Reflection Journal – 2025 Respond to the following Synthesize the major concepts covered in this course and their influences on nursing practice Address

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Reflection Journal – 2025

Respond to the following:

  • Synthesize the major concepts covered in this course and their influences on nursing practice.  
  • Address how health policy directly impacts nursing roles and how patient outcomes are the responsibility of all nurses. 
  • As a nursing professional, reflect on your unique role as an advocate for social change.
  • Your reflection should be brief (approximately 150 words).

I ATTACHED THE SAMPLE

PERSONAL LEADERSHIP PHILOSOPHIES – 2025 Assignment Personal Leadership Philosophies Many of us can think of leaders we have come to admire be they

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PERSONAL LEADERSHIP PHILOSOPHIES – 2025

  

Assignment: Personal Leadership Philosophies

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership. 

To Prepare:

  • Identify two to three scholarly resources, in      addition to this Module’s readings, that evaluate the impact of leadership      behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented      in the three resources that you selected for review.
  • Reflect on your results of the CliftonStrengths      Assessment, and consider how the results relate to your leadership traits.

The Assignment (2-3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

  • A description of your core values
  • A personal mission/vision statement
  • An analysis of your CliftonStrengths Assessment      summarizing the results of your profile
  • A description of two key behaviors that you      wish to strengthen
  • A development plan that explains how you plan      to improve upon the two key behaviors you selected and an explanation of      how you plan to achieve your personal vision. Be specific and provide      examples.
  • Topics:      (Refer to the Assignment Rubric). Use the Suggested Format for this      assignment.
    • Description       of Core Values and Personal Mission/Vision Statement
    • Analysis       of the CliftonStrengths Assessment 
    • Description       of Key Behaviors to Strengthen
    • Development       Plans to improve Selected Key Behaviors to achieve Personal Vision.

      

Rubric Detail 

Top of Form

  

Develop and submit a   personal leadership philosophy that reflects what you think are   characteristics of a good leader. Use the scholarly resources on leadership   you selected to support your philosophy statement. Your personal leadership   philosophy should include the following:
 

·   A description of your core values.
  ·   A personal mission/vision statement. 

Points: 

Points Range: 14 (14.00%) – 15 (15.00%) 

The response   accurately and thoroughly describes in detail a set of core values.
 

  The response accurately and completely describes in detail a personal mission/vision statement.

Feedback: 

 

·   Analysis   of your CliftonStrengths Assessment summarizing the results of your profile.
  ·   A description of two key   behaviors you wish to strengthen. 

Points: 

Points Range: 14 (14.00%) – 15 (15.00%) 

The response   accurately and completely provides an analysis and detailed summary of the   CliftonStrengths Assessment.
 

  The response accurately and thoroughly describes in detail two key behaviors   to strengthen.

Feedback: 

 

·   A development plan that   explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be   specific and provide examples. 

Points: 

Points Range: 50 (50.00%) – 55 (55.00%) 

An accurate, complete,   and detailed development plan is provided that thoroughly explains plans to   improve upon the two key behaviors selected.
 

  The responses accurately and thoroughly explain in detail plans on how to   achieve a personal vision with specific and accurate examples.
 

The   response includes a comprehensive synthesis of information gleaned from   sources that fully support how to achieve a personal vision. Integrates 2 or more credible outside sources,   in addition to 2 or 3 course-specific resources to fully support the responses provided.

Feedback: 

 

Written Expression and   Formatting – Paragraph Development and Organization:
 

  Paragraphs make clear points that support well-developed ideas, flow   logically, and demonstrate continuity of ideas. Sentences are carefully   focused—neither long and rambling nor short and lacking substance. A clear   and comprehensive purpose statement and introduction is provided which   delineates all required criteria. 

Points: 

Points Range: 5 (5.00%) – 5 (5.00%) 

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity.
 

A clear and   comprehensive purpose statement, introduction, and conclusion is provided   which delineates all required criteria.

Feedback: 

 

Written Expression and   Formatting – English writing standards:
 

  Correct grammar, mechanics, and proper punctuation 

Points: 

Points Range: 5 (5.00%) – 5 (5.00%) 

Uses correct grammar,   spelling, and punctuation with no errors.

Feedback: 

 

Written Expression and   Formatting – The paper follows correct APA format for title page, headings,   font, spacing, margins, indentations, page numbers,   parenthetical/in-text citations, and reference list. 

Points: 

Points Range: 5 (5.00%) – 5 (5.00%) 

Uses correct APA   format with no errors.

