Module 7: Assignment N493 – 2025 Module 7 Assignment N493 Assignment 1 Create a PowerPoint of an overview of your

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Module 7: Assignment N493 – 2025

  

Module 7: Assignment N493

Assignment:

1. Create a PowerPoint of an overview of your project, then record the presentation of all phases of the education project (this is different from the one used at your event, if you created one for that purpose). This will be presented as if you are in front of a group of peers explaining how your community education project was planned, developed, implemented, and how the outcomes were achieved and then how you evaluated if your goals were met.

2. Include your work on all phases of the education project, explaining your project and how it was planned, developed, implemented and how outcomes were achieved. Explain if you met your goals for the project. Be sure to show on the objectives slide a close-up picture of your face and your picture ID to verify your identity. Picture IDs can be either a driver license, or a work ID with your name and picture on it. The presentation is to be 7-12 minutes but PLEASE NOTE that if it is more than 8 minutes, it will be too large to fit into the submission drop box. Eight minutes is the best time frame.

Your assignment is to create a power point with the overview using screencast o matic, of your project and then record the power point with your voice over on a screencast-o-matic, PLUS the log is to be submitted into project concert. I do not need to see your face. I need to see the power point and hear you talking about the power point slides. 

DISCUSSION – 2025 Identify a common perceptual neurological or cognitive issue and discuss contributing factors Outline steps for prevention or health promotion for

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DISCUSSION – 2025

  

Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

And 

Discuss characteristic findings for a stroke and how it affects the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.

Tomorrow 20 – 2025 Select a research article other than the articles from your assignments from the GCU library Provide an

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Tomorrow 20 – 2025

Select a research article, other than the articles from your assignments, from the GCU library. Provide an overview of the study and describe the strategy that was used to select the sample from the population. Evaluate the effectiveness of the sampling method selected. Provide support for your answer. Include the article title and permalink in your post.

ou have to review 3 articles for the Article Analysis 1 assignment. However, the Discussions (Topic 2 DQ 1 and 2) ask you to use an article different than the ones you have selected for Article Analysis 1. I have changed this. For the Discussions (Topic 2 DQ 1 and 2) you can use an article that you are also using for Article Analysis 1.

Where to find articles:

You do not have to use articles from the GCU Library. I allow any source. You can use ones from on the internet. Make sure you reference and cite them correctly.

Due date tomorrow, Wednesday 20 

Colleagues Response Week 8 – 2025 Assignment Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you

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Colleagues Response Week 8 – 2025

  

Assignment:

Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.

Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation in APA Format. 

Colleagues Respond # 1

Criteria for Alzheimer’s Disease

Alzheimer’s disease is a slowly progressing disorder where the individual may be asymptomatic for many years in preclinical phase, followed by a period called mild cognitive impairment without functional deficit, and finally leading to dementia or neurocognitive syndrome with cognitive deficits, functional decline with neuropsychiatric symptoms (Gabbard 2014). 

According to American psychiatric association (2013), neurocognitive disorders can be either major or mild neurocognitive disorder. To diagnose Alzheimer’s disease, the DSM-5 has given criteria as follows.  

Major neurocognitive disorder due to Alzheimer’s disease are diagnosed either as probable and possible Alzheimer’s disease (American psychiatric association 2013). Probable Alzheimer’s disease is diagnosed if either of the following are present otherwise, possible Alzheimer’s disease is diagnosed.

1.Evidence of a causative Alzheimer’s disease genetic mutation from family history or genetic testing

2. All three of the following such as a) Clear evidence of decline in memory and learning and at least one other cognitive domain based on detailed history or serial neuropsychological testing, b) Steadily progressive, gradual decline in cognition, without extended plateaus, c) No evidence of mixed etiology such as absence of other neurodegenerative or cerebrovascular disease, or another neurological, mental, or systemic disease or condition likely contributing to cognitive decline 

Mild neuro cognitive disorder due to Alzheimer’s disease can be either Probable or possible Alzheimer’s disease (American Psychiatric association 2013).

Probable Alzheimer’s disease is diagnosed if there is evidence of a causative Alzheimer’s disease genetic mutation from either genetic testing or family history. Possible Alzheimer’s disease is diagnosed if there is no evidence of a causative Alzheimer’s disease genetic mutation from either genetic testing or family history, and all three of the following are present such as a) clear evidence of decline in memory and learning, b) steadily progressive, gradual decline in cognition, without extended plateaus, no evidence of mixed etiology such as absence of other condition likely contributing to cognitive decline. c) The disturbance is not better explained by cerebrovascular disease, another neurodegenerative disease, the effects of a substance, or another mental, neurological, or systemic disorder.

