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2023 Assignment Write a Respond to two of these 1 2 case studies using one or more

Nursing 2023 Selection Of Colleagues’ Responses.2

Assignment Write a Respond to two of these 1 2 case studies using one or more 2023 Assignment

  

Assignment:

Write a Respond to two of these #1&2 case studies using one or more of the following approaches:

  • Share      additional interview and communication techniques that could be effective      with your colleague’s selected patient.
  • Suggest      additional health-related risks that might be considered.
  • Validate      an idea with your own experience and additional research.
  • Each      must have at least 2 references no more than 5 years old using APA Format       

Response # 1

“The case of physician do not heal thyself”

Three questions I will ask the patient on a visit to my office and rationale thereof.

Major depressive disorder (MDD) is defined as “feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home” and it is one of the most common reasons patients present for medical care worldwide (McConnell, Carter & Patterson, 2019). Childhood traumatic experiences, including physical, sexual, and emotional abuse, neglect, and separation from caregivers, they posit significantly increase the risk of developing mental and physical illnesses later in life.

NO .1

Have you had any thoughts of death or suicide before? Are you having them now? And do you have a current plan to harm or kill yourself? What are the details of that plan?

McConnell,et .al, (2019) posit that clients with MDD often presents with feeling sad or depressed; lack of interest or pleasure in previously enjoyed activities; appetite changes (unintentional weight loss or gain); sleep difficulty (too much or little); lack of energy (fatigue); feeling of guiltiness or worthlessness; moving more slowly or pacing (others observe); difficulty with decision-making, concentration, and thinking; and/or suicidal thoughts.

Patient safety remains a central concern in every healthcare setting (Smith,2018).  This patient did report several feelings of Suicide Ideation and Homicidal ideation so patients’ safety should be priority. Although the welfare of patients encompasses a broad range of concerns, the increasing prevalence of suicide in our society compels health care workers to ensure a safe healthcare environment for patients with suicidal ideation. These efforts include the elimination or, at least, the mitigation of physical setting characteristics that enable suicide attempts.

No 2.

Are you depressed? How does this problem make you feel? What makes the problem better? 

According to DSM-5 (2013) diagnostic criteria, MDD requires five or more of the following symptoms during the same two-week period and represent a change from previous functioning; at least one symptom is either 1) depressed mood or 2) loss of interest or pleasure (American Psychiatric Association [APA], 2013).

According to the patient’s file, he has experienced five or more of the symptoms of MDD during the same two-week period, on more than one occasion, including depressed mood, recurrent suicidal ideation, and suicide attempts, and was diagnosed with major depression for the first time when he was 23.

NO 3.

How often do you take your medication and how long did you take them before stopping? The patient has a history of stopping his medication, self-medication and non-adherent to treatment. This question is necessary because most antidepressants take a while to build up in the system.

Sources of information

From the social history, patient was married and divorced 3 times, currently single, has no children, nonsmoker no drug abuse, rarely drinks, he’s a   Physician and successful businessman. We can elicit information from siblings, extended relatives and even colleagues at work. childhood traumatic experiences, including physical, sexual, and emotional abuse, neglect, and separation from caregivers, significantly increase the risk of developing mental and physical illnesses later in life (

McConnell, et. al, (2019).  Colleagues at work and close friends can also be asked about his temperament and attitude at work as this could help with diagnosis and treatment modalities. Also, if patient has access to weapon at home, the relatives might have to make sure it is locked in a safe place or removed if he is currently suicidal.

Physical Exam and Diagnostic tests.

Health assessment will ensure a structured approach that includes comprehensive history taking and meticulous physical examination, carrying out these two parts consecutively enables the examiner to assess the presenting complaint, establish an accurate differential diagnosis and provide any necessary interventions Kennedy & O’Connor,  (2016). Physical examination of a patient will include looking at the patient’s overall appearance skin color, turgor and general assessment. Skin for self-injury and discoloration, bruise, vital sign, BMI, general appearance, nutritional status. Gait, balance coordination, reflexes, and involuntary movements, mental status for evidence of mental disorder and thought process.

Electroconvulsive therapy (ECT) according to Birrer & Vemuri, (2004) is a first-line option in patients with depression and psychotic features who have not responded to antipsychotic and antidepressant medications, and patients with severe nonpsychotic depression who have not responded to adequate trials of two antidepressant.

