How will the RN update the plan of care?

The RN is updating the plan of care for a patient with a medical diagnosis of pneumonia. The patient was admitted yesterday, with a respiratory rate of 28, crackles in the right middle and lower lobes, a dry cough, and oxygen saturation of 90% on room air. The patient was using a bedside commode until earlier today, because of shortness of breath with any activity. The following nursing diagnoses and outcomes were included in the plan of care at the time of admission:

Nursing diagnosis: Impaired gas exchange related to ventilation perfusion imbalance as evidenced by oxygen saturation of 90%.

Expected outcome: Patient will demonstrate oxygen saturation greater than 95% within 24 hours.

Nursing diagnosis: Ineffective airway clearance related to retained secretions as evidenced by crackles in the right middle and lower lobes.

Expected outcome: Patient will demonstrate clear breath sounds in bilateral upper and lower lobes within 24 hours.

Nursing diagnosis: Ineffective breathing pattern related to hyperventilation as evidenced by shortness of breath and RR of 28 breaths per minute.

Expected outcome: Patient will demonstrate RR between 12-20 breaths per minute within 24 hours.

Nursing diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by shortness of breath when ambulating.

Expected outcome: Patient will demonstrate no shortness of breath with ambulation within 24 hours.

The patient has been receiving treatment for the past 24 hours, and currently has a respiratory rate of 20 breaths per minute, crackles in the right lower lobe, breath sounds clear in all other lobes, oxygen saturation of 94% on 2 liters of oxygen via nasal cannula, and denied shortness of breath when ambulating to the bathroom an hour ago.

Initial Discussion Post:

  • How will the RN update the plan of care?
  • Include one intervention to address each of the nursing diagnoses that are still applicable.
  • What criteria will be used to determine if the remaining applicable nursing diagnoses have resolved?

Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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>Management homework help

Please make sure that it is your own and not copy and paste off of someone else work. Make sure you watch out for spelling and grammar errors. Please read the study guide. This is a DBA course and needs to be done on this level.
Book reference: Johnson, C. E. (2019). Organizational ethics: A practical approach (4th ed.). SAGE. https://online.vitalsource.com/#/books/ 9781506361765
You have been tasked with creating a transition plan for REM closing its production facilities in three rural areas. The plan will involve assisting workers in finding other work, offering retraining, offering a severance package, or assisting in relocation to a new facility. Thinking about the corporate social responsibility topics from our readings, what will your main concerns be regarding human resources and leaving the communities that have supported the company for so many years? How will you incorporate these concerns in your transition plan?
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    UnitVIIBusinessethicstudyguide.pdf
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Clinical inquiry

Purpose: Discussion class 505 .Unit 1

Things to remember:

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

To Discuss:

Clinical inquiry will be expressed in the PICOT format (review your text on this):

· Population

· Intervention

· Comparison

· Outcome

· Time

In order to avoid going insane, it is a good idea to use your practice setting as a starting place. Think about some of the things that you do and why you do them. Is there a better way? Are your patient’s experiencing outcomes that are less than optimal? Might there be more effective interventions?

Elements of your PICOT should be narrow and specific. For example: for population, using MedSurg patients is much too general. Be specific. A good example of a specific population would be geriatric patients status post total knee replacement.

https://kaplan.brightspace.com/content/enforced/39849-042-1705C-MN504-01-2316289/topic%202.jpg?_&d2lSessionVal=XTm6OlZv3ngt2oMPvPGURYfky

After you have identifed your clinical inquiry, you need to look for any evidence you can find (at the library) to support the practice or on which to base a practice change. Post your PICOT and evidence by Sunday night.

Please–no topics involving patient falls or handwashing, unless of course these are a VERYserious issue at your practice sight.

Keep in mind that your clinical inquiry will be refined and even possibly change completely during the course of this term. It does not have to be perfect this week. I will give you feedback on your Unit 1 Discussion Topic 2 in order to help get you off on the right track.

