2023 Hi dear can help me to finish this assignment with good quality and be on

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Nursing 2023 Public Health and Sexuality

Hi dear can help me to finish this assignment with good quality and be on 2023 Assignment

 

Hi dear,

can help me to finish this assignment with good quality and be on time please?

There is a research attach(Homosexuality) so base on that I need a 15 slide PPT .  Develop a 15 slide PPT lecture titled “Human Sexuality” based on your mini paper from week two.Be sure to include video clips, graphics, a quiz, anything to make the “lecture” interesting.   

This power point is very important and high grade assignment.

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2023 To do a comment to each post below in APA style with

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Nursing 2023 Assessing the Ear the Nose and the Throat

To do a comment to each post below in APA style with 2023 Assignment

  

To do a comment to each post below in APA style with citation, needs 2 credible reference from 2013 and above.

Post 1

Episodic/Focused SOAP Note 

Patient Information: Lily, 20-year-old, Female S. CC: “Sore throat” HPI: The patient is a 20-year-old female who developed a sore throat 3 days ago Location: Throat Onset: 3 days ago Character: sore Associated signs and symptoms: decreased appetite, headache and pain with swallowing Timing: Would ask Exacerbating/ relieving factors: Would ask Severity: Would ask Current Medications: Unknown Allergies: Unknown PMHx: Unknown Soc Hx: Student at the local college. Fam Hx: Unknown ROS: HEENT: Eyes: Ears, nose and throat: Negative for congestion. Positive for runny nose and sore throat, pain with swallowing. GASTROINTESTINAL: Positive for decreased appetite NEUROLOGICAL: Positive for headache O. HEENT: Eyes: Ears, nose and throat: Patient has runny nose, does not sound congested. Patient has slight hoarseness in voice. Diagnostic results: Full vital signs – to include temperature Through mouth and throat exam – specifically looking for puss or enlarged tonsils Rapid influenza test – One study tested 3782 subjects that presented with a fever greater than 38degrees Celsius and either a cough or sore throat. Of these subjects the influenza PCR tested positive 33% of the time and negative 67% of the time. This study showed that the influenza PCR is better at ruling out influenza (Anderson et al., 2018). Monospot test A. Differential Diagnoses Airway Reflux: Acid reflux and sometimes reach higher areas up into the throat. This can create a sore throat and typically leads to a hoarse voice (Adams, 2017). Other symptoms to address include a feeling of a lump in the throat and waking up at night gasping for air (Adams, 2017). Upper Respiratory Infection: Viral upper respiratory infections can create vocal cord inflammation which could be why Lily has a hoarse voice (Dains, Baumann & Scheibel, 2016, p. 9714). Pharyngitis: Bacterial infections can lead to a sore throat and a headache (Dains, Baumann & Scheibel, 2016, p. 9137). Epiglottitis: An infection with H influenza type B, typically presents with sore throat and pain while swallowing (Dains, Baumann & Scheibel, 2016, p. 14434). Mononucleosis: Typically presents with a gradual onset, mild sore throat, malaise and fatigue (Dains, Baumann & Scheibel, 2016, p. 14459). P. References Adams, J. U. (2017). Sore throat and hoarseness might not be just a cold. The Washington Post. Anderson, K. B., Simasathien, S., Watanaveeradej, V., Weg, A. L., Ellison, D. W., Suwanpakdee, D., & Jarman, R. G. (2018). Clinical and laboratory predictors of influenza infection among individuals with influenza-like illness presenting to an urban Thai hospital over a five-year period. Plos ONE, 13(3), 1. doi:10.1371/journal.pone.0193050 Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

Post 2

Episodic/Focused SOAP Note Template

Patient Information:

J, 11, Male, XX (Race) 

S.

CC: “Mild ear ache”

HPI: The patient is 11 year old XX male who presented himself with a mild right ear ache, which started two days ago. Associated symptom include possible fever, right ear pain, difficulty hearing from the right ear. Associated symptom are exacerbated with sleep. 

Current Medications: Inquire if patient is currently taking any medications, rule out earring loss related to medication toxicity. 

Allergies: Inquire about allergies. 

PMH: Inquire if patient has a history of acute otitis media or underlying hearing loss. Inquire if patient has had tonsillectomy or an adenoidectomy in the past.
SH: Spends time in pool during summer. 

FH: Inquire if family members have history of hearing loss. 