Psychopharmacological Treatment

It is important to minimize or eliminate medications that impair cognition such as anticholinergics, opioid analgesics and benzodiazepines before starting pharmacological treatment for Alzheimer’s disease (AD) (Gabbard 2014). The general treatment for AD are anticholinesterase inhibitors (AChEI) and Memantine (Gabbard 2014). Acetylcholinesterase inhibitors reversibly inhibit the activity of acetylcholinesterase, the enzyme responsible for synaptic metabolism of acetylcholine; their administration thereby increases levels of synaptic acetylcholine (Gabbard 2014).  The usual AChEI are Donepezil, Galantamine, and Rivastigmine. Donepezil is an oral dissolving tablet and once daily dosing (Gabbard 2014). It is used in mild, moderate and severe AD and it may take up to 6 weeks to have baseline memory improvement (Stahl 2014). The initial dose is 5 mg /day and can reach a target dose of 10 mg /day (Gabbard 2014). Galantamine is a AChEI and allosteric nicotinic receptor modulator and is used in mild to moderate AD (Stahl 2014). The initial dose is 4 mg /Bid for immediate release and 8 mg/day for the extended release with a target dose of 8-12 mg Bid for immediate release and 16-24 mg/day for extended release (Gabbard 2014). It may take up to 6 weeks for improvement in any baseline memory (Stahl 2014). It has reported side effects of bradycardia. Rivastigmine is a AChEI and butyryl cholinesterase (BuChEI) with an initial dose of 1.5 mg Bid (Oral) or 4.6 mg/day transdermal to reach a target dose of 3-6 mg bid oral or 9.6 mg /day transdermal (Gabbard 2014). It is used in mild to moderate AD and may take up to 6 weeks for improvement in mild to moderate memory (Stahl 2014). The transdermal administration decreases GI side effects (Gabbard 2014).

Another medication used to treat AD is Memantine which is a NMDA receptor antagonist. It interferes with postulated persistent activation of NMDA receptors by excessive glutamate release in AD (Stahl 2014). The dosage is 5mg /day (initial) and 10 mg Bid (Gabbard 2014). Memory improvement is not expected with the treatment and takes many months in for stabilization of degenerative course (Stahl 2014). Decreased creatinine clearance is a side effect and dose adjustment is required if it occurs (Gabbard 2014).   

Psychotherapy

A research study by Forstmeier et al. (2015) has concluded that cognitive behavior therapy has shown benefit to both the individual with Alzheimer’s disease having neuropsychiatric symptoms and to the care giver where it helps reduce the use of medication and delayed nursing home placement. insight oriented therapy and less verbal therapies such as music therapy and art therapy can be helpful in alleviating negative emotions and minimizing problematic behaviors (Betty 1994)

Supportive treatment such as education, counseling about diagnosis and prognosis, comfort, and emotional support including instructions on safe and effective caregiving, problem solving, and crisis intervention are important for patients and caregivers (Gabbard 2014). It is also important to consider safety concerns, including driving (and its eventual restriction), living independently, medication administration, and fall risks (Gabbard 2014). They can be helped with a safe predictable place to live with support for activities of daily living, assistance with managing medical comorbidities, and assistance with advanced planning and end-of-life decisions (Gabbard 2014)

Benefits and Risks of Neurocognitive Therapies

The treatments for Alzheimer’s disease are anticholinesterase inhibiters and memantine. These medications are not expected to cure the disease but the beneficial part of the treatment is that it helps delay the progression of neurocognitive and physical decline. There are some side effects for Donepezil (which is a acetylcholinesterase inhibitor ) such as atrioventricular block, decreased appetite, diarrhea, dizziness, headache, hypertension, nausea, syncope, torsades de pointes, vomiting, weight loss are the major side effects (Boice, Dunay, Epperly 2017). Galantamine has additional side effects such as nausea, vomiting and weight loss and Rivastigmine side effects are Abdominal pain, atrial fibrillation, atrioventricular block, decreased appetite, diarrhea, dizziness, headache, myocardial infarction, nausea, vomiting (Boice, Dunay, Epperly 2017). The side effects of Memantine are confusion, constipation, diarrhea, dizziness, vomiting; rarely, cerebrovascular event or acute kidney injury (Boice, Dunay, Epperly 2017

Differential Diagnostic Features of Alzheimer’s Disease

Almost 80% of dementia in older people are related to Alzheimer’s disease, however the diagnosis can be difficult where the patients may exhibit similar pathologies and symptoms (Alzheimer’s association n. d). Based on the major clinical differences between major dementias, a correct diagnosis can be made. The common dementias with similar symptoms are Frontotemporal dementia, Levy body disease, vascular dementia, Creutzfeldt-Jakob Disease and Alzheimer’s disease (Alzheimer’s association n. d). Vascular dementia is related to cerebral vascular disease and are seen in patients with preexisting hypertension or other cardiovascular risk factors (Ruiz, Sadock & Sadock 2014). Frontotemporal dementia is characterized by preponderance of atrophy in the frontotemporal regions (Ruiz et al., 2014). In Levy body disease the patients often have cap grass syndrome in addition to hallucination and parkinsonian features (Ruiz et al., 2014).

