healthcare gp essay help
QUESTIONAUG 13, 2019

 As part of the class objectives, we would like for each student to write a small reflection paragraph and post it on this forum in answering what you have learned from this class, where the objective

 As part of the class objectives, we would like for each student to write a small reflection paragraph and post it on this forum in answering what you have learned from this class, where the objectives that you had for the class met and how do you anticipate to use research 

Course Title :  

). Nursing Research. Advanced Nursing Research: From Theory to Practice. (2nd ed.). ISBN-13: 9781284048308. ISBN-10: 1284048306. Publisher: Jones & Bartlett Learning

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Description of clinical site and population mba essay help: mba essay help
QUESTIONAUG 13, 2019

The paper should be about 8-10 pages in length not including the cover and reference pages. You should have a minimum of six (6) references from peer-reviewed journals, written between the last three

The paper should be about 8-10 pages in length not including the cover and reference pages.You should have a minimum of six (6) references from peer-reviewed journals, written between the last three to five years, unless you are using a seminal article.

The paper needs to include the following sections:

use the a, b, c, as headings

A. IntroductionRationale for the clinical component in the curriculumYour goals in this courseDescription of clinical site and populationReason for your choiceB. Literature reviewDeterminants of healthHealthy people initiativeGrowth and developmental level of the populationAny health equity or literacy issues identified with the populationC. Pathophysiology of the disorderEtiologyEpidemiologyRisk factorsIf risk factors are modifiable at what point along the lifespan could this action occur and rationaleCurrent treatment guidelinesD. Assessment (choose one patient)NormalAbnormal findingsQuality of lifeNursing focusE. PharmacologyChoose one specific class of medicationDiscuss evidence based guidelines for useExpected treatment outcomesF. Patient teachingIdentify patient knowledge deficitsChoice of a theory to produce a behavioral change and rationale for choiceTeaching planEvaluation of effectivenessHow you might adapt your plan for a different age groupG. Conclusion 

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Proposed Evidence-Based Practice Change essay help writing: essay help writing
QUESTIONAUG 13, 2019

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below. PICOT Question  Revise the PICOT question you wrote in

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-433V-RS-Research-Critique-Guidelines.docxRUBRIC

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

EHR Certification and Release of Information extended essay help biology
QUESTIONAUG 13, 2019

Unit 2 Assignment: EHR Certification & Release of Information Course outcome addressed in this Assignment: · HI510-1: Given access to a health information system, evaluate whether it meets Meaningful

Unit 2 Assignment: EHR Certification & Release of Information

Course outcome addressed in this Assignment:

· HI510-1: Given access to a health information system, evaluate whether it meets Meaningful Use, including goals, components, criteria, certification, attestation, and MU program outcomes.

Description:

The field of health information is subject to many laws, regulations, requirements, and standards. The interaction between regulation and health influences the daily operations of healthcare providers. Sharing data between two separate organizations can be a delicate balance between the patient and organizations. Knowing the regulations that govern health information and the release of information is imperative. Failing to adhere to and think about the rules and regulations when forming decisions and policy can expose the organization and provider to unwarranted risk. In this Assignment, you will review select two EMR systems and review them for compliance with Meaningful Use and EMR certification requirements. You will also review release of information requirements.

Instructions:

Select two EMR systems from the list below.

· OpenMRS https://openmrs.org

· VistA http://worldvista.org/AboutVistA

· FreeMED http://freemedsoftware.org/

· OpenEMR https://www.open-emr.org/

· One Touch EMR https://www.onetouchemr.com/

· Solismed https://www.solismed.com/demo.html

Assignment Requirements

Create a 5–6-page document that addresses the following:

1. Provide an introduction of the two systems that have been selected for comparison. In your comparison discuss the features offered by each system.

2. Discuss meaningful use (MU) and its phases.

3. Do the systems that you have selected meet MU requirements? Discuss whether the system is compliant with MU program outcomes and certification including:

1.  

· Goals, components, criteria, certification, and MU program outcomes.

· Medicare MU program requirements

· Medicaid MU program requirements

4. Discuss how MU has improved data quality.

5. Discuss release of medical information and how MU law applies.

Conduct research to answer the discussion points and questions and be sure to fully describe and support your answers and cite sources when necessary. This is a fact-based Assignment that should not include unsupported opinion.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Acupuncture and Acupressure Techniques free essay help: free essay help
QUESTIONAUG 13, 2019

AcupunctureAcupressure/ReflexologyAromatherapyChiropractic medicineRelaxation techniques (deep breathing, massage, progressive relaxation, tai chi, hot yoga)Meditation (transcendental meditation, mant

AcupunctureAcupressure/ReflexologyAromatherapyChiropractic medicineRelaxation techniques (deep breathing, massage, progressive relaxation, tai chi, hot yoga)Meditation (transcendental meditation, mantras, Bible passage, positive thought)

Post an original reflection that describes your experience with each technique you attempted.  Demonstrate some critical thinking surrounding which technique you feel would most likely use the future, if any.  Explain how your chosen techniques can be a part of the prevention, detection, and control of infectious and chronic conditions.  I am looking for you to provide substantial depth and detailed analysis regarding your experiences. 

As an integral part of this assignment, you are also to find at least two credible, academic sources that support the effectiveness of the complementary and alternative techniques you experienced.  I want to see both the personal side, as well as the scientific. 