ROS:

  • GENERAL: Possible fever. Inquire      about patient’s swimming habits and ask if ear plugs used. Determine      method of cleaning ear. 
  • HEENT: Right ear pain. Inquire if      patient has tinnitus, discharge from ear, vertigo, or itchiness. Inquire      if patient has a history of acute otitis media, hearing loss, vertigo,      tinnitus, discharge from ear canal.
  • RESPIRATORY: Inquire if patient      has had post nasal discharge or sputum production and ask about color of      mucous. 
  • ALLERGIES:  Unknown 

O.

Physical exam:

  • HEENT— Assess outer ear and note      surrounding tissue, shape, color, and any lesions. Assess the external ear      for discharge or any odor. Assess for the placement of a foreign object in      ear. Assess for tenderness on the outer ear near the auricle and mastoid.      Tenderness could indicate a possible infection. Use otoscope to assess      external and middle ear. At this time, assess for erythema, lesions, and      discharge. Inspect tympanic membrane for perforations. Assess the frontal      and maxillary sinuses for swelling. No tenderness or swelling over the      soft tissue should be present. Assess tonsils and inside of mouth for      lesions, erythema, and swelling. 
  • RESPIRATORY: Determine if upper      respiratory infection is present, assess for clear lungs. 

Diagnostic results: 

  • Whispered Voice- Determines if      patient is able to hear whispering. If they do not pass this test, hearing      loss could be assumed. (Ball, Dains, Flynn, Solomon, Stewart, et al.,      2015, p. 241). 
  • Weber Test- Determines unilateral      hearing loss (Ball et al., 2015, p. 241). 
  • Rinne Test- Determines if the      patient conducts sound better through bone or air. The patient should hear      the sound conducted through the air twice as long (Ball et al., 2015, p.      241)
  • Culture of ear fluid (Attlmayr,      2015). 

Differential Diagnoses

  • Otitis externa  
    • Often seen with individuals that       swim. This infection is located on the outer ear. Pain is worse when an       otoscope is inserted because sensitivity is on the outer ear. The outer       portion of the ear is often inlamted and tender to touch. When inspecting       the ear, the ear canal would appear narrow. Because of the narrowing,       fluid is unable to drain from the ear (Rosenfeld et al., 2014). 
  • Otitis media 
    • Otitis media is a middle ear       infection that usually presents unilaterally, hearing loss is present,       and tympanic membrane is pink. Pus often forms inside the ear, which       could cause perforation of the tympanic membrane. Ear pain, fever,       difficulty hearing, irritability, and lethargy can also accompany this       diagnosis. While examining the ear with the otoscope, erythema, dullness,       decrease light reflex, and bulging of the tympanic membrane (Nash,       2013). 
  • Eustachian catarrh  
    • Often results after an upper       respiratory infection. It would be essential to determine if the patient       has has a recent upper respiratory tract infection. Fluid collects in the       eustachian tube, which causes pain and trouble hearing (Nash,       2013). 
  • Cholesteatoma  
    • The growth of a skin tag inside       the ear, behind the ear drum. The patient could be born with it or it can       develop after several ear infections. It would be essential to determine       if the patient has had frequent ear infections in the past (Chawla, Ezhil       Bosco, Lim, Shenoy, & Krishnan, 2015). 
  • Mastoiditis 
    • Mastoiditis is a common       complication of acute otitis media. Pain, erythema, and tenderness are       typically present alone the mastoid process (Attlmayr, 2015). 

P.  NA

Reference

Attlmayr, B., Zaman, S., Scott, J., Derbyshire, S. G., Clarke, R. W., & De, S. (2015). 

Paediatric acute mastoiditis, then and   now: Is it more of a problem now?. The Journal 

Of Laryngology And Otology, 129(10), 955-959. doi:10.1017/S0022215115002078

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S.,   Stewart, R. W. (2015). Seidel’s guide to physical 

examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Chawla, A., Ezhil Bosco, J. I., Lim, T. C., Shenoy, J. N., & Krishnan, V. (2015). Computed tomography 

features of external auditory canal cholesteatoma: A pictorial review. Current Problems In 

Diagnostic Radiology, 44(6), 511-516. doi:10.1067/j.cpradiol.2015.05.001

Nash, L. (2013). A case study on prescribing for an acute ear infection in a child. Nurse Prescribing, 

11(4), 179-184.

Rosenfeld, R. M., Schwartz, S. R., Cannon, C. R., Roland, P. S., Simon, G. R., Kumar, K. A., & … 

Robertson, P. J. (2014). Clinical practice guideline: Acute otitis externa. Otolaryngology-Head & 

Neck Surgery, 150S1-S24. doi:10.1177/0194599813517083

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2023 Advanced Pharmacology A number of large studies have investigated the topic of epidemiology of allergies and much depends on

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Nursing 2023 Discussion Replay, Similarities Less 5%, APA 6th, 2 References

Advanced Pharmacology A number of large studies have investigated the topic of epidemiology of allergies and much depends on 2023 Assignment

Advanced Pharmacology

            A number of large studies have investigated the topic of epidemiology of allergies and much depends on the type and symptoms.  Three studies used a random calling methodology with administration of a survey, with methodologic variations among the studies (Hutyrová & Bystroň, 2018).  Epidemiological studies on representative populations clearly demonstrate a significant general increase of atopic diseases during the last decades, mainly for pollinosis. For the manifestation of an atopic disease both allergen exposure, which leads to specific IgE antibody formation, and the presence of additional realization factors are required. The nature of the latter is still partially unknown.

            Most pharmacoeconomic treatment options for allergies can be obtained from over-the-counter medications.  Lifestyle changes like using air filters and avoiding triggers are important, too.  Prescription antihistamines include Azelastine eyedrops (Optivar), Azelastine nasal sprays, Astelin, Astepro), Carbinoxamine (Palgic) and Cyproheptadine.

            Compared to second generation, H1 antagonists, also called H1 blockers, are a class of medications that block the action of histamine at the H1 receptor, helping to relieve allergic reactions. Agents where the main therapeutic effect is mediated by negative modulation of histamine receptors are termed antihistamines; other agents may have antihistaminergic action but are not true antihistamines.

            Allergies can put a strain on the patient, which underlies the need to educate this patient on how to maintain a state of health that enables him to continue working. Determination of symptoms and identification of allergens will ensure that the patient acquires knowledge on how to adopt preventive measures.

References

Beasley, S. (2018).  Addressing allergies and treatment options. Virginia Quarterly Review, 94(4), 20–27.

Hutyrová, B., & Bystroň, J. (2018). Treatment options for severe allergic asthma and allergic comorbiditie. Advances in Dermatology & Allergology / Postepy Dermatologii i Alergologii, 35(5), 510–515. https://doi.org/10.5114/ada.2018.77243

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2023 Discussion board questions 500 word APA FORMAT 1 Think about the ethical theories

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Nursing 2023 NURSING SCOPE W4

Discussion board questions 500 word APA FORMAT 1 Think about the ethical theories 2023 Assignment

Discussion board questions:

500 word APA FORMAT 

1.  Think about the ethical theories and approaches in this Chapter 4 and the moral conflicts you have experienced in the past.  Have you used one of these approaches to resolve a conflict?  Which theory or approach have you used?

2. Has there ever been a time when you have experienced the dilemma of having to make a choice that you know will affect the well-being of another individual? Have you ever experienced moral suffering?

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2023 Comment 1 Principalism has really evolved into a practical approach for ethical decision making which concentrates on

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Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

Comment 1 Principalism has really evolved into a practical approach for ethical decision making which concentrates on 2023 Assignment

Comment 1

Principalism has really evolved into a practical approach for ethical decision-making which concentrates on common ground moral principles for autonomy, justice, beneficence, as well as non-maleficence (Döring, 2011). Principalism is also referred to as four-principal approach because of the four ethical principles which entail bioethics.  Let us look at these four principals.

The first one is respect for autonomy. This involves respect for what happens to person’s own bodies. This implies that patients may decide the kind of treatment one want as well as their right to refuse medications, treatment, and surgeries and this decision must be respected by caregivers (Döring, 2011). A good example is blood transfusion in a patient who is a Jehovah Witness believer. Even though the patient totally in need of blood, we must respect the fact that Jehovah Witness followers refuse blood transfusions. The other principle is nonmaleficence. This means doing no harm (Döring, 2011). It implies making of best medical decision as well as abiding by rules and regulations to ensure that patients are safe. This can even be small assignments such as hand hygiene as a way of preventing various infections. The other ethical principle beneficence which involves promoting all that is good (Döring, 2011). It involves striving to improve patient’s health based on the situation. The last principle is justice. This means that fairness within treatment and patient care need to be practiced to carry out justice. Distribution of resources should also be given equally.

These principles should be ranked the way I have written them, i.e., respect for autonomy, nonmaleficence, beneficence, and justice with the first one being the most important. Allowing patients to participate in their treatment and making their medical decisions is very important (CİVANER, 2016). This allows for an equal diplomatic approach to healthcare where both parties are involved. Even when we bring in Christian biblical narrative of creation, redemption, fall, and restoration, autonomy is important because it allows patients to choose what they want (CİVANER, 2016). Eve when God brought a human into the world, He enabled them to choose what is right for them and what is wrong for them.

