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2023 DQ 1 Comment 1 An internal method for dissemination of my EBP project results would be scheduling a short meeting

Nursing 2023 Please Answer According The Comments. Thanks. Reference Between 2013-2018( 75 Words In Each). Thanks

DQ 1 Comment 1 An internal method for dissemination of my EBP project results would be scheduling a short meeting 2023 Assignment

DQ 1

Comment 1

An internal method for dissemination of my EBP project results would be scheduling a short meeting with nurse managers of the unit to discuss the findings through questionnaires and interviews. External may be to schedule meeting which includes the nurse managers and staffing personnel. The importance of including all these persons in one meeting would be to provide a connect with the data and information that is discussed daily with regard to staffing and the hiring of nurses to fill vacant positions. Providing visual displays of the research that provides a clear picture showing the impact of nurse turnover and the orientation process. This meeting would be a platform for discussion and information that involves staffing, hiring and retention of staff and the impact on the unit/facility. According to  the  Agency for Healthcare Research and Quality (AHRQ) (2014),  all dissemination should have a purpose and promote the project development. This can be accomplished by raising awareness, informing and educating, engaging and involving, and promotion of the results.

Staffing levels and nurse retention is in the news daily and involving the community in discussions would offer clarification. Yes, the community is aware of the shortage, but do they know what avenues of change are taking place in the facility that hopefully will affect their healthcare now and in the future.

Strategies of communication for each group focuses on the delivery of information. Internal information transfer is effective through conversation and visual evidence. External needs to be concise and factful with a clear plan of implementation that is also visual. Time constraints for both groups is evident so many short meetings for the internal dissemination would benefit both staff and the managers/leaders of the nursing unit. The external group would also have time limitations so being concise and thorough with a limited time frame is a challenge.

Comment 2

An important part in delivering “high-quality patient care is nursing implementation of evidence-based practice (EBP); institutional leadership, such as nurse managers (NMs), plays an integral role in the implementation of EBP on nursing units” (Kueny, Shever, Lehan, & Titler, 2015, p.1). Thus, one internal method would be meeting with the NM of the unit to discuss my research findings regarding the implementation of acuity based tools specific for the unit to adjust staffing appropriately to improve patient outcomes, improve quality of care and decrease nurse burnout. Addressing the importance of measuring acuity, provide different tools that measure acuity and how to implement the use of these tools with proper education and directions. NMs are an important part of driving change, they can lead EBP projects, provide resources and educational activities to promote change and schedule workshops to assist nurses with the changes.  According to Kueny et. al (2015), “NMs have the potential to remove some of the autonomy in decision making for EBP recommendations” (p. 37). NM’s can help with culture of expectations, empowering their nurses to implement EBP to improve patient outcomes and improve nurse burnout.

An external method would be contacting a professional nursing organization, such as the American Psychiatric Nurses Association (APNA). Contacting the APNA via the internet would provide me with feedback on the next steps I need to take. Becoming a member of APNA or joining a committee, would allow me to take action addressing the importance of using acuity based tools in measuring safe staffing levels to improve patient outcomes and improve quality care. There is a lack of studies or research regarding staffing inpatient geriatric psychiatric units. The APNA (2015), encourages nurse researchers to study both populations, in order to establish specific nurse-to-patient ratios for inpatient psychiatric units and to foster the development of innovative, effective, recovery-oriented and safe-staffing models. Thus, it would be beneficial to address these populations, providing evidence that implementation of acuity based tools for safe staffing levels has improved patient outcomes.

Strategies for communication would be different for internal methods versus external methods. Internal methods require a more personal approach, addressing the problem, reviewing evidence for solutions to the problem with the NM, outlining the project, asking for feedback, projected costs involved to implement EBP, time constraints, and required nursing education on implementing acuity based tools for the unit. Promoting nursing feedback and shared governance in the decision making process and areas that need to be addressed in regards to safe staffing and equitable nurse workloads. External methods require a less formal approach, writing to APNA, would require addressing the problem, providing a solution with evidence based research, evaluating nursing practice, quality of care, improving nurse’s mental health, minimizing nurse burnout, reducing health care cost, and improving patient outcomes.

DQ 2

Comment 1

An important challenge to any evidence-based practice project evaluation is whether it was effective. I came across an article discussing the use of a premortem plan to identify outcomes and their success. In the healthcare arena we have all heard of postmortems where we discuss what happens after a sentinel event or adverse patient outcome. A premortem addresses the anticipated failures of the project before implementation. By doing this we can develop strategies that would aid in successful implementation according to Ginex (2018).

