VOCATION – 2025 The concept of leadership as a vocation greatly distinguishes leadership from a job career or what one

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VOCATION – 2025

 

The concept of leadership as a “vocation” greatly distinguishes leadership from a job, career, or what one simply does for a living. A vocation can be thought of as one’s calling. Vocation is often associated with the clergy or missionaries who feel called by a higher power to fulfill a specific purpose. Vocation is also a concept associated with careers like teachers, emergency responders, doctors, or other health care professionals who feel strongly compelled to dedicate their own lives to improving the lives of those whom they serve. Consider your own view of leadership. Discuss how this understanding of leadership as a vocation informs your understanding of the personal and moral commitments required of leaders. If leadership is not a job, but a calling, discuss the responsibilities leaders have towards their position, their organization, and their followers. PLEASE ADD IN-TEXT CITATION AND REFERENCE

Case Study: Mrs. J. PLEASE READ INSTRUCTION – 2025 It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of the

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Case Study: Mrs. J. PLEASE READ INSTRUCTION – 2025

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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Baltic And Brazilian Heritages – 2025 Answer the following questions 1 Which countries are known as the Baltic nations 2 Discuss how the Baltic

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Baltic And Brazilian Heritages – 2025

Answer the following questions:

1.   Which countries are known as the Baltic nations?

2.    Discuss how the Baltic nations view the delivery of evidence-based healthcare and their beliefs related to health and disease.

3.   Give an overview of the Brazilian heritage, how do they see health and disease and if there is any similarity between them and the Baltic nations.

You must cite at least 3 evidence-based references no older than 5 years   A minimum of 800 words must be presented excluding the first and reference page. 
 APA Style

ASAP – 2025 Part One Given the knowledge you have gained about data dictionaries and metadata put yourself in the

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ASAP – 2025

 

Part One

Given the knowledge you have gained about data dictionaries and metadata, put yourself in the role of an electronic health record designer. Specify the attributes that should be included in the database to correctly identify and track patients. Attributes are the individual data types that can be represented as “columns” in the data table.

Your database attributes and the specifications of the attribute should be listed in a table format–Excel spreadsheet or a Word table. The content in your spreadsheet or table should include:

  • Data attribute or element
  • Definition
  • How many characters long should this data attribute or element be
  • What type is the data attribute (text, numeric, etc.)
  • Any other specifications you think would be important to the attribute or element

Example:

Data Attribute

Definition

Characters

Type

Other Specifications

Patient First Name

Patient First Name

30

Text

None

Part Two

The second part of this assignment is a one-to-two page written essay answering the following questions regarding databases:

  1. What is a database?
  2. What kinds of functions and uses do databases perform?
  3. Why are databases important in the implementation of an electronic health record?
  4. What is a data dictionary, and what is its purpose? How can data dictionaries help with your day-to-day work?
  5. Explain why developing a data dictionary so important?
  6. Explain data sets, and what they are used for in healthcare information.
  7. You must include a reference page with at least two references.

You should have two documents for this assignment.

Submit your completed assignments to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignments as a Microsoft Word or Excel Document for Part One, and a Microsoft Word Document for Part Two. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Need Help? Click here for complete drop box instructions.

 

Baltic And Brazilian Heritages – 2025 Answer the following questions 1 Which countries are known as the Baltic nations 2 Discuss how

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Baltic And Brazilian Heritages – 2025

Answer the following questions:

1.   Which countries are known as the Baltic nations?

2.    Discuss how the Baltic nations view the delivery of evidence-based healthcare and their beliefs related to health and disease.

3.   Give an overview of the Brazilian heritage, how do they see health and disease and if there is any similarity between them and the Baltic nations.

You must cite at least 3 evidence-based references no older than 5 years   A minimum of 800 words must be presented excluding the first and reference page. 
 APA Style

ASAP – 2025 Part One Given the knowledge you have gained about data dictionaries and metadata put yourself in

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ASAP – 2025

 

Part One

Given the knowledge you have gained about data dictionaries and metadata, put yourself in the role of an electronic health record designer. Specify the attributes that should be included in the database to correctly identify and track patients. Attributes are the individual data types that can be represented as “columns” in the data table.

Your database attributes and the specifications of the attribute should be listed in a table format–Excel spreadsheet or a Word table. The content in your spreadsheet or table should include:

  • Data attribute or element
  • Definition
  • How many characters long should this data attribute or element be
  • What type is the data attribute (text, numeric, etc.)
  • Any other specifications you think would be important to the attribute or element

Example:

Data Attribute

Definition

Characters

Type

Other Specifications

Patient First Name

Patient First Name

30

Text

None

Part Two

The second part of this assignment is a one-to-two page written essay answering the following questions regarding databases:

  1. What is a database?
  2. What kinds of functions and uses do databases perform?
  3. Why are databases important in the implementation of an electronic health record?
  4. What is a data dictionary, and what is its purpose? How can data dictionaries help with your day-to-day work?
  5. Explain why developing a data dictionary so important?
  6. Explain data sets, and what they are used for in healthcare information.
  7. You must include a reference page with at least two references.

You should have two documents for this assignment.

Submit your completed assignments to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignments as a Microsoft Word or Excel Document for Part One, and a Microsoft Word Document for Part Two. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Need Help? Click here for complete drop box instructions.

 

Psychotherapy With Individuals – 2025 Using the client from your Week 3 Assignment address the following in

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Psychotherapy With Individuals – 2025

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

  • Treatment modality used and efficacy of approach 
  • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and/or symptoms
  • Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
  • Safety issues 
  • Clinical emergencies/actions taken 
  • Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
  • Therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals 
  • Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment 
  • Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Grande 3 – 2025 Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment Identify the

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Grande 3 – 2025

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1.  Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.

2.  Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 

3.  Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.

4.  Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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.

Due Date: Friday 24

Mental Health Disorders Due 24 Hours – 2025 1 Minimum 2 full pages 2 APA norms Mandatory All paragraphs must be narrative and cited in the text each paragraphs

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Mental Health Disorders Due 24 Hours – 2025

 

1) Minimum 2 full pages  

               

2)¨******APA norms (Mandatory) 

            All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Dont write in the first person 

            Dont copy and pase the questions.

            Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references not older than 5 years

           

5) ***************Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

_____________________________________________________________

Case:

 

A 38-year-old woman presents to the office with complaints of weight

loss, fatigue, and insomnia of 3-month duration. She reports that she has

been feeling gradually more tired and staying up late at night because

she can’t sleep. She does not feel that she is doing as well in her occupation

as a secretary and states that she has trouble remembering things.

She does not go outdoors as much as she used to and cannot recall the

last time she went out with friends or enjoyed a social gathering. She

feels tired most of the week and states she feels that she wants to go to

sleep and frequently does not want to get out of bed. She denies any

recent medication, illicit drug, or alcohol use. She feels intense guilt

regarding past failed relationships because she perceives them as faults.

She states she has never thought of suicide, but has begun to feel increasingly

worthless.

Her vital signs and general physical examination are normal, although

she becomes tearful while talking. Her mental status examination is significant

for depressed mood, psychomotor retardation, and difficulty attending

to questions. Laboratory studies reveal a normal metabolic panel, normal

complete blood count, and normal thyroid functions.

Questions:

1)  What is the most likely diagnosis?

2) What is your next step?

3) What are important considerations and potential complications of

management?

Wk8 Module4 Assign 6051 – 2025 Assignment Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies New technology and the application of existing technology only

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Wk8 Module4 Assign 6051 – 2025

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

  • Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002
Note: You will access this article from the Walden Library databases.

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032
Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript