Nursing  12519-1pg-within 6hrs

Instructions attached.The work is in scenario form the writer needs to read and answer the questionWhat was the writer waiting for to just say that she can not understand the working instruction ?

 
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Nursing  Assignment: Adaptive Response

Consider the following scenarios:Scenario 1:Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.Scenario 2:Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.Scenario 3:Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.To PrepareReview the three scenarios, as well as Chapter 6 in the Huether and McCance text.Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.Review the Application Assignment Rubric found under Course InformationTo CompleteWrite a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

 
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Nursing  Pediatric Nursing: Ethical Dilemma

Should nurses who missed opportunities to identify abuse be held responsible for the death of a child?For this assignment, you will examine an ethical dilemma that exists in pediatric settings. You will examine the ethical dilemma from two opposing positions and consider ethical principles, conflict.1. Discuss possible outcomes of both positions. Present a plan for resolving the issue (for the patient, family, and the nurse). Support ideas with scholarly literature. between the principles, and the relationship of the ANA Code of Ethics in relation to both positions.2. A reflection of own values and morals as it relates to the ethical dilemma.Use this link to take you directly to the ANA website to access the Code of Ethics. When prompted, choose “No I do not wish to register at this time. Take me to the Code now.” https://www.nursingworld.org/practicepolicy/nursing-excellence/ethics/code-of-ethics-for-nurses/Use at least three (3) scholarly, nursing, peer-reviewed, primary sources from the last 5 years.

 
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Nursing  Nurses as Leaders in Healthcare Reform

Minimum 3 peer reviewed articles/scholarly studies within the last 5 yearsAPA format3 to 5 pages (excluding cover page and reference page)

 
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Nursing  Teamwork

Over the past month, every member of the Intravenous (IV) Therapy Team has complained to you about the IV Team supervisor. Her direct reports, all RNs, agree that she is technically superb. However, their comments include statements that she is “hyper-critical,” “demeaning,” and that they “feel bad” about coming to work. It would be extremely difficult to find a replacement for this supervisor; however, if you don’t do something, it looks as if the entire IV Team will resign. What should you do?Must be at least 250 words

 
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Nursing  Public Speaking 8.1