Since my project relates to staff retention and turnover on the night shift, seeing staff be successful using mentor/mentee programs after the original orientation period would offer proof the program change is working. Evaluating the cost of orientation and the cost of loosing qualified staff due to inadequate or ineffective orientation would also provide positive feedback and data. Follow up interviews with staff who have left or changed shifts would offer information related to differences in shift orientations. Also, the number of staff participating in mentor/mentee program would show the level of acceptance and commitment to the project change.

Comment 2

One way that I would evaluate whether my project made a difference in practice would be to implement some of my findings, such as talking with the DON and supervisor of my facility about scheduling equal nurse-to-patient ratios. I currently work on a sub-acute unit of my facility and there are about 6 patients that have pressure ulcers and all of them are at risk for pressure ulcer development. I have worked at the facility for a year and some pressure ulcers have developed while those residents were in the facility. All of the resident require total care and to ensure that they are changed and turned in a timely manner, there must be an appropriate staff-to-patient ratio. This means that each nurse should not have more than 7 patients because, they also only have on CNA. Each CNA has up to 14 patients, so they heavily rely on the assistance of the nurses. If the nurses feel overworked, then it shows in their patient care and the residents are at more risk for pressure ulcer development. According to Hartmann, Mills, Pimentel, Palmer, Allen, Zhao, and Snow (2018), positive interactions between the staff and patients contributes to better quality care and better patient outcomes.

I would also talk with the wound care nurse, DON, and supervisor to provide in-services to teach the staff how to implement the wound care orders properly. The wound care nurse only works from 0800-1630 and although he tries to change the dressings every day, the orders also include changing the dressing PRN if they become soiled. Many of the wounds are located on the sacrum region. All of the residents are incontinent of bowel and bladder and require total care. Orders constantly change depending on the status of the wound and there have been times when the dressing gets soiled and requires changing. I often work the even shift and there are times where I do not see the wound care nurse. I and my coworkers that work the evening and night shift have needed to change the dressing based on the order in the MAR. there have been times in which the directions of the order were unclear and/or we did not have the correct supplies. The wound care nurse only works during the week, so if we do run out of supplies, we do not have access to the storage unit that has them or the facility has run out. When there is a change in an order, it would be very helpful if the wound care nurse holds in-services to show the nurses how to perform the dressing change and make sure that at least half of the nurses from the evening and night shift know how to change it as well, so they can help their co-workers if needed. Knowing how to properly change the dressings improves wound healing and prevent worsening of the wound.

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2023 Write a 2 4 page report on the concepts processes and tools needed to conduct a community health assessment

Nursing 2023 Community Health Assessment

Write a 2 4 page report on the concepts processes and tools needed to conduct a community health assessment 2023 Assignment

Write a 2–4-page report on the concepts, processes, and tools needed to conduct a community health assessment, how to find the data, and how to validate the data. Explain the factors that can affect the health of a community, along with how to obtain that information.

Understanding community and state health care issues and concerns, the local resources available, and accessibility of those resources can inform health care practices and improve quality patient outcomes.  

Questions to Consider 

  

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

  • What types of techniques and activities should be included in a community health assessment?
  • How can these techniques and activities help determine both assets and gaps in health care services in a community?

Assessment Instructions :

  

Imagine you work for an organization that has decided to open a satellite facility in an underserved community. Your organization asks you to move to the new location and assist with some of the preliminary work. Part of this work is to determine the health care needs of the community. How will you do this? What information will you need to know? Where will you find the information?

Preparation

Search the Capella library or the Internet for peer-reviewed journal articles on how to conduct a community health assessment. You will need at least 3 resources to use in this assessment.

Directions

Develop a plan for a community health assessment in which you complete the following:

  • Describe the type of data needed to make an informed community health assessment.
  • Explain how the data will help determine the health care needs of the community.
  • Describe your strategy for obtaining the necessary data.
  • Explain the factors that impact the health and wellness of a community. (Hint: This is a very broad list. Think outside the box on this one!)
  • Explain how you will obtain information on these factors for your specific community.
  • Explain how you will determine if the data and information you obtain is valid and reliable.
  • Format this assessment as a report that you would submit to a director or other organizational leader. You are still required to follow APA guidelines for in-text citations and references.

