Monthly Archives: May 2023

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

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. Refer to the LopesWrite Technical Support articles for assistance. 

13219 – 2 pages within 15 hrs Instructions attached

Of the major health concerns and objectives in the United States identified by Healthy People 2020, which in your opinion has the most impact on the health of the individuals, families, and the community? Why? Base your response on the topics listed here: https://www.healthypeople.gov/2020/topics-objectives

 1 page 1 sentence for each question

1. What are the mechanisms that result in dyspnea?
2. Paroxysmal nocturnal dyspnea (PND) is a result of: what disorder?
3. _____ is generally relieved by sitting up in a forward-leaning position.
4. Kussmaul respirations may be characterized which respiratory pattern?
5. What is the pathophysiologic mechanism of Cheyne-Stokes respirations?
6. Cyanosis generally develops when _______ g/dL of hemoglobin is desaturated, regardless of hemoglobin concentration.
7. What do hypoventilation and hyperventilation do to PaCO2 levels?
8. What is clubbing?
9. How do high altitudes produce hypoxemia?
10. How do pulmonary edema and pulmonary fibrosis cause hypoxemia?
11. Alveolar dead space is a result of which disorder?
12. Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration?
13. In _____ pleural effusion, the fluid is watery and diffuses out of the capillaries as a result of increased blood pressure or decreased capillary oncotic pressure.
14. What the causes of chest wall restriction?
15. _____ atelectasis is the collapse of lung tissue caused from the lack of collateral ventilation through the pores of Kohn.
16. In _____ bronchiectasis, both constrictions and dilations deform the bronchi.
17. What are some similarities between silicosis and asbestosis?
18. _____ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury.
19. What are the causes of pulmonary edema?
20. Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _____ mm Hg.
21. In ARDS, inflammatory mediators such as proteolytic enzymes, oxygen free radicals, prostaglandins, leukotrienes, and platelet-activating factor are released by which cells?
22. What is the cause of pulmonary edema in ARDS?
23. In ARDS, what causes the alveoli and respiratory bronchioles to fill with fluid?
24. Which type of pulmonary disease requires more force to expire a volume of air?
25. Which immunoglobulin may contribute to the pathophysiology of asthma?
26. Which inflammatory mediators are produced in asthma?
27. _______ increases in asthma because of the effect of inflammatory cytokines, tumor necrosis factor-alpha (TNF-a), and IL-1.
28. What are the clinical manifestations of asthma?
29. The most successful treatment for chronic asthma begins with _______.
30. Which bacteria become embedded in the airway secretions in chronic bronchitis?
31. What are the clinical manifestations of chronic bronchitis?
32. _____ involves an abnormally enlarged gas-exchanged system and the destruction of alveolar walls.
33. What is the best way to delayed the progression of chronic bronchitis?
34. How does smoking contributes to emphysema?
35. What are the clinical manifestations of emphysema?
36. What is the most common route of lower respiratory tract infection?
37. What are the clinical manifestations of pneumonia?
38. In tuberculosis, what is activated to attack the bacilli?
39. What is a circumscribed area of suppuration and destruction of lung parenchyma called?
40. Pulmonary hypertension results from which alteration?
41. What are the clinical manifestations of pulmonary hypertension?

Chapter 37: Alterations of Pulmonary Function in Children

1. How does chest wall compliance in infants compare to adults?
2. Why is nasal congestion a serious threat to young infants?
3. The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born after _____ weeks of gestation.
4. Which type of croup is most common?
5. What are the clinical manifestations of croup?
6. What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?
7. What is the primary cause of RDS of the newborn?
8. What is the primary problem in RDS of the newborn?
9. What is the sequence of events after atelectasis develops in respiratory distress syndrome of the newborn?
10. Bronchiolitis tends to occur during the first years of life and is most often caused by which infection?
11. What are the clinical manifestations of bacterial pneumonia in children?
12. Which immunoglobulin is present in childhood asthma?
13. Which T lymphocyte phenotype is the key determinant of childhood asthma?
14. Which cytokines activated in childhood asthma produce an allergic response?
15. Write a description of childhood asthma.
16. Write a description of acute respiratory distress syndrome (ARDS).
17. What do fibroblast growth factors cause in ARDS?
18. In ARDS, how does a diffuse pulmonary thrombosis contribute to pulmonary edema?
19. Write a description of cystic fibrosis.
20. What is the cause of cystic fibrosis (CF)?
21. What are the abnormalities in cytokines found in children with cystic fibrosis?
22. Sudden infant death syndrome (SIDS) occurs most often between _____ and _____ months of age.

