4/3-1 change – 2025 After working with your preceptor to assess organizational policies create a list of measurable outcomes for your capstone project

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4/3-1 change – 2025

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

mn551unit7 – 2025 Robert is a 68 year old who has dealt with alcoholism for over 30 years He has cirrhosis and is

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mn551unit7 – 2025

 Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep. 

 

  1. Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?
  2. What gastrointestinal bleed is associated with a high mortality rate in those with advanced cirrhosis? What is the pathophysiology of this condition?
  3. Acute pancreatitis is sometimes seen in alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?
  4. Why are women more predisposed to alcoholic liver disease than men?

Week 4 Medication Paper Outline – 2025 The Medication Paper Outline The purpose of this assignment is to draft and submit a

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Week 4 Medication Paper Outline – 2025

 The Medication Paper Outline

The purpose of this assignment is to draft and submit a complete, organized, detailed outline of your medication paper in APA format with sources cited and referenced accurately.

Recommended: Before you begin, review the Writing Resources area on your Student Resources tab located on the top menu of your main Blackboard page for examples and review chapters 9, 13, and 14 in A Pocket Style Manual (APA).   

Adhere to the following guidelines for drafting and submitting your outline:

  • Use standard alphanumeric outline format.
  • Include a rough draft of your abstract.
  • Include APA in-text citations.
  • Include an APA formatted reference page.
  • Include a title page. 
  • Use APA format throughout.

 The outline includes several high quality, thought provoking ideas/points which are skillfully used to creatively and completely support the thesis. Outline demonstrates a well-balanced approach to researching the topic (subcategories are of equal significance under each body paragraph). Subtopics are specific and avoid generalities. Subtopics demonstrate extensive research and thought on the topic. 

 The thesis is concise and clearly articulated in the beginning. Subtopics are pertinent and highly relevant to the main body paragraphs. Detailed, meaningful quotations and paraphrases aptly and accurately support the topic evenly throughout each subtopic. 

Nursing. – 2025 Discussion Therapy with Older Adults Clients who are older have often times been dealing with their mental health

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Nursing. – 2025

Discussion: Therapy with Older Adults

Clients who are older have often times been dealing with their mental health disorder their entire lives, whiles other disorders may be brought on through the aging process or the trauma of losing a lifelong partner. Treatment can be challenging for both the client and the therapist. For this Discussion, you will focus on therapeutic approaches for an older adult presented in a case study.

Learning Objectives
Students will:
  • Assess clients presenting with depression
  • Analyze therapeutic approaches for treating clients presenting with depression
  • Evaluate outcomes for clients presenting with depression

To prepare:·       

  • Download and review the Week 10: Case Study from this week’s Learning Resources. 
  • Review this week’s Learning Resources and reflect on the insights they provide.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

  • Which diagnosis should be considered?
  • What is the DSM-V Coding for the diagnosis you are considering?
  • What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis.
  • What tests or tools should be considered to help identify the correct diagnosis?
  • What differential diagnosis should be considered?
  • What Treatment Strategy would you recommend?
  • What treatment would you prescribe and what is the rationale?
  • Safety
  • Psychopharmacology
  • Diagnostic Tests
  • Psychotherapy
  • Psychoeducation
  • What standard guidelines would you use to treat or assess this patient?
  • Clinical Note: Is depression a normal part of aging?

Support your approach with evidence-based literature.

Evidence-Based Practice in CDS and Quality Improvement – 2025 The Assignment Part 1 Literature Review Matrix Submit your completed Literature Review Matrix that contains the four research articles

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Evidence-Based Practice in CDS and Quality Improvement – 2025

The Assignment

Part 1: Literature Review Matrix

Submit your completed Literature Review Matrix that contains the four research articles you researched and reviewed.

Part 2: Clinical Decision Support (CDS) Recommendation

Develop a 10- to 12-slide PowerPoint presentation in which you present your research and data to support your clinical decision support (CDS) recommendation for quality improvement.

Based on your research, address the following in your presentation:

  • Synthesize your findings from your four articles, focusing on applicable models and/or theories relevant to CDS, quality improvement in your workplace, and on applicable evidence-based practice in nursing.
  • Recommend CDS or information to consider in clinical decision making and explain your rationale for the recommendation. Be specific.
  • Justify your recommendation. Be specific and provide examples.
  • Recommend how you would address possible limitations or challenges, including:
    • Explain how you would avoid alert fatigue.
    • Explain under what conditions you would allow an override to an alert. 
    • Explain how you would monitor compliance.
    • Identify factors that might contribute to continuous overrides.
    • Justify conditions under which an override may be necessary.
  • Provide references in APA style at the end of your presentation—the reference slide or slides do not count toward your assignment total.

************************THE ARTICLES ARE ALREADY ATTACHED TO THE MATRIX

college algebra – 2025 1 A positive integer is twice another The sum of the reciprocals of the two positive integers is Find

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college algebra – 2025

  

1. A positive integer is twice another. The sum of the reciprocals of the two positive integers is . Find the two integers.

2. A positive integer is twice another. The difference of the reciprocals of the two positive integers is Find the two integers.

3. John can jog twice as fast as he can walk. He was able to jog the first 5 miles to his grandmother’s house, but then he tired and walked the remaining 2 miles. If the total trip took 0.9 hours, then what was his average jogging speed?

4. A bus​ averages 2 miles per hour faster than a motorcycle. If the bus travels 165 miles in the same time it takes the motorcycle​ to travel 155 miles, then what is the speed of each?

5. Jane can paint the office​ by herself in 7 hours. Working with an associate, she can paint the office in 3 hours. How long would it take her associate to do it working alone?

discussion – 2025 Effective communication is vital to constructing an accurate and detailed patient history

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discussion – 2025

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

·  By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

16-year-old white pregnant female living in an inner-city neighborhood

·  How would your communication and interview techniques for building a health history differ with each patient?

·  How might you target your questions for building a health history based on the patient’s social determinants of health?

·  What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks.

·  Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

·  Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

·  Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day of Week 1

1-Post a Summary of the Interview and a Description of the Communication techniques you would use with your assigned patient. 

“16-year-old white pregnant female living in an inner-city neighborhood”

2-Explain Why you would use these techniques. 

3-Identify the risk Assessment Instrument you selected and Justify Why it would be applicable to the selected patient. 

4-Provide at Least Five targeted questions you would ask the patient.

NOTE: Remember at least three references and use APA format

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

6612: Assessment 1 – 2025 Assessment 1 Triple Aim Outcome Measures Overview Develop a presentation containing 10 15 slides on the Institute for