Public SpeakingDetailsAssignment 8.1: CORE CompetencyThis assignment supports the following lesson objective:1.5 Use effective speaking style and language when delivering a speechAssignment OverviewThis practice exercise explores four styles that effective speakers use when delivering speeches. Completing this exercise will help you prepare to use elements of the four styles when delivering speeches to maximize the impact of your message.DeliverablesA one- to two-page document (12-point font, 300 to 600 words) written in a word processor, such as MS WordAssignment DetailsIn this activity, you will read transcripts of sections from three different speeches. Then you’ll select the speech excerpt that is the most interesting to you and answer some questions related to the speaker’s style and language choices.Perform the following tasks:Step 1: Review the information presented in the lesson that explores styles used to deliver presentations.In particular, focus on the styles identified as the CORE styles:Clear StyleOral StyleRhetorical StyleEloquent StyleStep 2: Read the following excerpts from three different speeches.Analyze each speaker’s style and language strategies. Identify which CORE style(s) each speaker uses.Oprah Winfrey Receives the first Bob Hope Humanitarian Award – September 22, 2002 (fromhttp://famous-speeches-and-speech-topics.info/famous-speeches-by-women/oprah-winfrey-speech.htm (Links to an external site.))”Thank you everybody. Thank you Tom, and Bob and Dolores, who are home watching I hope, thank you so much, and to everyone who voted for me.There really is nothing more important to me than striving to be a good human being. So, to be here tonight and be acknowledged as the first to receive this honor is beyond expression in words for me. ‘I am a human being, nothing human is alien to me.’ Terence said that in 154 B.C., and when I first read it many years ago, I had no idea of the depth of that meaning.I grew up in Nashville with a father who owned a barbershop, Winfrey’s Barber Shop, he still does, I can’t get him to retire. And every holiday, every holiday, all of the transients and the guys who I thought were just losers who hung out at the shop, and were always bumming haircuts from my father and borrowing money from my dad, all those guys always ended up at our dinner table. They were a cast of real characters—it was Fox and Shorty and Bootsy and Slim. And I would say, ‘Bootsy, could you pass the peas please?’ And I would often say to my father afterwards, ‘Dad, why can’t we just have regular people at our Christmas dinner?’—because I was looking for the Currier & Ives version. And my father said to me, ‘They are regular people. They’re just like you. They want the same thing you want.’ And I would say, ‘What?’ And he’d say, ‘To be fed.’ And at the time, I just thought he was talking about dinner. But I have since learned how profound he really was, because we all are just regular people seeking the same thing. The guy on the street, the woman in the classroom, the Israeli, the Afghani, the Zuni, the Apache, the Irish, the Protestant, the Catholic, the gay, the straight, you, me—we all just want to know that we matter. We want validation. We want the same things. We want safety, and we want to live a long life. We want to find somebody to love. Stedman, thank you. We want to find somebody to laugh with and have the power and the place to cry with when necessary.The greatest pain in life is to be invisible. What I’ve learned is that we all just want to be heard. And I thank all the people who continue to let me hear your stories, and by sharing your stories, you let other people see themselves and for a moment, glimpse the power to change and the power to triumph.Maya Angelou said, ‘When you learn, teach. When you get, give.’ I want you to know that this award to me means that I will continue to strive to give back to the world what it has given to me, so that I might even be more worthy of tonight’s honor.Thank you.”President Obama’s Speech to a Joint Session Of Congress, February 24, 2009 (fromhttp://www.cbsnews.com/stories/2009/02/24/politics/main4826494.shtml#ccmm (Links to an external site.))“Now, I understand that when the last administration asked this Congress to provide assistance for struggling banks, Democrats and Republicans alike were infuriated by the mismanagement and the results that followed. So were the American taxpayers. So was I. So I know how unpopular it is to be seen as helping banks right now, especially when everyone is suffering in part from their bad decisions. I promise you—I get it.But I also know that in a time of crisis, we cannot afford to govern out of anger, or yield to the politics of the moment. (Applause.) My job—our job—is to solve the problem. Our job is to govern with a sense of responsibility. I will not send—I will not spend a single penny for the purpose of rewarding a single Wall Street executive, but I will do whatever it takes to help the small business that can’t pay its workers, or the family that has saved and still can’t get a mortgage. (Applause.)That’s what this is about. It’s not about helping banks, it’s about helping people. (Applause.) It’s not about helping banks, it’s about helping people. Because when credit is available again, that young family can finally buy a new home. And then some company will hire workers to build it. And then those workers will have money to spend. And if they can get a loan, too, maybe they’ll finally buy that car, or open their own business. Investors will return to the market, and American families will see their retirement secured once more. Slowly, but surely, confidence will return, and our economy will recover. (Applause.)So I ask this Congress to join me in doing whatever proves necessary. Because we cannot consign our nation to an open-ended recession. And to ensure that a crisis of this magnitude never happens again, I ask Congress to move quickly on legislation that will finally reform our outdated regulatory system. (Applause.) It is time—it is time to put in place tough, new common-sense rules of the road so that our financial market rewards drive and innovation, and punishes short-cuts and abuse.The recovery plan and the financial stability plan are the immediate steps we’re taking to revive our economy in the short term. But the only way to fully restore America’s economic strength is to make the long-term investments that will lead to new jobs, new industries, and a renewed ability to compete with the rest of the world. The only way this century will be another American century is if we confront at last the price of our dependence on oil and the high cost of health care; the schools that aren’t preparing our children and the mountain of debt they stand to inherit. That is our responsibility.”Response to President Obama’s Speech to Congress from Louisiana Governor Bobby Jindal (fromhttp://www.cnn.com/2009/POLITICS/02/24/sotn.jindal.transcript/ (Links to an external site.))“Today in Washington, some are promising that government will rescue us from the economic storms raging all around us.Those of us who lived through Hurricane Katrina—we have our doubts.Let me tell you a story.During Katrina, I visited Sheriff Harry Lee, a Democrat and a good friend of mine. When I walked into his makeshift office, I’d never seen him so angry. He was yelling into the phone: ‘Well, I’m the Sheriff and if you don’t like it you can come and arrest me!’ I asked him: ‘Sheriff, what’s got you so mad?’ He told me that he had put out a call for volunteers to come with their boats to rescue people who were trapped on their rooftops by the floodwaters. The boats were all lined up ready to go, when some bureaucrat showed up and told them they couldn’t go out on the water unless they had proof of insurance and registration. I told him, ‘Sheriff, that’s ridiculous.’ And before I knew it, he was yelling into the phone: ‘Congressman Jindal is here, and he says you can come and arrest him too!’ Harry just told the boaters to ignore the bureaucrats and go start rescuing people.There is a lesson in this experience: The strength of America is not found in our government. It is found in the compassionate hearts and the enterprising spirit of our citizens. We are grateful for the support we have received from across the nation for the ongoing recovery efforts. This spirit got Louisiana through the hurricanes and this spirit will get our nation through the storms we face today.To solve our current problems, Washington must lead. But the way to lead is not to raise taxes and not to just put more money and power in hands of Washington politicians. The way to lead is by empowering you, the American people. Because we believe that Americans can do anything.”Step 3: Copy and paste the following questions into a word processing document:Which speech excerpt did you select? Who was the speaker, and what was that speaker’s main topic?What CORE style(s) does the speaker use in his or her speech? Cite the choice of word phrases and other clues from his or her speech to justify your answer.Based on reading the transcript of the speech, write what you believe to be the speech’s specific purpose.What strategies did the speaker use to achieve the specific purpose of the speech?Based on the portion of the speech transcript that you read, do you believe the speaker was successful in achieving the specific purpose of the speech?How does style and word choice in this speech impact the effectiveness of the message?Step 4: Enter answers to the questions based on the speech excerpt you found most appealing.Step 5: Save and submit your document.When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the drop box

