‘s Psychoanalysis

Assignment 1
After reading the attached case study answer the following questions based on Freudian theory.
75 points
Assignment 2

  1. Briefly Explain Sigmund Freud’s Psychoanalysis
  2. Briefly Explain the theory that make the most sense to you in treating patients (cognitive, behavioral, REBT, etc.)
  3. Briefly Explain Treatment for Anxiety disorders
  4. Briefly Explain Treatment for Bi-Polar disorderSigmund Freud Case Study
    QUESTIONS
    1. Does the Freudian perspective indicate that Steve’s relationships with women are internally or externally motivated?
    2. According to Freud, which state of consciousness is most involved in controlling Steve’s behavior?
    3. Which component (id, ego, superego) of the personality structure is most involved in determining Steve’s behavior? Give an example(s) to support your answer.
    4. At which stage of psychosexual development is Steve most likely fixated? Give an example(s) to support your answer.
    CASE STUDY
    Steve is sitting at a restaurant table waiting for his date to come bac from the restroom, As he waits, he imagines what the rest of the evening will be like. The restaurant they are eating at is one of those little Italian places with red-and-white checkered tablecloths and candles in Chianti bottles. A violin player strolls around the tables playing romantic music. Steve considers that these types of restaurants always work well for him. His date would be charmed by the atmosphere and begin to feel romantic. This would allow Steve to make his move, and typically, he and his date would end up at either his apartment or hers for a night of great sex.
    Steve is 38, of Italian-American descent, and single: a bachelor by choice, but his friends worry about his happiness. They wonder if Steve is unable to form a long-term relationship, that he has a fear of commitment and an addiction to sex and the passion that marks the beginning of relationships. They also wonder whether Steve’s strained relationship with his mother is at least partly to blame for his behavior. Steve’s mother, while caring for his physical needs, was not openly affectionate and did not give Steve the demonstrative affection and loving interaction he craved. They wonder if his anger toward her and her negligent behavior toward Steve is being manifested as anger toward women in general.
    Steve has been a flirt ever since puberty. In high school, he had a reputation for insincerity. Girls were attracted to him; he was handsome and spent a lot of time and money on his appearance. Unbeknownst to his friends, however, Steve secretly feared that he was unattractive, so he did what he could to improve his looks.
    The girls he asked out always had a good time on their dates, but it soon became known that he would always pressure his dates for sex and, in many cases, tell them that he loved them to convince them to have sex. He was also rumored to have made one girl pregnant and then claimed that it was not his child. To his close male friends, he said that she was not going to tie him down, that “there were too many women and not enough time.” This pattern of relationships continued during college. He would date women, have sex with them a few times, and then break off the relationship. He estimated that by the time he was 21, he had sex with about eight dozen women. He bragged about this among his male friends.
    After college, and through the present time, Steve also continued to form relationships with women that were based on sexual attraction and nothing more substantial. One by one, he watched his male friends settle down and commit to one woman. Every time this happened, he would express astonishment and disbelief, stating that his friends were being duped and that no one would make him live with one woman for the rest of his life. When women agreed to go out with him or go to bed with him, Steve felt attractive, and no one was going to take that away from him. In fact, Steve secretly feared that no woman would find him attractive enough to marry. He believed that these women went out with him initially to get a free meal and would soon want to break up with him when someone better came around. So, he broke up with them first.
    His friends believed that Steve’s latest sexual interest, Diane, would be the one he would marry. She seemed to be all that any man could hope for. She was pretty, smart, caring, and had a good sense of humor. Steve had been dating her for a longer time than he typically dated women, and his friends thought that he was finally growing up and settling down. As it turns out, the relationship lasted longer than usual because she was reluctant to have sex with him. She finally did after a couple of months when she was convinced that Steve really loved her and was not just using her for sex. Unfortunately, Diane should have trusted her initial instincts. Steve broke up with her after they had sex on three different occasions.
    His present date was a woman he met at the gym where he worked out. She was very attractive, with a great body. He used to date women he met at work, but after someone accused him of sexual harassment, he decided to no longer date women from work. He was angered by the specific accusation and the hype associated with sexual harassment in general. A man just couldn’t follow his instincts anymore without the possibility of losing his job. At least he could still meet women at other places.
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Describe the steps of facility planning

Facility Design

After working in facility design for many years, you have become well-known in the industry. Your manager has asked you to create either a paper or short handout that new employees can refer to as they receive training through the company. This paper or handout should guide new employees through the process of facility planning.
Create a 350- to 525-word paper or handout that summarizes the process of addressing facility planning needs. Include the following in your paper or handout:
· Describe the steps of facility planning.
· Consider listing the steps involved in facility planning as part of your description.
· Explain the importance of pre-design planning.
· Explain the rationale (or decision process) when determining whether to renovate or replace a health care facility.
Note: A handout can be a flyer, brochure, poster, etc.
Cite at least 2 peer-reviewed, scholarly, or similar references.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.

