Final Work – 2025 Mrs B an 88 years old woman was hospitalized with anemia lower leg edema and ascites She

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Final Work – 2025

 Mrs. B, an 88 years old woman, was hospitalized with anemia, lower leg edema and ascites. She was living alone while receiving care in a day-care center for seniors. Mrs. B’s only family was her son, who lived in the same town, but it was a health care worker who brought Mrs. B to the hospital. The son arrived at the hospital later. The Doctor said to Mrs. B: “Your hemoglobin level six months ago was 12, but now it is only 4. Your anemia may possibly be caused by stomach bleeding, so a thorough examination is necessary. If not treated, terrible problems might occur, and no treatment means you will likely die.” The patient, however, refused the treatment by saying that she was too old, and the gastric camera was terrifying. The son added, “I want to respect my mother’s decision. I knew that her legs and her abdomen were swollen but because of her age I did not want her to be brought to the hospital. As far as she does not want treatment, I agree with her” What do the nurses do and why? In the event that other treatment options were available for Mrs. B, how would the nurse approach Mrs. B about it? Should the nurses simply respect the patient’s choice? Why? Why not? What reasons given by Mrs. B need further exploration? 

Informatics – 2025 How does data become knowledge and finally wisdom Explain the relationship between knowledge acquisition

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Informatics – 2025

 

How does data become knowledge and finally wisdom? Explain the relationship between knowledge acquisition, knowledge processing, knowledge generation, knowledge dissemination, and wisdom. Then provide examples from your clinical practice (or past work experiences) according to the following:

  1. Examples of knowledge acquisition
  2. Examples of knowledge generation
  3. Examples of knowledge processing
  4. Examples of knowledge dissemination
  5. Examples of the use of feedback

American Govt – 2025 Being the President of the United States is a very powerful and influential position

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American Govt – 2025

Being the President of the United States is a very powerful and influential position. This week we will discuss education reform and welfare reform. 

Identify one (1) President of the United States and write a two (2) page paper discussing the following. Each section of your paper should have a section header.

1- Explain why you selected the President?  

2- Give some historical background about the President. 

3- Identify and discuss an initiative accomplished by the President which relates to

Epidemiology And Antibiogram In Healthcare Due 8/8/2020 – 2025 Epidemiology and antibiogram in healthcare due 8 8 2020 write a 5 page paper on antibiograms

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Epidemiology And Antibiogram In Healthcare Due 8/8/2020 – 2025

  

Epidemiology and antibiogram in healthcare due 8/8/2020

write a 5-page paper on antibiograms and their role in infectious disease epidemiology.

1. Include the following response in your paper. 

2. What is an antibiogram? 

3. How is the antibiogram created?

4. What is the implication of over prescribing antibiotics and how can antibiogram assist? 

5. How does antibiogram prevent the growth of multidrug resistant organisms?

6. Research and describe a controversy concerning antibiograms use. 

Be sure to use credible, scholarly sources and APA format.

All sections must have subheading 

Differentiate The Major Regulatory Restrictions On NP Practice – 2025 Assignment Details Differentiate the Major Regulatory Restrictions on NP Practice Purpose NPs have scopes of

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Differentiate The Major Regulatory Restrictions On NP Practice – 2025

Assignment Details

Differentiate the Major Regulatory Restrictions on NP Practice 

Purpose

NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on your location. There are several sources of restrictions to NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges. 

Directions

Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent. Please keep this assignment in the template format provided. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Texas requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.

Assignment Template

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section under Course Resources. 

Assignment Requirements

Before finalizing your work, you should:

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

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.)
  • be well orderedlogical, and unified, as well as original and insightful
  • display superior content, organization, style, and mechanics
  • use APA 7th Edition format for organization, style, and crediting sources. Refer to the APA Progression Ladder. 

PRACDQ10@11 – 2025 Hello i need a Briefly Good and Positive Comment for this Post Thank you I need at least

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PRACDQ10@11 – 2025

  Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references .  