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>Sociology homework help

Getting Started
The cycle of poverty has been described as a phenomenon where poor families become trapped in poverty for generations. Because they have no or limited access to critical resources, such as education and financial services, subsequent generations are also impoverished. How we can break this cycle of poverty? In most cases, the cycle of poverty is systemic in nature, meaning action needs to be taken to combat the root causes of poverty. Through leadership in the policy arena, social workers can assist in the development and implementation of policy to advance human rights as well as social, economic, and environmental justice for disenfranchised populations.
Upon successful completion of this discussion, you will be able to:
Analyze policies with regard to advancement of human rights and social, economic, and environmental justice. (PO 5, ILO 5)
Demonstrate character, scholarship, and leadership in becoming a world changer through application to personal life and professional social work practice.
Demonstrate Christ-like attitudes, values, worldviews, and ethical and professional behavior within advanced clinical practice. (ILO 1)
Resources
Video: Breaking the Cycle of Poverty
Video Link: https://fod-infobase-com.eu1.proxy.openathens.net/p_ViewVideo.aspx?xtid=93438
Background Information
Poverty is the root of many problems and can seem impossible to fight. In this assignment, you will watch a video about activists and individuals fighting poverty in West Virginia. The video highlights ways those in the social services profession can engage in the plight of others.
 
Instructions
Review the rubric to make sure you understand the criteria for earning your grade.
Watch the 35-minute video, Segments 1–9, “Breaking the Cycle of Poverty,”. Transcript is available on the video site. (If you are not already logged in to the Off-Campus Library Services (OCLS) website, you will be prompted to enter your MyIWU login and password.)
For the first question of this discussion please identify what policy you will be analyzing during this course.
Navigate to the threaded discussion and respond to three of the following question sets:
What insights did the video give you into poverty in the United States? Were you aware of the economic, social, and educational challenges in communities across the country? What information surprised you the most?
In the video, Nicholas Kristof refers to the “invisibility” of poverty in this country. Do you agree that poverty is an invisible issue in the United States? When you encounter reporting about poverty, how are the stories told? Who are the subjects? What parts of the world are featured? Do you see poverty in your community? If so, what does it look like?
In the video, Truffles did not discover that her son Johnny was nearly deaf until he was 18 months old. Why do you think his condition went unnoticed for so long? What factors do you think cause children in poor communities to be at greater risk for health problems?
Evidence suggests that home visitation programs help improve early childhood development. What other changes need to happen at the policy level to ensure that the most vulnerable children in our society don’t slip through the cracks?
In this country, how aware do you think most people are of the issues presented in the film? Why do you think people may not be more aware? What can be done to raise the profile of these issues?
Which story or issue resonated most deeply with you? Why?
What actions do you think you can take as an individual or as a group to make a difference in addressing one or more of the issues in the video?
Sometimes we see something that moves us and we are momentarily inspired to act. Often, though, that momentum gives way as we move back into thinking about our daily lives. What can we do to maintain awareness of our wider world and particularly the inspiration we feel to make a difference?
Your initial post is due by the end of the fourth day of the workshop.
Read and respond to at least two of your classmates’ postings, as well as all instructor follow-up questions directed to you, by the end of the workshop.
Your postings also should:
Be well developed by providing clear answers with evidence of critical thinking by providing evidence from workshop resources to support responses (with APA citation).
Add greater depth to the discussion by introducing new ideas.
Provide clarification to classmates’ questions and provide insight into the discussion.
Be posted on two different days during the workshop.
Review the rubric that your instructor will use to evaluate your work. Self-assess your initial post and response using the rubric and make improvements as needed to meet expectations and ensure that your work fulfills all the requirements

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HEALTH AND WELLNESS

NR‐222 HEALTH AND WELLNESS  REQUIRED UNIFORM ASSIGNMENT: HEALTH PROMOTION PROJECT  PURPOSE  To apply concepts you have learned about health promotion concepts and strategies, enhance your written  communication skills, and demonstrate a beginning understanding of cultural competency. 