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WHAT ARE THE SPECIFIC RESPONSIBILITIES OF NURSING IN THE DEVELOPMENT OF THE BUDGET?

WHAT ARE THE SPECIFIC RESPONSIBILITIES OF NURSING IN THE DEVELOPMENT OF THE BUDGET?

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All health care organizations have complicated budgeting policies and procedures.  The more the nurse understands the process, the more effectively they can participate in the process.  The budget process usually starts with an interdisciplinary approach.

  1. Describe the potential members of the interdisciplinary team for budget development and the role of each individual.
  2. What are the specific responsibilities of nursing in the development of the budget?

Are the responsibilities for budget specific only to the leadership of the nursing department or are they found throughout the organization?Click Here For More Information On This Paper

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RESEARCH QUESTIONS, REVIEW OF LITERATURE, AND NURSING THEORY

RESEARCH QUESTIONS, REVIEW OF LITERATURE, AND NURSING THEORY

Learning Outcomes
1. Identify a priority research topic relevant to an issue in clinical practice.
2. Formulate a research proposal problem statement, a research question, and research variables.
3. Employ search strategies and databases to find credible resources and conduct a quality literature review.
4. Explain the relationship between theory, research, and nursing practice.
Introduction
In last week’s discussion, you shared perspectives on priority research issues in your clinical practice. This week, you will continue to investigate the issue, which you will develop into a topic for the Research Proposal, to learn more about the significance of the problem to nursing. We will explore the Ashford University Library and other resources that are available to assist in performing a quality literature review and searching for evidence. After gathering evidence, you will begin the first phase of the Research Proposal, and you will formulate a problem statement and a research question and identify relevant research variables. We will also examine the relationship between theory and research and nursing practice.
Required Resources
Text
Schmidt, N., & Brown, J. (2015). Evidence-based practice for nurses: Appraisal and application of research (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 3: Identifying Research Questions
• Chapter 4: Finding Sources of Evidence
• Chapter 5: Linking Theory, Research, and Practice
Articles
American Association of Colleges of Nursing. (2006, March 16). Position statement on nursing research. Retrieved from http://www.aacn.nche.edu/publications/position/nursing-research
• This article summarizes AACN’s (accrediting body for BSN and graduate programs in nursing) position on nursing research. This article will be valuable to your completion of the discussion and written assignment for this week and also to your completion of the Research Proposal due Week Four.
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Connelly, M. L. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188. Retrieved from http://www.medsurgnursing.net/cgi-bin/WebObjects/MSNJournal.woa
• The full-text version of this article is available through the EBSCOhost database in the Ashford University Library. This article provides a brief research roundtable report discussing use of theoretical frameworks in nursing research. The article provides knowledge that will be valuable when you complete this week’s assignment, The Research Problem, and will also inform your Research Proposal due Week Four.
Web Page
National Institute of Nursing Research. (n.d.). Implementing NINR’s strategic plan: Key themes. Retrieved from https://www.ninr.nih.gov/aboutninr/keythemes#.VsimN9BX
• As the title indicates, this web page shares ideas and provides guidelines pertaining to the implementation of the NINR Strategic Plan. You are required to read and process this material as part of the week’s assignment, The Research Problem.
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Supplemental Materials
Ashford University Library. (n.d.). NUR306: Nursing Research: Conducting Research Using the CINAHL Database. Ashford University, College of Health, Human Services, and Science, San Diego, CA.
• This tutorial provides guidelines and demonstration to help students access databases related to nursing and conduct a keyword search for current nursing research reports using the CINAHL Database.
National Institute of Nursing Research. (2011). Bringing science to life: NINR strategic plan [PDF file]. Retrieved from https://www.ninr.nih.gov/sites/www.ninr.nih.gov/files/ninr-strategic-plan-2011.pdf
• This document identifies theme categories that delineate priorities for nursing research. You are required to read and process this document as part of this week’s assignment, The Research Problem.
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Recommended Resources
Multimedia
Jones & Bartlett Learning. (2014). Lesson 2: Identifying Research Questions [Class lecture slides]. In Nursing Research.
• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.
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Jones & Bartlett Learning. (2014). Lesson 3: Finding Sources of Evidence [Class lecture slides]. In Nursing Research.
• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.
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Jones & Bartlett Learning. (2014). Lesson 4: Linking Theory, Research, and Practice [Class lecture slides]. In Nursing Research.
• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.
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Supplemental Material
Ashford University Library. (n.d.). Nursing Research Library Guide. Ashford University, College of Health, Human Services, and Science, San Diego, CA.
• The Nursing Research Library Guide is a resource that contains tutorials and other information that will help you search the Ashford University Library’s databases. It will assist you with APA style and scholarly writing in this week’s assignment and for assignments throughout the course and program.
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CHILD AND ADOLESCENT NURSING

CHILD AND ADOLESCENT NURSING

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Please ensure you have completed the asthma simulation which is currently up on DSO in week 5, as this
assessment continues with your nursing care of the simulation characters: Jo and her family.
This assignment is in two parts.
Part A
Discuss why it is important for Jo and her family to have a current Asthma Action Plan prior to her discharge
from hospital. In your discussion include the factors which, you as a nurse, should be considering when
developing this Asthma Action Plan. (750 words)
Part B
During her admission to the ward Jo comments that she doesn’t like to use her salbutamol inhaler at school as
one of the boys in her class teases her when she does and makes her ‘ feel like she is different’. Critically
reflect upon how this bullying behaviour may impact on Jo’s health status and what education may be needed
for Jo and her family to reduce the impact of Jo’s asthma on her day-to-day life.

