2023 One of the more common arguments I hear when discussing ethics morals and values is

Nursing 2023 Religion and America

One of the more common arguments I hear when discussing ethics morals and values is 2023 Assignment

One of the more common arguments I hear when discussing ethics, morals, and values is that in the United States is that they are founded in religious, primarily Christian, teachings. If this is true are we discounting the teachings of Buddhism, Islam, Judaism, Confucianism, Hinduism, and the Baha’i faith? If we profess to be a moral civilization and derive our ethics from the teachings of the Christian faith are these teachings valid and reliable concepts from which ethics are derived, or are ethics relative to the religious teachings of a that religion?

Building on the previous assignment related to religion and morality, in a 2-3 page paper compare and contrast the two articles below for this assignment. Specifically, identify where you stand in regard to these two competing points of view. In addition, include an opinion of how these competing points of view might impact poverty and access to health care.

Read article 1 – 

America is not a Christian Nation Click for more options

Read article 2 – 

America is a Christian Nation but does religion make us a moral nation? Click for more options  

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2023 It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of

Nursing 2023 Case Study: Mrs J.

It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of 2023 Assignment

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
  4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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. 

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2023 Your assignment this week will be an APA paper to include title

Nursing 2023 NURSING THEORY

Your assignment this week will be an APA paper to include title 2023 Assignment

 

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

  1. Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

  • Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
  • What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?
  • What challenges exist for healthcare institutions to switch to this nursing approach?
  • How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
  • From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

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2023 Read Chapter 13 You have to create an E Poster on what you see as the future of nursing practice and

Nursing 2023 Leadership Week 11 Chapter 13

Read Chapter 13 You have to create an E Poster on what you see as the future of nursing practice and 2023 Assignment

Read Chapter 13

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction 

2. Statement of the issue

3. Evidence supporting the issue 

4. Prediction of the future role of the nurse 

5. Conclusion 

6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.

APA style (include in text citations and references)

Plagiarism Free

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2023 Please answer ONE of the following Discussion Questions Please be certain to include the number of the

Nursing 2023 nursing

Please answer ONE of the following Discussion Questions Please be certain to include the number of the 2023 Assignment

Please answer ONE of the following Discussion Questions.  Please be certain to include the number of the DQ being answered and provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week. 

DQ-1 What is informed consent?  Who and why is able to obtain informed consent?       

DQ-2 What are some instances where a nurse can be confronted with refusal of treatment?

DQ-3 What is the nurse’s role during refusal of entreat?

When is it that a patient cannot refuse treatment?

support your references in your discussion posts as well.

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2023 I need a response to this assignment Zero plagiarism 2 references Endicott Work Productivity Scale EWPS In

Nursing 2023 Endicott Work Productivity Scale (EWPS)

I need a response to this assignment Zero plagiarism 2 references Endicott Work Productivity Scale EWPS In 2023 Assignment

 I need a response to this assignment

Zero plagiarism

2 references

  Endicott Work Productivity Scale (EWPS)

       In psychotherapy, a variety of assessment tools have been utilized to assess clients’ symptomology before and after treatment. Endicott Work Productivity Scale is a short survey of twenty -five questions (Endicott & Nee, 1997). The client’s self- reports by using the scale 0-4 to rate particular (0- no difficulty) or negative (4-always having trouble) in response to work productivity (Endicott & Nee, 1994).The results are then tailed from 0 to 100 work performance has been affected by their psychiatric diagnoses (Endicott & Nee, 1997) Assessment tool are primarily chosen by the provider depending on diagnosis, symptomology and treatment options. Endicott Work Productivity Scale is used mainly with psychiatric diagnosis such as depression, a variety of mood disorders, and medical conditions (headaches) affect work productivity.  The scale measure four domains of productivity within the workplace quality of work performance capacity, attendance, and internal factors. The paper explores the pros and cons of using the Endicott Work Productivity Scale. We will also explore the tool’s validity and reliability in comparison to psychopharmacology and the clinical areas the instrument is commonly utilized. 

    According to Soczynska et al. (2014), The Endicott Work Productivity Scale was used to measure the effects of Major Depressive Disorder and antidepressants on the memory and work production of adults ages 18 -50. The study was conducted for eight weeks to evaluate antidepressants Escitalopram and Bupropion XL  and the effects on work productivity (Soczynska et al., 2014). Thirty-six participants completed the Endicott Work Productivity Scale. Research showed that Escitalopram and Bupropion XL significantly improved function (all p ≤ 0.001), and work productivity (p = 0.045) (Soczynska et al., 2014). The pros of  EWPS is it is an excellent tool to measure the client’s progress in regards to behaviors, feeling, and thoughts regarding work production. It would be beneficial to give to the client before psychotherapy and measure frequently to see if progress has been made. The tool is useful in assessing the progress of medication. In this instance, the EWPS tool should be used in addition to another tool to get a better outlook on the client’s growth.  
 In conclusion, the EPWS tool is used by the provider to collect information from clients on their report of work performance (Ishak et al., 2013). This tool is used to calculate a total score between 0 and 100.  The rating measures subjective feelings, behaviors, or attitudes that can act as a bias. The client can choose high scores but, on the contrary, have low scores causing a different result. 

