Prevention of pneumonia

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100 -120 WORDS

Knowledge of nurses about the intervention for the prevention of pneumonia associated with mechanical ventilation: This article seeks to investigate the knowledge of pneumonia prevention interventions. There seems to be a disconnect between the evidence research has made available and clinical practice. One strength is that the method used allows for honest results. However, the weakness is that the study was conducted at one hospital, in one unit so the generalizability is unknown.

Wagner, B. V., Alves, E. F., Brey, C., Waldrigues, M. C., & Caveião, C. (2015). KNOWLEDGE OF NURSES ABOUT THE INTERVENTION FOR THE PREVENTION OF PNEUMONIA ASSOCIATED WITH MECHANICAL VENTILATION. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(5), 7902-7909. doi:10.5205/reuol.6121-57155-1-ED.0905201521

Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care: This article is aimed at evaluating compliance with a bundle to prevent ventilator-associated pneumonia in an Intensive Care Unit. Bundles are only effective if used appropriately and consistently. Nurses must understand and comply in order to reduce VAP in the ICU setting. One strength is that samples were taken from many settings and consisted of nearly 1,500 participants. One weakness is that VAP bundles are not universal and vary between facilities.

Guterres da S, Raquel Kuerten de S, Eliane Regina Pereira do N, Kátia Cilene Godinho B, Cibele D’Avila Kramer C. (2014). Evaluation of a bundle to prevent ventilator-associated pneumonia in an intensive care. (3):744

Ventilator-associated pneumonia bundled strategies: an evidence-based practice: Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. This article aims to provide a review of the literature on VAP bundle (VAPB) practices, describe the etiology and risk factors and define bundled practices, discuss an explanatory framework that promotes knowledge translation of VAPBs into clinical settings, and to identify areas for further research and implications for practice to decrease the incidence of VAP. One strength is multiple resources were used to provide reliable results. One weakness is that though bundles were proven effective overall, it does not specify or account for the different interventions that are in each bundle.

O’Keefe-McCarthy, S., Santiago, C., & Lau, G. (2014). Ventilator-associated pneumonia bundled strategies: an evidence-based practice. Worldviews On Evidence-Based Nursing, 5(4), 193-204

Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia: There is an ongoing need for improvements in education and effective implementation strategies. Barriers in prevention of VAP include education or lack thereof and appropriate and consistent implementation. Strength is that it includes all barriers and provides a clear picture of the issues. A weakness is it relies on nurses to be honest about lack of compliance with existing bundles.

Jansson, M., Ala-Kokko, T., Ylipalosaari, P., Syrjälä, H., & Kyngäs, H. (2013). Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia – A survey study. Intensive & Critical Care Nursing, 29216-227

Practical Nursing Assistants and Pneumonia Prevention Associated with Mechanical Ventilation in ICU: Assesses the knowledge of nurses in pneumonia prevention practices associated with mechanical ventilation in patients hospitalized in  intensive care unit. It identified the importance of the nurses´ role to care practices in the care of critically ill patients and the importance of recognizing the clinical findings to establish a diagnosis. The results provide subsidies for a reflection on the role of nurses in intensive care healthcare practices in the prevention of pneumonia in patients who are undergoing mechanical ventilation. One strength is that it includes the roles of support staff and their contributions to compliance. A weakness is that the roles of support staff are given through the opinions of ICU nurses.

