2023 Candace Kapranos Monday Feb 18 at 12 17am Manage Discussion Entry Nephrolithiasis is the growth of a

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Nursing 2023 db reply candace

Candace Kapranos Monday Feb 18 at 12 17am Manage Discussion Entry Nephrolithiasis is the growth of a 2023 Assignment

Candace Kapranos 

Monday 

Feb 18 at 12:17am

 

Manage Discussion Entry 

Nephrolithiasis is the growth of a kidney stone in the kidney or the lower urinary tract. There are four different stones that can form during this disease. The first is calcium salts (75%-85%). These types of stones are predominantly in patients with a high salt  diet, animal fat, animal protein, and oxalate from green leafy vegetables. A low calcium diet is a risk factor also which leads to oxaluria. The second stone is struvite (10%-20%) and predominantly found in women. They occur when the urine is alkaline (pH greater than 7.0) and a urea-splitting organism such as Proteusor Klebsiellais present (Dunphy, Wineland-Brown, Porter, & Thomas, 2015). Uric acid (7%) are formed when there is increase in uric acid such as the disease gout. It may also result from acidic urinary pH, significant bicarbonate loss, regional enteritis, hereditary factors, or ulcerative colitis. Lastly, cystine (1%-2%) which are created from autosomal recessive disorder called cystinuria. These may form in the kidney, bladder, and ureters. It rarely causes kidney failure. Diet considerations from certain cultures eating lifestyle may increase or decrease the risk for Nephrolithiasis. Vegetarianism has been shown to protect against calcium stone formation in some studies; However, excessive oxalate intake from green, leafy vegetables can cause stones in patients with hyperoxaluria (Wells, 2000). Excessive protein probably contributes to stone formation in 2 ways: by excess purines possibly leading to uric acid stones and by the observed hypercalciuric effect that develops from protein loads; a global reduction of protein, particularly animal protein, is typically recommended, with the daily protein intake suggested at 60 g/day (Wells, 2000). Other considerations such as lack of fluid and obesity can also be factors.

References

Dunphy, L., Brown, J., Porter, B., & Thomas, D. (2015). Primary Care: The Art and Science of Advanced

Practice Nursing. Philadelphia: F.A. Davis Company

Wells, Ka. (2000). Nephrolithiasis with unusual initial symptoms. Journal of Manipulative & Physiological 

Therapeutics, 23(3). Retrieved from https://6o306a7b1-mp01-y-https-web-b-ebscohost-com.prx-

 (Links to an external site.)

Links to an external site.

herzing.lirn.net/ehost/detail/

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2023 Topic In your initial post Support or refute the following statement The world s work on

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Nursing 2023 The Status Of Global HIV Efforts

Topic In your initial post Support or refute the following statement The world s work on 2023 Assignment

Topic

In your initial post:

  1. Support or refute the following statement: “The world’s work on HIV has largely been a failure.” Include in your discussion:
    1. What has happened to incidence over time?
    2. What has happened to prevalence over time?
    3. How successful or not have efforts been at prevention in different settings?
    4. How successful have efforts been at putting people and keeping them on treatment?

Directions

In response to each topic or prompt provided by the instructor please do the following:

  1. Provide a thoughtful and complete initial response that is a minimum of two to three paragraphs
  2. APA format 
  3. No plagiarism

Textbook : Global Health 101

4th Edition

Author: Richard Skolnik

Publisher: Jones and Bartlett Learning

Year: 2019

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

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Nursing 2023 PH Communications & Advocacy

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

 

hi dear,

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

Please follow the instructor carefully. There are 2 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

 Discussion one, 

  The Clean Air Act is a federal law that was created over 40 years ago in the United States. It helps to control air pollution nationally and protect citizens from air pollution that may be hazardous to their health. Globally it is one of the most comprehensive laws focusing on air quality. Currently congress is working to block the EPA’s efforts from protecting the health of the public and delaying their work in blocking life-threatening air pollution. I was able to submit a letter to senators via the APHA website in opposition of congress hindering the EPA’s abilities to enforce the Clean Air Act.The stakeholders in this issue are literally anyone in the United States who is breathing. While some individuals, such as those in higher pollution areas, are going to be more affected than those in rural areas, everyone is affected by the issue. By creating this page for citizens to speak up, a platform is being opened as well for those who may want to take further action than submitting a letter. Coalitions could be form in opposition of the actions congress is taking that are risking the health and lives of millions of individuals.