Document Preview:

Please ensure you have completed the asthma simulation which is currently up on DSO in week 5, as this
assessment continues with your nursing care of the simulation characters: Jo and her family.
This assignment is in two parts.
Part A
Discuss why it is important for Jo and her family to have a current Asthma Action Plan prior to her discharge
from hospital. In your discussion include the factors which, you as a nurse, should be considering when
developing this Asthma Action Plan. (750 words)
Part B
During her admission to the ward Jo comments that she doesn’t like to use her salbutamol inhaler at school as
one of the boys in her class teases her when she does and makes her ‘ feel like she is different’. Critically
reflect upon how this bullying behaviour may impact on Jo’s health status and what education may be needed
for Jo and her family to reduce the impact of Jo’s asthma on her day-to-day life.
Attachments:

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Psychology Of Trauma – A8

Psychology Of Trauma – A8
Vignette Analysis II:
This  assignment focuses on vignette analysis and direct application of  course concepts to the persons and situations presented in the  vignette.   All discussions must take into account the legal and ethical  considerations, as well as cross-cultural issues that pertain to the  situations presented below.
Use  the reading assignments thoroughly in an integrative discussion. All  assignments MUST be typed, double-spaced, in APA style, and written at  graduate level English. Be sure to cite your work according to APA  format. Please keep your responses focused on what is presented in the  vignette. Do not add information but use your creativity to support what  you see in the vignette as written. Avoid elaborations and assumptions.
The  course text is the primary resource for this assignment. You should be  citing the text often to support your discussion (along with the DSM-5).  Outside references should be minimal, except for culture.
Note:  Cultural  information can be found in the DSM-5. You are also encouraged to use  outside Cross Cultural sources as needed, but please reference if doing  so.  
Discussion must be 6-7 pages plus a title and reference page. 
Vignette Analysis II
Vignette Analysis II will be covering Chapters 4 through 6 in the course text and the relevant DSM-5 disorders.
Your  discussion must include the relevance of the following areas covered in  the text, directly and specifically to the persons and situations  presented in the vignette:
· Assessment issues and approaches to further explore PTSD
· Treatment goals
· Treatment phases 1, 2 and 3
Vignette Two
Anthony  is a 32-year-old American war veteran from a strong Latino family. He  came to see you because his wife told him that if he doesn’t get help,  she and the children are leaving. Anthony’s wife, Rosa, is  present for the initial interview. She tells you, “Anthony is not the  same man I married. Since he came back from serving our country, he is a  stranger. He drinks vodka and beer daily and has been  getting violent in the home. He has punched holes in the walls has  broken furniture.” She tells you that, “Anthony has always had a bit of  an anger problem because his father was a mean drunk and would beat his  wife and kids. Anthony has been nothing like his father until now. He scares me.” 
Anthony  has been accusing Rosa and their 2 children of stealing his money and  believes they are in a conspiracy to make him “go crazy”. Rosa also  tells you that Anthony has not been going to work. He believes there is  evil lurking out in the world and that he rarely leaves the house,  except to buy his alcohol. Anthony admits that he lives in terror, since  he returned from the war 5 years ago. He saw several of his buddies  killed in an explosion, suffers from debilitating migraines, has  recurring nightmares and horrific thoughts of his war experience. You  find Anthony to have good reality testing but occasionally during your  interview, he has odd and eccentric ways of explaining things. You  suspect a diagnosis of PTSD. 
References: 
Courtois, C.A. & Ford, J.D.    (2015).   Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.   The Guilford Press.      ISBN 978-1462524600
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IDENTIFY A NURSING THEORY THAT HAS INFLUENCED YOUR VALUES AND GOALS

IDENTIFY A NURSING THEORY THAT HAS INFLUENCED YOUR VALUES AND GOALS.

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The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.
Requirements:
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A.  Identify a nursing theory that has influenced your values and goals.
1.  Explain how nurses apply the identified theory from part A to implement excellent nursing practices.
2.  Discuss how the identified theory from part A fits your professional practice.
B.  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.
1.  Compare the differences in contributions of the two historical figures identified in part B.
2.  Describe how the contributions of the two historical figures influence your professional nursing practice.
C.  Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).
1.  Define the roles of these two organizations.
2.  Explain how these two organizations influence your nursing practice.
3.  Explain the requirements for professional license renewal in your state.
a.  Discuss the consequences of failure to maintain license requirements in your state.
4.  Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.
D.  Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).
1.  Discuss how the two regulatory agencies influence your professional nursing practice.
a.  Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.
E.  Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.
1.  Discuss the scope of practice for a RN in your state.
2.  Discuss how your state defines delegation for the RN.
F.  Apply each of the following roles to your professional practice:
•   a scientist
•   a detective
•   a manager of the healing environment
G.  Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).
1.  Analyze how the two provisions identified in part G influence your professional nursing practice.
2.  Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).
a.  Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2.
H.  Identify four leadership qualities or traits that represent excellence in nursing.
1.  Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:
•   a leader at the bedside
•   within a nursing team or interdisciplinary team
2.  Identify how your work environment impacts the following:
•   nursing leadership
•   decision making
•   professional development
I.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
J.  Demonstrate professional communication in the content and presentation of your submission.
RUBRIC:
A. https://lrps.wgu.edu/provision/124909813
A nursing theory that has influenced the candidate’s values and goals   is identified.
A1. https://lrps.wgu.edu/provision/124909813
The explanation of how nurses apply the selected theory in part A to   plan excellent nursing practices is logical.
A2. https://lrps.wgu.edu/provision/124909813
The discussion of how the theory from part A fits the candidate’s   professional practice is relevant, and it accurately addresses the identified   theory.
B. https://lrps.wgu.edu/provision/124909185
The contributions of 2 historical nursing figures in the nineteenth or   twentieth century is identified.
B1. https://lrps.wgu.edu/provision/124909185
The comparison accurately addresses the differences in the   contributions of the 2 historical figures identified in part B and is logical   and well supported.
B2. https://lrps.wgu.edu/provision/124909269
The description of how the contributions of the 2 historical nursing   figures have influenced the candidate’s nursing practice is accurate.
C. https://lrps.wgu.edu/provision/124909391
The explanation of the functional differences between the State Board   of Nursing and the ANA is accurate and well supported.
C1. https://lrps.wgu.edu/provision/124909391
The definition of the roles of the State Board of Nursing and the ANA   is provided and supported.
C2. https://lrps.wgu.edu/provision/124910128
The explanation of how the State Board of Nursing and the ANA   influence the candidate’s nursing practice is accurate and relevant.
C3. https://lrps.wgu.edu/provision/124910128
The explanation of the requirements for professional license renewal   in the candidate’s state is accurate and well supported.
C3a. https://lrps.wgu.edu/provision/124910128
The discussion of the consequences of failure to maintain license in   the candidate’s state is accurate.
C4. https://lrps.wgu.edu/provision/124909391
The comparison accurately addresses the differences between registered   nursing license requirements in a compact state versus a non-compact state   and is well supported.
D. https://lrps.wgu.edu/provision/124914320
The discussion of the functional differences between the given   agencies is accurate and well supported.
D1. https://lrps.wgu.edu/provision/124914320
The discussion of how the regulatory agencies influence the   candidate’s professional nursing practice is relevant.
D1a. https://lrps.wgu.edu/provision/124914320
The discussion of the candidate’s role as a patient advocate in   promoting safety when the patient has selected an alternative treatment is   relevant.
E. https://lrps.wgu.edu/provision/124909391
The discussion of the purposes of the Nurse Practice Act and its   influence on the candidate’s professional practice is accurate and well   supported.
E1. https://lrps.wgu.edu/provision/124909391
The discussion of the scope of practice for an RN in the candidate’s   state is logical and well supported.
E2. https://lrps.wgu.edu/provision/124909391
The discussion of how the candidate’s state defines delegation for the   RN is logical and well supported.
F. https://drive.google.com/file/d/0B2zUu4WEvTZ4eWsxa0Zia1JMeDg/edit
The discussion of the application of each nursing role to the candidate’s professional practice is   relevant.
G. https://lrps.wgu.edu/provision/124910272
2 provisions from the American Nurses Association (ANA) Code of Ethics   are accurately identified.
G1. https://lrps.wgu.edu/provision/124910272
The analysis accurately addresses how the 2 provisions identified in   part G influence the candidate’s professional nursing practice and the   analysis is reasoned.
G2. https://lrps.wgu.edu/provision/124910530
The description of a nursing error in a clinical practice example is   relevant.
G2a. https://lrps.wgu.edu/provision/124910272
The explanation of how the ANA provisions in part G can be applied to   the error from part G2 is relevant.
H. https://lrps.wgu.edu/provision/124913469
4 leadership qualities or traits that represent excellence in nursing   are identified, and are appropriate for a nursing practice.
H1. https://lrps.wgu.edu/provision/124913469
The discussion of how the nurse uses the identified leadership   qualities or traits in part H includes each   of the 4 traits, includes each of   the given roles, and it is relevant.
H2. https://lrps.wgu.edu/provision/124913469
The submission identifies of how the work environment is impacted, and   provides relevant details and examples of how each given point is impacted.
I. https://lrps.wgu.edu/provision/71484321
The submission includes in-text citations and references for content   that is quoted, paraphrased, or summarized and demonstrates a consistent   application of APA style.
J. https://lrps.wgu.edu/provision/27641407
Content reflects attention to detail, is organized, and focuses on the   main ideas as prescribed in the task or chosen by the candidate. Terminology   is pertinent, is used correctly, and effectively conveys the intended   meaning. Mechanics, usage, and grammar promote accurate interpretation and   understanding.
WEB LINK: https://www.cms.gov/
https://www.fda.gov/
http://ovidsp.tx.ovid.com.wgu.idm.oclc.org/sp-3.31.0a/ovidweb.cgi?QS2=434f4e1a73d37e8c8944319c413fa514c1e1625b3bf3ef752616f5436adc096b8d5008318be8471cda07974a102367b895e1b054c39ae3ca138093ca628c52c922343d6da75ca8a8c4c123281df4a780b174742e801e4dc313cf4e05de8a1771d26c07b6ec6a8623985c77b81544e91a9fb3ddcbe7231d40b562997a946e5ccf194bfb2445c4bcb0d20f8cc59c6a8ebede8c08679e7c487b975ef4b8f0986df894bc378d2f3b200ae8bdefa651fbf9eb40109e0c3625158d6f30de5891825e48e19e2f9c1dfdfa96b6cd5a77476f78cf8cc145707c35bc531d33f6f052a103e91c1550e5677c425153aaa412c210af19e85a6420a59a250cd00748faff29004f0f8688ccf3bf0505dabdd3f865f47f9cd6af2a5aa83640e6fbd6719420e61a52e9e59a4a09558cee