Oliveira Gonçalves, É., Santos de Lima, M., de Lima Melo, J., Rodrigues Pontes, M. S., Barros Sousa, A. O., & Pinheiro Albernaz, M. (2015). Practical Nursing Assistants and Pneumonia Prevention Associated with Mechanical Ventilation in ICU. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 9(12), 1069-1077

Bundle to Prevent Ventilator-Associated Pneumonia: A Collective Constructive: This article reports on a qualitative convergent care research, which was aimed at the collective construction of a bundle to prevent ventilator-associated pneumonia by nursing and physiotherapy professionals at the intensive care unit. The construction of the VAP bundle was guided by the evidence-based practice criteria and consists of four preventive care acts: oral hygiene with 0.12% chlorhexidine; headboard elevated (30-45º); endotracheal cuff pressure between 20-30 cmH2O; and care with the aspiration of tracheal secretions. The implementation of these recommendations can support healthcare practice, contributing to reduce ventilator-associated pneumonia rates. A strength is it provides evidence of what an effective bundle is and how it can reduce incidence of VAP. A weakness is it does not provide evidence for each individual intervention or others that are included in bundles at other facilities.

Da Silva, S., do Nascimento, E., & de Salles, R. (2013). Bundle to Prevent Ventilator-Associated Pneumonia: A Collective Constructive. 21(4), 837-844

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The Business of Behavioral Health

The Business of Behavioral Health

Managed care has had a significant impact on the delivery of behavioral health services. This has influenced the way that the behavioral health industry conducts business. This week’s research paper will focus on the business of behavioral health.

Read the following articles from the EBSCO host database:

  • Covall, M. (2005, January). Medicare prospective payment comes to        psychiatric hospitals. Behavioral Health Management, 25(1), 54–57.
  • Oss, M. E. (2005). What’s next for managed behavioral health. (Cover story). Behavioral Health Management, 25(6), 11-14

You should also search the Internet to further learn about additional factors that influence the business model of behavioral health.

To complete this research paper, you will need to include an introduction and conclusion section as well as a title page and reference section. The paper should adhere to the following guidelines:

  • The length of the paper should be 6 to 8 double-spaced pages (not including the title and reference pages).
  • The main sections should have a:
    • Title page
    • Introduction
    • Body of the paper (with subheadings)
    • Conclusion
    • Reference page(s)
  • The paper must use the APA format for citing sources and references.

Your paper introduction (one page) should include the following points:

  • An overview of the research paper
  • The purpose or objective of the research paper

The body of the paper (four to six pages) should address each of the following topics using information learned in the course, in combination with outside references:

  • In today’s healthcare scenario, are behavioral health services viewed as a profession? How? Is behavioral health service different from the rest of the healthcare industry? If yes, how? If no, why?
  • Describe the main reasons why behavioral healthcare may be reimbursed differently than any other healthcare services, in general. What factors need to be addressed based on the population served? Utilize your course and text readings to support your answers.
  • What are some of the challenges faced by behavioral healthcare providers who operate in a managed care environment? What are some of the areas of conflict between behavioral healthcare providers and managed care? Which amongst these conflict areas do you think is the most crucial, and requires immediate attention, and why?
  • Will the managed care environment be able to support the services required to provide effective residential treatment? In your opinion, what will a residential treatment facility need to continue providing effective treatment while still being able to get reimbursed, especially through Medicaid or Medicare services? (You can use the the to get more information on these topics.)
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>English homework help