Discussion Two,

I selected the American Public Health Association. The APHA is an organization that is dedicated to improve the health and wellbeing of the public. They publish a journal and a newspaper to share the newest information in the public health world. Oftentimes this news includes current campaigns and legislative actions to urge readers to write and ask policymakers to vote and act of certain policies. Current polices that the APHA is hoping members voice their opinions are the opposition of Trump’s administration proposal on the current public health crisis, the Protect the Clean Air Act, support of paid sick leave, and many more. When a member clicks on one of the policies to voice their opinion, they are able to read more information on the topic, read a standard message to congresspersons, and then compose their own message to congress.

One method that the APHA utilizes to communicate the best possible message to congress members is by allowing members to send a tailored message (with the option to personalize the message) that states specifically what the APHA is backing on the policies. For instance the message for the Protect the Clean Air Act has a clear message that states that the APHA wants congress members to reject any measures that would not allow the EPA to protect the public from air pollution, then after the unchangeable message members are able to either personalize or send a standard message that supports or gives more research/opinion behind why congress should not hinder the EPA protecting the public from air pollution.

Thanks,

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2023 Discussion Searching Databases When you decide to purchase a new car you first

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Nursing 2023 Evidence Based Practice Module3

Discussion Searching Databases When you decide to purchase a new car you first 2023 Assignment

Discussion: Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.
By Day 3 of Week 4 USE THE TOPIC MEDICATION ERRORS

Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N
Note: You will access this article from the Walden Library databases.

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
Note: You will access this article from the Walden Library databases.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

THIS IS AN EXAMPLE

A Clinical Question

            The best way to form clinical question is in the form of PICO(T)  (Ask: Write a focused clinical question, 2020). I have done such a thing and have found that the question formulation and changes to it were not as challenging as finding research related to the question.

The Question:

            (P) In the hospital or clinical acute care setting, (I) is a 2 person double-check of insulin, (C) compared to a single person double-check of 5 rights, (O) more effective in the improvement of (01) insulin medication errors, (02) nurse satisfaction during a (T) 30-day term of observation?

Databases Used

            The Walden University database was used to search databases for nursing. Of those available Science Direct, CINAHL, and Cochrane, and PubMed were used. Background questions were first asked to get a sense of what has been studied in this area. It was important to understand when and why this practice first started to determine the relevance of data acquired and to determine how recently we needed to search. Then, foreground questions began to form until finally the PICO(T) question.

            During the background question period, the terms ‘double-check’ became the preferred terminology for the practice I wished to study. So using this ‘double-check’ in the PubMed database, 244 articles were found but not all pertained to my topic. Changing the text to be included only in the title or abstract, the same result achieved. Adding ‘medication errors’ reduced the yield to 21 results. At this level, the evidence is available on the basic topic of using the double-check to prevent all medication errors and relates often to high-risk medications. However, I want to know about the labor-intensive practice of using a 2 nurse double-check for subcutaneous injection of insulin. Adding a level of inquiry which includes insulin, this yielded 2 studies. One from 1983, and one from 2009. Neither of which addresses the current question other than provides background for why the practice may exist in the first place. Changing terms to highlight ‘insulin double-check” yielded two results, both relevant, and one is the most current and referred to peer-reviewed study on this topic.

Affecting Rigor and Effectiveness

            To improve the effectiveness and rigor of a database search one much identify proper and strong keywords in the question or relating to the question. Use filters to find peer-reviewed data first. Use filters for the type of study if possible, including systematic studies, and work your way down the pyramid for strength of research available. If the question is somewhat original, there may not be much evidence. This is the case here. Other filters and Boolean operator’s include dates of publication, with the last 5 years preferred as ‘current’, using ‘and’ and ‘or’ and ‘not’ to include or exclude words in the title, abstract, text, or any part of the article or work.

References

Ask: Write a focused clinical question. (2020). Retrieved from Northern Arizona University: https://libraryguides.nau.edu/c.php?g=665927&p=4682772

Berdot, S., & Sabatier, B. (2018). Medication errors may be reduced by double-checking method. Evidence Based Nursing, 18(21), 67. doi:10.1136/eb-2018-102901

Chua, G., Lee, K., Peralta, G., & Heng Chi Lim, J. (2019). Medication Safety: A Need to Relook at Double-Checking Medicines? Asia-Pacific Journal of Oncology Medicine, 6(3), 246-252. doi:10.4103/apjon.apjon_2_19

Modic, B., Alber, N., Bena, J., Yager, C., Cary, T., Zhiyuan, S., . . . Kissinger, B. (2016). Does an Insulin Double-Checking Procedure Improve Patient Safety? JONA: The Journal of Nursing Administration, 46(3), 154-160. doi:10.1097/NNA.0000000000000314

