Category: Nursing

o  Identify a bioethical issue or case study from the websites or your clinical practice as long as you do not violate HIPAA regulations.
o  Provide a background of the case
o  Define the dilemma (What is the question?)
o  Identify all ethical principles influencing the dilemma
o  Identify values and beliefs which affect the dilemma.
o  Identify loyalties and conflicts of interest (Is there anything that might interfere with the discussion or decision?)
o  Decision (and discussion that led to it)
I have attacked rubric and group powerpoint 
Topic is Organ Donation
I need slides for my part.   I will be doing 1. Background and 2. Define the dilemma 
with speaking notes

A minimum of 250 words not including references or citings in APA 7th ed Citations: At least two high-level scholarly reference in APA from within the last 5 years
Select one
of the more commons statistical tests used in nursing research. Sate
which statistical test you selected. What level of measurement is
required for using your selected statistical test? Provide an example
of how your selected statistical test could be used in a nursing
research study.
Ex of statistical tests in nursing research: Pearson correlation, Chi-square, Paired T-test, ANOVA, Independent T-test

Preparing the AssignmentRequirements
Content Criteria:
Read the case study listed below.
Refer to the rubric for grading requirements.
Utilizing the Week 3 Case Study TemplateLinks to an external site., provide your responses to the case study questions listed below.
You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
You must use the current Clinical Practice Guideline (CPG) for the management and prevention of COPD (GOLD Criteria) to answer the classification of severity and treatment recommendation questions. The most current guideline may be found at the following web address: https://goldcopd.org/Links to an external site.. At the website, locate the current year’s CPG and download a personal copy for use. You may also use a medication administration reference such as Epocrates to provide medication names.
Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario
Chief Complaint
A.C., is a 61-year old male with complaints of shortness of breath.
History of Present Illness
A.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternal chest pain. The event was preceded with complaints of fatigue and increasing dyspnea for 3 months, for which he did not seek care. He was evaluated by cardiology and underwent a successful and uneventful angioplasty prior to discharge. Despite the intervention, the shortness of breath has not improved. Since starting cardiac rehabilitation, he feels that his breathlessness is worse. The cardiologist has requested that you, his primary care provider, evaluate him for further work-up. Prior to today, his last visit with your practice was 3 years ago when he was seen for acute bronchitis and smoking cessation counseling.
Past Medical History 
Hypertension 
Hyperlipidemia 
Atherosclerotic coronary artery disease
Smoker
Family History
Father deceased of acute coronary syndrome at age 65
Mother deceased of breast cancer at age 58. 
One sister, alive, who is a 5 year breast cancer survivor.
One son and one daughter with no significant medical history. 
Social History
35 pack-year smoking history; he has cut down to one cigarette at bedtime following his cardiac intervention. 
Denies alcohol or recreational drug use 
Real estate agent  
Allergies
No Known Drug Allergies 
Medications
Rosuvastatin 20 mg once daily by mouth 
Carvedilol 25 mg twice daily by mouth
Hydrochlorothiazide 12.5 mg once daily by mouth
Aspirin 81mg daily by mouth
Review of Systems
Constitutional: Denies fever, chills or weight loss. + Fatigue.
HEENT: Denies nasal congestion, rhinorrhea or sore throat.  
Chest: + dyspnea with exertion. Denies productive cough or wheezing. + Dry, nonproductive cough in the AM.
Heart: Denies chest pain, chest pressure or palpitations.
Lymph: Denies lymph node swelling.
General Physical Exam  
Constitutional: Alert and oriented male in no apparent distress.  
Vital Signs: BP-120/84, T-97.9 F, P-62, RR-22, SaO2: 93% 
Wt. 180 lbs., Ht. 5’9″
HEENT 
Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva. 
Ears: Tympanic membranes intact. 
Nose: Bilateral nasal turbinates without redness or swelling. Nares patent. 
Mouth: Oropharynx clear. No mouth lesions. Dentures well-fitting. Oral mucous membranes dry. 
Neck/Lymph Nodes 
Neck supple without JVD. 
No lymphadenopathy, masses or carotid bruits. 
Lungs 
Bilateral breath sounds clear throughout lung fields. + Bilaterally wheezes noted with forced exhalation along with a prolonged expiratory phase. No intercostal retractions.
Heart 
S1 and S2 regular rate and rhythm, no rubs or murmurs. 
Integumentary System 
Skin cool, pale and dry. Nail beds pink without clubbing.  
Chest X-Ray 
Lungs are hyper-inflated bilaterally with a flattened diaphragm. No effusions or infiltrates.
Spirometry
TitlePredictedPre-bronchodilator% PredictedPost-bronchodilator% PredictedChange
FVC (L)
5.64
5.23
93
5.77
102
9%
FEV1 (L)
4.57
2.92
64
3.01
66
2%
FEV1/FVC (%)
81
56
69
52
64
-5%
TLC
5.5
6.9
125
6.9
125
0%
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
Are the spirometry results consistent with obstructive or restrictive pulmonary disease? What is the most likely pulmonary diagnosis for this patient?
Explain the pathophysiology associated with the chosen pulmonary disease.
Identify at least three subjective findings from the case which support the chosen diagnosis.
Identify at least three objective findings from the case which support the chosen diagnosis.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
Classify the patient’s disease severity. Is this considered stable or unstable?
Identify two (2) “Evidence A” recommended medication classes for the treatment of this condition and provide an example (drug name) for each.
Describe the mechanism of action for each of the medication classes identified above.
Identify two (2) “Evidence A” recommended non-pharmacological treatment options for this patient.

