Javis 20 – 2025 1 Define the apical impulse and describe its normal location size and duration

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Javis 20 – 2025

1. Define the apical impulse and describe its normal location, size, and duration.

2. Which abnormal conditions may affect the location of the apical impulse?

3. Explain the mechanism producing normal first and second heart sounds.

4. What is syncope?

5. Define the third heart sound.

6. Define pulmonic stenosis.

7.Define physiologic splitting.

Reply answering the questions above using APA format.

Pathophysiology (24 Hours) – 2025 1 Minimum 9 full pages Follow the 3 x 3 rule minimum

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Pathophysiology (24 Hours) – 2025

 

1) Minimum 9  full pages (Follow the 3 x 3 rule: minimum three paragraphs per page)

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6 references not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Hypertension:

1. Abstract (Introduction)  (A brief overview of the background of the topic are provided) (1/2 page)

2. Create a case study using the system is presented and discussed about a patient with Hypertension

3. Describe Pathophysiology of the System of  Hypertension  according to the case

4. Describe the clinical Manifestations  of according to the case

5. What are the diagnostic Studies/ Laboratories for  Hypertension . Explain them

6. Clinical Management/ Treatment Modalities for  Hypertension 

7. Evaluation of Treatments 

8. Patient Education and Safety (QSEN) 

9. Make a questionare for Class discussion (6 questions)

Practicum – Week 5 Journal Entry – 2025 Students will Develop effective documentation skills for family therapy sessions Develop diagnoses for

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Practicum – Week 5 Journal Entry – 2025

Students will:
  • Develop effective documentation skills for family therapy sessions *
  • Develop diagnoses for clients receiving family psychotherapy *
  • Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders *

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
  • Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.

Data-Based Changes – 2025 Data Based Changes Write an word essay addressing each of the following points questions Be sure to completely answer all

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Data-Based Changes – 2025

 

Data-Based Changes

Write an word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. 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 three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. 
  2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
  3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

Best Evidence – 2025 Locate one primary research article systematic review or practice guidelines related to the PICO question that is a

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Best Evidence – 2025

  1. Locate one primary research article, systematic review or practice guidelines related to the PICO question that is a report of an evidence-based practice or a quality improvement project.  Thous this assignment involves finding one (1) article, keep in mind that you must describe the process on how you were able to locate the article.  Then, answer the following questions:
    1. What is the level of evidence that best answers your PICO question?
    2. What relevant databases did you search to find the article?
    3. What keywords from your PICOT question were used to search the database?
    4. What strategies were applying to streamline your search?
    5. Did you use “MeSH terms”, Boolean connectors or parameters to help you search for the evidence?

SELF REFLECTION ESSAY FOR A ADVANCE NURSE PRACTITIONER CLASS. – 2025 Student Course Self Reflection Guided Essay Learners must complete a final applied self reflection essay

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SELF REFLECTION ESSAY FOR A ADVANCE NURSE PRACTITIONER CLASS. – 2025

Student Course Self-Reflection (Guided Essay)

Learners must complete a final applied self-reflection essay on their performance of the course based on the documents and artifacts provided in the performance portfolio. This essay must include at least 5 paragraphs and be limited to a maximum of 2 pages.

  1. What have you learned in the course that will help you continue to grow as a professional in your chosen career?

During this course I learned many things from The History of Public Health Worldwide, The most commons Ethical Issues,What is the Health Services System, the Healthcare needs of the Hispanic Community in the U.S, Reforming of the U.S. Health Care System, The Consensus Model and its impact on the future of Nursing Practice, Healthy Communities, the strategies in Health Promotion, Prevention, and Interventions.

2. Which specific assignment for this course was your best work? Name one. What makes it your best work? What did you learn by creating it? What does it say about you as a student in regards to your degree concentration? How do you plan to use it in your field?

during this course I did various assignments but the one that taught me the best material was when I presented the powerpoint about FULL AUTHORITY FOR NURSE PRACTITIONERS IN THE STATE OF FLORIDA, my powerpoint had all the points that I needed to understand what is an full authority nurse practitioner in florida and thanks to this class I am aware of the laws and policies.

3. In which area(s) will you likely continue to strengthen your knowledge or competencies 

an area that I need to continue to strengthen my knowledge is in the the nursing theories, they are very complex and have a lot of information that is very valuable in the nursing profession.

4. Which strategies did you use to learn the material in this course?, Which were the most effective? Why

the strategy that I used to help me in this class was all the information the teacher gave me I would read everything before class and always keep myself in the same topic before jumping to the other one.

5. How did your communication skills improved with this course? Discuss new vocabulary, the style of the profession (writing and oral), others.

I am a Spanish speaker however I do speak English fluently but I can say that my vocabulary is bigger now because all the new difference terms I learned during this class.

NO REFERENCE NEEDED 

MUST BE APA STYLE

PLEASE ELABORATE IN THE ESSAY THIS IS AN ASSIGNMENT THAT I MUST TALK ABOUT MY EXPERIENCE DURING THIS CLASS THE NAME IS  Public health Policies, Ethics, and Systems.