I will in addition to the above check the Erythrocyte Sedimentation Rate (ESR). A change in ESR between two visits was also significantly correlated with a change in PGA, renal, fatigue and joint VAS, (Stojan, Fang, Magder & Petri, 2013). This test is vital to our study because most drugs are eliminated through this media.

Differential Diagnoses

1. I think Major Depressive Disorder (MDD) is the main diagnoses for my client. Major depressive disorder (MDD) is defined as “feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home” and it is one of the most common reasons patients present for medical care worldwide (McConnell, Carter & Patterson, 2019).  According to the patient’s file, he has experienced five or more of the symptoms of MDD during the same two-week period, on more than one occasion, including depressed mood, recurrent suicidal ideation, and suicide attempts, and was diagnosed with major depression for the first time when he was 23 (APA, 2013; Stahl, 2011). 

1. Borderline personality disorder. The Statistics Manual of Mental Disorders (5th ed.; DSM-5), include fear of abandonment, destructive impulsivity, self-harm, suicidality (evidenced by threats or gestures of self-mutilation), and intense, uncontrollable, or inappropriate anger (American Psychiatric Association, 2013). Per report, patient has depressive symptoms characterized as unhappiness and transient depressed moods of a few days’ duration and with more anxiety than depression, improving without treatment – Actively suicidal and overdosed on his medications.

2. Bipolar II with mixed features; the Diagnostic and Statistical Manual of Mental Disorders (DSM) version 5 stipulates that a diagnosis of BP II disorder cannot be assigned unless the patient has experienced hypomania for four days or longer, however, many studies according to  McCraw, S., & Parker, (2016), have shown that the demographic and clinical features of BP II patients with short (i.e. one to three days) hypomanic states are similar to those of patients who meet criteria for DSM-defined hypomania across a range of clinical variables such as age at disorder onset, symptom severity, number of previous episodes of hypomania, number of past hospitalizations, presence of mixed states and family history. Thus, it appears likely that patients with short hypomanic episodes may benefit from the same treatments which are effective for a DSM-defined BP II condition.  Patient from report did endorse that since age 23, he has had many episodes lasting a week or more of irritability, inflated self-esteem, increased goal-directed work activity, decreased need for sleep, over talkativeness, racing thoughts, psychomotor agitation and risky behavior; could also experience euphoria or expansiveness to a significant degree but only for 2 or 3 days at most and usually shorter.

Review of medication

With this patient experiencing MDD mixed with some hypomanic episodes, my first choice of medication will be Abilify (aripiprazole) 15 mg orally daily. This medication exerts its effect by working on the CYP2D6 and 3A4 enzymes which some variations of metabolism in different races (Dean, 2016). I will start low and titrate up to minimize the incidence of side effects and improve patient’s compliance, incase my patient is a poor metabolizer. According to McIntyre, Ng-Mak, Chuang, Halperm, Patel, Rajagopalan, and Loebel (2017), antidepressants should be chosen with caution because they can induce mania and distort mood. The patient is already experiencing mixed features of hypomania; thus, antidepressant will not be initiated. Abilify, an atypical antipsychotic according to Stahl (2014), is first line for MDD with mixed features. Abilify has a monthly injectable, which will might help with compliance. Symptoms may improve in a week, but it takes at least 4-6weeks to determine drug efficacy (Stahl, 2014b).  The patient has been non-compliant with his medications, so the injectable might prove worthwhile.

2.  My second drug of choice will be Lurasidone 20 mg (Latuda) oral daily; This medication according to Stahl, (2013) treat Bipolar depression, acute mania/mixed mania, other psychotic disorders, bipolar maintenance and treatment-resistant depression. This medication in addition to Olanzapine-fluoxetine combination (OFC), quetiapine (either the standard or the extended release preparation), and lurasidone are the only FDA drugs granted (extended) approval for the (acute) treatment of bipolar depression in adults (Fornaro, De Berardis, Perna, Solmi, Veronese, Orsolini, Bartolomeis, 2017).

The medication exerts its effectiveness by blocking dopamine 2 receptors, reducing positive symptoms of psychosis and stabilizing affective symptoms and blocking serotonin 2A receptors, causing enhancement of dopamine release in certain brain regions and thus reducing motor side effects and possibly improving cognition and affective symptoms.

Lesson Learned

Taking care of patients in the medical field often pose a great challenge. This patient is a typical case of the above. He is a prescriber and is self-medicating and is initiating and ceasing therapy and altering the doses of prescribed medications against the advice from his psychiatric providers. Therefore, nurse practitioners should be able to perform a thorough assessment and conduct the necessary physical examinations on patients.