Discussion Board Assignment Discussions Prompt Please answer the following questions using complete sentences and graduate-level writing. 1.What are the problem focus areas that IPT was created to address? 2.Discuss the rationale for using a time-limited structured approach with the problem focus areas that IPT addresses. 3.What are the differences in approach when using IPT compared with psychodynamic psychotherapy and CBT? 4.Narrative psychotherapy requires mastering the skills of being a good listener and being able to connect empathically with the patient’s story. What are some ways you as the NP can master these skills? 5.According to Sadock and Kaplan, how is narrative psychotherapy the underpinning of nearly all psychotherapy modalities?
(please use the Sadock and Kaplan book as one of the refences)

*********PLEASE MAKE SURE THERE ARE IN TEXT CITATIONS IN ACCORDANCE WITH THE LATEST APA FORMAT AND ABSOLUTLY NI AI USE TURNIT IN WILL DETECT IT WHICH WILL RESULT IN TERMINATION FROM THE UNIVERITY*****
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.
In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. To Prepare:
Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
Reflect on which type of dissemination strategy you might use to communicate EBP.
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.Chapter 20, “Using Evidence to Influence Health and Organizational Policy” (pp. 649–663)
Chapter 21, “Disseminating Evidence Through Presentations, Publication, Health Policy Briefs and the Media” (pp. 664–717)
Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice changeLinks to an external site.. American Journal of Nursing, 111(3), 54-60.
Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practiceLinks to an external site.Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f
Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.Links to an external site. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a
Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model.Links to an external site. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomesLinks to an external site.. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188
Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Hi! answer all questions individually for the following case study: Mimi is a 19 -years old first-generation South-Korean College sophomore student who was admitted to the ED after taken an overdose of Acetaminophen. She has agreed to be admitted to the inpatient psychiatric unit for further evaluation. She reports that she wanted to die when she took an overdose. Her family came to ED and wanted to take her home, insisted that she was not suicidal, just “took so many pills by mistake”. The RN in the ED understands the family concerns and their worries about stigma associated with their daughter having made suicide attempt.
Make sure this is APA formatted and includes an evidence-based article from a peer-reviewed journal in addition to the following textbook. Please see enclosed pictures from the textbook. Must be at least or minimum of 350 words Morgan, K. I. (2022). Davis Advantage for Townsend’s Essentials of Psychiatric Mental-Health Nursing (9th ed.). F. A. Davis Company.
Questions: How would the RN discuss the need for hospitalization with this client?
Are there alternatives to a hospitalization in this case?
How would the RN begin to create an alliance with the family in order to help this client?
What are the most pressing clinical issues that the RN needs to address?