Colleagues Respond # 2

Diagnosis of Dementia

Dementia is a general term used for loss of problem-solving, language, memory, and other thinking capabilities, which are severe and have the intensity to affect an individual’s daily life. The most common cause of dementia is Alzheimer’s (Mosk et al., 2017). It can be challenging diagnosing dementia. Individuals with this condition have a cognitive impairment, and they have lost the ability to attend to their daily duties such as driving safely, paying bills, and their medications. During the diagnosis, the doctor must recognize the oaters for the loss of functions and skills and determine what the person can do at that moment. Recently there has been a more accurate diagnosis from the biomarkers of Alzheimer’s disease. The doctors do cognitive and neuropsychological tests to evaluate the patient’s thinking. Several tests involve measuring thinking skills, language skills, judgments, reasoning, orientation, and attention. Neurological evaluation is where the doctor will evaluate attention, visual perception, memory, language, senses, and movements, balance, problem-solving, and reflexes, among other areas. Brain scans include CT or MRI, which checks the evidence of bleeding, tumor or stroke, or hydrocephalus. PET scans checks on the patterns of the brain. Laboratory tests include blood samples to determine the physical problems that can affect the brain functioning, such as deficiency of vitamin B-12 or thyroid gland underactive.

Treatment of Dementia

Psychopharmacologic treatment includes the use of the following: cholinesterase inhibitors, which include galantamine (Razadyne), donepezil (Aricept), and rivastigmine (Exelon) which works by boosting the levels of chemical messenger which are involved in judgment and memory.  They are used to treat Alzheimer’s disease in the primary case. Doctors might be prescribed these drugs to other dementias, including Lewy body dementia, Parkinson’s disease dementia, and vascular dementia. There are side effects of these drugs that include diarrhea, vomiting, and nausea.  Memantine (Namenda) regulates the activity of glutamate, which is a chemical messenger involved in brain functions such as memory and learning. This can also be prescribed with a cholinesterase inhibitor and had dizziness as one of the most common side effects. Psychotherapy includes occupational therapy, which teaches one coping behaviors and ensures that one is home safer. This prevents accidents and manages behaviors as well as preparing one for the dementia progression. Modifying the environment is another psychotherapy that reduces noise and clutter, making it easier for dementia to function and focus (Carrion et al., 2018). This involves hiding objects that threaten the safety and monitoring system, alerting when a person with dementia wanders. Simplifying tasks will break tasks into smaller portions and hence make one focus on success and not a failure. Routine and structure also help to reduce confusion among people with dementia.

Research has identified several risks involved in the treatment of patients with dementia. Many of the patients have been prescribed some medications which act on the nervous system and the brain, but they are not meant to treat dementia. These kinds of interventions have special risks for older people (Gnjidic et al., 2018). These drugs have been linked with worse cognitive symptoms in older adults. Depressants do not treat dementia, but most doctors prescribe these drugs nearly triple to the older adults. These have negative impacts and mild side effects on the patients.

Nurses Needed Assignment – 2025 After watching the Nurses Needed video http www pbs org video now on pbs nurses needed Links to an external site answer

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Nurses Needed Assignment – 2025

After watching the Nurses Needed video (http://www.pbs.org/video/now-on-pbs-nurses-needed/ (Links to an external site.)) , answer the following questions. please video link

1. By 2020, what is the shortage of nurses projected to be?

2. What are the causes of the nursing shortage?

3. What is the result of the lack of nursing faculty?

4. Check out the jobs available in five (5) local hospitals. Explain whether they are looking for nurses.

The five local hospital are Grady hospital, WellStar hospital, Emory hospital, Piedmont hospital and Kaiser hospital.

5. In your opinion, has the nursing shortage been remedied and/or how should healthcare organizations solve the nursing shortage?

Patients’ Bill Of Rights – 2025 Discussion Visit http www aha org advocacy issues communicatingpts pt care partnership shtml and review the American Hospital Association s Patients Bill of Rights

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Patients’ Bill Of Rights – 2025

Discussion:

Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights. Discuss how health care professionals can ensure that patients’ rights are upheld and protected.