Additional Requirements

  • Include a title page and reference page.
  • Ensure your assessment is 2–4 pages in length.
  • Use double-spaced, 12-pt., Times New Roman font. (Recommended)

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2023 When a patient presents to a primary care provider with a complaint of chest pain there are a number

Nursing 2023 chest pain: Advance Physical assessment

When a patient presents to a primary care provider with a complaint of chest pain there are a number 2023 Assignment

When a patient presents to a primary care provider with a complaint of chest pain, there are a number of possibilities that must be considered. Discuss the first three steps you would complete in assessing a patient with this complaint. Then, discuss at least two differential diagnoses for a patient with chest pain. How would the treatment and intervention course differ for each diagnosis?

Your initial posting should be 200 to 300 words in length and utilize at least one scholarly source other than the textbook. 

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2023 Explain the differences between blood as well as blood forming organs and certain

Nursing 2023 HELP NEED DONE BY 11 am on 12-8-2018 central time

Explain the differences between blood as well as blood forming organs and certain 2023 Assignment

 

Explain the differences between blood, as well as blood-forming organs, and certain disorders involving the immune mechanism. Which ones (blood forming organisms, parasites, or diseases) stand out to you, and why?

Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.”

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2023 Benchmark Assignment Spiritual Needs Assessment and Reflection This assignment requires you to interview one person and

Nursing 2023 Spiritual Assessment

Benchmark Assignment Spiritual Needs Assessment and Reflection This assignment requires you to interview one person and 2023 Assignment

 Benchmark Assignment – Spiritual Needs Assessment and Reflection

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

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 Turnitin. Please refer to the directions in the Student Success Center.

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

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2023 A disaster according the the International Federation of Red Cross and Red Crescent

Nursing 2023 2 coments each one 150 words (CITATION AND REFERENCE)

A disaster according the the International Federation of Red Cross and Red Crescent 2023 Assignment

A disaster, according the the International Federation of Red Cross and Red Crescent societies, is “ a sudden, calamitous even that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using it own resources” (International Federation of Red Cross and Red Crescent Societies, n.d.). When disasters occur it has an everlasting effect not only on the individuals, it affected physically but it can also leave a devastating affect on them spiritually. For example when hurricane Harvey struck the Texas Gulf Coast, it had an enormous affect on the residents of the affected areas physically and spiritually. People lost their lives, homes, and everything they ever had causing them physical and emotional damage which can probably never be recovered or recouped. During these times, the need for spiritual care may become dire regardless of religious affiliation, chaplains play an important role in supporting the communities’ emotional need during and after devastating event (Falkner, 2019).

It is important for the community nurse to assist the individuals, community, self, and colleagues in these times because it can place a physical and emotional strain on everyone involved. Nurses working with the victims and the community can advocate for the spiritual needs of patients by locating the chaplain whenever possible and facilitating the incorporation of spiritual practices that do not interfere with patient safety or the the course of treatment and provide spiritual comfort (Falkner, 2019). Colleagues will need assistance because during these tough times, it can place an emotional strain on them because so much is needed from them to help the community, that colleagues may need an outlet or some sort of prayer to help them get through the tough times.

References:

Community and Public Health: The Future of Health Care. (2019). Retrieved from Grand Canyon University (Ed.): https://1c.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

Falkner, A. (2019). Community as Client. In Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

International Federation of Red Cross and Red Crescent Societies. (n.d.). What is a disaster? Retrieved from https://www.ifrc.org/en/what-we-do/disaster-management/about-disaster/what-is-a-disaster

Spirituality is an inner belief system. It is a spirit to spirit relationship to oneself, others and the God of ones understanding. Everyone is a spiritual being. A disaster affects the entire fabric of a community that existed prior to the event and can cause traumatic stress among the whole community. It’s recovery is in large part the rebuilding of the community, the retying of the thousands of strands of relationship in the fabric of our being together that have been severed by the disaster.(Rev. J. Robinson ,Jr)

Spiritual distress is when a person or a group of people experience a disturbance in their belief or value which really happens in a disaster, or when the system that provides strength, hope and meaning to life is no more.

Public health nurses should offer their presence and hospitality during this time. They should meet and accept people exactly as they are, practice the Do no Harm, they should not evangelize, proselytize or exploit vulnerable persons in need during this time. Their role is to provide sensitive and appropriate care for all and respect every spiritual perspective, provide a shoulder to cry on both for their individual families and their patients. It takes a certain level of professionalism to be able to balance and cope with both. It takes the strength from a supernatural being.

