YOU HAVE NOTICED A NURSING DILEMMA ON YOUR MEDICAL – SURGICAL NURSING UNIT.

You have noticed a nursing dilemma on your medical – surgical nursing unit. There is a piece of equipment that everyone has been trained to use. It is used to digitally weigh the patient in pounds and kilograms. It was determined that the patients weight would be recorded in pounds only by the nursing assistants as it was easier for them to understand. Recently, you have started taking dialysis patients whose weight must be recorded in Kilograms. The nursing assistants are told to weigh dialysis patient in both pounds and kilograms, record it and report it to the nurse. When you manually calculate the weight from pounds to kilograms, you notice that there seems to be a discrepancy as the weigh in pounds does not equal the weight in kilograms when manually calculated. This is happening with all of the dialysis patients. This has become a concern as the scale has been checked several times; it is weighing correctly. You speak to the nursing director and are given permission to determine the source of the problem. How would you set up the PICOT question (use all of the elements P-I-C-O-T)? How you would set up the study to answer this question?

These are two discussion questions DQ1 and DQ2 

posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please 

Tutor MUST have a good command of the English language Sources need to be journal/scholarly articles.  

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources). 

No textbook or direct quotes 

Please separate the two DQ with their reference page 

DQ 1 

How do servant leaders, as compared with leaders who follow the transformational model of leadership, manage organization dynamics and lead change to ensure the continued success of the stakeholders to be served? 

Is servant leadership or transformational leadership the best approach to these tasks?  

DQ 2 

Considering the various virtues or dimensions of character for a servant leader (e.g., virtue, credibility, trust), how might the application of servant leadership be appraised in a health care setting? 

Is servant leadership, versus transformational leadership, plausible in the health care setting that often depends on a hierarchy of command for the safety of patients?

nursing leadership

The patient in 4D had been admitted for multidrug resistant pneumonia. Given her advanced age and a host of other medical problems, the outlook was dire. Over the weeks she and the night nurse had struck up something of a friendship. Other than that she had no visitors, not a soul listed to notify in case of death, and no known friends or relatives. As he dropped by on his night rounds, the nurse was her only visitor, and the visits were limited to the short conversations she could manage. Now her vital signs were failing, and the nurse recognized that the patient in 4D was near death. So he tried to spend every spare minute on his shift in her room, just being present. He was there to hold her hand during her last moments of life. How did his supervisor respond to this gesture of human kindness? 

—Goleman, 2006, p. 252

How do aspects of emotional intelligence relate to leadership and management success? Does an effective leader–manager have to be emotionally sensitive and literate? Why or why not?

ReferenceGoleman, D. (2006). Social intelligence: The revolutionary new science of human relationships. New York, NY: Bantam Dell.

To Prepare

  • Following the passage above, Goldman continues on to explain that the nurse supervisor reprimanded the nurse. Does this line up with what you were expecting? Why or why not?
  • Based on the information in the Learning Resources, think of a recent experience in your organization and consider how a nursing administrator demonstrated or failed to demonstrate emotional intelligence. How did this impact the outcome of the situation?
  • Reflect on your identified strengths and opportunities for growth related to emotional intelligence from the information in the Learning Resources. What surprises you about the concept of emotional intelligence? How would you rate your own emotional intelligence?

By Day 3

Post a description of a situation in which a nursing administrator demonstrated or did not demonstrate emotional intelligence when managing a situation. Explain how this may have impacted the outcome of the situation. Describe how you would handle the situation differently based on your own identified emotional intelligence strengths.

Chinese Medicine and Therapeutic Modalities

Write a three- to five-page paper (excluding title and reference pages) in APA format which addresses an ailment or illness that you, a friend, or a family member has had. Your paper must contain the following:

  1. Pick an ailment that you, a friend, or family member, have suffered from. If you are not able to identify an ailment within those parameters, create a fictitious case.
  2. Describe how this person was treated (or would have been treated if this is a hypothetical case) by Western medicine.
  3. Describe how this person could also be treated with Chinese medicine. Use the Ashford University Library to locate a scholarly research study related to how Chinese medicine may help a person with this ailment. If it pertains to this situation, you may use the article from this week’s discussion.
  4. Do you feel that an integrated approach can be applied to this case? Explain your answer.
  5. What are the benefits of using both Western medicine and Chinese medicine in the treatment of this individual? Are there any potential disadvantages to using both?
  6. Analyze the ways in which the eastern and western medical systems intersect and the future of Chinese medicine with regards to integrative health. You may also incorporate Ayurvedic medicine in this assignment.