This patient has a history of noncompliance with medications and self-medicates, he should be monitored weekly and relevant diagnostic tests conducted to ensure compliance with treatment modalities.   

Response # 2

 This discussion is about a case study of a 60-year-old male, whom has struggled with depression for the past 40 years.

The male has done well with his current treatment until recently. His family noticed that he was less active, not very joyful, feeling hopeless, and worthless. Client has a family history pf mental illness. His medical history includes osteoporosis, hypertension, hypercholesterolemia, enlarged prostate, and arthritis. He has been on different treatments in the past. Diagnostic testing was performed.

Questions

Three questions I would choose the ask my patient would be Are there any significant life changes that occurred in the last five years to trigger an exacerbation in depression? This would allow us to review if anything specifically exacerbated his symptoms. Do you have suicidal thoughts or any past suicidal attempts? We want to make sure that the patient is not at risk of committing suicide (Fried & Nesse, 2015). Lastly, I would ask the patient if they feel safe at home? This is important because our patient’s safety is very important (Laff, 2016).  

Family Questions

When assessing a patient, it is nice to allow the family to be involved if they are supportive and want to help the patient’s health improve. Some questions that the provider may want to ask the family are: How are the family dynamics, Does the patient’s symptoms get worse in certain environments, and What does the family member suffering from depression in their home environment? These are important questions to help develop a picture of what is going on with the patient (Laff, 2016).

Physical Exam and Diagnostic Testing

When assessing the patient for Major depressive disorder you want to examine the patients’ depressive symptoms. In the case study the patient had lost interest in activities, feeling sad, no joy, worthless, and hopeless. The patient was having trouble concentrating. Scales are major when screening for depression. The scale cannot diagnose a patient but can help confirm a diagnosis and tell us the severity of the depression. Some appropriate screens include patient health questionnaire (PHQ-2), patient health questionnaire 9 (PHQ9), ZUNG scale, and Beck depression inventory (BDI). Diagnostic testing is useful in ruling out any other diseases/conditions that may be causing the depression. We run a blood test such as complete blood count, comprehensive metabolic panel, and thyroid panel. We want to make sure the patient does not have organic disease, infection or a thyroid disorder that may be causing the depressive symptoms (Ng, How, & Ng, 2016).

Differential Diagnoses

            The three differential diagnosis I have chosen are adjustment disorder, persistent depression disorder (dysthymia), and bipolar disorder. Adjustment disorder is an emotional or behavioral reaction over several months of stressful events or changes in a person’s life. Dysthymia is a chronic mood disorder with a duration of at least two years, the person does not experience pleasure, displays other depressive symptoms that can affect the person’s overall quality of life. Bipolar disorder is a mood disorder that has relapsing and remitting spells of mania and depression, the individual experiences depression more than mania (Lee & Swartz, 2017).

Drug Therapy

In this case study, the patient was started on Abilify and venlafaxine. Another good medication choice for initial treatment would be SSRIs. Abilify has side effects of weight gain, increased lipid levels, EPS, nausea, vomiting, and dry mouth. Venlafaxine can increase blood pressure. SSRIs such as Prozac Zoloft, or Celexa. This SSRI has fewer side effects and is safe. The SSRIs turn off the production of new serotonin, sending the message to the brain to continue making serotonin (Edwards, 2018). SSRI’s are do not have dietary restrictions like MAOIs, or cause heart disturbances and orthostatic hypotension SSRI (Bressert, 2017).

Follow-ups

Follow-ups are used to evaluate the progression of the patient’s symptoms. Practitioners evaluate medication side effects, the effectiveness of the medication, and the patient’s symptoms. It can take 4-8 weeks to know the effectiveness of a medication. In the case study, they followed up with the patient every four weeks. This case study taught the lesson of thinking outside of the box and using diagnostic tools to help improve the patient’s symptoms. The therapeutic dosages for venlafaxine, the initial dosage is 37.5 mg, the maintenance dose is 75 mg -100 mg, moderate depression is 225 mg, and severe depression is 375 mg (Drugs.com, 2019). This practitioner used blood levels to find the patient’s therapeutic dosage. By doing this the patient developed remission.

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2023 Attend a committee meeting in your health care organization If you are not currently employed in a health care setting

Nursing 2023 Assignment

Attend a committee meeting in your health care organization If you are not currently employed in a health care setting 2023 Assignment

 

Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.