   

Donlashoni Cowley

NURS 6650 WEEK 10 Discussion Clinical Supervision Child and Adolescent Group

         The patient I was focusing on was not responding to any of his treatment plan we prepared. The young man was 18-year-old white male who has a history (F31.31) bipolar with depression and (F10.1) alcohol abuse (American Psychiatric Association (APA), 2013).  He lives with his father and stepmother whom his father just married 3 months ago. He had 2 other siblings 3 months old stepsister and a brother who is 25 years old who lives in Ohio with his wife. He dropped out of high school in the 10 grade and moved in with his dad. He was brought to the medical facility due to excessive alcohol abuse and bizarre behavior. The young man refused to participate in group therapy. He would not response to general questions or any activity lessons. He was very disrespectful to the other patient in therapy. He was constantly getting into argument and instigating flights with others. During the session he was invaded other patient space and was redirected several times by medical staff.  He presents as anger, irritated by others and withdrawn. The only thing he would say to express himself is “You’re not like me and you don’t know me”. 

         Group therapy starts at 1030am and end at 1130 before lunch time.  The age group was between 17 years old to 20 years old both male and female patients present. The group was made up of 10 patients along with1 mental health tech, social worker and me. He stated privately during his intake “he was not happy with living with his stepmother”. He drinks to forget his problems. The young man was escorted out of the group therapy because he continued to be aggressive to others and he was causing the other in the group to become agitated resulting in physical altercation to erupt. The patient denied suicidal ideations or attempts. The patient denied any past medical history and psychiatric history including past hospitalization. The patient also denied any family medical history and described his father as “healthy.” The patient reports that he drinks every day starting when he wakes up. He drinks about of one to two bottle of vodka a day. We administered the PHQ-(2)-(9) assessment where he scored 13 indicating moderate depression. The doctor was notified of the behaviors during therapy and new order placed. 

           My therapeutic approach with this patient started out to be psychodynamic and group cognitive-behavioral therapy (CBT).  We use “group work to help each patient become aware of there inner feels and needs” (Wheeler, 2014 p.410). CBT was attempted by trying to help the young man view his inner feeling and emotions along with identifying the trigger that influence the behaviors (Wheeler, 2014 p.410). CBT is a short-term psychotherapy which should be seen within 6 to 11 sessions where the patient participates in the therapy. We used psychoeducation to create some structure in the group according to the book of Wheeler (2014) “psychoeducational groups can be directed by nurses, social worker and license professional counselor (LPC). 

           The reason I think that group CBT was not helpful to the patient is mainly because he would not participate in group but would open up to one on one counseling at times. My treatment plan was to increase more one on one therapy and slowly implement group therapy with the same participates within the same age group. According to the video with Microtraining Associates (2009) this patient follows the typical “conflict of interpersonal relationship, this mean we had find another approach by using group therapy in a way to get more of the patient peers involved with the discussion”. This helped the patient to relate to the others in the group which allowed the patient to feel better with the acceptance to modify his behavior and value what is being expressed from his peers. This therapeutic approach would not look like the adult in the room, is tell him anything but rather he understands it from a selected similar position of his peers.  

         We used the CBT approach to help this  patient to recognize and understand his negative thoughts and feelings in order to ultimately substitute them with positive ones but to help this young adolescent man, we must implement other approaches to help achieve a positive out for the patient.  The journey for this client can be achieved but would require a long time with individual, group therapy along with substance abuse counseling to confront the under lying issues with this patient. Since this patient doesn’t interact with the group it is hindering his progress though group sessions. We notified the doctors and followed up on this patient with referrals for more frequent visits by the psychologist and psychiatric included medication changes to help with improving behaviors.  

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). 

         Washington, DC: Author.

Microtraining Associates (Producer). (2009). Leading groups with adolescents [Video file]. Alexandria, 

         VA: Author.

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for 

         evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company

Nursing Leadership And Management DQ # 14 Student Reply Doris Martinez – 2025 The following post is from another student to wish i have to reply

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Nursing Leadership And Management DQ # 14 Student Reply Doris Martinez – 2025

 The following post is from another student to wish i have to reply adding some extra information. less than 20 % similarity  

Policy: The meaning of this word is attributed to a series of rules that together form a certain ideal. These rules can be laws or principles that are agreed by certain people and that apply to a certain group. In turn, they serve as a guide to ambiguous situations and are formally implemented, in writing, and all those who must follow them must be aware that they exist and follow them. Failure to comply with a policy can have bad consequences, but compliance with it guarantees that the agreed results are achieved and is carried out with organization and professionalism.