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Word limit 500 words.  Reply to at least two other student posts with a reflection of their response.  

Please make sure to provide citations and references (in APA format) for your work.  

Homework Topic 3 – 2025 Write a 650 1300 word response to the following questions Explain multicultural communication and its

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Homework Topic 3 – 2025

 

Write a 650-1300 word response to the following questions: 

  1. Explain multicultural communication and its origins.
  2. Compare and contrast culture, ethnicity, and acculturation.
  3. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
  4. Discuss family culture and its effect on patient education.
  5. List some approaches the health care professional can use to address religious and cultural diversity.
  6. List the types of illiteracy.
  7. Discuss illiteracy as a disability.
  8. Give examples of some myths about illiteracy.
  9. Explain how to assess literacy skills and evaluate written material for readability.
  10. Identify ways a health care professional may establish effective communication.
  11. Suggest ways the health care professional can help a patient remember instructions.

This assignment is to be submitted as a Microsoft Word document.

Evidence-Based Paper – 2025 PURPOSE OF THE PAPER In this final assignment of the Capstone course

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Evidence-Based Paper – 2025

  

PURPOSE OF THE PAPER

In this final assignment of the Capstone course, the student will use skills of inquiry gained in the baccalaureate nursing program to identify a clinical issue upon which nurses have the ability to resolve or have a positive impact. With a focus on the diversity of the individual as well as the variation of cultural values of a particular population, the student will develop a plan for addressing the clinical issue.

INSTRUCTIONS

Each criterion listed below will serve as the major headings of this assignment.

Introduction

• Offers a detailed description of the statement of purpose for the paper. 

• Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX-RN examination blueprint:

Assurance of a safe and effective care environment

Health promotion and maintenance of health 

Preservation of the patient population’s psychosocial integrity 

Preservation of the patient population ’s physiological integrity

• In this paper the student will provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the clinical issue.

• The reference to the NCLEX-RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference. 

Importance

The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

Patient Population 

The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.

Proposed Solution

The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence-based data and integrating data from peer-reviewed journal articles. In this paper, the student will: 

i. Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer-reviewed journal articles. 

ii. ii. Expand on the ethical considerations when developing the plan.

Conclusion

i. Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

ii.  ii. Includes a complete statement describing why addressing this clinical problem matters and to whom.

Writing Requirements

Length: 4 full pages excluding title and reference pages.

Minimum of 4 scholarly, peer-reviewed sources, including NCLEX-RN examination blueprint

Uses clear and correct grammar. 

Uses proper sentence structure and flow. 

Adheres to all APA formatting guidelines for title page, margins, and in-text citations.

Appraising Systematic Reviews – 2025 Please do this part first Select one of the eight practice problems that burden the

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Appraising Systematic Reviews – 2025

Please do this part first:

Select one of the eight practice problems that burden the overall health of the United States. Conduct a library search for one systematic review (without meta-analysis; with meta-analysis; meta-synthesis) addressing this problem. Appraise the systematic review using the Johns Hopkins Research Evidence Appraisal Tool. My practice problem is Obesity in Children from 0-5 years. 

Please Answer each questions separated and use at least 3 sources no later than 5 years

Analyze the evidence summary of the selected quantitative research study to address the following.

1-Does the research design answer the research question? Explain your rationale.

2-Were the study sample participants representative? Why or why not?

3-Compare and contrast the study limitations in this study.

4-Based on this evidence summary, would you consider this quantitative research study as support for your selected practice problem? Explain your rationale.

Second Part

After appraising and determining the Level of Evidence and Grade of Quality for your selected systematic review, summarize your findings. Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool. Complete each column including specific details about the systematic review.

I Attached the first and second week of Johns Hopkins Individual Evidence Summary Tool to complete with the third week. Please complete The first and second week with the third week and I attached also the sample of Johns Hopkins Individual Evidence Summary Tool to be completed with the first 3 weeks.

Remember I need that you send me the permalink in PDF.

Change Proposal – 2025 Change Proposal In a Microsoft Word document of 4 5 pages formatted in APA style develop a change proposal

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Change Proposal – 2025

 

Change Proposal

In a Microsoft Word document of 4-5 pages formatted in APA style, develop a change proposal for a new technology that will contribute to a safer patient environment.
In your paper address each of the following criteria:

  • Describe how the change proposal for the new technology will:
    • impact patient safety.
    • be measured to assess the impact of your change.
    • be communicated to staff and implemented.
  • Examine human factors related to change and resistance to change.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.