Learning Resources 

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

  • Chapter      1, “Expert Clinician to Transformational Leader in a Complex Health Care      Organization: Foundations” (pp. 7–20 ONLY)
  • Chapter      6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
  • Chapter      7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Moore Foundation. (2015). Nurses share lessons in leadership. Retrieved from  

https://www.youtube.com/playlist?list=PLopRJPO6GaifsYPGP_jcWXZzU10H3AaX7Bottom of Form

DB 5 Pharma – 2025 DERMATOLOGY CASE STUDY Chief complaint My right great toe has been hurting for about 2 months and

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DB 5 Pharma – 2025

DERMATOLOGY CASE STUDY

Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief.  She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin  AF cream and it did not help relief her symptoms. She has not tried other remedies.

Denies associated symptoms of fever and chills. 

PMH: Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History:  Immunization is up to date and she received her flu shot this year.

Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right great toe swollen, itchy, painful and discolored.

Psychiatric: No anxiety. No depression.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.

PSYCH: Normal affect. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

Assessment:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab:

Fungal culture confirms fungal infection.

As an NP student, you need to determine the medications for onychomycosis.

1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.

2.  What labs for baseline and follow up of therapy would you order for this patient? Give rationale.

You need 1 initial post and 1 reply for this DB. Total of 2 posts supported by peer-reviewed references, and in APA 6th ed format. 

Thanks!

*******please 

Asthma – 2025 Complications of asthma can be sudden Consider the case of Bradley Wilson a young boy who had several medical

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Asthma – 2025

 

Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.

To Prepare

  • Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
  • Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.

To Complete

Write a 2- to 3-page paper that addresses the following:

  • Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
  • Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
  • Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Reference
Briscoe, K. (2012, May 12). Thetford: mother of Bradley Wilson, who died of asthma attack, told there was nothing she could have done. East Anglian Daily Times. Retrieved from http://www.eadt.co.uk/news/thetford_mother_of_bradley_wilson_who_died_of_asthma_attack_told_there_was_nothing_she_could_have_done_1_1375128

Glissman, B. (2012, May 21). Girl’s death puts focus on asthma’s broader grip. Omaha World-Herald. Retrieved from http://www.omaha.com/article/20120521/LIVEWELL01/305219975

zero plagiarism & 4 references

Case Study 3 & 4 Inflammatory Bowel Disease And Urinary Obstruction. – 2025 Case Study 3 4 Inflammatory Bowel Disease and Urinary Obstruction Students much review

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Case Study 3 & 4 Inflammatory Bowel Disease And Urinary Obstruction. – 2025

  

Case Study 3 & 4:  Inflammatory Bowel Disease and Urinary Obstruction. 

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle. Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program). Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. 

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submited in this course are registered and saved in turn it in program.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Inflammatory Bowel Disease Case Study 

The patient is an 11-year-old girl who has been complaining of intermittent right lower quadrant pain and diarrhea for the past year. She is small for her age. Her physical examination indicates some mild right lower quadrant tenderness and fullness. 

Studies Results Hemoglobin (Hgb), 8.6 g/dL (normal: >12 g/dL) Hematocrit (Hct), 28% (normal: 31%-43%) Vitamin B12 level, 68 pg/mL (normal: 100-700 pg/mL) Meckel scan, No evidence of Meckel diverticulum D-Xylose absorption, 60 min: 8 mg/dL (normal: >15-20 mg/dL) 

120 min: 6 mg/dL (normal: >20 mg/dL) 

Lactose tolerance, No change in glucose level (normal: >20 mg/dL rise in glucose) Small bowel series, Constriction of multiple segments of the small intestine 

Diagnostic Analysis 

The child’s small bowel series is compatible with Crohn disease of the small intestine. Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive regimen, and her condition improved significantly. Unfortunately, 2 years later she experienced unremitting obstructive symptoms and required surgery. One year after surgery, her gastrointestinal function was normal, and her anemia had resolved. Her growth status matched her age group. Her absorption tests were normal, as were her B12 levels. Her immunosuppressive drugs were discontinued, and she is doing well. 

Critical Thinking Questions 

1. Why was this patient placed on immunosuppressive therapy? 

2. Why was the Meckel scan ordered for this patient? 

3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards) 

4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?

Urinary Obstruction case study

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. 

Studies Results Routine laboratory studies Within normal limits (WNL) Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate Uroflowmetry with total voided flow of 225 mL 8 mL/sec (normal: >12 mL/sec) Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O) Electromyography of the pelvic sphincter muscle Normal resting bladder with a positive tonus limb Cystoscopy Benign prostatic hypertrophy (BPH) Prostatic acid phosphatase (PAP) 0.5 units/L (normal: 0.11-0.60 units/L) Prostate specific antigen (PSA) 1.0 ng/mL (normal: <4 ng/mL) Prostate ultrasound Diffusely enlarged prostate; no localized tumor 

Diagnostic Analysis 

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems. 