Observe the interactions between committee members and the process used by the committee to arrive at decisions.

In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.

A minimum of two academic references from credible sources are required for this assignment.

Submit the completed “Collaborative Committee Meeting Verification Form” with the assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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2023 APA Style minimum of 5 pages on the development and implementation of a quality program in a health care

Nursing 2023 Quality Program in a Healtcare Facilty

APA Style minimum of 5 pages on the development and implementation of a quality program in a health care 2023 Assignment

APA Style  minimum of 5  pages on the development and implementation of a quality program in a health care facility.  Ideas to include in the paper are the benefits of a quality and safety program; quality indicators that should be documented; patient and family engagement; is quality a duty; preventing harm;and developing a patient culture of safety.  

minimum of 4 references that are no older than 2013. 

Thank you  

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2023 When it comes to constructing projects for presentation organization is a great strength of mine I

Nursing 2023 DQ91 RESPONSE

When it comes to constructing projects for presentation organization is a great strength of mine I 2023 Assignment

When it comes to constructing projects for presentation, organization is a great strength of mine. I have somewhat of a phographic memory, and am a visionary planner. Therefore, I can envision what I want my project to look like, including all of the information I want to be included in the project. This comes in handy for making sure the project has everything it is suppose to have. I am very organized in my thoughts and produce the end product in a very systemmatic manner, with a well thought out agenda. My weakness however, is stage fright. I become very intimidated when speaking in front of an audience, especially people I do not know. In order to improve on presentations, I have found that it is very important to connect with stakeholders in a collaborative way. It then becomes easier to speak in front of them because I have already gotten to know my audience. For example, it is important to meet with the stakeholders privately either in their office or on the phone. This way each stakeholder can be filled in informally first so that when the formal meeting takes place, the background is done and I am familiar with them. It is important to work on public speaking skills because the stakeholders must be engaged. The entire team must be lead through the process of the change practice that is being presented for it to be successful (Gallagher-Ford L. etal 2011)ReferenceGallagher-Ford L., Fireout-Overholt E., Melnyk B., Stillwell S. (2011) Evidence-Based Practice, Step By Step: Implementing an Evidence-Based Practice Change; ASN American Journal of Nursing Mar 2011; 111(3): 54-60 https://lpes.idm.oclc.org/loginurl=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446201103000-00031&LSLINK=80&D=ovft

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2023 Culturally Competent Nursing For this assignment you will interview a person from a cultural background that is different from your

Nursing 2023 Nursing

Culturally Competent Nursing For this assignment you will interview a person from a cultural background that is different from your 2023 Assignment

Culturally Competent Nursing

For this assignment, you will interview a person from a cultural background that is different from your own. Using the twelve domains of culture from the Purnell Model, discuss the health practices of that culture and compose a scholarly paper in a Microsoft Word document of 5–6 pages formatted in APA style.

In your paper, you should include the following:

Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials.

For the person you select, complete the cultural assessment using questions 1 through 12 from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.

On a separate page, cite all sources using APA format.

Submission Details:

  • Name the document SU_NSG4074_W2_A2_LastName_FirstInitial.doc.
  • Submit it to the Submissions Area by the due date assigned.

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2023 Details In this assignment you will be completing a comprehensive health screening and history on a young

Nursing 2023 please answer this question ,please fallow instruction below

Details In this assignment you will be completing a comprehensive health screening and history on a young 2023 Assignment

 Details:

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Complete the assignment as outlined on the worksheet, including:

  1. Biographical data
  2. Past health history
  3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
  4. Review of systems
  5. All components of the health history
  6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
  7. Rationale for the choice of each nursing diagnosis.
  8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to Turnitin.

NRS-434VN-R-HealthScreeningandHistoryAdolescentAssignment-Student.docx 

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2023 Select 1 scholarly practice based articles related to nursing theory and dated within the past 5 years 2014 until current Do not select a non practice based article Then

Nursing 2023 Nursing Theory (scholarly article)

Select 1 scholarly practice based articles related to nursing theory and dated within the past 5 years 2014 until current Do not select a non practice based article Then 2023 Assignment

 Select 1 scholarly practice-based articles related to nursing theory and dated within the past 5 years, 2014 until current. Do not select a non-practice based article. Then analyze the article, be sure to address the following for the selected article: 

PART 1:  

1-Summarize purpose of the article/research study                          

2-Description of theoretical concepts identified in the article                   

3-Description of how are concepts measured in article                    

4-Describe implications of findings in support of the theory 

           

PART 2: Complete only after addressing the above Part 1

1-Write a 1 paragraph description (minimum 300 words) analyzing how the selected theory can be used in advanced nursing practice. Be specific, including what outcomes (for patient as well as the nurse practitioner) you might expect. 