COURSE OUTCOMES This assignment enables the student to meet the following course outcomes.  CO #1 Discuss the professional nurse’s role in health promotion activities. (PO #1 & 2)  CO #3 Discuss health promotion, illness prevention, health maintenance, health restoration, and  rehabilitation in relation to the nurse’s role in working with various populations. (PO #1 & 2)  CO #7 Identify health promotion strategies throughout the life span. (PO #1 & 2) 

DUE DATE  The Health Promotion Project (RUA) is due in Unit 5. However, refer to the Course Calendar for variations in  campus requirements and details. The Late Assignment Policy applies to this assignment. 

TOTAL POINTS POSSIBLE 100 Points  REQUIREMENTS 

1.  Identify a health problem or need for health promotion for a particular stage in the life span of a population  from a specific culture in your area (this might include age and gender population as well). Choose one of the  Leading Health Indicators (LHI) priorities from Healthy People 2020 (see the Healthy People.gov 2020 Leading  Health Indicators website link in the Assignment section for Unit 2 under “Web Links). Students in a cultural  concentration will use that specific cultural focus to complete this assignment. 

2.  Research a topic related to health and wellness associated with one of the Healthy People 2020 topic areas.  Students in a cultural concentration will use that specific cultural focus to complete this assignment. 

3.  Submit your topic to the instructor for approval at least 2 weeks prior to the assignment (during Unit 3) but  earlier if desired. All topics must be approved. 

4.  You will develop an educational health promotion project addressing the population/culture in your area. For  or example, if you are in the Hispanic concentration, your project might be educational interventions to  address how food choices are related to the high rates of diabetes among Latinos; or,  a community project  that addresses the statistic that Hispanics experience new HIV infections at more than twice the rate of whites;  or, finding opportunities to intervene with Puerto Ricans, a Hispanic subculture, who suffer asthma at twice  the rate of the general population (2020 LHI Topic Three: Environmental Quality: (see the Healthy People.gov  2020 Leading Health Indicators website link in the Assignment section for Unit 2 under “Web Links). 

5.  General expectations   All articles must be from nursing or scholarly journals and should include health promotion and wellness 

content. Articles must be published within the last five (5) years. If you are unsure whether the article is  appropriate, ask your instructor. You could lose significant points if the article is not from a scholarly  source and/or appropriate to the topic. 

 Please ask questions if you need clarification. 

NR‐222 HEALTH AND WELLNESS

NR222 RUA Health Promotion Project Guidelines.docx Revised 06/2016 psb 2

PREPARING THE ASSIGNMENT  1.  Writing the Paper: You will explore the topic and explain the information in writing a 3‐4 page APA formatted 

paper.   

a.    Select a minimum of three (3) scholarly nursing or research article (published within the last 5 years) related  to your topic that include health promotion and wellness content. Students in a cultural concentration will  select at least one article specifically related to the cultural focus for this assignment. You may need to  evaluate several articles before you find appropriate selections. For more information on how to choose a  scholarly article, open the “Course Resources” tab under the “Course Home” Menu to the left of your  Learning Studio (eCollege) course page and open “What Is a Scholarly Source.” 

b.   Write a 3‐4 page paper (excluding the title and reference pages) using the following guidelines:   Write brief introduction of the topic and describe why it is important to health promotion in the 

specific cultural population in your area.   Include a description of the topic and the targeted sub culture or population (include statistics).   Explain how the project relates to the Healthy People 2020 topic area you have chosen.   Summarize the articles; include key points or findings from the articles.   Discuss how you used the information from the articles for your Health Promotion Project. Provide 

specific examples.   Describe the approach/approaches you developed to educate the target population about the topic. 

Include specific ways to promote lifestyle changes within the specified population relative to your  specific culture. The approach should be appropriate for your cultural concentration. 

