After reading Chapter 8 and the lecture, discuss any experience you have had with living in another culture or befriending someone from another culture. What was the biggest difference to which you had to adjust?
Discussion Requirements:
Your original post should be a minimum of 200 words and based on your own unique composition.
Read and respond in no fewer than 150 words to at least two of your classmate’s posts.
Include sources of information (all assignments are geared to be researched regardless of personal experience on the subject matter).
Correct grammar, spelling, and punctuation are expected.
Author: admin
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Title: Embracing Cultural Differences: My Experience Living in Another Culture Growing up, I had the opportunity to live in a few different countries due to my father’s job. However, the most significant cultural experience for me was when I
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Title: Guidelines for Writing Outcome Statements in Nursing Practice Answer: Outcome statements are a crucial aspect of the nursing process, as they provide a clear direction for the care and treatment of patients. According to Finkelman (2020), outcome statements
Answer: (Defining the topic, relevance in nursing, examples) source citation page number of the reputed/peer-reviewed/textbook used.
** The part written in blue is a draft where I wrote down the answer to the assigned question. I would like to add details to the part written in blue. (I should use the APA 7th style when I use Textbook or References.)
** I’d like to add 1-2 sentences in the green part using the reference.
Chapter 17: Outcome Identification and Planning
Assigned Question: Describe guidelines for writing outcomes statements. -
“Exploring Business Strategies: Case Studies on Wellcome Israel and European Experience”
Answer the questions that are assigned to each case study. It does not need to be extensive.
Wellcome Israel goes with questions of the same name.
European experience questions has a part A and a Part B. -
“Maximizing Performance: Choosing the Best Appraisal Methods for Different Job Categories in Three Industries”
Instructions
Effective Performance Management
Appraisal Methods – Traditional vs. Modern
Approaches
For the Week 8 Assignment, you are tasked
with drafting a research paper of at least five (5) full pages of content for
an organization of at least 1,000 employees. The topic for this assignment is
effective performance appraisal methods. For this assignment, you are the
corporate HR compensation manager. As such, you oversee job evaluation and
classification, performance measurement, and compensation. For purposes of
your
research, you may choose from three different industries:
1.
Manufacturer of Kitchen Appliances
2.
Fast Food Franchise – Deli Sandwiches
3.
Information Technology – HR Software
Based on the industry selected, consider
three or more job categories most commonly
employed at your organization.
Based on these job categories, which performance
appraisal methodology would
be appropriate, in your opinion, for each job category
identified and why?
Whatever you decide, you must explain your choice(s) by job
category and justify your answer(s). Your choices are:
Traditional Methods of Performance
Appraisal
Critical incident Method
Forced Choice or Ranking Method
Free Form Essay Method
Graphic Rating Scales
Paired Comparison Method
Modern Methods of Performance Appraisal
360-Degree Feedback
Assessment Centers
Behaviorally Anchored Rating Scales
(BARS)
Management by Objectives (MBO)
Self-Evaluation
To be successful, students are required
to research and evaluate each of the typical
performance appraisal methods
listed above. Bear in mind that there is “no one size fits
all” performance
appraisal method for an organization. Performance appraisal methods used by
organizations depend on the industry, the internal classification of the
jobs, and
the use of performance measurement systems in determining one’s
level of productivity and, in turn, level of compensation. Thus, one’s
eligibility for recognition and financial
reward(s) depends largely on the
performance measurement process selected by an
organization. This is because
an organization hires employees in a variety of job
categories, some of which
are hourly, while others fall into technical, professional, or
management
jobs. As such, performance appraisal methods will vary in order to capture
the most realistic performance appraisal elements that would apply for a
given position.
Helpful Tips:
You must support your ideas, arguments,
and opinions with independent research, and
include at least five (5)
supporting references or sources (Note: do not use dictionaries,
encyclopedias, Wikipedia, unknown, undated, or anonymous sources, such
as brief
articles from websites or URLs). In addition, due to the dynamic
nature of HRM, your
references must be drawn from peer-reviewed journal
articles published within the last
five (5) years.
Significant points will be
deducted from assignments that fail to follow these guidelines.
Your grade will be based upon:
Ability
to follow instructions
Depth,
scope, and applicability of the research that you conduct.
Critical
thought and analysis.
APA
format (APA, 7th Edition).
Professionalism.
APA Resources -
Objectives for APA Research Paper
Objectives
The purpose of the APA Research Paper: 1st Draft activity is to:
Produce a paper that is written in APA 7th edition style formatting, including in-text citations, and references (CO 5)
Present the topic in an organized, concise, interesting manner, which incorporates the student’s own original thought (CO 1, CO 2, CO 3)
Incorporate evidence from reliable sources that support the discussion/thoughts of the paper in the form of direct quotations, summaries, and paraphrases (CO 6)
Method of Evaluation
Students are required to complete a APA Research Paper: 1st Draft which is worth 5% of their overall grade.
Guidelines
Students must complete the following papers: (i) a Personal Essay, (ii) a Business Writing and (iii) an APA Research Paper. Each of these papers must be submitted through Canvas in order for the paper to be uploaded to Turnitin®.
The APA Research Paper must follow the guidelines set forth by the American Psychological Association. The Online Writing Lab (OWL) at Purdue University houses writing resources and instructional (http://owl.english.purdue.edu/owl/resource/560/10/Links to an external site.) that will assist with APA writing. The research paper should focus on a current trend, event or issues occurring in your field of study.
The APA research paper will be graded pursuant to the guidelines set forth in Exhibit B. Students are expected to understand these guidelines and ensure that their assignments incorporate them.
The research paper involves three major activities:
Choosing a Topic: Choose a topic for your research paper that is focused and about which you can ask a specific research question. Avoid encyclopedia-style reports on a general topic; such broad topics can become overwhelming and do not allow for purposeful research. For example, choosing for your topic a condition such as “diabetes” or “autism,” a setting such as “airports,” or an issue such as “ethics” will likely make for a shallow paper. Instead, ask a focused question about your topic. Then generate your thesis in answer to this question.
Outlining for APA Research Paper: You must submit a detailed outline of your research paper. Outlines may be in one of several formats, as directed by your course instructor, but all outlines must include the following: (i) a separate outline point for each paragraph, (ii) a point for your introduction that includes your thesis statement, (iii) at least three (3) body paragraph points, each with at least two subpoints illustrating the paragraph’s topic, and (iv) a point for a concluding paragraph. Your outline should be single spaced and no shorter than a full page.
Writing the APA Research Paper: The paper should be between five and seven pages in length (not including cover page, abstract, references, exhibits, etc.) and incorporate a minimum of seven (7) credible references. The paper must be written and presented in APA style (including, margins, citations, headings, etc.). You will be responsible for submitting a rough draft, the final paper and presenting your findings to the class.
The rubric below will be utilized to grade the paper. -
“Managing Side Effects of SSRIs in the Treatment of Anxiety Disorders: A Guide for Advanced Practice Nurses” “Exploring the Latest Advancements in Psychopharmacology: A Review of Stahl’s Essential Psychopharmacology (5th ed.) and Clinical Psychopharmacology (8th ed.)”
Chisholm-Burns et al. (2022) explain that anxiety disorders are a dysfunctional response to the computation of sensory data from the fear-response system of the anthropological brain. Stimuli may be present or absent in the presence of anxiety and anxiety may even continue long after exposure to the stimuli (Chisholm-Burns et al., 2022). Per Stahl (2021) the cortico-striato-thalamo-cortical network (CSTC, a network of brain circuits) creates feedback loops and serotonin (5HT) is one neurotransmitter which modulates these circuits. Serotonin exerts an inhibitory effect in the CSTC (Chisholm-Burns et al., 2022; Stahl, 2021). Serotonin is theorized to inhibit norepinephrine (NE), another key neuromodulator in the CSTC (Chisholm-Burns et al., 2022; Stahl, 2021). A region in the brain by the name of locus ceruleus (LC) produces NE (Chisholm-Burns et al., 2022). An excess of NE because of dysregulation of the LC is thought to be the neurobiological genesis of anxiety (Chisholm-Burns et al., 2022). Fear and worry are the two core symptoms of anxiety which selective serotonin reuptake inhibitors (SSRIs) treat (Stahl, 2021).
SSRIs are first-line pharmacotherapy for anxiety due to their bearable side effect profile, lack of dependency, as well as their ability to treat cooccurring conditions (Chisholm-Burns et al., 2022). In general, the side effects of SSRIs are nausea, diarrhea, insomnia, agitation, sedation, drowsiness, sexual dysfunction, weight gain and QT prolongation (Puzantian & Carlat, 2024). These side effects vary depending on the agent used (Puzantian & Carlat, 2024). It is always advised to exercise patience to allow for acclimation to SSRIs and subsequent resolution of symptoms (Stahl, 2024). The most prominent side effect is that of sexual dysfunction and we must educate those we serve on the risks versus benefits of SSRI treatment, thus allowing them to make an informed decision. There are adjunctive treatments for sexual dysfunction secondary to SSRI treatment, but a dose reduction may also alleviate symptoms (Puzantian & Carlat, 2024). When appropriate, a dose reduction may also serve to negate other SSRI side effects (Puzantian & Carlat, 2024). QT prolongation is most notable with citalopram (Celexa) at doses over 40mg (Puzantian & Carlat, 2024). If prescribing over 40mg of Celexa, an EKG is warranted (Puzantian & Carlat, 2024).
Class warning for SSRIs also include suicidality, mania switch, serotonin syndrome, discontinuation syndrome (DS) and hyponatremia (Puzantian & Carlat, 2024). The prudent advanced practice nurse will not only equip their patients with the knowledge to address these potential concerns but will also judiciously prescribe with full consideration of the overall health and history of those they treat. This will include frequent monitoring, relevant diagnostic workups and appropriate tapering (Puzantian & Carlat, 2024). Other concerns to be aware of include the possibility of diminished release of dopamine due to the increased serotonergic action of SSRIs (Stahl, 2024) This may manifest as emotional flattening, cognitive slowing, and apathy in certain patients (Stahl, 2024). Other strategies to address side effects include taking an SSRI after a meal or a spoonful of peanut butter to address nausea (Puzantian & Carlat, 2024). Taking the SSRI in the morning if insomnia is present or at night if sedation occurs (Stahl, 2024). There are many tools in the arsenal of the psychiatric mental health nurse practitioner. When possible, adjunctive pharmacotherapy should be avoided when other methods exist that can prevent polypharmacy.
References
Chisholm-Burns, M. A., Schwinghammer, T. L., Malone, P. M., Kolesar, J. M., Lee, K. C., Bookstaver, P.B. (2022). Pharmacotherapy: Principles and practices (6th edition.). McGraw-Hill Education.
Puzantian, T., & Carlat, D. J. (2024). Medication fact book for psychiatric practice (7th ed.). Carlat Publishing, LLC.
Stahl, S. M. (2024). Prescriber’s guide: Stahl’s essential psychopharmacology (8th ed.). Cambridge University Press.
Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press. -
Clinical Judgment Plan of Care for Georgette Polsky Clinical Judgment Plan of Care for Georgette Polsky: Management of Footling Breech Presentation and Cesarean Section Delivery
fill the attached document based on this information
while filling out the document make sure to follow these instructions:
This criterion is linked to a Learning OutcomeClinical Judgment Plan of Care Template (20 points/25%)
2. All Clinical Judgment Plan of Care Template sections must be complete and not left blank
3. Content presented in the Clinical Judgment Plan of Care Template is directly relevant to areas of noted weakness.
4. Appropriate medical terminology is used in the Clinical Judgment Plan of Care Template.
patient information:
Name: Georgette Polsky
Age: 26 years
Provider: N. Grant MD
Allergies: erythromycin
Code Status: Full Code
Admit Wt: 181 lbs (82.3 kg)
Pre-pregnancy weight: 145 lbs (65.8 kg)
BMI: N/A
Nursing
Flowsheets
Lab & Diagnostics
Other
VITAL SIGN TREND
Date Temp HR RR BP SpO2 O2
12/14 0800 98.5 °F
(36.9 °C) 84 18 128/74 99% RA
Date Lab Normal Result
12/14 050 Blood type
O Neg
Rubella Immune
GBS negative
HIV Negative
Hep B Negative
Date Fetal heart rate
12/14 0800 135 beats/min
Client Information:
Medical History:
+gestational diabetes
asthma x 7 years
Surgical History:
Right knee arthroscopy, 8 years ago
Cesarean delivery, 5 years ago
Nursing Note: Alerted by the client that she felt dampness on her leg. A large amount of clear fluid was noted at the perineum. +nitrazine; sterile vaginal exam performed. 5 cm/100%/-1. Foot felt on vaginal exam. The fetal heart rate is 130 with moderate variability. The client denies pain.
