Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.
Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.
Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

  1. What are the appropriate pharmacological therapies to be prescribed for Johnathan?
  2. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
  3. What is an appropriate clinical assessment tool to be use with Johnathan?
  4. What are the classification of asthma?
  5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
  6. What is an appropriate plan of care for Johnathan?
  7. EXAMPLE IS UPLOAD 
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    NSG6005_Week_4_DQ.docxweek5pharm.docx

Program Evaluation as a Key Tool in Health and Human Services 

Evidence-based practice utilizes a variety of research methods  to gather evidence as to the efficacy of a program’s effectiveness, or  cost effectiveness. According to your text, “Sound research and its  applications, although not guarantees of perfect policies and programs,  are extremely useful tools in developing sound social policies and  programs” (p. 281). Additionally, we read that evaluation research is  different from “basic” research in that evaluation research is based on  reality factors in the field and can answer the question: Is this  program achieving its goals within the cost estimates?

In  this assignment, you will create a fictional “how to” guide in  which you will analyze the steps pertinent to effective program  assessment. Specifically, you will:

Explain the parts of the program evaluation, and how one would carry out a program evaluation.
Explain the steps of the program evaluation and what the program evaluator would want to measure / evaluate.

Your fictional “how to” guide is intended to provide a  step-by-step explanation of the components related to evaluating  programs; you will not be conducting an assessment as part of the  assignment. An example of a program evaluation and the research format  is given in the Evaluation Strategies for Human Service Programs (Links to an external site.)Links to an external site..   Your example can be any of the typical health and services areas  including: hospitals, nursing homes, clinic for substance abuse,  counseling clinics, Salvation Army, Red Cross, homes for the homeless,  special school programs, crisis centers and social support. Program  evaluation can include a variety of different research approaches and  may also include acquiring a great deal of data.  As you read the  article Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide (Links to an external site.)Links to an external site.,  keep in mind the information requirements to carry out a program  evaluation. Certainly the connections among program outcomes, the  activities of the program, and consequential outcomes constitute the key  model of any program evaluation. Access the  Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide  (Links to an external site.)Links to an external site. for more information for this assignment.

1. Assignment 1
Complete the following two steps:
A. On the discussion forum, please describe the reasons for having a totally anonymous means of accessing the internet. Please also discuss the dangers of that same internet. Minimum 250 words.
B. Respond to two classmates’ postings. Minimum 100 words per posting.
2.Assignment 2
 

Module 12 Assignment: The Silk Road and the Darknet: The case of William Ross Ulbricht

Module 12 Assignment

 

Module 12 Learning Resources: the Darknet

https://www.investopedia.com/insights/what-dark-net/
1. Using a Microsoft Word document, please discuss the case involving the United States of America versus Ross Ulbrecht. Please include what took place at the United States Supreme Court.
2. The minimum word count shall be not less than 500 words.

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Practicum Experience Week 2 – 3

By tomorrow Saturday June 15, 2019 write a minimum of 550 words essay in APA format with at least three scholarly references. Include the level one header as numbered below:

As your practicum experience proceeds, talk with individuals in your practicum setting about social, political, technological, and/or financial considerations related to the implementation of an evidence-based practice project. For instance, you may opt to meet with a nurse manager or executive involved in financial matters to do a cost-benefit analysis or a return-on-investment analysis, or to develop a pro forma statement about how much it would cost to implement one practice versus another.

Consider these insights as you

1) Evaluate the strengths and limitations of the evidence-based project, 

2) Analyze potential barriers to sustaining practice changes.

Required Readings

Oermann, M. H., & Hays, J. C. (2016). Writing for publication in nursing (3rd ed.). New York, NY: Springer Publishing Company.

  • Chapter      6, “Review and Evidence-Based Practice Articles” 

Chapter 6 explains types of reviews and EBP articles that are useful to nurses when exploring the literature on clinical issues. This chapter also provides recommendations for preparing articles for disseminating EBP research findings.

