Leading As A Practice Scholar – 2025 Leading as a Practice Scholar video Links to an external site Watch the video to address the following Be

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Leading As A Practice Scholar – 2025

 

Leading as a Practice Scholar

video (Links to an external site.)Watch the video to address the following. Be sure to provide specific examples for each practice of exemplary leadership.

  • How will you establish personal credibility as a leader? How will you model the way for others?
  • What strategies will you use to inspire a shared vision for those you lead?
  • How will you challenge the current process to lead change?
  • What strategies will you use to enable others to act?
  • How will you recognize the contributions of others?

  

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Literature Review Matrix – 2025 Complete Part III of the Literature Review Matrix In your analysis of the strengths and weaknesses of

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Literature Review Matrix – 2025

 

  • Complete Part III of the Literature Review Matrix.
  • In your analysis of the strengths and weaknesses of the existing literature, note the appropriate use of the theoretical frameworks.
  • Complete Part IV addressing the influence of empiricism on quantitative methodology.

Below is the start of this project now to complete sections III and IV

Assignment: Neurological Disorders – 2025 In this assignment you will examine the clinical manifestations pathophysiology and developmental considerations

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Assignment: Neurological Disorders – 2025

 

In this assignment, you will examine the clinical manifestations, pathophysiology, and developmental considerations for two neurological disorders of your choosing.  Consider the effects of one of these disorders on infants or very young children and the other on any other age group.  

Step 1 Locate at least one professional, evidenced based resource to support your responses. 

Step 2 Download the attachment.

Step 3 Complete the worksheet.

  • In the header row of the table, enter names of the disorders.
  • In the remaining rows of the table, enter a description of the disorder, the clinical manifestations, the underlying pathophysiology, and developmental considerations (consider the age of onset with respect to the physiological, psychological, and social implications of the disease).  
  • Be sure to cite all sources used to complete the worksheet and provide a reference using proper APA formatting

Proof In Turnitin . Soap Note – 2025 soap note please follow the rubric please need a turnitin report need to write a thorough Review

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Proof In Turnitin . Soap Note – 2025

soap note please follow the rubric. please need a turnitin report

  need to write a thorough Review of Systems (ROS), and a thorough physical examination. 

Chief Complaint: “I fell down in my house a week ago and my knee is still hurting”.

History of Present Illness: Mr. Brown is 45-year-old male teacher who presents to the clinic with symptoms of right knee pain related to a fall sustained at home one week ago while he was coming down the stairs. Patient states that he tripped and during the fall, the right knee twisted and was caught between two bars of the stair wells. Immediately after the fall, the pain was sharp and stabbing, and he was unable to walk straight and apply weight on the knee. He applied ice and took 800mg of Motrin and went to bed. Patient states he did not want to go to the emergency department because of the long wait. After 24 hours he applied warm compresses intermittently and took extra strength Tylenol as needed. Mitigating factors include ES Tylenol, heat application, and resting the knee. However, sometimes the pain is so severe that even Tylenol does not help. Aggravating factors are standing too long, bending the knee, and climbing stairs. He describes the pain as sharp, and annoying at the same time. At present time he feels like “something is not right inside the knee”. Level of pain is 8/10. He denies previous musculoskeletal injuries. Patient also reports shortness of breath but denies chest pain. 

PMH: Asthma, bipolar disorder. Left knee anterior crucial ligament (ACL) 10 years ago from basketball injury.

Past surgical history: Right hip replacement 15 years ago from kick boxing.

Medications/OTC: Theophylline, Prednisone, Singular, Geodon, Prozac, Benadryl.

Allergies: NKA.

Past family history: One brother with asthma, and another brother with bipolar. Maternal aunt with DM type II.

Health Maintenance: Immunization up to date.

Social history: Patient does not smoke, drink or use recreational drugs. He maintains a regular diet and exercises 3 times a week. He has been married for 10 years and lives with his wife and one adult son, and one teenage daughter. He is a mathematics teacher in the same high school where he attends clinic. He sleeps well.

With the information provided above, please continue the patient’s soap note to include:

Subjective: A thorough review of systems

Objective: A thorough physical examination

Primary diagnosis

3 differential diagnosis with one citation for each ddx (APA formatted).

Laboratory tests

Diagnostic testing

Management plan

Medications

Non-pharmacological approach

Follow up

Patient education and Health promotion

References: A minimum of 3 different references are required for this assignment. All references must be properly APA formatted.