References:

Light Our Way: A Guide for Spiritual Care in Times of Disaster. NVOAD,2006

The Etymology of the Word Chaplain: Morgan;2000 by Chaplains Ministries, Internet article

Chapter 5, Community and Public Health: The Future of Health Care. Retrieved from: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/community-and-public-health_the-future-of-health-care_1e.php

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2023 Please follow all directions This week there is a discussion question in which you can use I The

Nursing 2023 Discussion Post 400 word APA 1 scholarly source

Please follow all directions This week there is a discussion question in which you can use I The 2023 Assignment

  

Please follow all directions.  This week there is a discussion question in which you can use “I”.  The discussion is a reflection how you have met the course objectives listed in the syllabus.

 
 

Course Learning Objectives:

1.

Examine nursing roles that

meet

the

emerging

health

needs

of

individuals,

families,

communities

and

populations.

2.

Explore

historical,

legal,

social,

cultural,

political,

and

economic

forces

that

influence

the

client,

nursing

practice,

and

the

health

care

system.

3.

Evaluate

strategies

that

can

be

used

by

public

and

community

health

nurses

to

improve

the

health

status

and

eliminate

health

disparities

of

vulnerable

populations

4.

Predict

trends

in

lifestyles

that

will

affect

the

health

of

communities

and

the

future

challenges

for

nursing.

5.

Plan,

analyze,

implement

and

evaluate

public

health

surveillance

and

outbreak

investigation

6.

Develop

strategies

to

deliver

nursing

care

in

the

preparedness,

response,

and

recovery

phases

of

disaster

management

 
 

This week there is a discussion question in which you can use “I”.  The discussion is a reflection how you have met the course objectives listed in the syllabus.

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2023 Discussion Comparing Frameworks for Analyzing Organizations Avedis Donabedian s work generated a pivotal means of assessing organizational

Nursing 2023 Comparing Frameworks For Analyzing Organizations

Discussion Comparing Frameworks for Analyzing Organizations Avedis Donabedian s work generated a pivotal means of assessing organizational 2023 Assignment

 

Discussion: Comparing Frameworks for Analyzing Organizations

Avedis Donabedian’s work generated a pivotal means of assessing organizational performance relative to structure, process, and outcomes. However, it is clearly not sufficient to view health care quality merely in terms of outcomes—the structures and processes that facilitate these outcomes are equally as important.

In this Discussion, you consider multiple frameworks that can be used to analyze an organization. As you proceed, consider how these frameworks allow you to examine the interplay of interdependent and related parts and processes that comprise the systems within an organization, as well as the arrangements or structures that connect these parts.

To prepare:

  • Investigate and reflect on the systems and structures of an organization with which you are familiar. Consider the following:
    • What is the reporting structure?
    • Who holds formal and informal authority?
    • How many layers of management are there between the frontline and the highest office-holders of the organization?
    • How are interdisciplinary teams organized?
    • How is communication facilitated?
    • How well integrated is decision making among clinical personnel and administrative professionals?
    • How are particular service lines organized?
    • Which departments, groups, and/or individuals within the organization are responsible for monitoring matters related to performance, such as quality and finances?
  • Select two of the following frameworks:
    • Learning organizations, presented in the Elkin, Haina, and Cone article
    • Complex adaptive systems (CAS), presented in the Nesse, Kutcher, Wood, and Rummans article
    • Clinical microsystems, presented in the Sabino, Friel, Deitrick, and Sales-Lopez article
    • Good to great, presented in the Geller article
    • The 5 Ps, presented in the ASHP Foundation article
  • Review the Learning Resources for each of the frameworks that you selected. Also conduct additional research to strengthen your understanding of how to use each framework to assess an organization.
  • Compare the two frameworks. How could each framework be used to identify opportunities to improve performance? In particular, how would you use each of these frameworks to analyze the organization that you have selected?
By Day 3

Post an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.