Directions: Follow the instructions in each Part below to complete the assignment.
Reminder: All answers must paraphrased (in your own words) and not copy/pasted from the internet. Cite any sources or websites that you used in researching your work. Be sure your response is written in Academic English. If needed, refer to the section on Academic English in Orientation.
Part A
Directions: Conduct research and answer each of the following questions.
A. What type of genre is The Illiad?
B. Explain the theories of ‘unitarianism’ and ‘expansion’ as these relate to the authorship of The Illiad.
Part B – Books 1-10
Directions: Answer each of the following questions.
(1) Why are the Greeks and Trojans fighting?
(2) How does Priam (Alexandros) behave in the following situations:
____a. When the Greeks and Trojans met in battle?
____b. When Menalaos accepts his offer?
____c. When he sees Helen?
____d. When Hector shames him?
(3) What kind of person is Paris?
(4) Which gods fight for the Greeks? Which fight for Troy? Why?
(5) Briefly describe Hector’s visit with his wife and child. Why is it hard for him to return to battle? Why does he go?
(6) How do the Greeks try to protect their ships? What is their fear?
(7) Why do the three envoys visit Achilles? What arguments do they present? How does Achilles respond to them?
Part C – Books 11-24
Directions: Answer each of the following questions.
(1) Briefly describe how Agamemnon, Diomedes, and Odysseus become wounded. Who is winning at the end of this day’s battle?
(2) Why does Patroclus want to enter the war? What is Achilles’ reaction?
(3) What is Achilles’ reaction after Patroclus’ death?
(4) Why is it important for Achilles and Agamemnon to reconcile publicly?
(5) What hardships have resulted from Achilles’ anger?
(6) How does the tide of war change after Achilles enters the war?
(7) How does Achilles honor Patroclus and dishonor Hector?
(8) Why do the gods interfere with Achilles’ plans for Hector’s body?
(9) What are the results of Priam’s meeting with Achilles? Why?
(10) The Iliad ends without total victory for the Greeks. Why?
(11) Contrast Hector and Achilles. Which do you like better? Why?
(12) In your opinion, is Achilles any different at the end of the story than he was at the beginning? Explain.
Part D – Greek Gods
Directions: Follow each step below to complete the assignment.
Step 1. Choose the name of a Greek god who appears in the Iliad.
Step 2. Find out as much about the god or goddess as you can.
Step 3. Write a short exposition about the god’s exploits.
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Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.

Question Description

Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.

Read the case study titled “A Legal and Ethical Dilemma”, located on pages 463-465 of your text. Next, use the Internet or Strayer Library to research information on a patient’s right to die.

Write a four to six (4-6) page paper in which you:

  1. Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
  2. From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
  3. Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
  4. Use at least three (3) quality academic resources. Note: Wikipedia and other similar 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.

The specific course learning outcomes associated with this assignment are:

  • Identify the factors that have led to the current realities of long-term care in the United States.
  • Assess the various stakeholder groups of long-term care along with the nature of the relationship(s).
  • Evaluate the impact of litigation on long-term care providers and practices.
  • Use technology and information resources to research issues in long-term care management.
  • Write clearly and concisely about long-term care management using proper writing mechanics.
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SDN and IBN

The paper instructions have been attached 

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Article writing homework help

Internet Search with Keywords

By the due date assigned, post the results of your Internet Search to the Discussion Area. Then, by the end of the week, respond to at least two classmates’ posts with helpful feedback. Ask questions about classmates’ topics or searches, and make suggestions for further research and development.
For this assignment, you will continue with the topic you chose in Week 2 Discussion, performing a basic Internet search for your topic and reporting your findings. You will learn about resources that are generally available and see how people are discussing the issue on the Internet. ONLY NARROW THIS TOPIC DOWN TO FAYETTE COUNTY, GA
Use Google (or other search engine of your choice), and do keyword searches for your topic, reading a few of the sources you find. Then, respond with the following information:

  • What keywords did you enter?
  • Which keywords seemed to yield the best results?
  • Which types of sources were you able to find (e.g., websites, articles, blogs, etc.)?
  • Identify one source that seemed to be the strongest, and describe what is most useful or interesting about the source.
  • Cite any borrowed material using APA style formatting.
  • attachment

    POLLUTION1.docx
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Describe the key features of the Educational theoretical framework/model. What are its major components?

Identify specific research approaches appropriate for use with the educational theoretical model or framework and how it fits with your intended project. ( intended project  for this assignment is ”does the use of antiseptic barrier caps compare with the use of manual alcohol swabs in the prevention of central line infections in adult hospitalized students”)

o Does the model lend itself to quantitative or qualitative methods or both?

o What kind of quantitative/qualitative methods would be most appropriate? (Focus groups, interviews, pre/post-tests, record review, survey, etc.)

