Nursing homework help

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.
Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To Prepare
· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
· Reflect on situations in which children should be prescribed drugs for off-label use.
· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
Write a 1-page narrative in APA format that addresses the following:
· Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
· Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
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SPECIFY COMMON LAW QUALITY INITIATIVES THAT ARE STILL FOUND IN 21ST CENTURY HEALTHCARE ORGANIZATIONS.

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Assignment 3: Healthcare Quality
Due Week 6 and worth 200 points
Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives.
Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.
Write a 6 page paper in which you:

Analyze three (3) quality initiatives for your organization.
Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
Assemble a plan to protect patient information that complies with all legal requirements.
Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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Personal statement or philosophy statement relating to your role as an APN


2 . Nursing Philosophy (from prior course) as your personal statement. It is what it is your hallmark as an Advanced Practitioner.

Example as follow:

Personal statement or philosophy statement relating to your role as an APN

Nursing is an art that can never be defined in one word or way. I remember before I decided to enroll in nursing school, I cared for an old lady through a home health agency. She kept telling me how wonderful I was to her, how patient, compassionate and always willing to assist her with her daily activities. She kept saying it is not about doing it, it is how you do it. She made me realize how much I could enjoy being a nurse and she constantly encouraged me to pursue a career in nursing.

When I enrolled in nursing school, it was not a smooth journey either because it was a very hard and demanding program but I learned a lot. It was then I realized nursing was not all about giving medication and helping someone to the bathroom. I learned about the importance of establishing rapport with a patient as soon as you assume care with them.

I challenged Practical Nursing boards and started working as a LPN before I completed my BSN program and the idea of nursing grew even more. Working as an LPN made me realized at times I may have to provide care to the family member may be a little more than the patient him/herself. I learned daily that nursing is way more than just what you learn in books and school and completing the care plan interventions.

Nursing to me is all about the relationship you establish with your patients, understanding them from their perspective. Asking them what they think is going on with their health or what has been changing in their body. I like to ask, how do you feel? What do you think? Asking these questions to my patients gives me a door to see them in a holistic manner. It helps me as a nurse to understand if their symptoms are just physical or are psychological as well. Someone may be experiencing a lot of life stressor and not eating right, or not drinking a lot of water. As a result they start experiencing a lot of headache. Instead of thinking it is a migraine and heavily medicate them. It is fair to give this person a little does of Tylenol. Encourage them to perform some relaxation exercises, eat well and drink plenty of water. I have come to learn that, food, water and our brains is what makes us or breaks us. If we think positive, we excel and do better in every aspect of our lives including our health. If we think negative them the vice versa will occur.

Another thing I learned from being a nurse is that we should always be reminded that we are advocates for our patients both verbal and nonverbal patients, but we do not have the last say. Most times we know more things related to the healthcare field compared to our patients. Our patients look at us and establish a lot of trust before you decide to do anything to them like giving them medication, sticking a  needle on them, putting them on some times of machine. They establish some kid nog trust. So we should always be willing to educate our patients on what we think is going on with them and why we are doing certain interventions on them. Advocacy also comes with utilizing the ethical principles in our nursing care like autonomy, respect, nonmaleficence, beneficence, and justice

 I currently work as a nurse in the emergency department, prior to that I word in medical surgical, home-health, rehab, and long term acute care. Nursing was not the same in all these areas. I took care of different kinds of patients in their different stages of life. While all was very interesting, I really love working in the Emergency room. The ER is the combination of all in one visit or sometimes in part of the visit. We do a lot of patient teaching, stabilizing, and referrals. We do not necessarily see the same patients every day, and that Is what makes me grow as a nurse. Prior to working in the ER, I never worked with the pediatric population. And I was amazed how wonderful working with all age groups can be. I am always curious and willing to learn more about nursing and wanting to do more for my patients. I decided to enroll in the Family Nurse Practitioner- Doctor of Nursing Practice (DNP) program because I knew the program will give me all what I mentioned and more

The DNP program will not only allow me to earn the knowledge of what will make  me a great family nurse practitioner but also it has a research part that will allow me to research on the current issue related to health care and/ or the nurse practitioner role in the society. As nurse practitioners we see a lot of patients from hospital to home setting and understanding research is vital to improve the care we provide to the communities we serve. Research in nursing is what bring about evidence-based practice which is the best way of practicing our daily nursing activities.