In addition to Chapter 6, select and read the chapter that best supports your scholarly product dissemination plan. Apply the information in these chapters and through additional research of your own as you begin the writing process for your DNP Project scholarly product for dissemination. 

Note: For the scholarly product, you should be able to select a journal or other format and write a letter of inquiry. You also should be able to work on the Literature Review section of your scholarly product. The information on pages 142-143 in the course text may be particularly useful for developing that section.

  • Chapter      5, “Writing Research Articles”

This chapter provides general principles for writing research papers.

  • Chapter      8, “Clinical Practice Articles” 

Chapter 8 revolves around strategies for writing articles about clinical practice.

  • Chapter      9, “Other Types of Writing” 

In this chapter, the authors review strategies for writing a variety of articles, letters, reviews, and case studies.

  • Chapter      10, “Books and Book Chapters” 

This chapter provides considerations and guidelines for writing books and book chapters.

  • Chapter      11, “Writing Process” 

Chapter 11 describes the various steps of the writing process, including asking preliminary questions, the drafting phase, and revising a manuscript.

Brown, C. E., Ecoff, L., Kim, S. C., Wickline, M. A., Rose, B., Klimpel, K., & Glaser, D. (2010). Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing, 19(13–14), 1944–1951. 

Note: You will access this article from the Walden Library databases.

This article details a study that explored the relationship between perceived barriers to research use and the implementation of evidence-based practice among hospital nurses.

Chang, H. C, Russell, C., & Jones, M. K. (2010). Implementing evidence-based practice in Taiwanese nursing homes: Attitudes and perceived barriers and facilitators. Journal of Gerontological Nursing, 36(1), 41–48. 

Note: You will access this article from the Walden Library databases.

The authors of this article describe a study that investigated attitudes and perceived barriers and facilitators toward research utilization among registered nurses.

Doran, D., Haynes, R., Kushniruk, A., Straus, S., Grimshaw, J., Hall, L., … Jedras, D. (2010). Supporting evidence-based practice for nurses through information technologies. Worldviews on Evidence-Based Nursing, 7(1), 4–15. 

Note: You will access this article from the Walden Library databases.

This article describes a study that sought to evaluate the usability of mobile information terminals to improve access to nursing information resources. The study also explored the relationship between PDA or tablet-supported information resources and outcomes.

Required Media

Laureate Education, Inc. (Executive Producer). (2012d). Factors affecting implementation of an evidence-based practice project. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Dr. Kris Mauk explores barriers to implementing change and discusses strategies for addressing those barriers.

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Cisco Systems, Inc.: Implementing ERP

  1. Cisco was highly successful with its enterprise resource planning (ERP) effort. What accounts for this success? What were the most important things that Cisco did correctly?
  2. Did Cisco do anything wrong on this project? If so, what?
  3. Cisco went lives with ERP in a big bang fashion, which is inherently risky. How did Cisco mitigate this risk?
  4. Was Cisco smart or lucky with its ERP implementation (Hint – do NOT answer both.  Pick one!)?
  5. What one concept from the lecture or the book did you find applicable to this case?

***Answer your questions using the MEAL format (Main idea, Evidence, Analysis, Link).  The first sentence of your answer should include the main idea, or thesis, for the question.  Next, provide evidence with a specific quote or a page number from the case.  Next, analyze the evidence.  Conclude by linking the evidence back to your thesis.