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6612: Assessment 1 – 2025

Assessment 1

  • Triple Aim Outcome Measures
    • Overview: 
    • Develop a presentation, containing 10–15 slides, on the Institute for Healthcare Improvement’s Triple Aim, how current and emerging health care models support the Triple Aim, and how governmental regulatory initiatives and outcome measures can be applied in the care coordination process to achieve the Triple Aim in a population.
      The Triple Aim is a framework by the Institute for Healthcare Improvement (n.d.) for “simultaneously improving the health of the population, enhancing the experience and outcomes of the patient, and reducing per capita cost of care for the benefit of communities.” Care coordinators must have a model and framework to guide their practice and enable them to achieve the Triple Aim. Presently, many rural hospitals are using archaic models that must be updated to achieve the Triple Aim. For example, the patient-centered medical home model has been around for 30 years, but it has evolved during that time.
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
      • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level.
      • Analyze the relationships between various current and emerging health care models and the ways in which they support the Triple Aim.
      • Explain how the structure of particular health care models contributes to the process of gathering and evaluating the quality of evidence-based data.
      • Describe governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
    • Competency 2: Explain the relationship between care coordination and evidence-based data. 
      • Explain how evidence-based data shapes the care coordination process in nursing.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
      • Present process improvement recommendations to a stakeholder group clearly and concisely.
      • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
    • Reference
      Institute for Healthcare Improvement. (n.d.). Triple Aim for populations. Retrieved from http://www.ihi.org/Topics/TripleAim/Pages/default.aspx
      Competency Map
  • Models of Care
    National initiatives focus on health care organizations to continuously improve the quality, safety, and coordination of care. In response to these initiatives, health care models have surfaced with the goal to guide national health safety and quality improvement efforts.
  • Nursing is an art and science with a foundation that embraces evidence, research, and quality. The thought “we have always done it this way” has long been discarded and replaced by standards based on evidence-based research. As the specialization of care coordination has evolved, care coordination has proven to be a vital element that links patients and families to safer and higher quality care. One care coordination model, the patient-centered medical home (PCMH), has gained momentum and support from governmental and regulatory agencies.
    • Institute for Healthcare Improvement. (n.d.). Retrieved from http://www.ihi.org/Pages/default.aspx
    • Effective Presentations
      The following resources will help you create and deliver more effective presentations.
    • SoNHS Professional Presentation Guidelines [PPTX].
    • PowerPoint Presentations. 
      • This Capella library guide has links to resources on PowerPoint and other presentation software.
    • Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design. 
      • This multi-part video is a primer on presentation design.
    • Writing Resources
      You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.
    • APA Module.
    • Academic Honesty & APA Style and Formatting.
    • APA Style Paper Tutorial [DOCX].
    • Capella Resources
    • ePortfolio. 
      • This resource provides information about ePortfolio, including how to use the different features of the product.
    • Online ePortfolio Guidelines [PDF].
    • Research Resources
      You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
      As you review these resources, you may want to consider the following questions:
    • What is the Triple Aim, and what does it seek to accomplish?
    • How have health care models laid the foundation for care management structures?
    • How do various models influence organizational health care and system performance?
    • Imagine that you are a care coordinator at an urban teaching hospital. The patients that are served at your health care organization are ethnically, culturally, and linguistically diverse. Based on these facts, what care coordination model is best suited to guide your practice as a nurse?
    • What is the purpose and philosophy of the patient-centered medical home (PCMH) model? 
      • How does its structure contribute to the process of gathering evidence-based data?
      • How is health care quality enhanced through the PCMH model?
  • Asssessment InstructionsPreparation
    In this assessment, you will assume the role of a new case manager at a small rural hospital, Sacred Heart. You have been asked to deliver an evidence-based presentation to hospital leaders and clinical leadership teams about the ways in which the care coordination process at Sacred Heart can be modified to achieve the Triple Aim within the hospital’s rural population. 
    To gain a better understanding of current health care models and their support for the Triple Aim, examine and compare such models as:
    • Patient-centered medical home (PCMH).
    • Transitional care.
    • Patient self-management.
    • Guided care.
    • Care coordination (Institute for Healthcare Improvement).
    • Then, finish gathering the information needed to prepare for your presentation by completing the following simulation exercise:
    • Vila Health: Triple Aim Outcomes.
    • Note:Remember that you can submit all or a portion of your presentation to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
      Presentation Software
      You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with faculty to avoid potential file compatibility issues.
      You are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
      Requirements
      Develop a presentation of specific suggestions for improving the care coordination process at Sacred Heart Hospital to achieve Triple Aim outcomes.
      Developing the Presentation
      The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses each point, at a minimum. You may also want to read the Triple Aim Outcome Measures Scoring Guide to better understand how each criterion will be assessed.
    • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level. You will do this on slides with these specific headings:
      • Experience of Care/Patient Satisfaction.
      • Improving Population or Community Health.
      • Decreasing Per Capita Costs.
    • Analyze the relationships between various current and emerging health care models you have chosen to examine and the ways in which they support the Triple Aim by answering these guiding questions:
      • How do I define the rationale and philosophy of these health care models?
      • Can I explain how these health care models have evolved? How do I believe that these health care models have changed over time?
      • Can I cite at least three ways in which health care quality is enhanced through these models? In which three ways do I believe that these models most enhance health care quality? (Cite references to support your assertion.)
    • Explain how the structure of these models contribute to the process of gathering and evaluating the quality of evidence-based data.
    • Explain how evidence-based data shapes the care coordination process in nursing.
    • Describe three governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
    • Present process improvement recommendations to a stakeholder group clearly and concisely.
      • Address the anticipated needs and concerns of your audience.
      • What questions or objections are they likely to raise? How will you respond?
    • Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
      • Is your supporting evidence clear and explicit?
      • How or why does particular evidence support a claim?
      • Will your audience see the connection?
    • Additional Requirements
      PRESENTATION FORMAT AND LENGTH
      Your slide deck should consist of 10–15 slides that address the presentation criteria,not includingthe title slide, purpose slide, and references slide.
    • Begin your presentation with the following slides:
      • Title.
      • Purpose (the reasons for the presentation).
      • Definition of the Triple Aim outcome measures.
    • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
    • SUPPORTING EVIDENCE
    • Cite 3–5 sources of credible scholarly or professional evidence to support your presentation.
    • List your sources on the references slide at the end of your presentation.
    • Apply APA formatting to all in-text citations and references.
    • Portfolio Prompt: You may choose to save your presentation to your ePortfolio.

WEEK 4 Discussion Prompt #2 Assessment – 2025 Discussion Prompt 2 A 29 year old newly immigrated woman complains of weakness shortness of breath cough and night sweats for

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WEEK 4 Discussion Prompt #2 Assessment – 2025

 

Discussion Prompt #2

A 29-year-old newly immigrated woman complains of weakness, shortness of breath, cough, and night sweats for the past month. She denies other symptoms, significant medical history, or allergies.