Sentinel event alert: High-alert medications and patient safety. (1999, November). The Joint Commission: https://www.jointcommission.org/-/media/deprecated-unorganized/imported-assets/tjc/system-folders/topics-library/sea_11pdf.pdf?db=web&hash=CA29CB641C8749521733A05716852A1F

Westbrook, J., Ling, L., Raban, M., Woods, A., Koyama, A., Baysari, M., . . . White, L. (2020, August). Associations between double-checking and medication administration errors: a direct observational study of pediatric inpatients. BMJ Quality and Safety. doi:10.1136/bmjqs-2020-011473

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2023 Details While the implementation plan prepares students to apply their research to the problem or issue

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Nursing 2023 Literature Review

Details While the implementation plan prepares students to apply their research to the problem or issue 2023 Assignment

 Details:

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

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. Please refer to the directions in the Student Success Center.

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2023 Instructions This week I want you to draft a memo to your employees The reading this

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Nursing 2023 MGMT315 Week 2 Assignment

Instructions This week I want you to draft a memo to your employees The reading this 2023 Assignment

Instructions

This week I want you to draft a memo to your employees. The reading this week discussed planning and researching as well as writing reports and proposals. We are going to apply this knowledge to budget preparation. Please read chapter 1 and 2 in Budgeting Basics and Beyond. These 2 chapters will give you a great foundation as to what makes a good budget. For this assignment, please assume that you are a manager in the company of your choosing. You need your staff to help you gather the information that you need to create the budget that will be presented to executives for approval. This link will assist you in formatting your memo.

I do not expect you to submit an actual budget to me, this is an exercise in providing good instruction to your employees. The better your instructions, the more accurate their response. Please keep in mind that in providing good instruction, you will also need to provide some background information as to what you will be using this information for and why. Provide APA formatted citations for any information that you use from any sources.

Please submit your response in a Word document attached to this assignment.

Reference Page

APA Formatting

Wikipedia is not an acceptable source for this paper should you choose to use additional sources.

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2023 Module 2 Case BARRIERS TO HEALTHY BEHAVIORS Case Assignment Review the article

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Nursing 2023 Module 2 Case

Module 2 Case BARRIERS TO HEALTHY BEHAVIORS Case Assignment Review the article 2023 Assignment

Module 2 – Case

BARRIERS TO HEALTHY BEHAVIORS

Case Assignment

Review the article “Sedentary images in a population US based parenting magazine: 2010-2015” for this assignment.

Parents or caregivers play an important role in influencing children’s health behaviors. Reflecting on the article and your additional literature research, write a paper (2-3 pages) describing what family-level strategies you would use in planning for a program that promotes active lifestyle for families.

The following items in particular will be assessed:

  1. Identify at least 3 barriers to improving children’s sedentary lifestyle.
  2. Identify two specific strategies (family) you would use to plan a program that promotes active lifestyle for families. Include evidence-based information as to why you believe these strategies will be the best ones to use.
  3. In your opinion, what should be the ideal age to start obesity prevention, knowing that lifestyle has a great impact on whether individuals will become obese? Provide empirical evidence to support your position as to when obesity prevention should start. Make sure to cite your sources.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

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2023 Create a Power Point Presentation to discuss the following Sgt Eddie Johns leaned back against the chair in the

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Nursing 2023 Nursing – Roy’s Theory

Create a Power Point Presentation to discuss the following Sgt Eddie Johns leaned back against the chair in the 2023 Assignment

 

Create a Power Point Presentation to discuss the following

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

  • How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
  • Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
  • From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
  • Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns. 

Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 A new concept for some organizations is to allow nurses to bring in their own

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Nursing 2023 Safeguarding Health Information and Systems

A new concept for some organizations is to allow nurses to bring in their own 2023 Assignment

       A new concept for some organizations is to allow nurses to bring in  their own devices known as bring your own devices (BYOD) to use at work.  What are some of the security issues you might encounter if this were  allowed? How would you address these issues? How is this issue addressed  in your practice setting?

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2023 Just a reminder I am not looking for you to create a PPT I am looking for you to create a

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Nursing 2023 Policy/Regulation Fact Sheet

Just a reminder I am not looking for you to create a PPT I am looking for you to create a 2023 Assignment

  

Just a reminder-I am not looking for you to create a PPT, I am looking for you to create a handout or flyer. It should also only be ONE page.-Resources attached along with directions of creating a fact shiit/flyer. BE CREATIVE

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

· Briefly and generally explain the policy or regulation you selected.

· Address the impact of the policy or regulation you selected on system implementation.

· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

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