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The use of electronic records helps facilitate communication among all the health care providers involved with care provision. ERs are not widely used outside of a core medical practice or organization. ERs would allow for extra organizational and provider communication. Health care is not at this point yet. Class: Please, explain the importance of the use of ERs in healthcare. How do they contribute to communication? Can ERs be used in healthcare marketing? If so, how. Please, explain and share specific examples to demonstrate your point of view. Thank you.Please, explain, what are the benefits and challenges of technology-based communication for the consumer, the provider, and health care costs? Please, demonstrate your reasoning with supportive evidence. Thank you.Please, explain, how are patients most likely to access health care? Why? Please, demonstrate your reasoning with the use of researched evidence. Thank you. Please, explain, what are the advantages and disadvantages in using social media in health care? Please, support your reasoning with researched evidence. Thank you.It is believed (and supported by research) that positive relationships between healthcare team members and a patient’s capacity to follow through with medical recommendations (including self-management of a chronic medical condition, preventive healthcare) are strongly influenced by the effective communication. Effective communication strategies need to account for several factors ( targeted audience, communication channels, the message to be delivered….and et cetera). Please, conduct research and review our course readings. What are important steps of the effective communication plan? Please, list the steps of this process and comment on each. Thank you.please cite. May be 150-200 words each

LOOK at attached file
• You will work with a fish calling dataset and YOY abundance dataset for silver perch, black drum, spotted seatrout, and red drum
• The data are provided in the Excel file, “Lab 8_Courtship vs Abundance”. The data represents summed calling intensity per evening for silver perch, spotted seatrout, and red drum at station 37M during 2018. In addition, I have included the summed abundance from seines on respective dates from sites near station 37M. Cells colored in grey correspond to missing data.
• Your goal is to create a time series that plots summed calling intensity as the primary y-axis and summed YOY abundance as the secondary y-axis for the year 2018. You will create three separate figures for each fish species (i.e. silver perch, spotted seatrout, and red drum).
• The chart type should be “Combo”. Select “Area” for calling. Select the secondary axis for abundance and “Scatter”. Silver perch “light green”, spotted sea trout “light blue”, and red drum “orange”. Please make sure to include labeled x-y axes; however, please do not include a title since you will create a figure legend. Please make sure that your font size is at least 10.
• Insert your figures into a Word document. Below each figure, provide a figure legend. The legend should provide: (i) a general description of the figure; and (ii) provide your interpretation of the figure.
Grading Rubric
• Completion of the figure, correct format – 40 points.
• Completion of figure legend below figure – 30 points.
• Figure legend content and writing – 30 points.
 
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UTF-8Lab208_Courtship20vs20Abundance28129-Fishcallingabund37M_2018.pdf

Nursing

In 2011 the United States Department of Agriculture (USDA) introduced the “My Plate” initiative, to help Americans make healthy food choices and to be active every day. Recently, new guidelines were released, and the initiative was updated to include, “MyPlateMyWins!”

Initial Discussion Post:

Review the following resource: United States Department of Agriculture: ChooseMyPlate.gov. (2015). Older adults. Retrieved from http://www.choosemyplate.gov/older-adults

Mrs. Jenkins is a 70-year-old patient at the primary care provider for a routine visit. As you are gathering data prior to showing her into an examination room, you note her height and weight, of 65 inches and 101 pounds.

  • Calculate Mrs. Jenkins’ BMI and interpret the result.
  • Discuss two additional specific assessments you would perform, and why the information you obtain in these assessments might be a concern to the RN.
  • Based on these assessments:
    1. What education would you provide related to this concern?
    2. Identify a member of the health care team with whom you would collaborate about this concern.

Be sure to use evidence from the assigned text or website, or other professional sources in your answer.

Base your initial post on your readings and research

Review the attached PowerPoint presentation.  Once done answer the following questions: 

1.What types of differences in health care and maintenance have you noticed between men and women in the clinical setting? How do women’s approaches and behaviors seem to differ from men’s, if at all? When female family members are present, how does their involvement or behavior seem to differ from male family members’ involvement, if at all? 

2.Mention and discuss the pros and cons of various contraceptives methods.   For example artificial reproductive technology, parental consent for abortion, adolescent reproductive rights, public funding for female cancer screening, reporting of partner abuse, female circumcision (in countries where it is the cultural norm), etc. 

3.Why do you think that women tend to go their providers more than men do? Why might women be more comfortable with doctors and healthcare? Is this something you notice in your own family and friends?  

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used. References must be no older than 5 years.  

A minimum of 700 words is required.

  • CHNChapter31.pptx

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.
Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
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.