This assignment will be graded according to the rubric. Please have the Rubric handy when you are writing the soap note.

 

Nursing Discussion – 2025 To support your work use your course and text readings as well as the South University Online Library As

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Nursing Discussion – 2025

To support your work, use your course and text readings as well as the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Patient or lay person medical information portals such as webMD, Medscape, Mayo Clinic, or any disease foundations, such as the arthritis foundation or the diabetic foundation, are not acceptable resources for your scholarly work.

Response #1 Post a response to one peer in your discussion group. In the post identify the organ damage that can occur as a result of Hypertension. Describe the pathophysiologic process of the organ damage.

Peer Post

Physiology of Blood Pressure Control

              The body’s blood pressure is a measure of the pressures within the cardiovascular system during the pumping cycle of the heart. The blood pressure or systemic arterial pressure refers to the pressure measured within large arteries in the systemic circulation.   Each heartbeat forms a pressure wave that travels down the arterial system. The peak of the wave occurs during systole when blood is under pressure from cardiac contraction making the arterial wall expand.  During diastole when the heart is briefly relaxing-the arterial walls recoil, delivering a pulse.  Systemic circulation provides oxygenated blood to all organs in the body. After perfusing the organs, blood is returned to the right atrium of the heart through the systemic venous system (Lowry, 2016).

              Cardiac output is a major factor determining blood pressure, however, as blood flows into the arterial system it meets resistance (in the form of friction) from contact with blood vessel walls.  The main resistance to blood flow occurs in the arterioles, which are smaller vessels formed from the branching of arteries (Lowry, 2016). Resistance from all blood vessels in the systemic circuit combines to produce the systemic vascular resistance, which increases blood pressure in the systemic arterial system.  These two factors together cardiac output and the systemic vascular resistance, generate actual blood pressure in the systemic arterial system (Lowry, 2016).

Overactivity of the Sympathetic Nervous System (SNS)

 Decreased arterial pressure is detected by baroreceptors, which trigger a sympathetic response.  This stimulates an increase in heart rate and cardiac contractility leading to increased blood pressure.  The sympathetic nervous system serves as the final common pathway for controlling the smooth muscle tone of the blood vessels.  Most of the sympathetic preganglionic fibers that control vessel function originate in the vasomotor center of the brain stem and travel in the intermediolateral column of the spinal cord and exit with the ventral nerves; they then synapse with postganglionic fibers in the paravertebral ganglia.  Increasing sympathetic activity causes constriction of some vessels, such as those of the skin, gastrointestinal tract, and kidneys (Porth, 1998).

Overactivity of the Renin-Angiotensin-Aldosterone System (RAAS)

 The renin-angiotensin-aldosterone system is an essential regulator of arterial blood pressure.  The system relies on several hormones that act to increase blood volume and peripheral resistance.  It begins with the production and release of renin from juxtaglomerular cells of the kidney.  They respond to decreased blood pressure, sympathetic nervous system activity, and reduced sodium levels within the distal convoluted tubules of the nephrons.  In response to these triggers, renin is released from the juxtaglomerular cells and enters the blood where it comes in contact with angiotensinogen which is produced continuously by the liver.  The angiotensinogen is converted into angiotensin I by renin.  The angiotensin I then make its way to the pulmonary vessels, where the endothelium produces the angiotensin-converting enzyme (ACE).  Angiotensin I is then converted to angiotensin II by ACE (Shahoud et al., 2020).  Angiotensin II is a potent vasoconstrictor.  It acts directly on the kidney to increase sodium reabsorption in the proximal convoluted tubule.  Sodium is reabsorbed via the sodium-hydrogen exchanger.  Angiotensin II also promotes the release of aldosterone (Lowry, 2016). 

A complex interaction involving insulin-resistance and endothelial function

 The endothelium, which lies between the blood and the vascular smooth muscle, serves as the physical barrier for vasoactive substances that circulate in the blood.  The endothelium plays an active role in controlling vascular function.  In capillaries, which are composed of a single layer of endothelial cells, the endothelium is active in transporting cell nutrients and wastes.  In addition to its function in capillary transport, the endothelium removes vasoactive agents such as norepinephrine from the blood, and it produces enzymes that convert precursor molecules to active products (Porth, 1998).

References

Lowry, M. (2016).  The Physiology of blood pressure regulation.  Retrieved on April 24, 2021 from  

https://www.nursingtimes.net.