Comment 2

The four principal approaches consist of four universal ethical principles, it consists of respect of autonomy which states to make autonomous decision that people can take and that should be respected. The other principal is non-maleficence states about an obligation to not harm anyone; beneficence is the action to benefit others and to simply improve any situation. Lastly, justice is the principle that works on the distribution of benefits which also engage risks and costs (Page, 2012). Thus, the principle of biomedical ethics claims that no one principal is more important than the other.  Above all it is the justice that should be given to all. We should be just towards others and always respect others, their decision and autonomy. 

It is first the justice, and then respect after that comes non-maleficence and then beneficence. On the biomedical ethical grounds in the United State, it merges all the other grounds in one sphere and also differentiates one from the other in certain aspects. Justice trumps over all other values or principals and it is the one above all. Therefore, in the case study autonomy has been held above all. The doctor did not pressurize the family to take any decision instead gave Mike and his wife full autonomy to decide the right path and take the call.         

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2023 Please check the grading criteria Browse File In this assignment you will assess a

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Nursing 2023 Nursing, Change Paper

Please check the grading criteria Browse File In this assignment you will assess a 2023 Assignment

  Please check the grading criteria(Browse File)

 In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession. 

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2023 Please read the following introduction and complete the following steps for your initial

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Nursing 2023 Discussion Post 250 words must include peer reviewed journal

Please read the following introduction and complete the following steps for your initial 2023 Assignment

Please read the following introduction and complete the following steps for your initial discussion post:
Theory provides the basis of understanding the reality of nursing; it enables the nurse to understand why an event happens. Please share your thoughts about nursing theory.Which nursing theory do you feel will have the greatest impact on your practice and why.Is there an article that you particularly found most useful in utilizing theory in your area of practice?Which of the units’ discussion questions did you find most challenging; discuss why you chose that one?Which discussion did you find more useful to understand nursing theory and its application in your area of practice?Supplement your discussion with personal and professional experiences.Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.Please be sure to validate your opinions and ideas with citations and references in APA format.  

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2023 You plan to take a 1554 mile trip in your car which averages 28 miles per gallon

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Nursing 2023 Math Quiz I need this answer now

You plan to take a 1554 mile trip in your car which averages 28 miles per gallon 2023 Assignment

 

You plan to take a 1554​-mile
trip in your​ car, which averages 28
miles per gallon. How many gallons of gasoline should you expect to​ use? Would a car that has only half the gas mileage require twice as much gasoline for the same​trip? Explain.

You should expect to use about How many
gallons of gasoline? ​(Type an integer or a​ decimal.)

Would a car that has only half the gas mileage ​(14
miles per​ gallon) require twice as much gasoline for the same​ trip? 

Select the correct choice below and fill in the answer box to complete your choice.
​(Type an integer or a​ decimal.)
A.
​No; the car would use ______
​gallons, which is not twice as many gallons.
B.
​Yes; the car would use ____
​gallons, which is twice as many gallons.

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2023 A 35 year old comes to the clinic He states It s getting close to allergy season and I

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Nursing 2023 Discussion, APA6, 3 References Less Than 5 Years, Similarities Less 5%

A 35 year old comes to the clinic He states It s getting close to allergy season and I 2023 Assignment

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really  well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

  1. Discuss the epidemiology of allergies.
  2. What are your treatment options (consider pharmacoeconomic)? Compare first and second-generation antihistamines.
  3. What education will you provide to the patient?

 APA 6th format. All posts must be supported by peer-reviewed articles no older than 5 years of publication.

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2023 Based on the summary of research findings identified from the Evidence Based Project Paper on

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Nursing 2023 This is the second Major. You need to use the paper that you sent to me today I attach it anyway. Please follow Rubric

Based on the summary of research findings identified from the Evidence Based Project Paper on 2023 Assignment

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

  1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
  2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

RUBRIC:

Summary of Article (Includes Discussion of Research Performed and Clinical Findings)

Content is comprehensive and presents ideas and information beyond those presented through the course. Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria

Proposed Integration of the New Tool or Intervention Into Practice, and Explanation of the Impact of the New Tool or Intervention on nursing practice.

Statement is thorough, descriptive, reflective, and supported with practical and sound research. Shows careful planning and attention to how disparate elements fit together to impact the nursing profession.

Layout

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in control of standard, written academic English.

Evaluating and Documenting Sources (in-text citations for paraphrasing and direct quotes, references page listing and formatting, as appropriate to assignment and style)

Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation.

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