Based upon the current chapter readings/lectures, personal experiences, worldview, and media/resources provided, you must comment on the specific reflection prompts- reflecting on how they relate to the weekly topic(s) and current society.  Posts should be thoughtful, insightful, and 250-500 words.  These posts should add significant substance to the conversation and clearly reference (i.e. cite) information from current chapter readings/lectures (please follow current APA guidelines for your in-text citations and references).

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

ATI RN Medical Surgical 2016 high school essay help
QUESTIONAUG 11, 2019

I am taking ATI RN Medical Surgical 2016**PROCTORED** 100 question exam and have to get a level 3 to pass my last 2 weeks of RN school … is there anyone that has a copy of the exam or questions and

I am taking ATI RN Medical Surgical 2016**PROCTORED** 100 question exam and have to get a level 3 to pass my last 2 weeks of RN school … is there anyone that has a copy of the exam or questions and answers from this proctored exam? the test ID number is 7633462

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Discussion on Plan Your Day post essay help
QUESTIONAUG 10, 2019

In this discussion, emphasis is on how well you manage time. As a leader and even a nurse, you have limited time to get a great deal done. Awareness of how you spend your time and finding strategies t

In this discussion, emphasis is on how well you manage time. As a leader and even a nurse, you have limited time to get a great deal done. Awareness of how you spend your time and finding strategies to improve on it, will not only help you be efficient and effective but will also help in balancing your work and your life.

Complete Learning Exercise 9.9 in your textbook.

After reading the “Plan Your Day”, in your post

Assign a priority to each of the 13 items with 1 being the most important and 5 being the least important.Decide when you will deal with each item, being careful not to use more time than you have open on your calendar.If the problem is to be handled immediately, explain how you will do this (e.g., delegated, phone call).Explain the rationale for your decisions.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Milestone Five Guidelines and Rubric essay help 123: essay help 123
Please help with this assignment. Please strictly follow the attached rubric and address all topics. Thanks

HCM 415 Milestone Five Guidelines and Rubric

Now that you have completed an in-depth analysis of the case study, it is time to provide recommendations. You will recommend a course of action regarding strategic planning in light of the issue the healthcare organization is facing. Be sure to address the following in a 1–3-page paper.

Provide a brief summary of the issue facing the healthcare organization and the aspects you have previously reviewed that relate to the issue.What course of action would you recommend the healthcare manager take in terms of strategic planning around this issue? Be sure to justify your recommendation with evidence.What recommendations would you make for ensuring identified key stakeholders in the organization are involved in driving the strategic planning process? Be sure to substantiate your claims.How might the organization better align its strategic planning and policy processes with its overall mission and vision, particularly with regard to this issue? Be sure to provide evidence to justify your response.

Guidelines for Submission: This short paper should be between 1 and 3 pages, not including cover page and references. This paper should be in APA format.

Critical ElementExemplary (100%)Proficient (90%)Needs Improvement (75%)Not Evident (0%)ValueSummaryMeets “Proficient” criteria and expertly balances brevity with required detailProvides a brief summary of the issue facing the healthcare organization and the aspects previously reviewed that relateto the issueProvides a brief summary of the issue facing the healthcare organization and the aspects previously reviewed that relate to the issue, but response is verbose or has gaps in required detailDoes not provide a brief summary of the issue facing the healthcare organization and the aspects previously reviewed that relate to the issue5Recommendations: ManagerMeets “Proficient” criteria and demonstrates exceptional insight into the role of healthcare managers in strategic planningRecommends an appropriate course of action for the healthcare manager in terms of strategic planning around the issue, justifyingrecommendation with evidenceRecommends a course of action for the healthcare manager in terms of strategic planning around the issue, justifying recommendation with evidence, but recommendation is not appropriate for the intended purpose, or response has gapsin detail or justificationDoes not recommend a course of action for the healthcare manager in terms of strategic planning around the issue30

Recommendations: DrivingMeets “Proficient” criteria and demonstrates exceptional insight into the role of organizational stakeholders in strategic planningMakes appropriaterecommendations for ensuring identified key stakeholders are involved in driving the strategic planning process, substantiating claimsMakes recommendations for ensuring identified key stakeholders are involved in driving the strategic planning process, substantiating claims, but recommendations are not appropriate for the intended purpose, or response has gaps in detail or substantiationDoes not make recommendations for ensuring identified key stakeholders are involved in driving the strategic planning process30Recommendations: Better AlignMeets “Proficient” criteria, and recommendations demonstrate sophisticated insight into the connections between organizational strategic planning and organizational mission and visionMakes appropriate recommendations regarding how the organization might better align its strategic planning and policy processes with overall mission and vision, particularly with regard to the issue, providing evidence to justify responseMakes recommendations regarding how the organization might better align its strategic planning and policy processes with overall mission and vision, particularly with regard to the issue, providing evidence to justify response, but recommendations are not appropriate for the intended purpose, or response has gapsin detail or justificationDoes not make recommendations regarding how the organization might better align its strategic planning and policy processes with overall mission and vision, particularly with regard to the issue30Articulation of ResponseSubmission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read formatSubmission has no major errors related to citations, grammar, spelling, syntax, or organizationSubmission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideasSubmission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas5Total100%

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Perceptions of Hospital Safety Climate argumentative essay help online
Please help with this assignment. This assignment should be 2 paragraphs in length. Use the attached case study as well as the following scenario to complete this assignment:   Identify the statistica

Perceptions of Hospital Safety Climate and Incidence of Readmission

Objective

To define the relationship between hospital patient safety climate (a measure of hospitals’ organizational culture as related to patient safety) and hospitals’ rates of rehospitalization within 30 days of discharge.