Public policy: This term refers to the problems that are generated in society or within the population and that are detected by a series of government units to create solutions for these problems. It is based on the diagnosis and analysis of the problems and the feasibility they present. This type of policy is general and tries to understand most of the social problems that exist in communities.

Private policy: This type of policy, unlike the public one, highlights a certain organization and assesses how it manages the operations planned to achieve the organization’s achievements. It is a more individual policy and caters to private and non-governmental entities.

Health policy: This definition already belongs to the world to which as nurses we relate day by day. The fundamental characteristic of health policy is to establish a series of rules, strategies and plans that help establish the correct decisions within the health sector. Decisions are backed by this policy and the actions taken are guided by the laws and established guidelines. Like the rest of the health policies, the specific objective is quality of service and the duty to maintain health standards at a high level.

Social policy: This policy refers to the government’s effort to achieve certain changes which are intended for the benefit of society. These changes are directed at different sectors of society which are most affected and an analysis of the characteristics and the specific problems they face is carried out, in this way providing a solution through these policies.

Organizational Policy: It is a broader term that covers the decisions of the organization that may influence public interest. The principles and methods used are selected based on social demands and these organizations must adapt to these characteristics and the type of demand that is required for this determined sector. (Ellenbecker, 2017)

Florence Nightingale: It is considered one of the most important nursing figures in history. Her work became a guide for what we currently have. Of British nationality, her death was recorded in Italy in 1820. She is called the pioneer of modern nursing worldwide and is the author of the first conceptual model. Her hard work in caring for the wounded on the battlefield was one of her most outstanding achievements. Her contribution to the war in caring for the wounded became an example to follow. The conditions in which these soldiers found themselves about health were long overdue and the quality of service contributed greatly to saving many lives that would have been lost through lack of care. (Awalkhan, 2016)

Lillian Wald: The most outstanding work of this American nurse was her tasks in the community. Her projects were created in a humanistic way and with attention to those most affected. Her work from the communities helped her to participate in many humanitarian missions where she stood out for her love, dedication, and passion for the care of those most in need. She is known for founding the American Nursing Community and participating in the Great Americans Hall of Fame. (Wood, 2020)

Margaret Sanger: She was a nurse that dedicated her work to be a sex educator and birth control activist. She have a lot of contributions to nursing throughout the years, one of the most recognized is that she create the first birth control clinic in the United States of America, she was also pushing for laws and changes in the reproductive freedom of the woman, and establishing Planned Parenthood.

ICN: These acronyms that mean; International Council of Nurses consists of a federation dedicated to guaranteeing adequate care and quality of services in all spheres of health. New health policies and the continuing study of nursing knowledge and the hard work of achieving a professional and competent but above all reliable workforce worldwide. This council was founded in 1899, and today it has more than 130 national federations in addition to concentrating more than 20 million nurses around the world. This organization is based on guaranteeing quality and fair nursing care for all people, it contains fair global health policies and, most importantly, the improvement of nursing skills to achieve a professional team dedicated to the work being done.

NLCA: Licensing Administrators of the Nurses’ Pact. This branch is a little more reduced since it includes the executive directors of the nursing boards, these directors have the task of establishing a pact between the states to be able to fulfill their function effectively and efficiently. Another task is to enforce the covenants and update the license by reverting to the requirements and qualifications. (Spetz, 2020)

This scenario represents one of the models of nursing talked in the past weeks, this is a stage of Evaluation of Political Directive.

References

Awalkhan, A. &. (2016). Application of Nightingale Nursing Theory to care of patient with colostomy. European Journal of Clinical and Biomedical Science, 2(16), 97-101.

Ellenbecker, C. H. (2017). A staged approach to educating nurses in health policy. Policy, Politics, & Nursing Practice, 18(1), 44-56.

Spetz, J. (2020). Nurse staffing ratios: Policy options. Policy & Politics in Nursing and Health Care-E-Book, 452.

Wood, S. K. (2020). Keeping the Nurse in the Nurse Practitioner: Returning to Our Disciplinary Roots of Knowing in Nursing. Advances in Nursing Science, 43(1), 50-61.