 Write your conclusion and summary.   

c.  Your paper must follow APA format. Include a title page and a reference page. Use 12‐point Times New  Roman font and include in‐text citations (use citations whenever paraphrasing, using statistics, or quoting  from the article). Please refer to your APA manual as a guide for in‐text citations and sample reference  pages. 

  d.   Use TurnItIn in time to make any edits that might be necessary based on the Similarity Index prior to 

submitting your paper to your instructor. Consult with your instructor about the acceptable Similarity  Index for this paper. 

NR‐222 HEALTH AND WELLNESS

NR222 RUA Health Promotion Project Guidelines.docx Revised 06/2016 psb 3

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Criminal homework help

Instructions

Identify a contemporary environmental concern in the United States or Canada that is of interest to you. It may relate to a community in which you are a member, or it may be in a place in which you have never been. In the report you will explore the nature of the concern, its history, and the community’s response to the condition/hazard by answering ALL of the following prompts/questions:

  • Describe the background of the issue/concern. Where does it occur? (Neighborhood? County? State?) Why is this happening? For how long?
  • Explain how and why this is an environmental justice concern. How is this issue related to the definition of environmental justice?
  • How many people are affected? Which groups of people are most affected?
  • What are the actual and potential environmental impacts?
  • What are the potential health impacts or risks? Consider non-humans too.
  • What are the socio-economical impacts?
  • Which organizations or agencies are involved? What are their tactics? Have they been effective? Include discussion of grassroots orgs and community groups.
  • What alternatives have been developed to resolve this conflict/concern, if any? Describe them and their feasibility.
  • How can this issue be better understood using the pillars of critical environmental justice or another theoretical framework?

Your analysis should rely on a combination of theory, research, agency reports, and secondary data that are available through existing websites, such as EJ Atlas (Links to an external site.), EJ Screen (Links to an external site.), or the Census (Links to an external site.). Cite data, news, and AT LEAST FOUR (4) scholarly sources (books and journal articles) relevant to your case.
 

Guidelines

You will submit your report through Canvas by December 1, 2020 and it will be reviewed through TurnItIn. Please do not turn in a paper for another class that has no relevance to environmental inequality and justice. Here are the guidelines for the paper:

  • Must be typed, doubled-spaced, and 8-10 pages, excluding references.
  • All unoriginal ideas and concepts must be properly cited using the American Sociological Association (ASA) format.
  • All papers must be submitted to Canvas by the day that they are due. E-mailed papers will NOT be accepted.
  • Late papers will receive a 10-point penalty for every DAY that they are late, up to 2 days. No papers will be graded after 2 days from the due date.
  • Each report will be read thoroughly and graded based on:
    • overall presentation of the concepts including grammar, spelling, punctuation, paragraphing,
    • your ability to follow directions and completely answer all questions,
    • the level of critical thinking displayed,
    • clarity and order of argument/ideas, and
    • accurate use of sociological concepts and supporting examples or data.

This was my Case study Draft I did. You must continue to write about this only. Check the upload….
Please put the references in order.

  • attachment

    CaseStudyDraft1.docx
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How does the use of data mining, EHRs/EMRs, Telehealth and the use of technology in nursing education and research influence the decision-making process?

Nurse Leader Only 🙂

for 1-2 page Essay,  

Must Have: Evidenced Based Source Citation

Subject: MSN Essential V: Nursing Informatics

Three Questions:

Nursing Leadership & Management  RN-MSN—APA

Please review the Masters Essential V: Informatics and Healthcare Technologies: Recognizes that the master’s-prepared nurse uses patient-care technologies to deliver and enhance care and uses communication technologies to integrate and coordinate care.

1)   How does the use of data mining, EHRs/EMRs, Telehealth and the use of technology in nursing education and research influence the decision-making process?

2)   What are some benefits and consequences of the growing use of technology in healthcare settings to address the complex care-related issues, with which providers are often faced? 

3)   Provide current scholarly and evidence-based sources to support your discussion.