APA style. Multiples references. 

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2023 Read the Resource 1 Case Study Answer the questions at the end of

Nursing 2023 Resource 1 Case Study

Read the Resource 1 Case Study Answer the questions at the end of 2023 Assignment

  Read the “Resource 1: Case Study.”

Answer the questions at the end of the case study in a paper of 750-1,000 words.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. References please

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test  Result  Normal levels

pH  7.5  7.35 – 7.45

PaCO2 40 mm Hg 35-45 mm Hg

PaO2 95 mm Hg 80-100 mm Hg

SaO2  97% 95-100%

HCO3-  32 meq/liter 22-26 meq/liter

How would you classify the patient’s acid-base disturbance and explain why?

Given the case study, what are the possible factors causing this acid-base 

disturbance? Explain the pathophysiology created by these factors.

How would the renal and respiratory systems try to compensate for this acid-base disturbance? 

What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions. 

Describe the educational needs for this patient and what your approach will be.

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2023 Comment 1 Random sampling usually provides a sample that is representative of a population because each member of the

Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED. Thanks

Comment 1 Random sampling usually provides a sample that is representative of a population because each member of the 2023 Assignment

Comment 1

Random sampling usually provides a sample that is representative of a population because each member of the population is selected independently and has an equal chance, or probability, of being included in the study. (Grove, 2015, p. 37). It is important to conduct random sampling because it allows the study to be presented in the most unbiased form of data collection. Choosing factors at random and by chance provides a general understanding for what statistic is being collected. It limits and prejudice from the collectors, whether it is intentional or unintentional selections for the study. On the contrary, there are complications that may arise in random sampling. When sampling, there must be multiple trials in order to fully grasp a complete understanding that the statistics are accurate. Collecting one sample is only a snap shot of what is occurring at that one particular time. Multiple data collection trials should take place to guarantee the accuracy based on reoccurrence and the mean and mode of the elements in question. With random sampling, your data lacks a baseline to compare information because elements are nonspecific. To prevent from having an unsteady baseline for random sampling, some limitations must be put into play to ensure accuracy of the statistic. For example if you wanted to conduct a study about how often people wash their hands through out the day, maybe conduct the study among a certain occupation or hobby instead of generalizing the population.

Comment 2

Random sampling (also known as probability sampling) is to extract samples with equal, unbiased approach to include in the study. The goal of this method is to have subset of participants or samples that will most represent the target population. This is one of the most common methods used in statistics in conducting a quantitative research to decrease sampling error. Before random selection, a sampling frame (or list of all elements in the population from which sample is drawn) is established (Grove & Cipher, 2017). With this, all participants have same probability of being chosen.

The limitations or issues in using random sampling are the time and costs required gather full list of the population. It requires great effort (man power) to contact possible participants. Another problem is the size of the sample; it might be too small to represent the target population. An alternative to random sampling is to utilize systematic sampling. Systematic sampling is a method where a participant is picked based on random starting point, every “kth” position or interval. k is obtained by dividing the potential participants by desired sample size (Grove & Cipher, 2017). For example, in a population, there are 2000 possible nurses (samples) who can participate in the survey and desired sample size is 200 nurses. So, 2000 ÷ 200 = 10, which means, the 10th nurse on the list will be the participant. With this method, researcher must ensure that the original list was pre-ordered to avoid influencing the result.

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2023 Nursing and Global Health Read the article attached and the link below and reviewed the attached PowerPoint presentation once

Nursing 2023 Nursing and Global Health week15

Nursing and Global Health Read the article attached and the link below and reviewed the attached PowerPoint presentation once 2023 Assignment

Nursing and Global Health

Read the article attached and the link below and reviewed the attached PowerPoint presentation once done, please present and 800 words essay bout the role of nursing in global health.

https://www.healthypeople.gov/2020/topics-objectives/topic/global-health

INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 15 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard(which is mandatory).  A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines.  800 words except first page and references

https://fnu.blackboard.com/bbcswebdav/pid-1040557-dt-content-rid-12395466_1/courses/19FALLF-NUR3655-DL-AD/Emerging%20Global%20Health%20Issues_%20A%20Nurse%E2%80%99s%20Role.html

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