I took a theory class in the spring 2016 when I began my DNP course and I was amazed how all the nursing theories were pretty much what makes modern nursing better today. One of my favorite theories was “the theory of goal attainment” by Dr. Imogene King. This theory talks about the importance of nurses and patients having mutual goals that will improve patients’ health (King & Fawcett, 2012). For example, if a patient comes to the ER with several symptoms, instead of only telling them this is what we are going to do and this is what you are going to do. It is best to say, this is what I think we should do and give them a chance to say what they want done and what they do not want done. This does not mean you should not explain the rationale of your interventions but allow the patients to participate in their own care by making decisions with you. This will make it easier for the both of you because you will not have to struggle trying to do something to a patient that she/he does not like or later get sued because you did something that the patient did not agree to.

The DNP class has also allowed me to learn the importance of cost effectiveness and how nurse practitioners can be more cost effective compared to primary care physicians in providing their care. Learning all this information also allows me later as a nurse practitioner to be a great mentor to staff nurses and student nurse practitioners as well. Encouraging them on the constant use of evidence-based practice during direct patient care. And explain all the whys that they may have so that they feel better and understand what they have to care for the patient(s) in a different way compared to what they are already used to base on the current evidence and research at the time.

Having all that said, I believe nursing is an art that can never be explained in one simple word. The art of nursing is fulling to both patients and nurses themselves. Being a nurse practitioner will allow me to continue to advocate for my patients and do more for them like diagnosing and treating their symptoms in a cost effective manner, adhering to the ethical principle and the holistic approach at all times. I will also continue to learn more about nursing, medicine and all the current evidence based studies to ensure I provide the best care to my patients.

                                            Reference

King, I. M., & Fawcett, J. (2012). Imogene King. interacting systems framework. [electronic resource (video)] :. Athens, OH : FITNE, 2012.

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This example has been downloaded from /giving credit to it and be used only for educational purpose: https://maryville.instructure.com/eportfolios/21286/PracticeBased_Evidence/2b_Personal_statement_or_philosophy_statement_relating_to_your_role_as_an_APN

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Government homework help

Psyc 164: Assignment 3
For the following questions (1-3), read the small vignette
and then using the underlined behaviour as the behaviour
of interest, show the behaviour of interest, the stimulus
consequence and whether the behaviour increased or
decreased. Then label the procedure as an example of
either positive reinforcement, negative reinforcement or
avoidance.
Questions
1.When I was about 7 or 8, my usually very sane parents let me watch the movie “Poltergeist” while we
were visiting my uncle. This was the scene that scarred me for life. 😊 (there was originally a clown on
that chair, by the way) https://www.youtube.com/watch?v=JlUwfuB3pxI So…since that time, two
things have happened. If I happened to be at an event where a clown showed up, I immediately left, so I
wouldn’t have to see the clown anymore. And that behaviour continued to increase through to
adulthood. The second thing that would happen is that I started refusing to go anywhere where there
might be a clown – parades, birthday parties, etc. That behaviour also increased through to adulthood.
While I’m now okay around clowns, that was definitely not the age for me to see Poltergeist. 😊
Note: Question 1 will have 2 separate analyses – one for “immediately leaving” and one for
“refusing to go anywhere there might be a clown”.
2. My shins have a complicated relationship with my coffee table. They seem perversely drawn to
banging into the corners, which causes a sharp pain and throbbing sensation. However, if I take my palm
and firmly compress the whole area and keep it compressed, the pain goes away. I’m not only more
likely to use this technique with my shins, but with other areas as well, when they have been injured.
3. I have two dogs…Nula and Balla. They are both just about 14 years old and starting to show signs of
aging. Nula, in particular, really enjoys her naps now. Balla, every once in a while, will channel her inner
puppy, and she’ll dance around Nula like she’s a boxer, diving in, giving Nula jabs to the head, and
jumping back, to avoid retaliation. Nula will ignore her for quite a while, no doubt hoping her sister will
give up, but Balla has surprising staying power. 😊At some point, Balla will lunge forward and tap Nula
on the head, and Nula will jump up and start to wrestle with her. We’ve noticed over time that Balla has
become more likely to engage in this behaviour with Nula, with increasing persistence. (poor Nula 😊)
4. If you’ll recall from this module, a sick social cycle exists when one person’s behaviour is being
reinforced by positive reinforcement, and the other’s is being reinforced by negative reinforcement.
(e.g. room-mate nagging you to take the garbage out and you finally do because it stops the nagging –
your room-mate’s behaviour of nagging is positively reinforced by you taking the garbage out, while
your behaviour of taking the garbage out, is negatively reinforced by the nagging stopping.) Look for an
example of the sick social cycle in your own environment, and describe it here, being careful to identify
the behaviours of interest, the consequences and which person’s behaviour was reinforced by positive
or negative reinforcement.