 
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Nursing  Advocacy Project

Instructions:Choose one of the numerous partners involved in global health (clinical care providers, governmental agencies, private foundations, corporations, intergovernmental groups, public-private partnerships, nonprofit organizations, the defense sector, universites, the media, and many others.) (In Miami, Florida, USA)Select a health related topic for which you want to advocate for. Request help from the agency/ entity of your choice in order to help the problem at hand.  Example: Request Apple to donate $1.00 for every iPhone they sell to provide clean water for the community in Bangladesh.Create a 7 to 10 slide PowerPoint presentation to deliver your message to the agency/ entity of your choice about the health related issue you want help with.Your slides should:first slide (after title slide) should explain at least three (3) objectives of your request.clearly state purpose of request to agency/ entity.show relevant and up to date statistic on the problem you are trying to advocate for. (include references)use references according to theAPA Style Guide.be original work, and will be checked for plagiarism.

 
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Nursing  Gastrointestinal Tract: Disorders of Motility

Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.To Prepare· Review this week’s media presentation on the gastrointestinal system.· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.ASSIGNMENT:Write a 2- to 3-page paper that addresses the following:· Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.· Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.· Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.Required ReadingsHuether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.· Chapter 35, “Structure and Function of the Digestive System”This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.· Chapter 36, “Alterations of Digestive Function”This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.· Chapter 37, “Alterations of Digestive Function in Children”This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.· Chapter 13, “Gastrointestinal Disease”This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.· Chapter 14, “Liver Disease”This chapter reviews the structure and function of the liver. It then explores the clinical presentation, etiology, pathogenesis, pathology, and clinical manifestations of three liver disorders: acute hepatitis, chronic hepatitis, and cirrhosis.· Chapter 15, “Disorders of the Exocrine Pancreas”This chapter begins by reviewing the anatomy, histology, and physiology of the exocrine pancreas. It then examines the clinical presentation, etiology, pathology, pathogenesis, and clinical manifestations of acute and chronic pancreatitis, pancreatic insufficiency, and pancreatic cancer.· de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology, 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787Required MediaLaureate Education, Inc. (Executive Producer). (2012c). The gastrointestinal system. Baltimore, MD: Author.This media presentation outlines the pathophysiology of the gastrointestinal system and associated alterations.

 
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Nursing  Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:BackgroundProblem statementPurpose of the change proposalPICOTLiterature search strategy employedEvaluation of the literatureApplicable change or nursing theory utilizedProposed implementation plan with outcome measuresIdentification of potential barriers to plan implementation, and a discussion of how these could be overcomeAppendix section, if tables, graphs, surveys, educational materials, etc. are createdReview the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.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.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 
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Nursing  family structures

What is a definition of family that encompasses the different family structures prevalent today? Discuss the importance of acknowledging nontraditional family structures. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional).add references, 250 words

 
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