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 Using the attached worksheet (Study Identification worksheet), 

• Using  the knowledge gained during your preparation and the flowchart at the  bottom of the Worksheet, you will review the pdfs of the 10 studies  linked below.
• Identify each study as follows by highlighting your choice on the document: 
• Is it a primary study, a secondary study, or “other” (neither)?
• If a primary study, is it quantitative or qualitative? (If it is not a primary study, leave the last two columns blank.)

 Give a narrative about what you are doing in the body from the pathogen’s( amoeba) point of view. How did you get into the body? In other words, how did the body inherit you? How do you move through the body? What path of destruction are you on? How will you wage battle against the body? How do you plan to win that battle? What will the body try to do to stop you? How will you fight back? Who wins? 

Use a scholarly article and cite APA format.

CASE STUDY #2 

Chief Complaint: “I have pain in my belly”

History of Present Illness (HPI): A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex

PMH: Patient denies

Drug Hx: Birth control

Allergies: NKA

Subjective: Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination

Objective Data:

PE: B/P 138/90; temperature 99°F;  (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 

General: acute distress and severe pain

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.

Lungs: CTA AP&L

Card:S1S2 without rub or gallop

Abd: INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round
• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted
• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable
• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area

GU: • EXTERNAL: mature hair distribution; no external lesions on labia
• INTROITUS: slight green-gray discharge, no lesions
• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls
• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)
• UTERUS: ante-flexed, normal size, shape, and position
• ADNEXA: bilateral tenderness with fullness; both ovaries without masses
• RECTAL: deferred
• VAGINAL DISCHARGE: green in color

Ext: no cyanosis, clubbing or edema

Integument: intact without lesions masses or rashes

Neuro: No obvious deficits and CN grossly intact II-XII

Then answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

–Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

This assignment should only be completed after you have posted the video: SEE ATTACHED VIDEO LINK: Substance Seeking Behavior therapy video

VIDEO LINK: https://youtu.be/whKPtou5rgI

Your reflection should address all of the following questions between 750 to 950 words. Appropriate spelling, grammar, and punctuation required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on number of references to include. Be sure to use APA format.

SEE VIDEO in order to complete this assignment, and also See the attached assignment example for references.

1. Which skills did you use in the section? How?
2. How did the assigned Corey readings, PowerPoints, Handouts, and videos inform your therapy session? Please explain in detail.
3. What were your strengths in the interview?
4. What were your weaknesses/areas in need of further development in the interview?
5. How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
6. Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
7. How were you impacted by the client…your emotions, thoughts, physical reactions, transference, and countertransference, body language?
8. What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
9. What was the quality of your engagement, your empathy?
10. If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

In relation to your partner:

1. What were the partners strengths in the interview?
2. What were the partners weaknesses/areas in need of further development in the interview?
3. How could your partner improve his/her interviewing skills?

Please, see also the attached assignment example for references.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Prepare a two to three page written assignment that includes the following:

Content:

Prepare a two to three page written assignment that includes the following:

• Introduction to the assignment (sections of the assignment)
• Describe the importance of the code of ethics in nursing
• Identify the American Nurses Association Standards of Practice for the licensure you are obtaining (LPN or RN)
• Conclusion (reflect on the criteria of the assignment)
• Use at least two credible resources to support your findings. For example, one of the resources could be the ANA Standards of Practice, and another resource could be the ANA Code of Ethics. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

Format:

• Two to three page written assignment
• Standard American English (correct grammar, punctuation, etc.)
• Logical, original, and insightful
• Professional organization, style, and mechanics in APA format

Select two clients you observed or counseled this week during a group therapy session for CHILDREN AND ADOLESCENT Note: The two clients you select must have attended the same group session. 

Then, address in your Practicum Journal the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

RUA: Health Promotion Project

TOPIC: Mental Health

AGE:  Young Adult (18- 25)

ETHNICITY: White Americans

Rubric

NR222 RUA: Health Promotion Project (New MAY20)NR222 RUA: Health Promotion Project (New MAY20)CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroduction and ConclusionRequired criteria
1. Introduction establishes the purpose of the paper and describes why topic is important to health promotion in the target population in your area.
2. Introduction stimulates the reader’s interest.
3. Conclusion includes the main ideas from the body of the paper.
4. Conclusion includes the major support points from the body of the paper.15.0