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Accounting homework help

ASSIGNMENT :
State the 5 steps to revenue recognition using a diagram that you develop.  The diagram should include the steps and rule/definitions pertaining to each step.  There should also be a place for explaining differences between IFRS 15 and ASC 606
In two sentences, state two differences between IFRS 16 and ASC 606 that you believe are significant differences that never the two shall converge.  In one additional sentence explain why.
Complete the following two examples.
Collectability threshold:
Assessment based on goods or services to be transferred. Company C contracts with Customer D to sell 1,000 units for a fixed price of 1 million. D has a poor payment history and often seeks price adjustments after receiving orders and so C assesses that it is probable that it will collect only 70% of the amounts due under the contract. Based on its assessment of the facts and circumstances, C expects to provide an implicit price concession and accept 70% of the fixed price from D.  Is the collectability probable?  Explain in 2 sentences or less
2. Significant financing component: Change in expected completion date.
Company K enters into a contract with Customer C to construct and deliver a piece of equipment. K determines that the contract contains a single performance obligation that is satisfied at a point in time when the equipment is delivered to C. Construction is expected to take two years. K and C agree consideration of 80, which is payable and paid on the date the contract is signed. At contract inception, K considers the terms of the sale and determines that the contract includes a significant financing component because: – there is a significant period between payment and delivery of the asset; – the asset is regularly sold at a higher price; and – there is no evidence to suggest the advance is for another reason. K determines the discount rate, based on its credit characteristics, to be 12%. Therefore, to reflect the financing that it is receiving from the advance payment, K recognises interest expense of 20 in the construction period and revenue of 100 (80 × 1.122) on the delivery date. After Year 1, K determines that the construction will take three rather than two years.  Should K record a revised transaction price and date?  Answer each question (price and date) with a one-sentence explanation for each.
 

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A SPECIFIC HEALTH CONCERN OR INJURY USING THE POPULATION OF YOUR CHOICE.

Select a database from NCHS or complete a query using CDC WISQARS.Select a specific health concern or injury using the population of your choice. Be sure not to limit your query so you have enough data to evaluate and include a substantial time frame so you are able to identify trends.Submit a 1 000 word report that provides an overview the database or query results. The report should consist of a demographic description of the chosen population including a review of noticeable trends in morbidity and/or mortality by race gender and geographic location where specified.Based on the results and possible trends present the implications for public health intervention or involvement.In your report include considerations of basic ethical and legal principles pertaining to the collection maintenance use and dissemination of epidemiologic data. focus on privacy and security issues surrounding protected health information and how HIPAA protects the confidentiality of the patient. Consider the ethical implications of whether public health organizations have too much latitude in the use and dissemination of epidemiologic data.Use examples and evidence to support your report.