· Describe how the theoretical framework might be used to evaluate the program/project and critique how well the model fits the program or project.

o What aspects of the model works well and what aspects do not?

Why? 

Please write two pages. Plus reference. please provide turn in score too.

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Information Systems homework help

ITS-632 Intro to Data Mining
 
Dept. of Information Technology &
School of Computer and Information Sciences
University of the Cumberlands
 
Week 5 Assignment
 
[Your Name Here]
 

Decision Tree Assignment
Play now?  Play later?
You can become a millionaire!  That’s what the junk mail said.  But then there was the fine print:
If you send in your entry before midnight tonight, then here are your chances:
0.1% that you win $1,000,000
75% that you win nothing
  Otherwise, you must PAY $1,000
But wait, there’s more!  If you don’t win the million AND you don’t have to pay on your first attempt,
then you can choose to play one more time.  If you choose to play again, then here are your chances:
2% that you win $100,000
20% that you win $500
Otherwise, you must PAY $2,000
 
What is your expected outcome for attempting this venture?  Solve this problem using
a decision tree and clearly show all calculations and the expected monetary value at each node.
Use maximization of expected value as your decision criterion.
Answer these questions:
1) Should you play at all? (5%)  If you play, what is your expected (net) monetary value? (15%)
2) If you play and don’t win at all on the first try (but don’t lose money), should you try again? (5%) Why? (10%)
3) Clearly show the decision tree (40%) and expected net monetary value at each node (25%)

 

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Distinguish the transformation in skill acquisition from novice to expert.

NRSG367: TRANSITION TO PROFESSIONAL NURSING- AUSTRALIAN CATHOLIC UNIVERSITY – Nursing Assignment

1. Distinguish the transformation in skill acquisition from novice to expert. 
2. Analyse the major theoretical foundations of leadership and teamwork skills in nursing. 
3. Explain clinical governance in relation to nursing practice 
4. Apply communication theory, conflict resolution and negotiation skills to challenging interactions and situations in nursing practice. 
5. Assess and effectively utilise information technology within health care contexts. 
6. Apply the skills and attitudes of self-directed, reflective learning in setting and meeting your current and future learning needs. 
7. Evaluate selected models of care in relation to the needs and safety of health care consumers across the lifespan. 
8. Synthesise evidence to support proposals for innovation and change to enhance service delivery and improve health outcomes. 
9. Debate the legal and ethical implications of advocacy in professional nursing practice.

Q

Frank, a widower, had a serious stroke and is no longer capable of caring for himself. He has three sons, all of whom live in different states. Because they are unable to care for Frank in their homes, his sons have placed him in a nursing home equipped to provide medical and nursing care. Total nursing home expenses amount to $36,000 per year. Of this amount, $15,000 is directly attributable to medical and nursing care. Frank’s Social Security benefits are used to pay $10,000 of the nursing home charges. He has no other income. His sons plan to split the remaining medical expenses equally.

a. What portion of the nursing home charges is potentially deductible as a medical expense?

b. Can you provide Frank’s sons with a tax planning idea for maximizing the deduction for his medical expenses?

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Viral and bacterial infections

Question Description

WEEK 8 ASSIGNMENT. NURS 6521, Advanced pharmacology

APA FORMAT PLEASE

Write a 2– page paper that addresses the following:

  • Describe the categories of antimicrobial agents.
  • Describe differences between viral and bacterial infections.
  • Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.

Assignment: 
Antimicrobial Agents

Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death. Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection. In this Assignment, you consider the appropriate use of antimicrobial agents for infections.

To prepare:
  • Review this week’s media presentation on principles of antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
  • Consider the categories of antimicrobial agents.
  • Think about differences between viral and bacterial infections.
  • Reflect on why proper identification of the infection is key to selecting the proper antimicrobial agent.

Write a 2– page paper that addresses the following:

  • Describe the categories of antimicrobial agents.
  • Describe differences between viral and bacterial infections.
  • Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

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