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Evaluation of Argument Essay Prompt: Which of the two writers we studied for this unit do you believe makes the most effective argument, Schumaker or Twenge? Write a paper developing your position on the strongest argument of the two. You should start with some pre-writing on the issue to discover your position and the criteria (standards) you will use. Then once you have a thesis decide on what reasons you will give for its support. These reasons will be your topics sentences in body paragraphs. The introduction should help your paper read as a stand-along essay rather than as a mere response to a question asked by a professor. Then flesh out examples and evidence for each body paragraph and write the first draft. Put it aside and return to it a couple of days later to see whether there is a clear thesis, whether each paragraph has a topic sentence (reason) that supports the thesis, and whether evidence in each paragraph relates to the topic sentence. Check transitions, word choice, and edit and proofread. Follow the guidelines for format in the syllabus. Upload the paper for peer and self-assessment by the set deadline. You will then go through the assessment activity, and finally upload the revised paper by the stated deadline. Structure: You can choose any of the two articles you want, but make sure you are clear in your choice and the reasons for choosing it. Also, be fair—since the essay you did not choose has some great strength also, acknowledge it. Or, you can instead choose to acknowledge some weakness your own choice has (or do both in the concession paragraph). Of course, being fair does not mean being ambivalent. You will still make it clear you find your choice the strongest. Sources: The two articles will be the sources you will use for this paper, with no other sources needed or expected. You will create a works cited page entry for it with the two articles. For whatever you use in your essay from the articles, put it in quotation marks and indicate the page number in parenthesis, or if you paraphrase it or use an idea from it put just the page number in the parenthesis. Audience: Your audience will be readers who are considering which of the two articles to include in a college textbook and who are leaning toward the opposite selection of the one you made. Length: Papers should be at least 900 words (minimum) Grading: I will grade you on the following criteria: Element Points A clear structure with a thesis in the introduction, topic sentences for each body paragraph, and conclusion; the title, introduction, and conclusion are engaging. 15 The paper clearly reaches out to its audience. This is evident throughout in tone, and especially in the concession paragraph. 15 Body paragraphs have sufficient evidence for each topic sentence and are focused. Paragraphs have adequate downshifting. The paper clearly reaches out to its audience. 20 There is appropriate use of sources (not extensive—simply strategic) 20 The paper is written in eloquent prose, and there are no frequent errors in grammar, sentence structure and other mechanics. There are effective transitions between paragraphs and diction and sentence structure are appropriate for the college level. There is appropriate sentence variety. 15 The writer has followed the guidelines for a paper’s form in the syllabus 5 Entries for Works Cited: Schumaker, John F. “The Paradox of Narcissism.” The Aims of Argument: A Text and Reader, edited by Timothy W. Crusius and Carolyn E. Channell, 7th ed., McGraw-Hill Education, New York, NY, 2015, pp.185-188. Twenge, Jean. “Changes in Narcissism.” The Aims of Argument: A Text and Reader, edited by Timothy W. Crusius and Carolyn E. Channell, 7th ed., McGraw-Hill Education, New York, NY, 2015, pp. 189-191. attachment Schumaker1.pdf attachment Twenge.pdf