Barbara receives an email from her manager asking about the progress of the strategic plan. The manager informs Barbara that UCCO is wanting to implement a new electronic health record (EHR), to improve the overall process of providing quality patient care; and organizational challenges. After her discussion, Barbara realizes that she would need to complete a situational analysis. By performing a situational analysis, planners can help anticipate and manage change. Understanding the internal and external environment is also critical to an effective strategic plan. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses.

For this project assignment on UCCO, complete a minimum of a 1-2 page report and two SWOT tables to describe key opportunities, threats, strengths, and weaknesses in selecting an electronic record system. Your written report should address the following concepts:

Visit the Rasmussen online Library and search for a minimum of 2 articles covering the topics of electronic health record implementation. Conduct academic research using the library’s databases, like:

• CINAHL
• Discovery
• Business Source Complete via EBSCO
• Business via ProQuest
• What is the current economic situation for UCCO? What suggestions can Barbara make to help mitigate financial issues? Use the financial review provided in the UCCO case.
• What type of electronic record system should Barbara recommend for the company? What is her best option? What are the financial implications? Explain the choice based on what the system can provide in comparison to the organizational challenges?

Visit the Internet and search for a minimum of 2 electronic health record systems. Search for types of EHR systems.

To complete this assignment, construct two situational/SWOT analysis tables – one for each electronic record system being considered – that contains the following:

• External influences – opportunities and threats.
• Internal influences – strengths and weaknesses.
• Trends that can impact clinic performance, market and financial position
• EHR System functions and capabilities
• EHR End-user requirements and ease of use

Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations.

Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.

1. Identify chronic illness and its relationship to rehabilitation.
   Choose from one:
   COPD, CHF, Stroke, Hip fracture
2. Create interventions that support an older adult’s adaptation to the chronic illness or disability.
3. Describe the nurse’s role in assisting older adults in managing chronic conditions.
4. From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

Submission Instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 5 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to APA style

TURNITIN LESS THAN 20%

What is a True Belief?

Explain the four truth tests and illustrate each with an example of a belief that would be true by its standards. Remember to explain specific theories with supporting citations from the textbook and online lectures.  

USE ONLY  Mitchell, H. B. (2015). Roots of Wisdom: A Tapestry of Philosophical Tradions, 7th. Cengage Learning, ISBN 9781285197128 AS A REFRENCE 

Prior to class, and after reading/viewing the module assignment, select one of the following, and conduct an assessment.

• Head
• Face
• Neck
• Skin
• Hair
• Nails

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook.

Then, document your findings and bring them to class.

Your instructor may ask that you submit your documentation. If so,

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below

 Week 4: Writing Assignment Instructions

You are working in the community as a part of the county health department.  You are writing from a health perspective as an educator for the community. Select two out of the following four discussion questions for your writing assignment:

• Why are lifestyle and health behaviors significant for the adult age group compared to other age groups?
• How can community health efforts affect the leading causes of death for the adolescent and the young adult age group?
• What can happen to increase the likelihood of older adults utilizing community facilities and services?
• How will the changing demographics of older adults affect healthcare services?

Support your responses from the literature, using at least 3 scholarly resources, of no more than 5 years of age. Scholarly references  Your textbook is a good source of information and can be cited and referenced.  A scholarly resource is defined as an evidence-based practice; peer-reviewed journals; textbook; and national standard guidelines. Your paper should be in APA format 7th edition, 3-5 pages in length, not counting the title page and reference page. 

Use Checkpoint to check your draft for plagiarism.

  Choose one of the following question please 

Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?

During this hospital stay, how often did nurses listen carefully to you?

During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?

Question: provide system based solution from the article.

Do not include increasing staffing as your solution.