 
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Human Organ Systems

Human Organ Systems
The human body is truly remarkable and is designed to function effectively. Organs are important structures composed of different tissues that facilitate specific functions within the body. Organs function as part of an integrated group of structures known as organ systems. These organ systems form the organizational units that are responsible for crucial processes necessary for sustaining life. Examples of organ systems include, but are not limited to, the cardiovascular system, the digestive system, the musculoskeletal system, the nervous system, the excretory system, the endocrine system, and the respiratory system. Even organ systems do not function alone. These systems work together, interacting with other organs in a functional network that keeps the body in balance. (Look up the term homeostasis in your text.) When homeostasis or the normal functioning of organ systems is disrupted, disease may develop, causing injury to the body or even death.
The following case studies detail an outcome associated with a disease or organ malfunction. Select 1 study to investigate further for your assignment.
Critically evaluate the information provided, and correlate it with the organ systems that are affected in the scenario. Use the information that you have gathered to answer the assignment questions that follow the case study. Present your work as an APA-formatted research report.
Recommended: In addition to the case studies, click on the following links to view materials to increase your understanding and enhance your analysis of the cardiovascular and respiratory systems.
How Your Body is Like a Factory
How Lungs Work
Cardiovascular System
Case Study 1:
Atherosclerosis is narrowing of the arteries caused by the accumulation of fatty deposits on the arterial walls. On June 22, 2002, the St. Louis Cardinals were preparing for their upcoming baseball game against the Chicago Cubs. Concern arose when their prized pitcher, 33-year old Darryl Kile did not show up for practice. Soon after, he was found still in his hotel room where he had suddenly died in his sleep (New York Times, 2002). It was discovered that the cause of death was related to three of his coronary arteries being 80–90% blocked as a result of atherosclerosis (New York Times, 2002), which ultimately caused him to suffer a heart attack.
Answer the following questions in regard to this case study:

  • Why would atherosclerosis result in a heart attack? Provide a brief explanation based on how the heart functions.
  • How are arteries different from veins and capillaries? Describe the functions of both arteries and veins.
  • Vertebrates and some invertebrates have a closed circulatory system. Explain the advantage of having a closed circulatory system over an open circulatory system

Case Study 2:
Cigarette smoking remains the leading preventable cause of death in the United States, causing an estimated 438,000 deaths—or about 1 out of every 5 smokers—each year (National Cancer Institute, 2008).
Mr. Amos is 57 years old and has been smoking for the past 30 years of his life. A recent doctor’s visit revealed that Mr. Amos has stage 3 lung cancer, characterized by his symptoms of nagging chest pain, fatigue, coughing up blood, substantial weight loss, and increased carbon dioxide levels in his blood. The doctor informed Mr. Amos that had he quit his smoking habit several years ago, he would have reduced his risk for developing lung cancer later in life. Mr. Amos immediately began treatment for the lung cancer that had metastasized to his lymph nodes.
Answer the following questions regarding this case study:

  • What main components in cigarettes affect the respiratory system? Explain their effects on specific organs, cells, and processes in the respiratory system.
  • There are alternate mechanisms of transporting carbon dioxide (CO2) and oxygen (O2) in the blood. Explain how smoking might lead to increased levels of carbon dioxide in the blood.
  • Can smoking affect other organ systems of the body? Give specific examples, and briefly explain your answer.