Porth, C. (1998).  Pathophysiology: Concepts of Altered Health States. (5th ed.) Philadelphia,

          PA: Lippincott-Raven; ISBN 0-397-55413-3

Shahoud J, Sanvictores T, & Aeddula N. (2020). Physiology, Arterial Pressure Regulation.  Retrieved on       

              April 14, 2021 from: https://www.ncbi.nlm.nih.gov/books.

 

Ethical Dilemma In Nursing – 2025 Requirements A description of the dilemma which I will put the statement below

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Ethical Dilemma In Nursing – 2025

Requirements:
A description of the dilemma which I will put the statement below.
You will perform preliminary research on the assigned ethical dilemma and describe the dilemma. Clearly identify both positions grounded in scholarly literature. Disseminate information found to all group members.
Both positions of the dilemma are presented crediting supporting scholarly sources.
Appropriate ethical principles to support each position are used.
Needs to be APA format
Needs In-text citation
Needs Statistics related to Pediatric Nursing
Reference page
1 page minimum

Ethical Dilemma statement:
“An 8‐year‐old patient who needs a blood transfusion but is a Jehovah’s Witness.”

Assig 6 CH – 2025 Create a board or PowerPoint presentation of important learning resources learned throughout the course Explain approaches to community intervention and

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Assig 6 CH – 2025

Create a board or PowerPoint presentation of important learning resources learned throughout the course. Explain approaches to community intervention and evaluation. Implement a teaching and evaluation plan. You will also review and give feedback to the presentation of 2 classmates.

To prepare for the presentation, complete the following steps:

  1. Choose one topic from the prevention strategies and intervention recommendations identified in your Community Family Assessment.
    • You will be teaching your client from module 4: the family.
    • For example –  if the family assessment from Module 4 indicated they need to be taught about Diabetes, then that is your topic for this assignment. If they have communication issues, then you teach about effective communication.
  2. Develop a teaching plan, including objective, content outline, teaching method, and time in a table format.
  3. Develop an evaluation plan for your teaching intervention and create a tool for feedback from your learners.
    • For example – Use a questionnaire to confirm they learned the content.

Implement the teaching plan and evaluation during Visit 5 of your clinical experience and then:

  • Summarize the outcomes of your teaching plan and evaluation.
  • Include your teaching plan, evaluation tool, and summary.
  • You may refer to the Presentation module 6 on attachment for guidance.

Submission Instructions:

Peer Review Submission Instructions:

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Grading Rubric 

Your assignment will be graded according to the grading rubric.

MODULE 4

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Online Materials & Resources

NURS-6050- MODULE4 DISCUSSION1 REPLY 2 – 2025 One of the most important modern healthcare information regulations of the current generation is the 1996 regulatory act called Health

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NURS-6050- MODULE4 DISCUSSION1 REPLY 2 – 2025

 

One of the most important modern healthcare information regulations of the current generation is the 1996 regulatory act called Health Insurance Portability and Accountability Act (HIPAA) (Security, 2019).  Over the years, many amendments were made to HIPAA, and in 2009 congress updated HIPAA with the Health Information Technology for Economic and Clinical Health Act (HITECH) (Security, 2019).  While HIPAA was intended for several beneficial purposes like making health insurance affordable and protecting patient data, loopholes in the act were being exploited by several parties and the electronic systems that were suggested to be incorporated into medical services were being ignored (Security, 2019).  Thus, the HITECH act was proposed to pinch off the loopholes and to incentivize healthcare services to adopt the electronic health record (EHR) system.    

To understand why HIPAA and HITECH acts were developed in the first place, it is first important to acknowledge that the healthcare service industry has both economic and political dimensions.  HITECH is a government incentive program encouraging physicians to implement  electronic health records (Security, 2019).  This industry-wide EHR adoption incentive program costs the congress billions of dollars every year.  The act uses financial incentives to not just encourage physicians to adopt EHR, but to adopt EHR certified by the government (Security, 2019).  While electronic records have been used since the 1960s (although only sparingly), the widespread use of computers in the 1990s tipped the government to consider implementing a widespread adoption of an EHR that could help in the recording and exchange of clinical information (Security, 2019).  Even by the year 2009, only a few doctors had adopted the digital capabilities of the information age to record and share medical information, with most of them still holding on to the use of paper to record and share information (Security, 2019).  Thus, one of the main reasons behind the enforcement of EHR was the many-fold increase in efficiency provided by EHR. 