Data Sources

A safety climate survey administered to a random sample of hospital employees (n=36,375) in 2006–2007 and risk-standardized hospital readmission rates from 2008.

Study Design

Cross-sectional study of 67 hospitals.

Data Collection

Robust multiple regressions used 30-day risk-standardized readmission rates as dependent variables in separate disease-specific models (acute myocardial infarction [AMI], heart failure [HF], pneumonia), and measures of safety climate as independent variables. We estimated separate models for all hospital staff as well as physicians, nurses, hospital senior managers, and frontline staff.

Principal Findings

There was a significant positive association between lower safety climate and higher readmission rates for AMI and HF (p≤.05 for both models). Frontline staff perceptions of safety climate were associated with readmission rates (p≤.01), but senior management perceptions were not. Physician and nurse perceptions related to AMI and HF readmissions, respectively.

Conclusions

Our findings indicate that hospital patient safety climate is associated with readmission outcomes for AMI and HF and those associations were management level and discipline specific.

Keywords: Safety culture, safety climate, hospital readmission

Preventable hospital readmission represents an increasingly prominent target in policy discussions aimed at reducing morbidity and cost in the U.S. health care system. Approximately one-fifth (19.6 percent) of Medicare fee-for-service beneficiaries will experience hospital readmission within 30 days of discharge (Jencks, Williams, and Coleman 2009). Up to three-quarters of these unplanned readmissions are potentially avoidable and are associated with an annual cost of U.S.$12 billion (MedPAC 2007). In response to these cost and quality implications, in July 2009 the Centers for Medicare and Medicaid Services (CMS) began reporting 30-day risk-standardized readmission rates as a measure of hospital quality (Keenan et al. 2008). This was likely a first step toward readmission rates becoming a standard indicator of inpatient and post-discharge quality of care and a metric for performance-based reimbursement (Epstein 2009).

Reflecting a belief that hospital readmission is a function not only of patient morbidity but also of hospitals’ management of safe transitions between the inpatient and the post-acute care setting, the Agency for Healthcare Research and Quality (AHRQ) and the National Quality Forum (NQF) have focused on the relationship between hospital readmission and patient safety (AHRQ 2009a, b; NQF 2009;). Worse performance on AHRQ’s Patient Safety Indicators (PSIs) has been associated with higher readmission rates (Friedman et al. 2009). Modeled in part on Project RED (Re-Engineered Discharge) at Boston University Medical Center (Jack et al. 2009), NQF has designated evidence-based improvement in “discharge systems” as a requisite hospital practice in order to be considered “safe.”

If the frequency of readmission reflects inadequate patient safety processes in the hospital, then hospitals with worse safety culture would be expected to exhibit higher levels of hospital readmission. To evaluate this supposition, we examined the relationship of a measure of hospital patient safety culture—hospital patient safety climate—and hospital readmission. We used data from a survey measuring safety climate in a national sample of hospitals and CMS risk-standardized measures of 30-day hospital readmission.

BACKGROUND

Determinants of Hospital Readmission

Both patient factors and hospital discharge process elements appear to be associated with unplanned rehospitalization. At the patient level, risk factors for readmission include advanced age, comorbidities, and increased number of outpatient medications (David et al. 2000; Dobrzanska and Newell 2006;). At the hospital level, hospitals that fail to perform evidence-based treatments experience higher rates of patient rehospitalization (Ashton et al. 1995; Chung et al. 2008;). Randomized trials indicate that readmission rates can be reduced by interventions targeting both patient risks and hospital processes, with absolute reductions in 30-day readmission rates between 5 and 15 percent through a combination of patient education, improved hand-offs of clinical information between hospital and community physicians, and follow-up phone calls after discharge (Naylor et al. 1999; Coleman et al. 2006; Jack et al. 2009;).

Safety Culture in Health Care

Since the release of the Institute of Medicine’s (IOM) transformational report on patient safety, To Err Is Human, health care organizations have become increasingly aware of their need to perform as “high reliability organizations.” Drawing from industries including nuclear power and civil aviation that are guided by an imperative to reduce error in order to prevent harm, many in the health care industry endeavored to improve potential determinants of patient safety over the past decade. Among these is an organization’s “safety culture,” which describes the knowledge, beliefs, and attitudes that reflect the role of safety in the organization (Zohar 1980). This concept has been embraced by policy makers as one potential strategy to reduce preventable patient harm with endorsement by the IOM, The Joint Commission, and CMS (IOM 2006; The Joint Commission 2006; AHRQ 2009b;). Underlying safety culture visibly manifests itself in organizations as elements of safety climate, including policies, procedures, and practices, which can be more easily measured through workforce perceptions (Singer et al. 2009a).