Critical Thinking Questions 

1. Does BPH predispose this patient to cancer? 

2. Why are patients with BPH at increased risk for urinary tract infections? 

3. What would you expect the patient’s PSA level to be after surgery? 

4. What is the recommended screening guidelines and treatment for BPH? 

5. What are some alternative treatments / natural homeopathic options for treatment? 

Benchmark – Human Experience Across The Health-Illness Continuum – 2025 The benchmark assesses the following competency Benchmark 5 1 Understand the human experience across the health illness continuum Research

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Benchmark – Human Experience Across The Health-Illness Continuum – 2025

 

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:

  1. 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.
  2. 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.
  3. 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.

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

CASE STUDY 1-1: Lego – From Chapter – 2025 Discussion Questions 1 How did the information systems and the organization design

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CASE STUDY 1-1: Lego – From Chapter – 2025

Discussion Questions

 1. How did the information systems and the organization design changes implemented by Knudstorp align with the changes in business strategy?

2.  Which of the generic strategies does Lego appear to be using on this case? Provide support for your choice.

3.  Are changes implemented by Knudstorp an indication of hypercompetition? Defend your position.

4.  What advice would you give Knudstorp to keep Lego competitive, growing, and relevant?

Textbook attached. Need 125 words for each question.

People Of Egyptian Heritage. People Of Filipino Heritage. – 2025 Read chapter 13 and 28 of the class textbook and review the attached PowerPoint presentations Read chapter

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People Of Egyptian Heritage. People Of Filipino Heritage. – 2025

Read chapter 13 and 28 of the class textbook and review the attached PowerPoint presentations.  Read chapter 28 in Davis Plus Online Website.  Once done, write an essay discussing the health beliefs of both heritages and if there is any similarity in both culture beliefs.  Also, discuss how their beliefs influence the delivery of evidence-based healthcare focusing on the nursing care.  

Your assignment must have a minimum of 700 words, 3 evidence-based references no older than 5 years (excluding the class the class textbook, 

Reflection Post – 2025 Read chapters 39 43 After completing the readings post a short reflection approximately 1 paragraph in length discussing your

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Reflection Post – 2025

Read chapters 39-43. After completing the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions about one or several of the specific topics covered in the textbook readings. Identify which one MSN Essential most relates to your selected topic in your discussion.

Reference book (chapter 39-43 attached):

Mason, D. J., Leavitt, J.K., Chaffee, M.W. (2016). Policy and Politics: In Nursing and Health 

Care. (7th• Ed) St. Louis, Missouri: Elsevier, Saunders. ISBN-13: 9780323299886 

15-20 Slide PowerPoint Presentation That Addresses All The Key Questions Listed In The First Section Of This Page. Presentation Is To Be Done In APA Format And To Include Both Learning Objectives And A Reference Page – 2025 Similarity no more than 10 Unit 5 Policy and Politics in Government

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15-20 Slide PowerPoint Presentation That Addresses All The Key Questions Listed In The First Section Of This Page. Presentation Is To Be Done In APA Format And To Include Both Learning Objectives And A Reference Page – 2025

Similarity no more than 10%

  

Unit 5 Policy and Politics in Government Chapters 70,72,74 Interest Group & Nursing Associations

Interest Group Presentation (15 points) 

Students select one interest group from the following groups provided

National Breast Cancer Coalition) and investigate the group’s key issues;

1- what is their mission; 

2-what is their legislative agenda;

3- how is the agenda developed;

4- how is it communicated to members; 

5-how is their agenda pushed and promoted (i.e., mechanisms used to engage/attract and influence policy makers); 

6-what are the group’s current lobbying efforts;

7- key partner coalitions;

8- do their partnerships influence policies at the local, state or national level;

key obstacles; and spending allocations (consult the Center for Responsible Politics, www.opensecrets.org).

In addition to investigating the interest group’s website and reviewing position statements and testimony, students should consult media reports to obtain more information on the group’s current lobbying efforts. 

Students are also to submit a 15-20 slide PowerPoint presentation that addresses all the key questions listed in the first section of this page. Presentation is to be done in APA format and to include both learning objectives and a reference page

Unit 5 Policy and Politics in Government Chapters 70,72,74 Interest Group & Nursing Associations

Rubric attached