Nursing Leadership And Management DQ # 14 Student Reply Maydeli Capo – 2025 The following post is from another student to wish i have to reply adding some extra information less than

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Nursing Leadership And Management DQ # 14 Student Reply Maydeli Capo – 2025

  The following post is from another student to wish i have to reply adding some extra information. less than 20 % similarity   

 

Question 1

Policy is a compilation of decisions, plans and approaches utilized with the purpose of signaling priorities, goals and achievements for a period of time (Health Policy, 2020).

Question 2

Public policy: It is a group of regulations and laws on a particular topic.

Private policy: It is a document stating how information is used, spread and managed.

Health policy: It is a vision or a plan for the future with specific goals.

Social policy: It is directly linked to human welfare and the conditions that influence this.

Organizational policy: Defines the views of an organization, such as behaviors, procedures and tasks.

Question 3

Florence Nightingale was a nurse during the Crimean War, known for giving personal attention and touch as well as nursing care to wounded warriors. She is known as the founder of modern nursing and pioneered the efforts for nursing to be recognized and formalized thus creating The Nightingale School of Nursing in London, 1860 (Selanders, 2020).

Question 4

Lillian Wald was an American nurse who founded The Henry Street Settlement in New York and advocated for public health nursing (Britannica, 2020).

Question 5

Margaret Sanger was an obstetrics nurse who advocated for women’s rights regarding pregnancies, sex education and developed the concept of birth control. Margaret Sanger founded the American Birth Control League, it served as a model to what is now known as Planned Parenthood (Britannica, 2020).

Question 6

ICN stands for International Council of Nurses. It is an organization of health professionals led by nurses working together to oversee policies, advancement of nursing education, and competent care in organizations (ICN, 2020).

Question 7

Nurse Licensure Compact (NLC) gives nurses the opportunity to practice in other states without obtaining additional licenses.

Question 8

This scenario represents the evaluation stage. In the evaluation stage the policy is reassessed to verify if its components are aligned with what it is intended to accomplish (NCCHPP, 2013)

References

Health policy. (2020). Retrieved from https://www.who.int/topics/health_policy/en/

Lillian D. Wald. (2020, March 6). Retrieved from https://www.britannica.com/biography/Lillian-D-Wald

Margaret Sanger. (2020, July 21). Retrieved from https://www.britannica.com/biography/Margaret-Sanger

Public Policy Models and Their Usefulness in Public Health: The Stages Model. (2013, October). Retrieved from http://www.ncchpp.ca/docs/modeleetapespolpubliques_

Selanders, L. (2020, May 8). Florence Nightingale. Retrieved from https://www.britannica.com/biography/Florence-Nightingale

Who we are. (2020). Retrieved from https://www.icn.ch/who-we-are

Teaching Project – 2025 Firearm safety 7 year old gunshot victim not life threatening lower left leg in the trauma unit lives at home with

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Teaching Project – 2025

Firearm safety, 

7-year-old gunshot victim (not life threatening, lower left leg), in the trauma unit, lives at home with dad.Blood pressure 104/62, Pulse 78, Respirations 18, Temperature 98.7°F, SaO2 99% room air. His mother explained what had happened, but she was not aware of any history of allergies. J.T. has younger sisters, and his mother is divorced.  Once stable, the nurse gained a more thorough history, assessment, and began discharge instructions.

Teaching Project – 2025 Teaching project topic Firearm safety 7 year old gunshot victim not life threatening lower left leg in the

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Teaching Project – 2025

Teaching project topic :Firearm safety, 

7-year-old gunshot victim (not life threatening, lower left leg), in the trauma unit, lives at home with dad. gun shot wound was due to the child shooting himself. Gun was obtained by the child from the fathers unlocked gun safe and the Gun was loaded.

Blood pressure 104/62, Pulse 78, Respirations 18, Temperature 98.7°F, SaO2 99% room air. His mother explained what had happened, but she was not aware of any history of allergies. J.T. has younger sisters, and his  Father and mother are divorced.  Once stable, the nurse gained a more thorough history, assessment, and began discharge instructions. The mother is devastated and the father is very apologetic with felings of guilt