While the connection between a hospital safety climate and improved outcomes for hospitalized patients is emphasized by policy and regulatory organizations, evidence of this connection is limited. In particular, no evidence thus far has linked a supportive hospital safety climate with post-discharge outcomes such as hospital readmission. This relationship could be significant given the increasing belief that hospital readmission is affected by the quality of patient preparation for discharge and hospital staff attention to safe transition to the home or institutional aftercare setting (Coleman and Williams 2007). Different perceptions of the organization’s safety climate among groups within the hospital, such as managers and frontline workers or physicians and nurses (Singer et al. 2008, 2009b), could suggest domains of safety climate or work roles to target in efforts to strengthen an organization’s safety climate and potentially improve important patient outcomes.

Measurement of Hospital Safety Climate

Several surveys measure safety climate and provide increasing evidence of variation in safety climate among and within hospitals (Sorra and Nieva 2003; Sexton et al. 2006; Singer et al. 2008;). Existing instruments vary in the sub-domains of safety climate identified as well as the level of observation at which they have been used. The importance of effective communication among staff in maximizing safe practice is prominent across instruments. One instrument, the Patient Safety Climate in Healthcare Organizations (PSCHO) Survey, offers distinct opportunities for the measurement of safety climate as related to hospital-level phenomena such as readmission because it was optimized for hospital-wide implementation and hospital-level analysis, used to assess variation in safety climate by work role across hospitals and relationship with hospital-level outcomes, tested for psychometric reliability; and the authors have extensive experience with the instrument (Singer et al. 2007, 2009c).

Evidence of the Relationship between Hospital Patient Safety Climate and Patient Outcomes

Evidence from health care as well as other industries demonstrates that improved safety climate is associated with improved staff safety outcomes (Clarke 2006), and evidence demonstrating patient benefits associated with better safety climate is increasing. The relationship between patient safety climate and outcomes has been best described at the unit level (Pronovost et al. 2005; Hofmann and Mark 2006; Vogus and Sutcliffe 2007a;). Measurement of the effect of safety climate measured at the level of the hospital, management position, or job type is limited. Singer and colleagues demonstrated that significant variation in perceived safety climate does exist by work role (Hartmann, Meterko, and Rosen 2009; Singer et al. 2009b;) and that hospitals whose frontline staff perceived a better safety climate were less likely to experience adverse PSI events (Singer et al. 2009d; Rosen et al. 2010;).

Hypotheses

Existing evidence suggests that the quality of inpatient care is associated with readmission (Ashton et al. 1995, 1997). As a potentially important determinant of hospital quality, patient safety climate may be related to the risk of readmission. Several components of a safe transition from hospital to the postacute care setting including efforts to reduce medication error and to conduct effective communication among hospital staff and between hospital providers, community providers, and patients are dependent on the conscientious provision of specific services during the inpatient stay. Interventions that improve communication and reduce risk of medication error during a care transition have been shown to reduce avoidable hospital readmission (Coleman et al. 2006; Balaban et al. 2008; Jack et al. 2009; Koehler et al. 2009;). Unlike skills that can be taught through technical training, conscientious behavior tends to be a function of group norms and values and of the policies and procedures designed to promote them. Even when providers have a roadmap that outlines steps to optimize the discharge process, organizational safety climate may determine the extent to which those processes are executed consistently and effectively. Thus, groups whose safety climate directs individuals toward greater attention to safe care may be more likely to practice safety behaviors that reduce readmission risk.

H1: Higher levels of hospital safety climate will be associated with lower 30-day readmission rates.

Previous literature suggests that hospital senior managers’ perception of their organization’s safety climate may be misaligned with circumstances on the frontline. For example, the incidence of PSI events corresponded with frontline staff perceptions of safety climate but not with those of senior managers (Singer et al. 2009d). Similarly, the relationship between safety climate and hospital readmission rates may be better appreciated by frontline staff than senior managers. Because both safety climate and the discharge process are intensively dependent upon interpersonal processes occurring at the point of care, perceptions of safety climate among individuals closely experiencing interactions at the bedside may reflect more closely the likelihood of unsafe transitions and risk of readmission.

H2: Frontline staff perceptions regarding safety climate will be more closely associated with patient readmission than senior management perceptions.

Just as differences may exist between senior managers’ and frontline staff’s perceptions of safety climate and the associated likelihood of readmission, it is possible that within the clinical care team certain work roles might correspond to perceptions of safety climate that afford better insight into readmission risk for specific disease conditions. For example, the risk of postsurgical complication requiring readmission following coronary artery bypass graft surgery and the elements of safety climate that might protect against such complications may be most accurately appreciated by a surgeon with rich technical experience in the procedure. In contrast, with regard to decompensation of a chronic disease such as heart failure (HF) in which both admission and readmission frequently result from failure of community-based therapy (Vinson et al. 1990; Tsuchihashi et al. 2001;), care team members with close knowledge of a patient’s community-based resources and the hospital’s ability to coordinate a safe transition may assess safety climate at levels more closely associated with readmission following hospitalization for such disease.

Nurses experience significant exposure to the logistics of safe transitions between hospitals and home, including the delivery of discharge instructions regarding outpatient follow-up recommendations, teaching around medication changes and medication compliance, and transportation from the hospital. We thus expect that nurse assessments of safety climate will be more closely associated with readmission following hospitalization for decompensation of chronic disease and conditions requiring more intensive services at the time of discharge than diagnoses receiving definitive therapy during a hospitalization (e.g., percutaneous coronary intervention for acute myocardial infarction [AMI]).