 Case Studies

 A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. 

Critical Thinking Questions 

1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching?

 2. Why is glucose evaluated in the synovial fluid analysis?

 3. What are special tests used to differentiate type of Tendon tears in the knee ? 

Explain how they are performed (Always on boards)  

 Testicular Cancer

 Case Studies

 A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.

 Critical Thinking Questions 

1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 

2. What might be the side effects of cytotoxic chemotherapy? 

3. What was the purpose of preserving his sperm before chemotherapy?

 4. Is this young man’s age typical for the development of testicular carcinoma? 

  • Posted: 2 months ago
  • Due: 16/07/2019
  • Budget: $6

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Discussion
Please respond to the following: “Lateral Marketing Strategy”

  • Assess the value of target marketing as an effective health care marketing strategy. Appraise the degree to which vertical and traditional segmentation help marketing managers use target marketing strategies. Support your rationale with at least two (2) specific examples of target marketing within a health care organization with which you are familiar.
  • Evaluate the impact of lateral segmentation in encouraging marketing managers to look broadly at markets in order to identify previously overlooked opportunities. Provide at least one (1) specific example of quality initiatives within a health care organization

Question Description

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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.

Below are papers to REFERENCE only. No plaragism please.

Discussion Question:1
Based on your course readings in Module 1 and additional research, prepare and post to the Discussion Area the strengths and weaknesses of healthcare delivery in the U.S., as compared to other developed nations such as England or Australia. In addition discuss the factors that contribute to the strengths and weaknesses of healthcare delivery in the U.S. Justify your viewpoint using examples. Our current system is in disarray and needs repair. However, the fix for our system is highly debated. What do you think? Do we Reform or Not Reform?

Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions 16
Quality of responses to classmates 12
Frequency of responses to classmates 4
Reference to supporting readings and other materials 4
Language and grammar 4
Total: 40

Discussion Question2
Primary care and secondary care are both provided in an outpatient setting, mostly in a doctor’s office. What are the benefits and risks in this provision of healthcare? Describe the difference between “primary” and “secondary” care in your response.
By the due date assigned respond to the discussion question assigned by the Faculty. Submit your response to the appropriate Discussion Area. Use the same Discussion Area to comment on your classmates’ submissions and continue the discussion through the end of module. Comment on how your classmates would address differing views.

Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions 16
Quality of responses to classmates 12
Frequency of responses to classmates 4
Reference to supporting readings and other materials 4
Language and grammar 4
Total: 40

Discussion Question2
Primary care and secondary care are both provided in an outpatient setting, mostly in a doctor’s office. What are the benefits and risks in this provision of healthcare? Describe the difference between “primary” and “secondary” care in your response.How do we view health care from a primary and secondary source? With this view, does it need to change to improve care?

By the due date assigned respond to the discussion question assigned by the Faculty. Submit your response to the appropriate Discussion Area. Use the same Discussion Area to comment on your classmates’ submissions and continue the discussion through the end of module. Comment on how your classmates would address differing views.

Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions 16
Quality of responses to classmates 12
Frequency of responses to classmates 4
Reference to supporting readings and other materials 4
Language and grammar 4
Total: 40

Please write a research paper that answers the following questions:
What are mobile forensics and do you believe that they are different from computer forensics?
What is the percentage of attacks on networks that come from mobile devices?
What are challenges to mobile forensics?
What are some mobile forensic tools?
Should the analysis be different on iOS vs Android?
Your paper should meet the following requirements:
Be approximately four to six pages in length, not including the required cover page and reference page.
Follow APA7 guidelines. Your paper should include an introduction, a body with fully developed content, and a conclusion.
Support your answers with the readings from the course and at least two scholarly journal articles to support your positions, claims, and observations, in addition to your textbook. The UC Library is a great place to find resources.
Be clearly and well-written, concise, and logical, using excellent grammar and style techniques. You are being graded in part on the quality of your writing.