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A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

answer the question in 1 page 

Create a professional evidence based poster about about nursing and hospital Strategies to prevent VAP (Ventilator-associated Pneumonia ).  Be sure to include the significance of each strategy.  include recent references.  Allow space to add name on poster. Send me printable version of poster.

 

Directions

Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial (Links to an external site.) or by reading the transcript (Links to an external site.).
3. Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED 
4. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
5. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
6. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
7. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
8. Work on a portion of the process each week, as the illustration unfolds.

 

The field of nursing has changed over time. In a 750‐1,000 word paper, discuss nursing practice today by addressing the following:

1. Explain how the nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how the scope of practice changes between an associate and baccalaureate nurse.
3. Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse.
4. Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

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. 

200 words…

Discuss a topic related to sexuality and how it is represented in society.

How does American culture and your specific culture enhance or go against what we see everyday in regards to your topic?

Topics can be LGBT, pregnancy, abortion, breastfeeding, domestic abuse, sexual assault or rape

How can we change the way society views your topic?

Are there groups that experience more health disparities?

What can be do to increase health equity among your topic?

Make a short video or find one on youtube that represents your viewpoint on the topic

Write in detail 

Evidence for Direct Relation of (Execute  EX-MBA, Health care administration stream) to my work  Registered nurse.

I am pursuing (Execute  EX-MBA, Health care administration stream) please make a document which shows how  MBA specialization in Healthcare administration is related to my work(Registered Nurse).

Requirement 2 pages. 

I want poster for COPD up on any previous article previous research 

about any treatment or practice 

it should be caparison between 2 treatment

in the poster you should follw the following :

Item for Evaluation

(1) Clinical Question using PICO Format

(2) Background and Significance

(3) Synthesis of Evidence (Literature Review)

(4) Methods of implementation of proposed practice change

(Change process)

(5) Evaluation

6- references   

 

 Consider the following quote from chapter 14 of the eText: ”The gap between the rich and poor in the United States …has been widening for some time. In recent years, the gap has been the widest since our government began to keep records on it in 1947” (eText, p.143).  For example, one report states that: “Since 2009, 95% of U.S. economic gains have gone to the wealthiest 1% of the population” (“Income Inequality: Why Does the Gap Keep Widening?” The Week Feb. 7, 2014).

But not only is there a widening gap between the “Rich and the Rest of Us” (to use the title of a recent book by Tavis Smiley and Cornel West: LINK (Links to an external site.)), there is also the ever widening reach of marketing into everything or what Michael Sandel calls the marketization of society.  In Sandel’s TED Talk video, he expresses this concern that America is becoming a market society, meaning a society that uses monetary rewards to motivate desired behaviors in all aspects of life (LINK (Links to an external site.)).

For our discussion, please answer the following two questions:

[1] Discuss the growing income inequality in the U.S. and the world with someone mature enough to have some perspective from experience about it.  Ask them what they think about the widening gap between the rich and the rest of us in America, as our course materials speak of this problem.  How has the economic trend for middle class Americans affected them?  How as it affected you?

[2] Two examples of the marketization of society today that Sandel discusses are cash for grades and pay for getting around long lines.  What, if anything, is wrong with these practices?  Beyond what Sandel discusses, think of at least one social, personal, or relational good or value that you think would be negatively affected by marketization.  And explain why.

Describe how epidemiological data influences changes in health practices. Provide an example and explain what data would be necessary to make a change in practice.

 

Role of the Family Nurse Practitioners (FNPs) consists of dealing with 45% acute health problems, 34% episodes of exacerbation of chronic conditions and 24.5% for non-illness related health promotion visits. Collaboration with supervised Physician and signed collaborative agreement must be in place. Data suggests that mid level health professionals provide counseling in 84%, where Physicians counsel in 61% of visits. Advance Care Providers not only share the patient’s load, but also ensure superior patient satisfaction by providing non-billable services before, during, and after treatment (Pickard, 2014 p.130).

Non-billable value-adding activities comprise of educating patients, monitoring treatment care, following patients from the beginning to the end, managing adverse events/reactions, coordinating referrals to other specialist and keeping communication with them, preparing for procedures and executing them, answering questions, and handling complicated cases (Yopp, Wall, & Miller, 2016, p. 749).    

          Nurse practitioners (NPs) are required to follow state’s regulations at their work place. Medications of schedule II, III, IV, and V are considered to be controlled substances, consequently NPs are allowed to prescribe them under the supervision of a collaborating medical doctor (MD). Floridian NPs, who undergo proper training and have appropriate experience, can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising Physician is certified, trained, or permitted to treat and manage patients with opioid use disorder (Florida Scope of Practice Policy – State Profile).

References

Florida Scope of Practice Policy – State Profile. (n.d.). Retrieved from

http://scopeofpracticepolicy.org/states/fl/2019

Pickard, T. (2014). Calculating your worth: Understanding productivity and value. Journal of the 

           Advanced Practitio­ner in Oncology, 5(2), 128–133. http://dx.doi.org/10.6004/

           jadpro.2014.5.2.6

Yopp A. W., Wall H. M., & Miller K.C. (2016) Recognizing the Contributions of Advanced

           Practitioners to Oncology Care: Are Current Metrics Enough? Journal Advance Practice 

           Oncology.7:748–754. https://doi.org/10.6004/jadpro.2016.7.7.6