Follow these guidelines for your paper:

  • Utilize at least 2 credible sources to support the arguments presented in the paper. Make sure you cite them appropriately within your paper, and list the references in APA format on your Reference page.
  • Your paper should be 2–3 pages in length, not counting the Title page, Abstract, and Reference page. In accordance with APA formatting requirements, it should be double-spaced and include a running head and page numbers.
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COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)

COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)

Purpose of this signature assignment: Designing an informational interview guide for students to interview a professional using the National Commission for Health Education Credentialing (NCHEC) Responsibilities.
Program Learning Outcomes (PLO): Design a plan for lifelong learning incorporating high professional and ethical standards, leadership, and cultural competencies and their evolving role in society.
Course Learning Outcome: Describe the field of public health, including its origins and contemporary status.
Purpose of an informational interview: This is an opportunity for students to gain knowledge about the National Commission for Health Education Credentialing (NCHEC) Seven Areas of Responsibilities. Students can gather insight by asking questions to a professional in the field of public health during 30 minutes to an hour interview.
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Instructions: Students enrolled in COH 300 are required to interview a professional in the field of public health. The interview may be in person, over the phone, or via e-mail. After completion of informational interview, students will write a 2 page summary of the information gathered. Paper must be double spaced, 12 point Times New Roman font, 1 inch margins, and use APA formatting. COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
  •  InterviewQuestions

Interview Questions
Students enrolled in COH 300 are required to interview a professional in the field of public health. The interview may be in person, over the phone, or via e-mail. After completion of informational interview, students will write a 2 page summary of the information gathered. Paper must be double spaced, 12 point Times New Roman font, 1 inch margins, and use APA formatting. Write in paragraphs, not quoting verbatim or writing in responses to the questions.  Submit it online by due date. COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
Prior to the interview, review the following questions and familiarize yourself with them.
Begin the interview by introducing yourself and explaining why you are calling.  Briefly describe the health problem and target population you are studying.  Ask if they have time to answer questions about their work and how it relates to your topic and if you may use their interview in your paper.
Thank them for their time and conclude the interview.
Include the information you learned in your needs assessment of your paper.  Be sure to properly cite the person and information in your paper.

  • Please tell me about yourself and your organization
    • Your name is?  Your position or title is?
    • How long have you worked here?
    • Your organization’s name is?
    • What is its mission?
    • What services does your organization or department provide?
    • What communities are included in your service area?
  • Are you familiar with the National Commission for Health Education Credentialing (NCHEC) and their seven responsibilities? COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
    • Are you certified?
    • If no, would you ever think about becoming certified? Why or why not?
  • How do you assess needs, resources and the capacity for health education and/or promotion within the community or globally?
    • What type of tools and health models and theories are utilized for this process? COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
  • In what ways do you plan health education and/or promotion? COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
  • How do you implement your plans, or those of others, regarding health education and/or promotion?
  • Are your desired outcomes based on Healthy People 2020 goals, or are they individual to your plan?
  • What type of research would be conducted for health education and promotion?
  • In what ways do you administer health education and promotion?
  • Have you served as a health education and promotion resource person?
    • There are numerous areas of the community that can benefit from these resources, how are resources shared or divided across the community?
    • Is that more specific to the individual fiscal budget goals?
  • In what ways do you communicate, promote, and advocate for health, health education and promotion, as well as the profession of public health?
    • Are impersonal methods utilized such as via poster/flyers, message boards and websites?
    • Or are more personable methods used such as projects in the community, and seminars?
    • For those who lack the ability to access some or all of these methods, how do you reach them? COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
  • Looking back on your experiences in the field, your academic career, and any personal matters along the way, both positive and negative, do you feel your initial reason for pursing public health has been/is being fulfilled?
    • What would you tell your younger self about the field? COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
    • To prepare for?
    • To avoid?
    • To pursue?

COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)

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Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Week 1: Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments
With more 50 million surgical procedures performed annually (Centers for Disease Control and Prevention, 2015), advanced practice nurses must be prepared to practice in perioperative environments. Although the scope of practice may differ based on state laws and institutional regulations, all advanced practice nurses are an integral part of the multidisciplinary care team. From pre- to post-operation, they must coordinate patient care and communicate with patients, physicians, and family members. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
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This week, you examine the scope of practice for acute care advanced practice nurses in perioperative environments. You also explore the impact of scope of practice laws and regulations on clinical care.
Learning Objectives
By the end of this week, students will:

  • Analyze the scope of practice for acute care advanced practice nurses
  • Evaluate the impact of scope of practice on clinical care

Photo Credit: Caiaimage/Martin Barraud/OJO+/Getty Images
Learning Resources
Note: The information presented in this course is vital. As a result, numerous resources are provided in various formats to facilitate your competence in caring for patients in acute care settings. The Doherty textbook, Current Diagnosis and Treatment,will serve as your primary text. When multiple resources are available on the same topic, select the primary text first, followed by those that best meet your personal learning needs.
Required Readings
Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.
 

  • Chapter 1, “Approach to the Surgical Patient”
  • Chapter 2, “Training, Communication, Professionalism, and Systems-based Approach”
  • Chapter 3, “Preoperative Care”
  • Chapter 4, “Postoperative Care”
  • Chapter 5, “Postoperative Complications”
  • Chapter 7, “Power Sources in Surgery”
  • Chapter 11, “Anesthesia”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.
 