                                                                                                   References
 Endicott, J. (1994). Endicott Work Productivity Scale.https://web-a-ebscohostcom.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=2ac95f51-fe7e-473e- 922eeafa6090d2d5%40sessionmgr4008&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=test.2108&db=mmt

      Endicott, J., Nee, J. (1997) Endicott Work Productivity Scale (EWPS): a new measure to assess treatment effects. Psychopharmacology Bull 33: 13–16. https://search.proquest.com/openview/40c743939f1b863f8198aed94b4afc26/1?pq-origsite=gscholar&cbl=35891

       Ishak, W., Balayan, K., Bresee, C., Greenberg, J., Fakhry, H., Christensen, S., & Rapaport, M. (2013). A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in a naturalistic outpatient setting. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 22(3), 585–596.   https://doi-org.ezp.waldenulibrary.org/10.1007/s11136-012-0187-6

         Soczynska, J. K., Ravindran, L. N., Styra, R., McIntyre, R. S., Cyriac, A., Manierka, M. S., & Kennedy, S. H. (2014). The effect of bupropion XL and escitalopram on memory and functional outcomes in adults with major depressive disorder: Results from a randomized controlled trial. Psychiatry Research, 220(1–2), 245–250. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2014.06.053

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2023 nterview a fellow peer in your class who works in a different health discipline than

Nursing 2023 LEADERSHIP

nterview a fellow peer in your class who works in a different health discipline than 2023 Assignment

nterview a fellow peer in your class who works in a different health discipline than you. Begin your interview with the following questions:

  1. What is your role as a health care team member?
  2. How do you define professionalism and how does professional responsibility influence your work?
  3. Do you consider leaders in your organization stewards of health care? Why or Why not?
  4. Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

In 500-750 words, summarize your interview and share your impressions of your peer’s responses.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

I WORK AS A HOME HEALH NURSE.

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2023 The ACA or the AHCA Imperfect Solutions to Increasing Access to Health

Nursing 2023 Trends To Healthcare Week 3 Discussion

The ACA or the AHCA Imperfect Solutions to Increasing Access to Health 2023 Assignment

 

The ACA or the AHCA: Imperfect Solutions to Increasing Access to Health Care?

This week’s discussion focuses on the federal government’s role in protecting the public’s health using the ACA and current efforts to “repeal and replace” the ACA. Please note that the government’s role in protecting the public’s health did not begin with the ACA. In the late 1800s, Lilian Wald brought health care to the community. And in 1965, Congress passed bills authorizing Medicare and Medicaid. Since 1965, Congress has expanded government-sponsored health care to pregnant women and children.

Topic 1

  • Compare the current provisions in the ACA with those in the failed first version of the AHCA.
  • Share your opinions about why the AHCA failed in the first attempt at passage.

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2023 our assignment this week will be an APA paper to include title page level headings and a reference page Case

Nursing 2023 NURSING THEORY

our assignment this week will be an APA paper to include title page level headings and a reference page Case 2023 Assignment

 

our assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

  • Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
  • Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
  • Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
  • Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

  • Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
  • How is love, as defined by Watson, evident in this caring moment?
  • How can the nurse creatively use self to create a healing environment?
  • Discuss the strengths and limits to Watson’s Theory.

This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.

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2023 Rubric Description Utilize Case Study found in the Description of this Assignment as a hyper link in Module

Nursing 2023 Case Study Care Plan

Rubric Description Utilize Case Study found in the Description of this Assignment as a hyper link in Module 2023 Assignment

    

Rubric

Description: Utilize Case Study found in the Description of this Assignment as a hyper link in Module 3 Assignments.

Identifying Data and Rationale 

1 (6.66666%) 

Student identifies CLINICALLY SIGNIFICANT data from the chief complaint, vital signs, and nursing assessment AND explains WHY each piece of data identified is clinically significant. Faculty may assign partial points for missing parts.

Lab/Diagnostic Identification

1 (6.66666%) 

Student identifies lab/diagnostic results are RELEVANT that must be recognized as clinically significant to the nurse AND WHY. Faculty may assign partial points for missing parts.

Primary concern and Pathophysiology/Cause

2 (13.33333%) 

Student identifies the PRIMARY problem that the client is presenting with AND the underlying Pathophysiology/Cause of this concern. Faculty may assign partial points for missing parts.

Nursing Priority

1 (6.66666%) 

Student identifies what nursing priority will guide their care (example: Maslow’s).

Nursing Interventions

2 (13.33333%) 

Student lists FOUR interventions with Rationale and Expected Outcome based on the identified nursing priority. Faculty may assign partial points for missing parts.

#7 Rational and Expected Outcome

2 (13.33333%) 

Student lists the rationale AND expected outcome for EACH nursing intervention/order listed in #7. Faculty may assign partial points for missing parts.

Body systems, Complications, and Assessments

3 (20.00%) 

Student fully answers ALL of the following 1. What body system(s) will you most thoroughly assess based on the patient’s chief complaint and primary/priority concern? AND 2. What is the worst possible complication to anticipate? (start with A-B-C priorities) AND 3. What nursing assessment(s) will you need to initiate to identify and respond to quickly if this complication develops. Faculty may assign partial points for missing parts.

Client Experience

2 (13.33333%) 

Student answers ALL of the following: 1. What is the patient likely experiencing/feeling right now in this situation AND 2. What can you do to engage yourself with this patient’s experience, and show that they matter to you as a person? Faculty may assign partial points for missing parts.

Grammar & Spelling

1 (6.66666%) 

Few grammar and spelling errors that do not detract the reader from the message.

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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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