Course Learning Outcomes
Through this assignment, the student will address the following course learning outcomes.
CO 1: Apply foundational concepts, models, and evidence-based approaches to facilitate nursing care of diverse populations (PO 1, 2, 5)
CO 3: Use epidemiological principles to determine population health risk and disparity (PO 5)
Due Date
This assignment has a suggested due date of Sunday, 11:59 p .m. MT at the end of Module 3.
Final due date is Sunday, 11:59 p.m. MT at the end of Module 7.
Total Points Possible
This assignment is worth 200 points.
Assignment Overview
Assess the population health for a selected community. Statistics from valid, reliable sources such as legitimate population health-focused organizations, governmental agencies, local and state health departments, the Centers for Disease Control and Prevention, and the U.S. Census Bureau are appropriate sources to validate assessment findings.
Do not include websites where the accuracy and reliability of data are questionable (e.g., do not rely upon .com websites).
Create a 3–5 page paper to address the elements listed below.
Include a minimum of four scholarly sources, current within 5 years, to support your work.
See the rubric for specific, required content criteria within each section of the paper.
Provide an introduction to the paper.
Synthesize information gathered in order to summarize the findings of your population health assessment, including the following.
Demographic “snapshot” of the population (distribution of age, sex, ethnicity, marital status, household type)
Leading morbidity and mortality findings
Concise findings regarding assessment of key social determinants impacting population health in the community (health and healthcare, social and community context, education, economic stability, neighborhood and built environment).
Provide an analysis of your assessment findings and describe key supports and barriers to health that were identified within the region.
Identify one priority population health risk or disparity that was identified through the assessment. Include evidence from the population assessment to validate the noted concern. Recommend one population-focused solution to address this concern.
Provide a conclusion to the paper.

i was asleep on night shift. i need a written reflection on sleeping on duty as assigned by the MNC Code, and other UK guidelines. The effect of sleeping on duty on the patients. and my reflections. how i can reflect and learn from my mistake,
How can i maintain the dignity of patients according to NMC Code and other UK guidelines.
How can i attended to a patient that has got injury to ensure safety.

For this Assignment, you will work with a patient with a musculoskeletal condition that you examined during the last three weeks *(62 yr old female hispanic patient with rheumatoid arthritis). You will complete your third Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information as well as reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, previous medical history (PMH), socio-economic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.
To prepare: Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this assignment.
Select a patient *(62 yr old female hispanic patient with rheumatoid arthritis) that you examined during the last three weeks based on musculoskeletal conditions. With this patient in mind, address the following in a Focused Note:
Assignment:
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently in a similar patient evaluation? resources:
Fowler, G. C. (2020). Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.
Chapter 174, “Shoulder Dislocations” (pp. 1163–1167)
Chapter 175, “Ankle and Foot Splinting, Casting, and Taping” (pp. 1168–1175)
Chapter 176, “Cast Immobilization and Upper Extremity Splinting” (pp. 1176–1185)
Chapter 177, “Knee Braces” (pp. 1186–1192)
Chapter 178, “Fracture Care” (pp. 1193–1211)
Chapter 180, “Joint and Soft Tissue Aspiration and Injection (Arthrocentesis)” (pp. 1221–1239)
Chapter 181, “Trigger-Point Injection” (pp. 1240–1244)
Chapter 235, “Principles of X-Ray Interpretation” (pp. 1566–1575)

Please use APA format,
discussion can be based on CNO Ontario
References are CNO and 2 more scholarly 275 words count without references
please read attachment explanation