 Evaluation of Argument Essay
Prompt: Which of the two writers we studied for this unit do you believe makes the most effective argument, Schumaker or Twenge?
Write a paper developing your position on the strongest argument of the two. You should start with some pre-writing on the issue to discover your position and the criteria (standards) you will use. Then once you have a thesis decide on what reasons you will give for its support. These reasons will be your topics sentences in body paragraphs. The introduction should help your paper read as a stand-along essay rather than as a mere response to a question asked by a professor. Then flesh out examples and evidence for each body paragraph and write the first draft. Put it aside and return to it a couple of days later to see whether there is a clear thesis, whether each paragraph has a topic sentence (reason) that supports the thesis, and whether evidence in each paragraph relates to the topic sentence. Check transitions, word choice, and edit and proofread. Follow the guidelines for format in the syllabus. Upload the paper for peer and self-assessment by the set deadline. You will then go through the assessment activity, and finally upload the revised paper by the stated deadline.
Structure: You can choose any of the two articles you want, but make sure you are clear in your choice and the reasons for choosing it. Also, be fair—since the essay you did not choose has some great strength also, acknowledge it. Or, you can instead choose to acknowledge some weakness your own choice has (or do both in the concession paragraph). Of course, being fair does not mean being ambivalent. You will still make it clear you find your choice the strongest.
Sources: The two articles will be the sources you will use for this paper, with no other sources needed or expected. You will create a works cited page entry for it with the two articles. For whatever you use in your essay from the articles, put it in quotation marks and indicate the page number in parenthesis, or if you paraphrase it or use an idea from it put just the page number in the parenthesis.
Audience: Your audience will be readers who are considering which of the two articles to include in a college textbook and who are leaning toward the opposite selection of the one you made.
Length: Papers should be at least 900 words (minimum)
Grading: I will grade you on the following criteria:
Element
Points
A clear structure with a thesis in the introduction, topic sentences for each body paragraph, and conclusion; the title, introduction, and conclusion are engaging.
15
The paper clearly reaches out to its audience. This is evident throughout in tone, and especially in the concession paragraph.
15
Body paragraphs have sufficient evidence for each topic sentence and are focused. Paragraphs have adequate downshifting. The paper clearly reaches out to its audience.
20
There is appropriate use of sources (not extensive—simply strategic)
20
The paper is written in eloquent prose, and there are no frequent errors in grammar, sentence structure and other mechanics. There are effective transitions between paragraphs and diction and sentence structure are appropriate for the college level. There is appropriate sentence variety.
15
The writer has followed the guidelines for a paper’s form in the syllabus
5
Entries for Works Cited:
Schumaker, John F. “The Paradox of Narcissism.” The Aims of Argument: A Text and Reader, edited by Timothy W. Crusius and Carolyn E. Channell, 7th ed., McGraw-Hill Education, New York, NY, 2015, pp.185-188.
Twenge, Jean.  “Changes in Narcissism.” The Aims of Argument: A Text and Reader, edited by Timothy W. Crusius and Carolyn E. Channell, 7th ed., McGraw-Hill Education, New York, NY, 2015, pp. 189-191.
  • attachment

    Schumaker1.pdf
  • attachment

    Twenge.pdf
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Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

QUESTION

Nursing homework

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse. At least 250 words with one reference not older than 5 years and intext citation 

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What are the steps to take when sexual harassment occurs in the workplace?

BOOK: 

Essential of Nursing Law and Ethics

by Susan J. Westrick and Katherine Dempski

Chapter 40 to42 

Topic to choose:

Please Choose only 1 from below to write about it

· Sexual Harassment in the Workplace.

· Violence in the Workplace.

· Intentional Torts

Please answer ONE of the following Discussion Questions. 

Please be certain to include the number of the DQ being answered and provide a well-developed and complete answer to receive credit. 

DQ-1 What are the steps to take when sexual harassment occurs in the workplace?

DQ-2 What is Risk Management and what are their strategies to minimize violence in the workplace?

DQ-3 What is the difference between an intentional and a quasi-intentional tort?

Directions:

1. Write a summary (700 words minimum) about the topic answering the question.

2. You must write two replies to 2 class peers in different paper that the assignment # 1 (250-300words)sustained with the proper references and make sure that the references that you use in your assignment are properly quoted in it. 

DIRECTION: 

1. The assignment in an APA format word document, Time New Roman 12 font 

2. It will be checked by Turnitin to verify originality.

3. The references used in the assignment must be quoted in the assignment. If it is not in quoted it will be considered plagiarism. 

4. A minimum of 3 evidence-based references besides the class textbook must be used and one of them must be from a gerontological nursing magazine. 

If you have any questions you can contact me via email. 

Due date Friday July 26th at lunch time …3 day from NOW 

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