Presently, CMS publicly reports 30-day readmission rates for Medicare beneficiaries following hospitalization for pneumonia, HF, and AMI. While HF represents a chronic illness in which admission most often results from decompensation in the outpatient setting, AMI is by definition an acute process in which 30-day readmission risk is less dependent on ongoing aftercare management and more dependent on lasting effects of inpatient therapy, specifically safe and effective percutaneous coronary intervention. Similarly, pneumonia represents acute infection with less dependence on intensive self-management and aftercare services.

H3A: Nurse perceptions of safety climate will be more closely associated with readmission rates after hospitalization for acute decompensation of HF (i.e., nurse-sensitive readmission rates) than physician perceptions of safety climate.

H3B: Physician perceptions of safety climate will be more closely associated with readmission after hospitalization for AMI and pneumonia (i.e., physician-sensitive readmission rates) than nurse perceptions of safety climate.

METHODS

Data Sources

Data on hospital safety climate were obtained using the PSCHO survey. The 45 items in this survey use a five-point Likert scale ranging from “strongly agree” to “strongly disagree.” Based on principal components analysis, the survey assesses 12 dimensions reflecting components of overall safety climate (e.g., senior management engagement in patient safety, the existence of a culture of blame, unit manager’s responsiveness to identified safety problems) (Singer et al. 2009c). The PSCHO is scored to describe the “percent problematic response” (PPR) in order to better identify the prevalence of perceived poor safety climate. The use of PPR reflects the belief that high reliability requires not only a strong safety climate but also a high degree of agreement across an organization (Roberts 1990). The mean PPR was calculated for each individual item in the survey, for each dimension for the entire sample, and all survey items together. Mean PPR was also calculated for each dimension among sub-categories of respondents (physician, nurse, senior management, frontline staff).

For analysis, individual responses were aggregated to the hospital level and the hospital was the unit of analysis as in prior studies (Singer et al. 2009b–d). To ensure the appropriateness of aggregation of individual responses to the hospital level, we used one-way analysis of variance models and calculated intraclass correlation coefficients for the population as a whole as well as for each work role studied. These coefficients were significant for all domains of safety culture. We also calculated Cronbach α, the interclass correlation among hospitals and the Rwg(j) statistic (Vogus and Sutcliffe 2007b) for all groups studied and results supported aggregation of responses (available as online supplement). One domain, unit recognition and support for safety efforts, demonstrated marginal justification for aggregation among physicians respondents.

In July 2009, CMS began reporting risk-standardized mortality and readmission outcomes collected between 2007 and 2008 for Medicare patients following hospitalization for pneumonia, HF, and AMI. The measures use Medicare claims data in the calculation of risk-standardized rates that are adjusted for individual patient’s age, gender, and selected comorbidities. A hospital’s risk-standardized readmission rate is calculated using hierarchical regression models which include coefficients for patient-level comorbidities and a hospital-level intercept which represents hospital-level variation in the 30-day readmission rate to any hospital. Variation in the hospital-level intercept is attributed to variation in hospital quality. The “predicted” readmission rate (estimated given an individual hospital’s case mix and the hospital’s own intercept derived from the regression model based on its case mix and observed readmission rate) is divided by the hospital’s “expected” readmission rate (estimated given the case mix of the individual hospital along with the average hospital-specific intercept). This is then multiplied by the national unadjusted readmission rate to yield a hospital-specific risk standardized readmission rate. This methodology has been validated against medical record review (Keenan et al. 2008).

Sample

We used a large random sample of all acute-care hospitals in the United States according to size and geographic region. Eight hospitals responding to the PSCHO did not have readmission outcome data available for any of the diagnoses studied and were excluded from the analysis. The final sample of 67 hospitals differed from the United States average size and related characteristics as a result of the recruitment strategy (Table 1). In addition, hospitals located in the Midwest were underrepresented in the final sample. Eleven hospitals did not provide AMI outcome data as a result of insufficient volume but were included in the analyses of HF and pneumonia outcomes. Readmission rates at hospitals reporting readmission rates were similar to national averages for AMI and pneumonia and were slightly lower compared with national averages for HF.

Surveys were administered between July 2006 and May 2007. The sampling frame consisted of 36,375 hospital employees. Because of the historically low response rates among physicians and the relatively small numbers of hospital senior managers and physicians, these groups were oversampled. Other respondents selected were from a 10 percent random sample of hospital employees.Independent Variables

The primary independent variables were the 12 component domains of patient safety climate as well as a summary measure of safety climate calculated as the average of all survey items. Primary independent variables for the analysis included multiple dichotomous variables describing management level and work role. For management level variables, senior managers included individuals who self-identified as department head or above, and frontline staff members were individuals who indicated that they were neither senior managers nor supervisors and included physicians, nurses, and patient care technicians. Two work roles, physician and nurse, were assigned dummy variables.Dependent Variables

Our primary outcomes of interest were 30-day risk-standardized readmission for AMI, HF, and pneumonia.Control Variables