  • Chapter 1, “Modalities of Medical Imaging”

Bielaszka-DuVernay, C. (2011). Improving quality and safety. Retrieved from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=45
De Bord, J. (2014). Informed consent. University of Washington School of Medicine. Retrieved from https://depts.washington.edu/bioethx/topics/consent.html
Nurse Practitioner (NP) Student Clinical Orientation
Document: Introduction to Clinical Experiences (PPT)
Document: Practicum Manual (PDF)
 
Discussion Part I: Scope of Practice, Credentialing, and Negotiation
In this course, some Discussions will have two parts:

  • Part I will consist of a specific topic related to the week’s content.
  • Part II will consist of a pharmacology review of approximately 250 words. Please submit each posting separately but within the same Discussion thread. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

You will be assessed on your posting and responses to both parts.
As medical care evolves, so does the role and scope of practice of the advanced practice nurse in acute care settings. When providing patient care, however, you, as an advanced practice nurse, must always ensure that you are working within the scope of practice outlined by your state’s laws and institution’s regulations. For this Discussion, you examine these laws and regulations and consider how they might affect your future clinical practice, consider the credentialing process for your area, and discuss negotiation techniques you may use in a job search. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
To prepare:

  • Locate a collaborative practice agreement. Based on this agreement, consider the scope of practice of an advanced practice nurse in your state.
  • Locate and select at least two hospitals where you would be interested in working at once you obtain your licensure.
  • Locate the hospitals’ credentialing documents and investigate the scope of practice at each hospital.

Note: All hospitals do not have the same scope of practice even if they are located within the same city and state.

  • Consider how the laws and regulations of the state and hospitals might affect your practice with medical and surgical patients in acute care settings.
  • Think about how you would negotiate your first Advanced Practice role. Consider issues such as salary range, Continueing Medical Education (CME), license and DEA costs, insurance, hours, on call requirements, etc.

By Day 3
Post an explanation of the scope of practice of advanced practice nurses, as outlined in the collaborative practice agreement. Then, identify the two hospitals of interest that you selected. Based on the credentialing documents, explain the scope of practice for acute care advanced practice nurses at each hospital. Explain how this might affect your practice in terms of caring for medical and surgical patients in acute care settings (i.e., medical treatments, procedures you can perform, interpreting diagnostics, etc.). Finally, describe job negotiation considerations. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: To support your Discussion post, you must include references (with URL links) from the state and the hospitals you selected.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on 2 different days who selected a different state or hospital from yours. Share additional insights or alternative perspectives.
Discussion Part II: Pharmacology
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
To prepare:
Read the following articles to enhance your knowledge of commonly prescribed medications:
Chalikonda, S. A. (2009). Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. AANA Journal, 77(2), 103–108.
Note: Retrieved from the Walden Library databases.
Frankenstein, L., Katus, H. A., Grundtvig, M., Hole, T., de Blois, J., Schellberg, D., … Agewall, S. (2013). Association between spironolactone added to beta-blockers and ACE inhibition and survival in heart failure patients with reduced ejection fraction: A propensity score-matched cohort study. European Journal of Clinical Pharmacology, 69(10), 1747–1755.
Note: Retrieved from the Walden Library databases.
Hao, G., Wang, Z., Guo, R., Chen, Z., Wang, X., Zhang, L., & Li, W. (2014). Effects of ACEI/ARB in hypertensive patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled studies. BMC Cardiovascular Disorders, 14, 148. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: Retrieved from the Walden Library databases.
Levy, P. D., Laribi, S., & Mebazaa, A. (2014). Vasodilators in acute heart failure: Review of the latest studies. Current Emergency and Hospital Medicine Reports, 2(2), 126–132.
Vasodilators in acute heart failure: Review of the latest studies by Levy, P. D., Laribi, S., & Mebazaa, A. in Current Emergency and Hospital Medicine Reports, 2(2). Copyright 2014 by Current Science, Inc. Reprinted by permission of Current Science, Inc., via the Copyright Clearance Center.
 
Shi, C. (2013). Blood pressure lowering efficacy of alpha blockers for primary hypertension. International Journal of Evidence-Based Healthcare, 11(3), 204–205.
Note: Retrieved from the Walden Library databases.
Tocci, G., Battistoni, A., Passerini, J., Musumeci, M. B., Francia, P., Ferrucci, A., & Volpe, M. (2015). Calcium channel blockers and hypertension. Journal of Cardiovascular Pharmacology and Therapeutics, 20(2), 121–130.
Note: Retrieved from the Walden Library databases.
Toppen, W., Sareh, S., Satou, N., Shemin, R., Hunter, C., Buch, E., & Benharash, P. (2014). Do preoperative β-blockers improve postoperative outcomes in patients undergoing cardiac surgery? Challenging societal guidelines. American Surgeon, 80(10), 1018–1021.
Note: Retrieved from the Walden Library databases.
Wang, A. (2012). Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharmacy Practice, 10(2), 65–71.
Note: Retrieved from the Walden Library databases. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