  • Which lab or imaging tests would you order for this patient and give a brief explanation of why?
  • From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

respondo thatina – 2025 Respectfully agree and disagree with your peers responses and explain your reasoning by including your rationales in your

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respondo thatina – 2025

 Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation. Atleast 2 APA refernces each

Response 1

The purpose of this week’s discussion is to create a treatment plan for V.S. based off the given case study information. V.S. has conjunctivitis of the left eye. The specific goals of treatment for conjunctivitis is to relieve symptoms and to clear the infection (Woo & Robinson, 2020). There are numerous forms of conjunctivitis but given the information the symptoms this is more than likely a form on bacterial conjunctivitis. The discharge color, age of the patient, being immunocompromised with a cold prior, and only one eye being infected suggests this is a bacterial infection (Watson et al., 2018). Treatment therefore would be a broad spectrum ophthalmic antibiotic. I would suggest bacitracin which should not affect the patient’s sulfa allergy (Nguyen, 2020). To monitor success the patient should be seen by his pediatrician within a week to see if symptoms have resolved.
Education to include for this patient would be that the ointment can cause blurred vision directly after administration but should clear soon after (Woo & Robinson, 2020). If symptoms worsen in the affected eye or spread to the unaffected eye the patient should contact his pediatrician for reassessment to see if this condition is viral. If this occurs treatment should be stopped due to risk for a drug resistance (Nguyen, 2020). Another adverse reaction that would cause me to change treatment would be any sign of hypersensitivity such as swelling, hives, nausea, or vomiting. If this occurs I would recommend a medication such as erythromycin in ophthalmic form.
An over the counter method for treating bacterial conjunctivitis would be artificial tears for relief of dryness symptoms and saline flushes to wash out the pus (CDC, 2019). Lifestyle changes would include proper hand hygiene, avoiding touching the eye in general, not sharing things such as glasses, and not rubbing the eye. This is the medication I would choose for this patient due to its low risk of interactions to other drugs and/or foods. 

Response 2

 

V.S., age 12 Hispanic male, presents with a feeling that there is sand in his eye. He had a cold a week ago and woke up this morning with his left eye crusted with yellowish drainage. On physical examination, he has injected conjunctiva on the left side, no adenopathy, and no vision changes. His vision is 20/20. Fluorescein staining reveals no abrasion. He is allergic to sulfa.

Diagnosis: Conjunctivitis

        The goal of treatment for V.S. would be to clear his infection and make sure he doesn’t rub his eyes because that can cause the infection to get worse and spread to other individuals. According to Azari and Arabi (2020), “bacterial conjunctivitis can spread from person to person, from hand-to-eye contact or via eye contact with contaminated objects. Alternatively, changes in the usual bacteria that live on the conjunctiva can cause conjunctivitis. Bacteria can also spread by large respiratory tract droplets” (p. 374). Bacterial conjunctivitis is most often treated with  ophthalmic antibiotic eyedrops and ointments. Since V.S. is allergic to sulfa, Bleph or antibiotics with similar derivatives would not be utilized because they are sulfacetamide sodium. Ophthalmic fluoroquinolones can be prescribed such as Moxeza (moxifloxacin), Zymar (gatifloxacin), or Romycin (erythromycin).

     The parameters for monitoring success would be to see the alleviation of redness and itchiness in the patient’s eyes. According to Saher et al. (2016), most cases of viral or bacterial conjunctivitis are mild. The infection will usually clear up in 7 to 14 days without treatment and without any long-term consequences. However, in some cases, viral conjunctivitis can take 2 to 3 weeks or more to clear up. I would educate the parents to administer the drug as prescribed. I would urge the parents to continue giving the antibiotics even if the infection seems to subside. According to Shetty et al. (2020), it has been widely accepted that stopping antibiotic treatment early encourages bacteria to develop antibiotic resistance. As a result, current medical advice is to finish taking a prescribed course of antibiotics as recommended by a healthcare professional, even if you start to feel better. 

      I would educate the parents to assist in alleviating some discomfort V.S. can take ibuprofen or another over-the-counter pain killer. He can also use over-the-counter lubricating eye drops (artificial tears) if his eyes feel excessively dry. In addition, a warm, damp washcloth over your eyes for a few minutes. Nausea, diarrhea, and headaches can be adverse effects seen in the agents mentioned above. A second line treatment would be Bacticin (bacitracin). V.S. should be encouraged to drink plenty of water and take his antibiotics with water. According to Azari and Arabi (2020), moxifloxacin should not be taken with dairy products such as milk or yogurt, or with calcium-fortified juice.  They could make the medication less effective.