Covariates were considered for inclusion in multivariate models based on suspected relationship to safety climate or readmission. Given our small sample size, we conducted a two-step process to identify the minimum number of appropriate controls. First, we identified all control variables we suspected might be related. Then, we ran all the models related to a particular dependent variable individually and identified the control variables that were significant for each model. In initial models, data for hospital characteristics (number of staffed beds, tax status, urban/rural location, teaching status, and geographic region) were obtained from the American Hospital Association’s (2004) Annual Survey of Hospitals. Nurse staffing ratios were calculated as the full-time equivalent registered nurse hours per inpatient days. Within each of the three groupings studied (frontline versus senior management, physician versus nurse, entire population), we retained the variables that were significant for greater than one-third of models analyzed. Models examining associations specifically by management level and work role included hospital tax status, region, and nurse staffing ratios as covariates. Nurse staffing ratios were not significant in models for the entire population and this variable was omitted from these models.Statistical Analysis

We tested our study hypotheses using multiple regression in which readmission rates were the dependent variables in separate disease-specific models and measures of safety climate were the main independent variables. We estimated separate models for all hospital staff as well as physicians, nurses, hospital senior managers, and frontline staff. All standard errors were robust to account for heteroskedasticity.RESULTS

The overall response rate to the PSCHO was 38.5 percent. From the sample of 36,375 individuals, a total of 14,010 surveys were returned. Among the population of hospitals for which readmission data were available, the response rate was 31.3 percent. The total number of respondents among responding hospitals ranged between 44 and 604. Physician respondents ranged from 2 to 340; nurse respondents from 8 to 189; frontline staff from 17 to 434; and senior managers from 6 to 98. Physician response rate (20.16 percent) was lower than that recorded for senior managers (62.16 percent), or other staff (50.10 percent). Lower physician response has been observed in similar studies of clinicians (Asch, Jedrziewski, and Christakis 1997; Singer et al. 2009d;).

Regression models supported Hypothesis 1, which predicted that higher levels of hospital safety climate would be associated with lower 30-day readmission. Overall, there was a significant positive association between hospitals with higher PPR (i.e., lower safety climate) and those with higher readmission rates for AMI and HF (p≤.05) but not for pneumonia (Table 2). The safety climate dimensions that most consistently demonstrated statistically significant association with readmission were “unit safety norms,”“overall emphasis on safety,” and “collective learning.” Each of these domains demonstrated statistical significance at the 0.05 level for both AMI and HF. The standardized regression coefficients for the regression of the “safety norms” dimension on AMI and HF readmission outcomes were 0.19 [0.09–0.28 95 percent CI, p≤.01] and 0.26 [0.10–0.41 95 percent CI, p≤.01], respectively. This indicates that a 1 percent lower PPR for this domain was associated with a 0.19 percent lower absolute incidence of readmission following AMI and 0.26 percent lower readmissions following HF exacerbation.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

How could results of the study healthcare practices? need essay help: need essay help
QUESTIONAUG 10, 2019

Please help with this assignment. This assignment should be 2 paragraphs in length. Use the attached case study as well as the following scenario to complete this assignment:   Identify the statistica

Please help with this assignment. This assignment should be 2 paragraphs in length. Use the attached case study as well as the following scenario to complete this assignment:

Identify the statistical tests used to analyze the data in the study. Are there other statistical analysis methods that would have been more appropriate? If so, identify them and discuss. Describe the limitations of the study. Identify and describe any factors that may have affected the results of the study. Can the results of the study be applied, and if so, to whom? How could results of the study impact healthcare practices? Explain and discuss.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Identification of A Clinical Question assignment help sydney: assignment help sydney
QUESTIONAUG 09, 2019

dentifying A Clinical Question Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be thr

dentifying A Clinical Question

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic.

Purpose

To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.

Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search.

Guidelines

Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide.Describe why this is a clinical problem or an opportunity for improving health outcomes in your area of clinical practice. Perform a literature search and select five research articles on your topic utilizing the databases highlighted in Chapter 3 of the textbook (Melnyk and Finout-Overholt, 2015).Identify the article that best supports nursing interventions for your topic. Explain why this article best supports your topic as you compare the article to the other four found in the literature search.

Assignment Expectations:

Length: 1000 – 1500 wordsStructure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of five (5) scholarly sources are required for this assignment to support the topic.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Evaluation of Issues Related to Childhood Obesity compare and contrast essay help
QUESTIONAUG 09, 2019

An Evaluation of Issues Related to Childhood Obesity   The 21st century has been punctuated by sudden spikes in epidemiological transitions that have, more often than not, been the bane of human exis

An Evaluation of Issues Related to Childhood Obesity

The 21st century has been punctuated by sudden spikes in epidemiological transitions that have, more often than not, been the bane of human existence. Concomitantly, obesity is presently progressing in prevalence with a wide range of causative factors being blamed for this particular state of affairs. Even more shocking, is the rise in cases of childhood obesity which had hitherto been virtually unheard of in modern societies. General practitioners have time and again underscored the seriousness of this public health challenge that is now a becoming a common feature of many low and middle income nations around the globe. It is estimated that roughly 43 million children under the age of six harbor excess body fat with their body mass index (BMI) determining their morbid obesity .

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Analysis of drugs used in managing asthma professional essay help: professional essay help
QUESTIONAUG 09, 2019

A CRITICAL ANALYSIS OF DRUGS USED IN MANAGING ASTHMA. Asthma ranks as one of the most crippling conditions owing to its adverse effects on those it afflicts. Those with this condition complain of obst

A CRITICAL ANALYSIS OF DRUGS USED IN MANAGING ASTHMA.