NURSING ASSESSMENT & NOTES12/14 0945Nursing Note: Alerted by the client that she felt dampness on her leg. A large amount of clear fluid was noted at the perineum. +nitrazine; sterile vaginal exam performed. 5 cm/100%/-1. Foot felt on vaginal exam. The fetal heart rate is 130 with moderate variability. The client denies pain.12/14 0955
Situation: Georgette Polsky is a G2 P1 who was admitted in active labor early this morning at 38 2/7 weeks, and when I performed a sterile vaginal exam, I felt what I thought was afoot.
Background: She is planning on a VBAC. She has gestational diabetes and asthma. She is single and has a friend here for support.
Assessment: Membranes ruptured 10 minutes ago with clear fluid noted. Her vital signs are stable. FHR is 140 with moderate variability. She had an epidural placed at 0600 and is receiving good pain relief. Contractions are every 3 minutes lasting 40 seconds.
Recommendation: I think the baby is breech, and we need to get an ultrasound to confirm.12/14 1010 Nursing Note: Provider to bedside with bedside ultrasound. Confirmation of footling breech. Orders received for cesarean section. The anesthesiologist, and nurse coordinator were notified, and L&D OR was notified. Right, upper forearm IV patent, running LR at 125 mL/hr. The provider completed informed consent, and the client signed.
12/14 1015 Nursing Note: Epidural placed per anesthesiologist.
12/14 1030 Nursing Note: Client to L&D OR2 by cart. The client slid to the table. External fetal monitoring on. FHR 130s with moderate variability were noted. A Foley catheter was placed with 200 mL of clear yellow fluid, and it was returned. External fetal monitoring was removed. Sterile abdominal prep was performed. Time out was completed. Cut time 1030.
12/14 1025 Nursing Note: The client was educated on the cesarean section routine. Plan for the newborn to go to a warmer, be cleaned, be assessed, and then go to a friend at the head of the table so the client may see the newborn. The client would like to hold the newborn on the way to recovery.
12/14 0945 Nursing Note: Alerted by the client that she felt dampness on her leg. A large amount of clear fluid was noted at the perineum. +nitrazine; sterile vaginal exam performed. 5 cm/100%/-1. Foot felt on vaginal exam. The fetal heart rate is 130 with moderate variability. The client denies pain. -
Title: “Reflecting on Lessons Learned: Applying Knowledge from this Class in the Future”
One final question to discuss with us. What have you learned from this class, and how will you use what you have learned in the future?
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“The Impact of COVID-19: A Toulmin Analysis of Cause and Effect”
Thesis assignment about Covid. Instructions are in the attachments. The name of the assignment is ” Cause and Effect Toulmin Thesis/Outline Assignment”.
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Problem-Focused SOAP Note: Patient with Chief Complaint of Abdominal Pain
Submit a problem-focused SOAP note for grading. You must use an actual patient from your clinical practicum who presents with one or more chief complaints.
Use the format below for your SOAP note.
Use the current APA format to style your paper and cite your sources. Review the rubric for more information on how your assignment will be graded.
Problem-focused SOAP Note Format
Demographic Data
Age, and gender (must be HIPAA compliant)
Subjective
Chief Complaint (CC): A short statement about why they are there
History of Present Illness (HPI): Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for…). Elaborate using the acronym OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment
Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance
Family Hx: any history of CA, DM, HTN, MI, CVA?
Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.
Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy)
Objective
Vital Signs
Physical findings listed by body systems, not paragraph form- Highlight abnormal findings
Assessment (the diagnosis)
At least Two (2) differential diagnoses (if applicable) with rationale and pertinent positives and negatives for each
Final diagnosis with rationale, pertinent positives and negatives, and pathophysiological explanation
Plan
Dx Plan (lab, x-ray)
Tx Plan (meds): including medication(s) prescribed (if any), dosage, frequency, duration, and refill(s) (if any)
Pt. Education, including specific medication teaching points
Referral/Follow-up
Health maintenance: including when screenings eye, dental, pap, vaccines, immunizations, etc. are next due
Reference
Compare care given to the patient with the National Standards of Care/National Guidelines. Cite accordingly.
Rubric