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 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES NOT MORE THAN 5 YEARS

ZERO PLAGIARISM

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:

• Analyze salient ethical issues in psychiatric mental health practice
• Compare ethical dilemmas with state health laws and regulations
• Analyze ethical decision-making processes

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 3-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.

1-  In the infant, sutures separate the bones of the skull from one another. The areas where the major sutures intersect in the anterior and posterior portions of the skull are fontanelles. Discuss various problems associated with fontanelles. 

2-3 paragraphs of 3 sentences each

3- APA style

4- 2 references not older than 2015

1)  Submit 1 document per part

Part 1: Complete the file “Template” according to:

Diagnosis:  Malaria

Part 2: Complete the “Template ” according to:

Diagnosis:  Dengue

 Part 3: Complete the “template ” according to:

    Diagnosis:  Leishmaniasis

2)¨****** You must strictly follow the template.

             Will not admit any change           

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references per part not older than 5 years

Follow the rubric (Required):

Clinical Case Grading Criteria: The evaluation of the presentation is based on the following:

Criteria

 1) Chief Complaint & pertinent history 10 points

2)Pertinent exam and diagnostics 10 points

3)Working diagnosis with supporting criteria 5 points

4)Management plan 5 points

5)Epidemiological data – cited from literature 10 points

6)Evidenced based rationale for treatment (literature based) 10 points

7)Analysis of self-care and family issues r/t diagnosis and treatment plan 20 points

8)Evaluation parameters to be used (or were used) to determine outcomes 10 points

9)Identify major “lessons learned” and how it may affect your future practice 20 points

In a 1- to 2-page paper, address the following:

· Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
· Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
· Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. All papers submitted must use this formatting.

Care Management, Case Management, and Home Healthcare

1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

4). ALSO, IN ADDITION TO RUBRIC DETAILS, I HAVE ATTACHED THE INSTRUCTOR’S EXPECTATION GUIDELINE. (Please and Please, let me know if there is any clarification needed from me).

Thank you.  

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

unit 2 question and answer 

Week 3: Paper #1 Due

The older population in the United States is becoming more ethnically and racially diverse. In addition to racial and ethnic diversity, there will be growing numbers of lesbian, gay, bisexual, and transgender persons entering their senior years who will present a unique set of challenges. The growing diversity of the older population presents challenges for gerontological nursing in providing culturally competent care.

Essential to the provision of culturally competent care is an understanding of:

• The experiences of individuals of similar ethnic or racial background
• Beliefs, values, traditions, and practices of various ethnic and racial groups
• Unique health-related needs, experiences, and risks of various ethnic and racial groups and persons of similar sexual orientation
• One’s own attitudes and beliefs toward people of various ethnic and racial groups and persons of similar sexual orientation, as well as those attitudes of co-practitioners
• Language barriers that can affect the ability of patients to communicate health-related information, understand instructions, provide informed consent, and fully participate in their care

Your assignment is to write a 2-3 page paper choosing one of the following groups of older adults and address how you will provide cultural care for this group or the individual:

•          Hispanic Americans

•          Black Americans

•          Asian Americans

•          Jewish Americans

•          Muslim Americans

•          Native Americans

•          Gay, lesbian, bisexual, transgender 

• Paper should be in APA format
• Length: 2-3 pages in length EXCLUDING the title and reference pages
• Paper #1 due Sunday, November 15 by 11:59 pm EST

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 500-750 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.

INSTRUCTIONS TO FOLLOW FOR THIS PAPER:

TOPIC: FACILITATING HAND-OFFS: IMPROVING COMMUNICATION IN THE PACU (POST ANESTHESIA CARE UNIT); THIS IS THE PROBLEM/ISSUE TO HELP FORMULATE A PICOT QUESTION ; (P) – Population refers to the sample of subjects you wish to recruit for your study. There may be a fine balance between defining a sample that is most likely to respond to your intervention (e.g. no co-morbidity) and one that can be generalized to patients that are likely to be seen in actual practice.

• (I) – Intervention refers to the treatment that will be provided to subjects enrolled in your study.
• (C) – Comparison identifies what you plan on using as a reference group to compare with your treatment intervention. Many study designs refer to this as the control group. If an existing treatment is considered the ‘gold standard’, then this should be the comparison group.
• (O) – Outcome represents what result you plan on measuring to examine the effectiveness of your intervention. 
• (T) – Time describes the duration for your data collection.

PLEASE ANSWER ALL QUESTIONS

PLEASE FOLLOW ALL DIRECTIONS

PAPER NEEDS TO BE IN APA FORMAT

ALL REFERENCES NEED TO BE CITED AND WITHIN THE LAST 5 YEARS