Asthma ranks as one of the most crippling conditions owing to its adverse effects on those it afflicts. Those with this condition complain of obstructed airways that make the whole breathing process a hard nut to crack. Even worse are reports by patients of their airways being inflamed, a state of affairs that causes them great distress. These symptoms can be triggered at any moment by a wide range of factors that lead the individual in question to experience significant pain and experience difficulty when attempting to breathe during this intricate period. Chest tightness, coughing and chest tightness soon follows, proving the bane of such an individual’s life. Moreover, the lives of such individuals are significantly affected by the condition since they are always at risk of experiencing an attack at any given moment. It’s vital to acknowledge that the condition can either be occupational or stem from an individual’s childhood and since it has no cure, the only viable option is attempting to manage it. Immunologists and allergist have over the years spent countless hours in medical labs trying to develop medication to manage the condition. The following are some popular asthma management medication together with a critical analysis of the same.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Personal stress management plan common app essay help
QUESTIONAUG 09, 2019

his week you have a personal assignment that relates to the reading on stress management. First, you are going to assess your own stress levels by completing the Holmes-Rahe Life Stress Inventory (se

his week you have a personal assignment that relates to the reading on stress management.  First, you are going to assess your own stress levels by completing the Holmes-Rahe Life Stress Inventory (see attached pdf below). 

Next, you are going to gain familiarity with new stress relief activities by attempting two from the list below.  Please attempt each activity on different days.  If you are interested in attempting stress relief techniques that are not on this list (and are new to you), please feel free.  The purpose is to attempt new activities; therefore, you should not choose activities you already engage in and simply identify that they are new for stress relief purposes.  Each activity should take you a minimum of 30 minutes.

Music (listening, playing, worship)Nature (experiencing, walking, hiking, being)Words (journaling, talking, poetry)Cognitive behavioral restructuringPhysical activity (gym, running, cycling, Pilates)Relaxation (deep breathing, massage, progressive relaxation, tai chi, yoga)AffirmationsMeditation (transcendental meditation, mantras, Bible passage, positive thought,)Time management (setting goals, making a plan)

Finally, you are to develop a personal stress management plan.  There are many formats, charts, and planning techniques available; choose one that you are comfortable with, and feel would best assist you with managing future stressors.

Prepare a written summary that describes your stress self-assessment, your experience with new stress reduction techniques, and your stress management plan.  Your introduction should discuss how knowledge, skill, attitude, environment, and/or culture have an effect on stress and whether they also influence the types of stress relief strategies commonly (or not) practiced.  Distinguish any similarities and/or differences in how these techniques could be utilized as preventative interventions at the individual (e.g., clinical) versus population (e.g., community) levels.

You should discuss the results of the Holmes-Rahe Life Stress Inventory, and discuss the relevance of these results to your own potential for stress related health risks.  Describe your experiences with the new stress relief techniques, and indicate whether the new strategies you experienced were helpful in personal stress reduction.  Locate and reference at least two credible, academic sources that support the effectiveness of one of the techniques attempted. 

Discuss whether you would utilize either of the new techniques for future stress management.  Finally, discuss the development and details of your personal stress management plan.  Explain how following this plan may help you reduce stress and lessen risks for negative health outcomes. 

Submit your written summary via blackboard.  Your personal stress assessment should be provided within your written summary as Appendix A.  Your personal stress management plan should be provided within your written summary as Appendix B.

http://www.mindtools.com/pages/article/newTCS_82.htm

All written submissions should reflect professionalism in grammar, spelling, writing style/format (one-inch margins, double spaced, typed in 12-point Times New Roman font), include APA 6th citations when appropriate, an appropriate title page, and be uploaded as .doc or .docx documents.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Research on Health care organizations essay help online
QUESTIONAUG 09, 2019

Health care organizations continue to evolve in the use of electronic formats to capture, structure and facilitate the use of health information. In today’s healthcare environment organizations can ra

Health care organizations continue to evolve in the use of electronic formats to capture, structure and facilitate the use of health information. In today’s healthcare environment organizations can range from entirely manual to entirely electronic, with many falling into a category of hybrid documentation which includes both. As a HIM professional you may have a role in ensuring that as an organization moves along continuum from paper to electronic that the documentation in the health record continues to support the diagnosis and reflect the patient’s progress, clinical finds and discharge status.

Hospital Wellness is in the process of working with the EHR vendor they have selected to finalize the electronic data capture tools for health record documentation. You have been asked by the Chief Information Officer (CIO), to lead a team evaluate and make recommendations on the information and flow of documentation for the first set of templates that will be moved from paper to electronic.

The manual documentation record and an electronic version are provided in your text in under Sample Documentation Forms-Appendix A, which can be accessed through your website access code. Assume that the manual version meets the documentation guidelines that your facility requires based on their documentation guidelines. Evaluate the electronic version of these documents for capturing and ease of use of the health information by comparing and contrasting it to the existing manual version. Recommend and support your position on whether the electronic version presented should be accepted by your organization. If you do not recommend the proposed electronic version, prepare a recommendation for what additions/deletions/revisions are needed in order to accept the proposed electronic tool. The following data capture forms/tools are to be evaluated. The “current” manual form is provided first in the list, followed by the electronic. Please prepare a chart or spreadsheet showing you review and recommendations for submission to the CIO.