Health Services For Special Population-Focus On Behavioral Health – 2025 Looking at one s own mind can be tricky For example how do we know if

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Health Services For Special Population-Focus On Behavioral Health – 2025

 

Looking at one’s own mind can be tricky. For example, how do we know if what we are thinking and feeling is actually normal? Or if being sad is really depression? Or being happy is really a state of complete denial of reality?

In contrast to physical health, mental health does not have the same clarity of disease as breaking a bone, rupturing an artery, or having a viral infection. No – mental health is more…well, mental. It’s more in our heads, in our minds, and in the processes we use to think about things like mental health in the first place. Is “Behavioral Health” the same as “Mental Health?” Please start with your distinctions, if any, to provide context for the rest of your post.

But despite its lack of clarity, mental health is a real thing nevertheless. For example, the National Institute of Mental Health (NIMH) has noted that: “Everyone occasionally feels blue or sad. But these feelings are usually short-lived and pass within a couple of days. When you have depression, it interferes with daily life and causes pain for both you and those who care about you. Depression is a common but serious illness.” See: NIMH

But it’s not just depression that is at issue. According to the Anxiety and Depression Association of America (AADA), It’s not uncommon for someone with depression to also suffer form an anxiety disorder or vice versa. Further:

  • Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older (18% of U.S. population).
  • Anxiety disorders are highly treatable, yet only about one-third of those suffering receive treatment.

 So, bottom line is that mental health issues like excessive anxiety and depression are no joke – either at a personal level or at the macro level of the US healthcare system.

But while millions of people suffer from mental health issues, it is also noted above that millions of suffering people are left undiagnosed and untreated.

So what should we do? How can we significantly improve our ability to help people in need of mental health treatment?  

What should we do about the stigma that some attach to seeing a mental health professional?

What about the equal stigma of being labeled as someone who is “mental?”

How do we, as healthcare professionals, best reach out to those that desperately need assistance –without making anyone think we are looking for “crazy” people?

Overall – what is the best way to address the large and underserved need for mental health care? 

Medication Errors Led To Disastrous Outcomes – 2025 1 Search the internet and learn about the cases of nurses Julie Thao and Kimberly

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Medication Errors Led To Disastrous Outcomes – 2025

 

1. Search the internet and learn about the cases of nurses Julie Thao and Kimberly Hiatt.
2. List and discuss lessons that you and all healthcare professionals can learn from these two cases.
3.  Describe how the principle of beneficence and the virtue of benevolence  could be applied to these cases. Do you think the hospital  adminstrators handled the situations legally and ethically?
4. In addition to benevolence, which other virtues exhibited by their colleagues might have helped Thao and Hiatt?
5. Discuss personal virtues that might be helpful to second victims themselves to navigate the grieving process.

Scholarly article, APA format, and no grammar error

Dq – 2025 Understanding the health care system at the local level is important to consider when planning an EBP implementation because it

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Dq – 2025

Understanding the health care system at the local level is important to consider when planning an EBP implementation because it gives you an indication of what you can expect as far as demographics and availability of resources. According to my course preceptor, when any evidence-based implementation has taken place at her facility, such as the changed from paper charting to electronic medical records (EMR) has been a difficult endeavor that has required much planning and implementation. To promote use of research evidence in clinical and administrative health care decision making, multifaceted implementation strategies are needed (Moloney, Taylor & Ralph, 2016). Implementation strategies also need to address both the individual practitioner and organizational perspective. In addition to a shared vision, effective leadership is needed for change to be successful.

The key to transformational change or any change is to have leadership that is able to understand it, support it, explain it, and move the organization to commit to it (Cowell, Gillespie, Cheung & Brown, 2018). Although full schedules, distracting events, fear of change, and apathy are obstacles to change, the real enemy of change is complacency and having the will to change is vital even groups that seek change may be complacent and not committed to follow through.

Dq – 2025 Respond to this discussion post This change management model was created in the 1950s

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Dq – 2025

Respond to this discussion post 

This change management model was created in the 1950s by psychologist Kurt Lewin. Lewin noted that the majority of people tend to prefer and operate within certain zones of safety. As a result, he recognized three stages of change as: unfreeze, transition, and refreeze. On the other hand, Everette Rogers modified Lewin’s change theory and created a five-stage theory of his own. The five stages are awareness, interest, evaluation, implementation and adoption. This theory is applied to long-term change projects. It is successful when nurses who ignored the proposed change earlier adopt it because of what they hear from nurses who adopted it initially (Kritsonis, 2015).

Below is a comparison of the two change theories;

Lewin’s Three-Step Change Theory vs. Rogers Change Theory.

Lewin’s Three-Step Change Theory is very rational, goal and plan oriented. It doesn’t take into account personal factors that can affect change. Also, the theory makes rational sense, but when implemented the lack of considering human feelings and experiences can have negative consequences. On the other hand, Roger’s theory is applied for long-term changes and the success of this theory is fully realized when the earlier resistant agents adopt the change and support it this is unlike Lewin’s theory where success is only realized if the driving forces dominate the resistant force (Watson, 2019).

Given that Rogers change theory promotes awareness of the change, encourages interest of implementation of EBP among the involved parties and appraise the achievement of pilot studies before the actual implementation, the theory makes sense in the implementation of my specific EBP in healthcare system.