ptsHighest PerformanceIncludes no fewer than 4 requirements for section.13.0 ptsHigh PerformanceIncludes no fewer than 3 requirements for section.12.0 ptsSatisfactoryIncludes no fewer than 2 requirements for section.8.0 ptsUnsatisfactoryIncludes 1 or fewer requirements for section.0.0 ptsSection not PresentNo requirements for this section presented.15.0 pts
This criterion is linked to a Learning OutcomeRelate Topic to Target PopulationRequired criteria
1. Describes the topic and target cultural population.
2. Includes statistics to support significance of the topic.
3. Explains how the project relates to the selected Healthy People 2020 topic area.
4. Applies health promotion concepts.25.0 ptsHighest PerformanceIncludes no fewer than 4 requirements for section.20.0 ptsHigh PerformanceIncludes no fewer than 3 requirements for section.15.0 ptsSatisfactoryIncludes no fewer than 2 requirements for section.10.0ptsUnsatisfactoryIncludes 1 or fewer requirements for section.0.0 ptsSection not PresentNo requirements for this section presented.25.0 pts
This criterion is linked to a Learning OutcomeSummary of ArticlesRequired criteria
1. A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.  
2. Articles meet criteria of being from scholarly journals and include health promotion and wellness content.
3. At least one article is related to the chosen cultural group.  
4. Summaries all key points and findings from the articles.
5. Includes statistics to support significance of the topic.
6. Discusses how information from the articles is used in the Health Promotion Project, including specific examples.25.0 ptsHighest PerformanceIncludes no fewer than 4 requirements for section.23.0ptsHigh PerformanceIncludes no fewer than 3 requirements for section.21.0ptsSatisfactoryIncludes no fewer than 2 requirements for section.10.0 ptsUnsatisfactoryIncludes 1 or fewer requirements for section.0.0 ptsSection not PresentNo requirements for this section presented.25.0 pts
This criterion is linked to a Learning OutcomeHealth Promotion DiscussionRequired criteria
1. Describes approaches to educate the target population about the topic.
2. The approaches are appropriate for the cultural target population.
3. Identifies specific ways to promote lifestyle changes within the target population.
4. Applies health promotion strategies.25.0 ptsHighest PerformanceIncludes no fewer than 4 requirements for section.23.0 ptsHigh PerformanceIncludes no fewer than 3 requirements for section.21.0 ptsSatisfactoryIncludes no fewer than 2 requirements for section.10.0ptsUnsatisfactoryIncludes 1 or fewer requirements for section.0.0 ptsSection not PresentNo requirements for this section presented.25.0 pts
This criterion is linked to a Learning OutcomeAPA Style and OrganizationRequired criteria
1. TurnItIn is used prior to submitting paper for grading.
2. Revisions are made based on TurnItIn originality report.
3. References are submitted with assignment.
4. Uses current APA format and is free of errors.
5. Grammar and mechanics are free of errors.
6. Paper is 3-4 pages, excluding title and reference pages.
7. Information is organized around required components and flows in a logical sequence.10.0 ptsHighest PerformanceIncludes no fewer than 7 requirements for section.9.0 ptsHigh PerformanceIncludes no fewer than 6 requirements for section.8.0 ptsSatisfactoryIncludes no fewer than 5 requirements for section.4.0 ptsUnsatisfactoryIncludes 1 -4 requirements for section.0.0 ptsSection not PresentNo requirements for this section presented.10.0 pts
Total Points: 100.0

• NR222_RUA_HealthPromotion_Guidelines_V4-Final.pdf

1.  Reflect back over the past 14 weeks and describe how your achievements in this course have prepared you to meet the MSN program outcomes.

Peer answer: 

The MSN program requires me to demonstrate my ability to use current knowledge from nursing theory, science, and related disciplines to initiate change in nursing practice. Over the past fourteen weeks, Several things have stood out for me. Primarily, I understand that nursing practice is patient-centered, and all care innovations should value human dignity. I am expected to provide exemplary patient care in accordance with the nursing practice guideline and ethical considerations.

Secondly, technology is essential in healthcare provision. I will need to integrate technology into my practice to ensure quality care. Health Information Technology (HIT) has provided a breakthrough in healthcare institutions’ operations, diagnosis, research, and treatment of patients. I am expected to equip myself with knowledge of current technological trends to find new ways of building on my practice. Furthermore, I can leverage technology to foster collaborations with my other healthcare practitioners through information sharing to develop more comprehensive solutions to care challenges in the sector.

Lastly, as much as patient care is the primary factor of the profession, I desire to see the value for my services as a nurse practitioner. There is no motivation in seeing too many patients in a day without a financial translation. Upon graduation, my qualification level is worthy of a better rate card, but above all, I look forward to venturing into private practice.

 After reading through the article provided at the time of this reflection, two things stood out. One, I need to understand my case mix in calculating my financials. I need to know, from the number of patients seen in a day, what is their source of payment and the reimbursement rates for those insured. Two, I should be able to manage my overhead costs. A steady cash inflow is encouraging, but there may be nothing left to keep the practice going if the outflows are not in check. The overhead costs will inform the decision on the number of assistants to hire.

References

(n.d.).MDedge.https://www.mdedge.com/clinicianreviews/article/152683/practice-management/what-are-you-worth-basics-business-health-care

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

By Day 7 of Week 10

Submit your completed healthcare program/policy evaluation analysis.

Instructions

Describe: Works of Art

Evaluation Title: Pictures for your Story

For this assignment, you will select 10 works of fine art that you will use to tell “your story” for your final project.  The assignment can be submitted using either PowerPoint or Word.  Your submission must include pictures of the fine art.  Provide citations in your written explanations to show how you used each source and provide a full references page in APA style.

Answer the following questions for each work of fine art.  Answers need to go into enough detail to be informative and show evidence of learning.

1. Title, artist, and date of creation.
2. Brief description: The style (Impressionism, Contemporary, Cubism, etc.), the materials and technique used to create the artwork, and subject matter.
3. Brief commentary: Why is this work of fine art beautiful, significant, or interesting? Discuss some of the visual components (color, form, line, shape, shading, balance, mood, etc.) and the historic significance of the work of art.
4. What does this work of art mean to you?  How will the work of art contribute to your story for the final project?

Peer Response

Greatest Paintings

Instructions:

Provide a substantive response to 1 peer.

When posting a reply to other students, consider the following questions:

• Why did the person choose those artists?
• What assumptions do you make about the original poster based upon the choice of artists?
• Why do people make assumptions about others based on extremely limited information?
• In what ways do you agree or disagree with the student’s analysis of why paintings persist in culture?

Please be sure to validate your opinions and ideas with citations and references in APA format.