Admission RecordPhysician OrdersGraphic Vital SignsMedication Administration RecordLaboratory ReportsOperative ReportSurgical Pathology ReportDischarge Summary

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.Save your assignment as a Microsoft Word document.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Fundamentals of research process. college application essay help online: college application essay help online
QUESTIONAUG 09, 2019

In Week 1, complete the following tasks: Think about different areas in the field of nursing and identify the importance of research to nursing practice. Learn about the fundamentals of research and

In Week 1, complete the following tasks:

Think about different areas in the field of nursing and identify the importance of research to nursing practice.Learn about the fundamentals of research and the research process.Gain insight into the planning of research.Complete Human Research Protection Program OHRP Regulations. First you must register at the following website: Office of Extramural Research. Click here for instructions.Once you have registered, you will need to create an account.Follow the step-by-step process to complete the course/training. Set aside at least three hours for course completion. Save, print, and submit the IRB training certificate to the Submissions Area.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

What are you doing in your profession? argumentative essay help online
QUESTIONAUG 18, 2019

How well do you know your future role in advance practice? The elevator door opens; you step on and find yourself face to face with a known skeptical colleague, who inquires “what are you doing in you

How well do you know your future role in advance practice?

The elevator door opens; you step on and find yourself face to face with a known skeptical colleague, who inquires “what are you doing in your profession”? It’s your chance to share, define and possible persuade this person about your chosen role of nursing in advance practice. You have 10 floors, roughly 90 seconds to make an impression. Draft an “Elevator Speech” (approximately 300 words) reflecting the conversation about your future role in your program of study.  In three detailed paragraphs, address why you have chosen this role (your passion) and define steps to ascertain the role including certification criteria and how the role will impact patient outcomes (how you will make a difference).

Support your work with evidence based research. For example, in conversation you tell the person A recent study by Taylor in 2016 showed that NPs were efficient as MDs at treating primary care problems.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Research on the health-illness continuum high school essay help: high school essay help
QUESTIONAUG 17, 2019

The benchmark assesses the following competency: Benchmark: 5.1. Understand the human experience across the     health-illness continuum. Research the health-illness continuum and its relevance to pat

The benchmark assesses the following competency:

Benchmark: 5.1. Understand the human experience across the     health-illness continuum.

Research the health-illness continuum and its relevance to patient   care. In a 750-1,000 word paper, discuss the relevance of the   continuum to patient care and present a perspective of your current   state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this     perspective is important to consider in relation to health and the     human experience when caring for patients.Reflect on your     overall state of health. Discuss what behaviors support or detract     from your health and well-being. Explain where you currently fall on     the health-illness continuum.Discuss the options and     resources available to you to help you move toward wellness on the     health-illness spectrum. Describe how these would assist in moving     you toward wellness (managing a chronic disease, recovering from an     illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Emergence of palliative care programs high school essay help: high school essay help
QUESTIONAUG 17, 2019

End-of-life care becomes an issue at some point for elderly clients.   Even with the emergence of palliative care programs and hospice   programs, most elderly people do not die in their own home as i

End-of-life care becomes an issue at some point for elderly clients.   Even with the emergence of palliative care programs and hospice   programs, most elderly people do not die in their own home as is their   preference. What are the reasons for this trend? Discuss what you can   do as a nurse to support your clients regarding end-of-life care in   accordance with their wishes. Support your response with   evidence-based literature.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Spiritual assessment questions essay help
QUESTIONAUG 17, 2019

Nurses are caring people, and with that in mind, they sometimes have trouble asking patients personal or more intimate questions. Your assigned textbook reading for this module includes a list of spir

Nurses are caring people, and with that in mind, they sometimes have trouble asking patients personal or more intimate questions. Your assigned textbook reading for this module includes a list of spiritual assessment questions that nurses can use to learn more detailed information regarding the spirituality of their patients. Ensure that you read these questions and identify three (3) of the questions that you might have difficulty asking a patient. Discuss why you believe these three questions would be difficult for you to ask your patient and how you can overcome this uneasiness.

The assigned TEXTBOOK is Basic  Geriatric Nursing, 6th Edition by Patricia Williams

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Role of nursing leadership and management essay help online free: essay help online free
QUESTIONAUG 17, 2019

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-word paper, discuss action taken for reform and restructuring and the role of the nurse within this

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to 4 sources and must be published within the last 5 years. Abstract is required with good conclusion.

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

Core Competencies for Health Professionals homework essay help
QUESTIONAUG 17, 2019

The Institute of Medicine (IOM) Core Competencies for Health Professionals relate to recruitment and retention of staff. Having qualified staff that is satisfied with work conditions impacts the core

The Institute of Medicine (IOM) Core Competencies for Health Professionals relate to recruitment and retention of staff. Having qualified staff that is satisfied with work conditions impacts the core competencies of effective patient-centered care, interprofessional teamwork, quality improvement, effective use of informatics, and whether or not staff is willing to apply evidence-based practice.

-Identify and discuss factors contributing to the nursing shortage in your community, your state and nationally. (I LIVE IN MIAMI, FLORIDA)

-Identify and present strategies for recruitment and retention of high quality nursing professionals.

-What are the leadership and management implications for staff turnover?

*must be in APA and must include at least one peer reviewed nursing journal article from 2014-2019

Get ProfessionalPLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!