 

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.
Chapter 1, “Evaluation and DNPs: The Mandate for Evaluation” (pp. 3-36)
Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86)
Chapter 6, “Evaluating Organizations and Systems” (pp. 127-142)Chapter 1 defines microsystem, mesosystem, and macrosystem and notes that evaluation can focus on one of these levels or all three. Chapter 5 examines the evaluation of organizations and systems.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
Chapter 2, “Understanding the Healthcare Organization” (pp. 31–43)Although this chapter focuses on hospitals, the authors provide information about strategic planning and organizational structure that is applicable in many health care settings. The authors examine financial and quality issues as key aspects of performance measurement.

Elkin, G., Zhang, H., & Cone, M. (2011). The acceptance of Senge’s learning organisation model among managers in China: An interview study. International Journal of Management, 28(4), 354–364.
Retrieved from the Walden Library databases.

This article outlines the five disciplines that Senge argued could be found in a learning organization. The authors also discuss the worldview that is inherent in business organizations in China and explain how this relates to Senge’s theory.

Geller, E. S. (2006). From good to great in safety: What does it take to be world class? Professional Safety, 51(6), 35–40.
Retrieved from the Walden Library databases.

Geller reviews and applies Collin’s foundational Good to Great theory from its focus on financial success to safety.

Nesse, R. E., Kutcher, G., Wood, D., & Rummans, T. (2010). Framing change for high-value healthcare systems. Journal for Healthcare Quality, 32(1), 23–28.
Retrieved from the Walden Library databases.

This article explores how to implement change in complex adaptive systems (CAS) such as health care. The authors purport that an understanding of the principles of change management in CAS is critical for success.

Sabino, J. N., Friel, T., Deitrick, L. M., & Salas-Lopez, D. (2009). Striving for cultural competence in an HIV program: The transformative impact of a microsystem in a larger health network. Health & Social Work, 34(4), 309–313.
Retrieved from the Walden Library databases.

The authors discuss cultural competence as part of a patient-centered perspective on health care delivery. They examine an approach to creating innovation that originates at the unit (microsystem) level and can be diffused to the larger health care environment (macrosystem).

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2023 What is your perspective on the cause of obesity for the large majority of those who are facing this

Nursing 2023 obesity

What is your perspective on the cause of obesity for the large majority of those who are facing this 2023 Assignment

 

  • What is your perspective on the cause of obesity for the large majority of those who are facing this problem?
  • Whether you believe that the primary cause of obesity is genetics or lifestyle what has happened in our society since 1980 that has resulted in
    doubled or tripled rates of obesity in adults and children?
  • What can be done in your own community to turn the obesity trend around? What kind of program might you create in this effort to bring health back
    to our society?
  • What advice would you give to a friend coping with a weight issue to help them bring about long term change?

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2023 After reading the following scenario decide whether Mr Howe made the right decision in regard to his ailing

Nursing 2023 paper

After reading the following scenario decide whether Mr Howe made the right decision in regard to his ailing 2023 Assignment

After reading the following scenario decide whether Mr. Howe made the right decision in regard to his ailing wife. Describe the factors you considerd in in reaching your decision?

An elderly Florida man was in jail after he said he fatally shot his ailing wife because her medications were no longer affordable and she was in pain. William Howe, 86, was being held without bond after telling authorities that he had shot his wife in the head as she slept that morning in their home according to an affidavit. Mr. Howe called the 911 emergency line several hours after the fatal shooting. Howe told authorities that after the shooting he went to the kitchen for a cup of coffee, and called his daughters to tell them what he had done.

“I want to apologize I didn’t call earlier. I wanted to tell my kids what happened first,” Howe told authorities. Howe told authorities that he had been thinking of killing his wife, 84, for several days because she was in pain, the affidavit said. Howe said she had told him that she wanted to die in the past, and she had asked him to kill her, according to the affidavit.

A dispatcher at the County Sheriff’s Office said Howe remained in jail on a charge of first-degree, premeditated murder after an initial court appearance.

A local broadcaster reported that the couple had filed for bankruptcy in 2016 and that Carolyn Howe had been suffering from severe arthritis and other medical issues for at least 15 years. The AARP, a non-profit advocacy organization for people 50 years and older, said in a report last November that increasing costs for certain specialty prescription drugs have put them out of reach for many people and that Medicare does not necessarily make those drugs affordable. Authorities did not say what specific drugs Mrs. Howe was taking nor what kind of insurance the couple may have had. A search of records at the Florida Department of Law Enforcement does not show a prior criminal history for Mr. Howe.

5 points will be awarded for the introduction

10 points will be awarded for the quality of the body of the paper

5 points will be awarded for the concluding section of the paper

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