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STAFFING IN BEHAVIORAL HEALTHCARE FACILITIESTHERE ARE DIFFERENT TYPES OF BEHAVIORAL HEALTHCARE FACILITIES

Staffing in Behavioral Healthcare FacilitiesThere are different types of behavioral healthcare facilities. Some are stand-alone facilities while others are part of a larger healthcare system. Many larger healthcare systems include a department or behavioral health unit as part of their comprehensive set of services. In these large healthcare systems there is integration and sharing of services at all levels.Describe the similarities and differences between staffing for a stand-alone behavioral healthcare facility and a behavioral healthcare unit that is a part of a larger healthcare system. What are the reasons for these differences? Does behavioral healthcare have unique staffing needs or is it similar to the staffing needs of a hospital in general? Why or why not?Provide specific examples of both types of healthcare facilities. You may also refer to information shared on the Internet. Which healthcare system among these two would you prefer more and why? Justify your answers with appropriate research and reasoning.Referral Process in Behavioral Healthcare ServicesBehavioral healthcare like most healthcare services has seen a change in focus from a didactic relationship between the physician and the patient to that of a group effort involving an interdisciplinary team of professionals as well as active participation by the consumer.The team concept stems from several factors but mainly from the comorbidity of diseases and conditions. In most instances the consumer is not just faced with mental illness but psychosocial issues such as family and work challenges as well as other medical issues such as addictions and overall poor health. This is when a team operating in a disease management capacity is the best course of action especially for individuals with persistent mental illness and comorbidity.How does a primary care physician integrate the need for further behavioral health services such as referring to a psychiatrist or psychologist for therapy or counseling?Search the Internet to look for a hospital system providing behavioral healthcare services. Review the information shared on the hospital’s Web site regarding the functioning of the department providing behavioral healthcare services. Explain the referral process and the protocol followed in hospitals when a patient requires behavioral healthcare services. Justify your answers with appropriate research and reasoning.

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Required: Topic; Professionalism at workplace

Field: Nursing 

Length: 600 words 

Sources: Use 6 sources from the school library on ProQuest.

Here are the steps to access it:

1. Click www.unitekcollege.edu

2. Click on student portal 

3. login now: username; ekcollege.edu

                        Password: LOVEquan!

4. Click on student library 

5. Select program: Medical assistant 

                                  Campus: Fremont 

6. Click on the link to access programme resources

7. Select ProQuest

Required: Topic; Professionalism at workplace 

My major is: Medical Assisting 

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>Nursing homework help

Worldview Analysis and Personal Inventory

Based on the required topic study materials, write a reflection about worldview and respond to following:

  1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
  2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
  3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
    1. What is ultimate reality?
    2. What is the nature of the universe?
    3. What is a human being?
    4. What is knowledge?
    5. What is your basis of ethics?
    6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

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DESCRIBE ANY PSYCHOLOGICAL FACTORS AND EMOTIONAL STATES OF YOUR CLIENT WHICH APPEAR TO IMPACT HER OR HIS MENTAL AND PHYSICAL HEALTH

Prepare: Ensure you have finished reading Chapters 3 and 4 in your textbook and reviewed any relevant Instructor Guidance prior to completing this discussion.       Reflect: Address the following in your post. Take the role of a professional utilizing applied behavioral science methods to help clients manage pain. Create a fictitious scenario in which a client is referred to you by her or his family physician for an applied psychology treatment to help manage pain. Your client has been taking prescription medications for pain management and desires to reduce the need for the medication.       Write: For your initial post: 

Identify the type of pain your client is experiencing for which applications of applied behavioral science are appropriate (e.g., arthritis, bone or joint pain, muscle pain, fibromyalgia, migraine headaches, cancer pain, post-surgery, etc.).
Describe any psychological factors and emotional states of your client which appear to impact her or his mental and physical health (e.g., depression, anxiety, general level of satisfaction with life).
Indicate the client’s locus of control and health motivation. Utilize terminology outlined in your reading.
Identify any additional stressors your client is experiencing that may exacerbate her or his pain experience.
Based on the reading, identify at least one pain management technique you believe would best reduce the pain experience in this situation.
Examine the application of your selected pain management technique in relation to the same situation within a different culture. Explain the role of the perception of pain and the impact of culture on perception of pain, identifying and usage trends of applied behavioral science unique to different groups.

Your initial post must be a minimum of 200 words. You must utilize at least two scholarly sources (e.g., professional web source, peer-reviewed journal articles, recommended video) and include in-text citations and a reference list that are in accordance with

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