  1. Alpha agonists
  2. Alpha blockers
  3. Beta blockers
  4. Antiarrhythmics
  5. Calcium channel
  6. Vasodilators
  7. ACE versus BBlocker with spironolactone in CHF
  8. ACE versus ARB

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.
By Day 3
For this Discussion, address 1 of the following options:
Option 1
Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.
Option 2
Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?
Option 3
Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication.
Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
Week 1 Discussion Rubric
Week in Review
This week you analyzed the scope of practice for APN’s in perioperative environments and the impact of laws and regulations on clinical care.
Next week you will examine strategies for assessing, diagnosing, and treating patients in pre- and post-operative care.
Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

Discussion_Rubric

  Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.		 44 (44%) – 44 (44%)Thoroughly responds to the discussion question(s)
is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
supported by at least 3 current, credible sources		 40 (40%) – 43 (43%)Responds to the discussion question(s)
is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
75% of post has exceptional depth and breadth
supported by at least 3 credible references		 35 (35%) – 39 (39%)Responds to most of the discussion question(s)
is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
50% of post has exceptional depth and breadth
supported by at least 3 credible references		 31 (31%) – 34 (34%)Responds to some of the discussion question(s)
one to two criteria are not addressed or are superficially addressed
is somewhat lacking reflection and critical analysis and synthesis
somewhat represents knowledge gained from the course readings for the module.
post is cited with fewer than 2 credible references		 0 (0%) – 30 (30%)Does not respond to the discussion question(s)
lacks depth or superficially addresses criteria
lacks reflection and critical analysis and synthesis
does not represent knowledge gained from the course readings for the module.
contains only 1 or no credible references
Main Posting:
Writing		 6 (6%) – 6 (6%)Written clearly and concisely
Contains no grammatical or spelling errors
Fully adheres to current APA manual writing rules and style		 5.5 (5.5%) – 5.5 (5.5%)Written clearly and concisely
May contain one or no grammatical or spelling error
Adheres to current APA manual writing rules and style		 5 (5%) – 5 (5%)Written concisely
May contain one to two grammatical or spelling error
Adheres to current APA manual writing rules and style		 4.5 (4.5%) – 4.5 (4.5%)Written somewhat concisely
May contain more than two spelling or grammatical errors
Contains some APA formatting errors		 0 (0%) – 4 (4%)Not written clearly or concisely
Contains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style
Main Posting:
Timely and full participation		 10 (10%) – 10 (10%)Meets requirements for timely and full participation
posts main discussion by due date		 0 (0%) – 0 (0%)NA. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)Does not meet requirement for full participation
First Response:Post to colleague’s main post that is reflective and justified with credible sources. 9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings
responds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives		 8.5 (8.5%) – 8.5 (8.5%)Response exhibits critical thinking and application to practice settings 7.5 (7.5%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting 6.5 (6.5%) – 7 (7%)Response is on topic, may have some depth 0 (0%) – 6 (6%)Response may not be on topic, lacks depth
First Response: 
Writing		 6 (6%) – 6 (6%)Communication is professional and respectful to colleagues
Response to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English		 5.5 (5.5%) – 5.5 (5.5%)Communication is professional and respectful to colleagues
Response to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English		 5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues
Response to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English		 4.5 (4.5%) – 4.5 (4.5%)Responses posted in the discussion may lack effective professional communication
Response to faculty questions are somewhat answered if posed
Few or no credible sources are cited		 0 (0%) – 4 (4%)Responses posted in the discussion lack effective
Response to faculty questions are missing
No credible sources are cited
First Response:
Timely and full participation		 5 (5%) – 5 (5%)Meets requirements for timely and full participation
posts by due date		 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)Does not meet requirement for full participation
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.		 9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives		 8.5 (8.5%) – 8.5 (8.5%)Response exhibits critical thinking and application to practice settings 7.5 (7.5%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting 6.5 (6.5%) – 7 (7%)Response is on topic, may have some depth 0 (0%) – 6 (6%)Response may not be on topic, lacks depth
Second Response:
Writing		 6 (6%) – 6 (6%)Communication is professional and respectful to colleagues
Response to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English		 5.5 (5.5%) – 5.5 (5.5%)Communication is professional and respectful to colleagues
Response to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English		 5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues
Response to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English		 4.5 (4.5%) – 4.5 (4.5%)Responses posted in the discussion may lack effective professional communication
Response to faculty questions are somewhat answered if posed
Few or no credible sources are cited		 0 (0%) – 4 (4%)Responses posted in the discussion lack effective
Response to faculty questions are missing
No credible sources are cited
Second Response:
Timely and full participation		 5 (5%) – 5 (5%)Meets requirements for timely and full participation
Posts by due date		 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)NA 0 (0%) – 0 (0%)Does not meet requirement for full participation
Total Points: 100

Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

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