In fact, the Obama administration, in 2009, even decided to spend billions of dollars to stimulate EHR adoption, and help guide physicians from the inefficiencies of a paper-based to protect patient privacy and improve health outcomes (EHR Meaningful Use Criteria, n.d.).  Qualified professionals are eligible to receive up to $44,000 over five years in Medicare incentives and  upto $64,000 in Medicaid incentives (EHR Meaningful Use Criteria, n.d.).  However, any physician or healthcare service who waits could not only lose out but also get hit with penalties (Security, 2019).  Typically, a physician has to prove that he uses a certified EHR system and demonstrate a “meaningful use” criteria of EHR use (Security, 2019).  Each provider has to meet this comprehensive “meaningful use” criteria which break down into five big goals.  And if even one aspect of this goal is not met by the physician, they would become ineligible for the payments under the HITECH act (Security, 2019). 

The strictly enforced and ever evolving meaningful use criteria ensures a host of benefits to the patients through the employment of a certified EHR system by the physician.  For instance, the meaningful use of the EHR is meant to improve the efficiency and quality of healthcare (EHR Meaningful Use Criteria, n.d.).  Moreover, the reduction of errors and disparities also goes a long way in protecting sensitive patient information (EHR Meaningful Use Criteria, n.d.).  EHR is also expected to improve care coordination between physicians and between nurses and physicians (EHR Meaningful Use Criteria, n.d.).  Such outcomes are generated through a list of goals.  These goals include transparency and ease in communication with public health agencies.  Other goals necessitate the creation  of technologies and operating policies that comply with the goals of HIPAA (EHR Meaningful Use Criteria, n.d.).  Other such goals also include the reporting of patient registries in order to improve quality and public reporting.

The adoption of EHR incentivized by the HITECH act along with its associated adoption of meeting the “meaningful use’ criteria has transitioned the behavior of nurses to be more alert and careful (“Impact of EHRs on Nursing Practice,” 2016).  Given the liability of losing money if the criteria is not met, nurses now focus a lot more on patient care, complying with the expected standards and in creating more detailed records (“Impact of EHRs on Nursing Practice,” 2016).  This ensured more safety and security to patients.  Some nurses, despite complaining about the difficult expectations of HITECH, agreed that once the mastery of the EHR was complete, they did understand the benefits of the time saving and privacy-oriented EHR system (“Impact of EHRs on Nursing Practice,” 2016).  The ease in communication of electronic information also has a darker side: it is much easier to share patient information with unauthorized parties.  Thus, the adoption of the meaningful use criteria has also prevented nurses from partaking in such behavior. 

NURS-6050- MODULE4 DISCUSSION1 REPLY 1 – 2025 The health policy I selected for this week s discussion is H R 2975 Women s Health Protection Act of 2019 In short this policy was

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NURS-6050- MODULE4 DISCUSSION1 REPLY 1 – 2025

 The health policy I selected for this week’s discussion is H.R.2975 – Women’s Health Protection Act of 2019. In short, this policy was introduced in house in May of 2019 with the goal to allow women to have the right to choose to bear children or end an unwanted pregnancy and to protect the health care providers’ involvement in providing abortion services (Congress.gov, n.d.). The conversation of abortion, like many health topics, can be a sensitive subject and due to the controversial nature of this medical intervention there is poor data to look at actual rates of abortion in the United States (Ahrens & Hutcheon, 2020). Along with occurrence rates and trends it is also important that research is looking at safety and accessibility related to abortion (Ahrens & Hutcheon, 2020). One piece that really stands out for me is the importance of safety for medical providers to feel comfortable providing this medical procedure. Violent threats and harassment can be very stressful and create a dramatic decrease in accessibility of care for patients and providers do not feel safe practicing abortion (Hall, 2020). I believe the Women’s Health Protection Act of 2019 plays an important role in creating better data, safety and accessibility for women of our country in need of medical assistance for unwanted births.  

Discussion Question 1 – 2025 There are a lot of individuals that have addictions whether they are drinking alcohol eating chocolate gambling on blackjack buying

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Discussion Question 1 – 2025

 

There are a lot of individuals that have addictions, whether they are drinking alcohol, eating chocolate, gambling on blackjack, buying plaid sport coats, overspending on credit cards, or reading the sports page at breakfast. Anything that we start out wanting and not necessarily needing but end up either psychologically or physically craving may be considered addicting. Such addictive behaviors may be as simple as not being able to pass the candy bar machine to attending every place with them.

What would be some of the the difficulties they will face in forgoing their addiction for a day.?